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Technical Assis<strong>ta</strong>nce Consul<strong>ta</strong>nt’s Report<br />
Project Number: 39641<br />
October 2009<br />
Republic of Kiribati: Integrated Land and Population<br />
Development Program on Kiritimati Island<br />
(Financed by the Japan Special Fund)<br />
Prepared by ANU Enterprise Pty Ltd<br />
This consul<strong>ta</strong>nt’s report does not necessarily reflect the views of ADB or the Government concerned, and<br />
ADB and the Government cannot be held liable for its contents.
Final Report for the<br />
Integrated Land and Population Development Program<br />
on Kiritimati Island (Population Policy): TA <strong>4878</strong>-KIR<br />
submission by ANU Enterprise Pty Ltd
Final Report, October 28th, 2009<br />
_____________________________________________________________________<br />
ADB TA <strong>4878</strong> - KIR:<br />
INTEGRATED LAND AND POPULATION<br />
DEVELOPMENT PROGRAM ON KIRITIMATI ISLAND:<br />
POPULATION COMPONENT<br />
Prepared by:<br />
ANU Enterprise Pty Ltd<br />
FINAL REPORT, 28 October 2009<br />
____________________________________________________________________<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component) 1
Final Report, October 28th, 2009<br />
_____________________________________________________________________<br />
EXECUTIVE SUMMARY<br />
The Republic of Kiribati has reached a critical point in its development. Uneven<br />
<strong>population</strong> distribution is exerting extreme pressure on the South Tarawa<br />
infrastructure, reducing living s<strong>ta</strong>ndards and hampering efforts to generate sus<strong>ta</strong>inable<br />
economic growth in the face of challenges from global climate change and economic<br />
ins<strong>ta</strong>bility. The changes impact the whole country, including the remote Line Islands<br />
where the nation’s largest <strong>island</strong>, Kiritimati, is located. Yet Kiribati still has<br />
development potential and some valuable assets, including political s<strong>ta</strong>bility, thinly<br />
populated outer <strong>island</strong>s with potential for productivity increase and under-utilised<br />
human resources.<br />
Although managed by a special Government agency, the Ministry of Line and<br />
Phoenix Islands Development (MLPID), Kiritimati Island currently has little control<br />
over its own destiny. In recent years the development of outer <strong>island</strong> growth centres,<br />
especially Kiritimati Island, has been viewed primarily as a resettlement safely valve<br />
to relieve the impact of sus<strong>ta</strong>ined <strong>population</strong> increase in South Tarawa. 1<br />
The stream of<br />
people to Kiritimati has not been accompanied by commensurate investment in<br />
infrastructure and economic development and many of the concerns of South Tarawa<br />
are now replicated on Kiritimati.<br />
While focussing on Kiritimati <strong>island</strong>, the objective of this TA was to:<br />
• support strategies to increase the value of human resources ( including<br />
improved health, education, living conditions, and increased employment<br />
opportunities); and<br />
• support strategies to slow the <strong>population</strong> growth rate, which will lead to<br />
economic growth, social progress, and raised living s<strong>ta</strong>ndards.<br />
The required outcomes were<br />
• an es<strong>ta</strong>blished comprehensive <strong>population</strong> <strong>policy</strong> for Kiribati;<br />
• an integrated strategy to <strong>ta</strong>ckle squatters;<br />
• improved public health.<br />
The findings of this TA (both Population and Land Components) are that current<br />
resettlement practices on Kiritimati Island are unsus<strong>ta</strong>inable and leading to suboptimum<br />
use of resources. Moreover, although Kiritimati is the nominal focus of the<br />
Population and Land Components of this TA, both Population and Land Components<br />
concluded that settlement and utilisation of Kiritimati are largely determined by<br />
national-level factors. Concerns on Kiritimati therefore cannot be viewed in isolation<br />
but must be addressed by policies made in South Tarawa.<br />
ACHIEVEMENTS OF ADB TA <strong>4878</strong> - KIR: POPULATION COMPONENT<br />
The main achievement of this TA has been to re-energise national interest in<br />
<strong>population</strong> issues and to progress <strong>population</strong> and development planning to the point<br />
where Kiribati is ready to implement a new <strong>population</strong> initiative.<br />
The Population Component of this TA focussed on developing and winning support<br />
for an integrated, whole-of-nation approach to <strong>population</strong> and development. As a<br />
1 For example, the 2004 National Development Strategy and the 2008 Kiribati Development Plan.<br />
____________________________________________________________________<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component) 2
Final Report, October 28th, 2009<br />
_____________________________________________________________________<br />
Population and Development Policy had already been prepared in 2004, the key<br />
document developed during the TA is the Kiribati Population and Development<br />
Implemen<strong>ta</strong>tion Strategy (see Annex 2.c). This document has been developed in<br />
consul<strong>ta</strong>tion with s<strong>ta</strong>keholders and encompasses improvements in health and<br />
infrastructure as well as human resources development.<br />
The Strategy includes<br />
• coordinating, developing and utilising human resources to improve living<br />
s<strong>ta</strong>ndards on Kiritimati Island and throughout Kiribati;<br />
• improving infrastructure on Kiritimati and all other outer <strong>island</strong>s to promote<br />
sus<strong>ta</strong>inable settlement and economic activity and discourage migration to<br />
South Tarawa; and<br />
• community education to raise awareness of <strong>population</strong> and development<br />
linkages.<br />
Because it is nationwide, the strategy addresses both the immediate concerns of<br />
Kiritimati Island and their causes as well as <strong>population</strong> and development concerns in<br />
Tarawa and all outer <strong>island</strong>s.<br />
Following accep<strong>ta</strong>nce and widespread support for the draft Kiribati Population and<br />
Development Implemen<strong>ta</strong>tion Strategy ADB extended the current TA from 18 May<br />
2009 until the 30 September 2009. Delays in approval reduced the duration of the<br />
community engagement activities of the extension to 5 weeks instead of 5 months as<br />
proposed. (Variation No.2 is dated 28 July and Variation No.3 is dated 25 August<br />
2009) This prevented implemen<strong>ta</strong>tion of a number of proposed activities but did allow<br />
for the National Facili<strong>ta</strong>tor to support the process of endorsement of the draft<br />
Strategy. The draft Strategy was endorsed by the Government of Kiribati in August<br />
2009 and renamed the Population Policy Implemen<strong>ta</strong>tion Strategy.<br />
The TA extension also allowed the National Facili<strong>ta</strong>tor to continue lobbying for the<br />
es<strong>ta</strong>blishment of the post of and approval of the post of Population and Development<br />
Coordinator to oversee implemen<strong>ta</strong>tion of the Strategy. This post is likely to<br />
commence in January 2010, provided that donor support can be ob<strong>ta</strong>ined. These steps<br />
have provided the Exit Strategy for this TA.<br />
This Final Report reviews the background, objectives, findings and outcomes of the<br />
TA, and presents a set of recommendations. The annexes comprise de<strong>ta</strong>ils of TA<br />
activities and key documents, including the final Population Policy Implemen<strong>ta</strong>tion<br />
Strategy (formerly the draft Kiribati Population and Development Implemen<strong>ta</strong>tion<br />
Strategy). This Final Report differs from the Preliminary Final Report (submitted in<br />
May 2009) in that it has been revised to include the Exit Strategy activities conducted<br />
during the TA extension, up to 30 th September 2009. It also includes a report on work<br />
done by the National Facili<strong>ta</strong>tor during the extension. All documents at<strong>ta</strong>ched to the<br />
Preliminary Final Report of May 2009 have been re-submitted, plus a new Annex<br />
Five, which is the National Facili<strong>ta</strong>tor’s report.<br />
____________________________________________________________________<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component) 3
Final Report, October 28th, 2009<br />
_____________________________________________________________________<br />
CONTENTS<br />
List of Acronyms 5<br />
1. Summary of TA activities and outcomes 6<br />
2. Background 7<br />
3. Key findings of the 2005 census and other recent<br />
<strong>population</strong>-related da<strong>ta</strong> (Summary) 9<br />
4. Rationale for strengthening links between <strong>population</strong><br />
and development planning (Summary) 11<br />
5. Settlement issues and squatters on Kiritimati Island (Summary) 12<br />
6. Health services and health needs on Kiritimati Island (Summary) 15<br />
7 Key Recommendations: Strategies to address <strong>population</strong> and<br />
development issues on Kiritimati Island 17<br />
8. TA Exit strategy 18<br />
9. Evaluation of TA against Scope of Services and TOR 19<br />
Annexes Section One: Administrative<br />
a) List of TA personnel<br />
b) List of Activities<br />
c) List of Informants<br />
SUPPORTING DOCUMENTS<br />
Annexes Section Two: Population and Development: Background and strategies<br />
2.a: Recent Trends in Population and Living Conditions in Kiribati<br />
(McMurray)<br />
2.b: Population and Development Planning in Kiribati (McMurray)<br />
2.c: The Kiribati Population Policy Implemen<strong>ta</strong>tion Strategy (McMurray)<br />
2.d: Training Materials: Population and Development Handbook (McMurray)<br />
2.e: Training Materials: Population Brochure (McMurray)<br />
Annexes Section Three. Squatters and resettlement: Background and strategies<br />
3.a: Report on Squatters on Kiritimati Island (Jones)<br />
3.b: Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
(Jones)<br />
3.c: Social and Poverty Analysis (Jones)<br />
3.d: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to<br />
Kiritimati Island (Jones)<br />
Annexes Section Four. Health Services: Background and strategies<br />
4: Report on Health Services on Kiritimati Island (Naylor)<br />
Annex Section Five: Report on TA Extension<br />
5: Report on work done by the National Facili<strong>ta</strong>tor during TA Extension.<br />
____________________________________________________________________<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component) 4
Final Report, October 28th, 2009<br />
_____________________________________________________________________<br />
LIST of ACRONYMS<br />
ANUE Australian National University Enterprise<br />
AusAID Australian Agency for International Development<br />
ADB <strong>Asian</strong> Development Bank<br />
CASL Committee for the Allocation of S<strong>ta</strong>te Lands<br />
CMR Child Mor<strong>ta</strong>lity Rate<br />
EU European Union<br />
FBO Faith-Based Organisation<br />
FGD Focus Group Discussion<br />
GDP Gross Domestic Product<br />
HIES Household Income and Expenditure Survey<br />
HIV/AIDS Human Immuno-deficiency Virus/Auto-Immune Deficiency Syndrome<br />
IATA International Air Transport Association<br />
IMR Infant Mor<strong>ta</strong>lity Rate<br />
KANGO Kiribati Association of Non-Governmen<strong>ta</strong>l Organisations<br />
KCC Kiribati Catholic Church<br />
KDP Kiribati Development Plan<br />
KPC Kiribati Protes<strong>ta</strong>nt Church<br />
KWASP Kiritimati Water and Sani<strong>ta</strong>tion Project<br />
KLLPB Kiritimati Local Land Planning Board<br />
KNCC Kiribati National Council of Churches<br />
KNDP Kiribati National Development Plan<br />
KPA Key Policy Area<br />
LPID Line and Phoenix Island Development<br />
MDG Millennium Development Goals<br />
MELAD Ministry of Lands and Agricultural Development<br />
MEYS Ministry of Education, Youth and Sport<br />
MFED Ministry of Finance and Economic Development<br />
MHMS Ministry of Health and Medical Services<br />
MISA Ministry of Internal and Social Affairs<br />
MLPID Ministry of Line and Phoenix Island Development<br />
MOPS Ministry Operation Plans<br />
NCD Non-Communicable Disease<br />
NDS National Development Strategy<br />
NGO Non-Governmen<strong>ta</strong>l Organisation<br />
NSO National S<strong>ta</strong>tistical Office<br />
PDC Population and Development Coordinator<br />
PIMF Pacific Islands Medical Fund<br />
PTF Population Task Force<br />
RERF Revenue Equalization Reserve Fund<br />
SAPHE Sani<strong>ta</strong>tion, Public Health and Environment (Project)<br />
SPC Secre<strong>ta</strong>riat of the Pacific Community<br />
STI Sexually Transmitted Infection<br />
TFR To<strong>ta</strong>l Fertility Rate<br />
TSKL Telecom Services Kiribati Limited<br />
TA Technical Assis<strong>ta</strong>nce<br />
TOR(s) Terms of Reference<br />
U5MR Under-Five Mor<strong>ta</strong>lity Rate<br />
UNDP United Nations Development Program<br />
UNFPA United Nations Population Fund<br />
WHO World Health Organization<br />
____________________________________________________________________<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component) 5
Final Report, October 28th, 2009<br />
_____________________________________________________________________<br />
1. SUMMARY OF TA OBJECTIVES AND OUTCOMES<br />
The strategic objective of the Population Policy Component of this TA as set out in<br />
the original project document was to s<strong>ta</strong>bilize <strong>population</strong> growth in order to ensure a<br />
balance between <strong>population</strong> and resources and lead to improved living s<strong>ta</strong>ndards and<br />
wellbeing for the local <strong>population</strong>. It was to address both sides of the balance<br />
between <strong>population</strong> and resources, i.e.<br />
A) support strategies to increase the value of human resources ( including<br />
improved health, education, living conditions, and increased<br />
employment opportunities)<br />
B) support strategies to slow the <strong>population</strong> growth rate, which will lead to<br />
economic growth, social progress, and raised living s<strong>ta</strong>ndards.<br />
The required TA outcomes, which were all achieved, were as follows:<br />
I) an es<strong>ta</strong>blished comprehensive <strong>population</strong> <strong>policy</strong> for Kiribati;<br />
TA outcome: It was pointed out in the Inception Report that the Kiribati<br />
Population Policy already exists and was endorsed by Cabinet in August<br />
2004. Outcome I) is therefore the Kiribati Population Policy Implemen<strong>ta</strong>tion<br />
Strategy (see Annexe 2.c), which includes <strong>population</strong> information updates<br />
based on the 2005 Census.<br />
II) an integrated strategy to <strong>ta</strong>ckle squatters;<br />
TA Outcome: It was also pointed out in the Inception Report that within the<br />
limited timeframe and resources of this TA, Outcomes II) and III) were<br />
possible only for Kiritimati Island<br />
The conclusion of the Resettlement and Social Protection Specialist was that<br />
until the infrastructure on Kiritimati has been subs<strong>ta</strong>ntially improved there<br />
should be no further settlement on the <strong>island</strong>. A plan to manage volun<strong>ta</strong>ry<br />
resettlement has therefore not been developed. An analysis of squatting is<br />
annexed (see Annex 3.b)<br />
III) improved public health.<br />
TA Outcome: An economic analysis of the health facility on Kiritimati Island<br />
with costs of for upgrading health facilities and service delivery on Kiritimati<br />
to serve <strong>population</strong>s of various sizes is annexed (see Annex 4).<br />
The body of this report describes the TA background and activities and provides<br />
summaries of findings and outcomes. Full reports on each of the three sectors are<br />
annexed.<br />
____________________________________________________________________<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component) 6
Final Report, October 28th, 2009<br />
_____________________________________________________________________<br />
2. BACKGROUND<br />
The 2005 census showed that the <strong>population</strong> of Kiribati has increased at an average<br />
annual rate of 1.8% since 1947. In this period the to<strong>ta</strong>l <strong>population</strong> of 31,513 in 1947<br />
has increased almost threefold to reach 92,533 in 2005. This increase has not been<br />
even across the 23 inhabited <strong>island</strong>s (atolls), however. While most have doubled in<br />
size, and a few have trebled, the 2005 <strong>population</strong> of South Tarawa was 25 times as<br />
large as in 1947. In the decade 1995-2005 the <strong>population</strong>s of most outer <strong>island</strong>s<br />
declined or fluctuated. The <strong>population</strong> growth rate of South Tarawa’s <strong>population</strong><br />
slowed from 5.2% per annum for 1995-2000 to an average of 1.9% for 2000-2005, but<br />
this still amounts to a net increase of about 720 people per year.<br />
People move to South Tarawa to ob<strong>ta</strong>in eduction and employment, but schools are<br />
becoming overcrowded and there are insufficient opportunities for wage employment<br />
to meet the demand. Even in this crowded urban environment, many families depend<br />
to a considerable extent on subsistence activities for their basic needs.<br />
Kiritimati Island (Christmas Island) was quite lightly populated until the 1970s. It had<br />
1,265 people in 1979 when the British Government agreed that it would become part<br />
of the newly independent nation of Kiribati. Since then its growth rate has gradually<br />
accelerated. By 2005 its <strong>population</strong> numbered 5,115, with an average annual growth<br />
rate of 7.9% between 2000 and 2005. The only other outer <strong>island</strong>s to show significant<br />
<strong>population</strong> increase in the 2000-2005 inter-censal period were North Tabituea, North<br />
Tarawa and Tabuearan. 2<br />
Almost 50% of the Kiribati <strong>population</strong> is now concentrated in a few small areas, and<br />
this is having a negative impact on living s<strong>ta</strong>ndards. The 2005 census counted 12,509<br />
people lived in Betio, an islet of only 1.75 square kilometres. Settlement densities are<br />
also becoming high in several villages elsewhere in South Tarawa, including Bairiki<br />
(2,766 in 2005), Bikenibeu (6,170 in 2005), and Teaoraereke (3,939 in 2005), and in<br />
the Kiritimati Island the villages of Tabwakea (1,881 in 2005) and London (1,829 in<br />
2005).<br />
While <strong>population</strong>s of these magnitudes and densities might not pose a problem in<br />
some environments, Kiribati housing s<strong>ta</strong>ndards are generally low and most residents<br />
in South Tarawa as well as the outer <strong>island</strong>s and Kiritimati Island, lack safe water and<br />
sani<strong>ta</strong>tion. Con<strong>ta</strong>mination of water sources normally regarded as 'safe' has prompted<br />
Ministry of Health and Medical Services (MHMS) to recommend that all water be<br />
boiled before drinking. Overcrowding and lack of safe water and sani<strong>ta</strong>tion are<br />
impacting health. Kiribati has high rates of infectious diseases, including respiratory<br />
infections, diarrhoeal diseases, skin diseases, and hepatitis A and B. Crowding at the<br />
household level facili<strong>ta</strong>tes transmission of these infectious diseases, as well as<br />
tuberculosis. Additional housing is needed to accommodate the continuing inflow of<br />
people, but vacant land is becoming scarce. Lack of subsistence opportunities in these<br />
crowded environments has prompted a switch to low cost imported foods that tend to<br />
be low in fibre but high in sugar and fat. This contributes to a growing incidence of<br />
2 The 2005 Census found that Makin also had increased subs<strong>ta</strong>ntially since 2000, but this appears to be<br />
due to a temporary influx of people for political reasons rather than a spon<strong>ta</strong>neous <strong>population</strong><br />
movement.<br />
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ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component) 7
Final Report, October 28th, 2009<br />
_____________________________________________________________________<br />
non-communicable diseases (NCDs) including obesity, diabetes, cardio-vascular<br />
diseases and cancer.<br />
Despite the poor living conditions, the densely settled areas continue to act as<br />
<strong>population</strong> magnets. The promise of wage employment attracts people from outer<br />
<strong>island</strong>s, even though there are nowhere near enough opportunities to meet the<br />
demand. The 2005 census found just over one in seven I-Kiribati 3 had a cash income.<br />
At least two thirds of all wage jobs in Kiribati are in the public sector, and 61% of all<br />
cash earners live in South Tarawa. 4<br />
Traditional patterns of obligation dic<strong>ta</strong>te that<br />
those who are able to earn a wage must provide for the cash needs of non-workers in<br />
their extended families. This is especially burdensome in South Tarawa, where most<br />
people depend largely on store-bought food.<br />
The 'National Development Strategy 2004-2007: Enhancing Growth and Ensuring<br />
Equi<strong>ta</strong>ble Distribution' recommended that a key development strategy should be to<br />
“Design and implement a comprehensive <strong>population</strong> <strong>policy</strong> to achieve s<strong>ta</strong>bility of to<strong>ta</strong>l<br />
<strong>population</strong> by 2020-2025.” In 2004 a draft Kiribati Population Policy was prepared as<br />
part of ADB TA 3786. Preparation of this <strong>policy</strong> included extensive consul<strong>ta</strong>tions<br />
with Government, NGOs, FBOs (faith-based organizations) and the community. In<br />
August 2004, Cabinet endorsed the Population Policy, which has the goal of limiting<br />
<strong>population</strong> increase to 120,000 people by 2025. The main goal of <strong>policy</strong> is:<br />
To contribute to social and economic progress and a rising s<strong>ta</strong>ndard of living<br />
for the people of Kiribati, and to facili<strong>ta</strong>te adap<strong>ta</strong>tion to climate change by<br />
limiting <strong>population</strong> growth to 120,000 in 2025.<br />
The second part of ADB TA 3786 was devoted to working with the Population and<br />
Development Coordination Committee to prepare a draft 'Kiribati 20-year Population<br />
and Development Strategy' and 'First Implemen<strong>ta</strong>tion Plan and Budget for the period<br />
January 2005-December 2007'. The three main strategies for achieving the goals of<br />
the Population Policy were:<br />
• Population awareness and parenting education to achieve replacement fertility<br />
by 2025 (i.e. 2.1 children per woman);<br />
• Facili<strong>ta</strong>te permanent emigration to other countries;<br />
• Develop alternative growth centres within Kiribati.<br />
The budget proposed for of the First Implemen<strong>ta</strong>tion Plan was subs<strong>ta</strong>ntial, and when it<br />
was submitted to the National Budget Committee funds could not be found to support<br />
implemen<strong>ta</strong>tion. Thus, although accep<strong>ta</strong>nce of the Population Policy is still<br />
acknowledged in Government documents, and although the <strong>policy</strong> is still a live<br />
document and its objectives are still relevant to the current <strong>population</strong> and<br />
development situation, it has not been implemented per se.<br />
The Outer Island Growth Centres Project and the family planning <strong>program</strong> of MHMS<br />
each address part of the Policy's scope and activities. In the absence of a coordinated,<br />
comprehensive and holistic strategy to manage <strong>population</strong> at the national level,<br />
however, their achievements will be limited. A national approach to <strong>population</strong><br />
planning is urgently needed, to counteract the common perception that Kiritimati<br />
3 I-Kiribati = the people of Kiribati.<br />
4 National S<strong>ta</strong>tistics Office, Ministry of Finance, 2007: 60-64.<br />
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ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component) 8
Final Report, October 28th, 2009<br />
_____________________________________________________________________<br />
Island is the answer to overcrowding in the Gilbert Group and to create incentives for<br />
a smaller family size.<br />
The nominal focus of the present TA, ADB TA <strong>4878</strong> - Kir: Population Policy<br />
Program Kiritimati Island (Population Component) is resettlement to Kiritimati<br />
Island, which is one of the three priorities of the 2004 Population Policy and<br />
Implemen<strong>ta</strong>tion Plan. The TA has enabled a comprehensive review of infrastructure,<br />
land allocation and resettlement on Kiritimati Island. This includes assessments of<br />
land management, settlement and squatting on Kiritimati and of the adequacy and<br />
capacity of existing health facilities on Kiritimati, and the costs of expanding them to<br />
provide adequate services for larger numbers.<br />
It is recognised in the TA document and the TOR that <strong>population</strong> issues on Kiritimati<br />
Island are largely determined by policies and issues originating in South Tarawa. This<br />
TA has therefore provided an opportunity to make an impor<strong>ta</strong>nt contribution to<br />
economic development in Kiribati as a whole as well as to addressing problems on<br />
Kiritimati Island. It has revived interest in the Kiribati Population Policy that was<br />
endorsed by Government in 2004, and enabled the development of the Kiribati<br />
Population Policy Implemen<strong>ta</strong>tion Strategy to coordinate and support existing<br />
<strong>population</strong> and human resource development activities. This will help build a better<br />
foundation for development and provide motivation for a smaller family size across<br />
the whole nation.<br />
This TA therefore <strong>ta</strong>kes a two-pronged approach to addressing <strong>population</strong> and<br />
development issues in Kiritimati. On the one hand it advocates specific strategies for<br />
Kiritimati, including deferring further resettlement until there is adequate<br />
infrastructure in place and improving health services. This includes implementing on<br />
Kiritimati Island the six key activities to promote human resources development and<br />
improved living s<strong>ta</strong>ndards as set out in the Kiribati Population Policy Implemen<strong>ta</strong>tion<br />
Strategy. On the other hand, implemen<strong>ta</strong>tion of the same six key activities in the rest<br />
of Kiribati will reduce the need for resettlement to Kiritimati Island and buy time for<br />
its sus<strong>ta</strong>inable development.<br />
3. KEY FINDINGS OF THE 2005 CENSUS AND OTHER RECENT<br />
POPULATION RELATED DATA (SUMMARY)<br />
This section summarises a discussion paper prepared by the Demographer of<br />
the TA Team: RECENT TRENDS IN POPULATION AND LIVING<br />
CONDITIONS IN KIRIBATI (See Annex 2.a)<br />
The 2005 census confirmed that the <strong>population</strong> of Kiribati had continued to increase<br />
at an average of 1.8% per annum; the same average rate as from 1947 to 2000. The<br />
increase was almost entirely due to natural increase (excess of births over deaths) as<br />
the return of Kiribati citizens previously employed by the Nauru Phosphate<br />
Corporation was offset by emigration of around 100 persons per year to New Zealand.<br />
South Tarawa's average annual growth rate over the five years 2000-2005 was much<br />
slower than in 1995-2000 (1.9% compared with 5.2%) while that of Kiritimati<br />
accelerated sharply to become the highest in Kiribati (averaging 7.9% in 2000-2005,<br />
compared with 1.2% in 1995-2000). Even so, South Tarawa still had the larger<br />
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absolute increase in numbers between 2000 and 2005 (3,594, compared with 1,684 for<br />
Kiritimati).<br />
By 2005 44% of the to<strong>ta</strong>l <strong>population</strong> of Kiribati lived in South Tarawa. Of the outer<br />
<strong>island</strong>s, Kiritimati had the largest <strong>population</strong>, amounting to 5.9% of the national to<strong>ta</strong>l.<br />
Accelerating growth rates were also evident in North Tarawa, North Tabituea and<br />
Tabuearan, although they remained smaller numerically than Kiritimati. Populations<br />
in most of the remaining outer <strong>island</strong>s were almost s<strong>ta</strong>ble or contracted. This pattern<br />
has resulted in further increases in density in the already crowded areas of South<br />
Tarawa (Betio, Bairiki, Bikenibeu) and Kiritimati (London, Tabwakea), with the<br />
consequent issues of health and living s<strong>ta</strong>ndards described in Section One above.<br />
The analytical report on the 2005 census concluded that fertility had declined sharply<br />
in the intercensal period 2000-2005, estimating the TFR for 2004-2005 as 3.6, which<br />
is subs<strong>ta</strong>ntially less than the estimated TFRs of 4.5 in 1995 and 4.3 in 2000. 5<br />
MHMS<br />
birth registration da<strong>ta</strong> for 2000 - 2007, however, indicates that the number of<br />
registered births for 2005, 2006 and 2007 either exceeds or is in line with earlier<br />
trends. It is therefore too soon to say there is accelerating fertility decline in Kiribati.<br />
A concern is that the age structure of Kiritimati Island is younger than that of Betio,<br />
suggesting higher fertility and potential for faster <strong>population</strong> growth. Resettlement to<br />
Kiritimati Island is seen as a way of reducing <strong>population</strong> pressure in the densely<br />
settled areas of South Tarawa. In the absence of economic incentives to restrict family<br />
size at resettlement destinations, however, resettlement could actually slow the overall<br />
rate of fertility decline in Kiribati.<br />
The 2005 census analysis also found an increase in the infant mor<strong>ta</strong>lity rate (IMR)<br />
compared with the 2000 census, from 43 to 52 per 1000 live births. Although again it<br />
is too soon to determine whether this trend has been sus<strong>ta</strong>ined, increases in the IMR<br />
are always a concern because it is widely recognised as a sensitive indicator of living<br />
conditions. The census da<strong>ta</strong> also show high mor<strong>ta</strong>lity of children aged one to five<br />
years (17.5 per 1000 live births) and low life expec<strong>ta</strong>ncy at birth (58.9 years for men<br />
and 63.1 years for women) compared with most neighbouring Pacific countries. 6<br />
These rates are consistent with da<strong>ta</strong> on access to water and sani<strong>ta</strong>tion. According to<br />
the 2000 census, most of the <strong>population</strong> is relying on water sources that are readily<br />
con<strong>ta</strong>minated in the Kiribati environment, while more than half the <strong>population</strong> still<br />
use the lagoon, beach or bush in lieu of safe sani<strong>ta</strong>tion. 7<br />
The percen<strong>ta</strong>ges could be<br />
even higher on Kiritimati Island where there is no provision for water or sani<strong>ta</strong>tion in<br />
much of the settled area. This suggests negligible improvement in the situation<br />
described in Section One above, and continuing hazardous health conditions as<br />
regards infectious disease, especially in more densely settled areas.<br />
At the same time, <strong>population</strong> increase and intensification of settlement in already<br />
crowded areas is reducing opportunities for subsistence and increasing reliance on<br />
store-bought food that tends to be low in fibre and high in sugar, fat and calories.<br />
5 SPC and Republic of Kiribati, Analysis of the 2005 Census: 15<br />
6 See S<strong>ta</strong>tistics and Demography Section and MDG da<strong>ta</strong> on SPC website: http://www.spc.int.<br />
7 National S<strong>ta</strong>tistics Office, MFED, 2007: 100.<br />
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This, along with relatively widespread smoking, hazardous drinking patterns and<br />
more seden<strong>ta</strong>ry lifestyles, is increasing the risk of early-onset non-communicable<br />
diseases.<br />
The <strong>population</strong> projections in the 2005 census report are consistent with those made<br />
during the development of the Kiribati Population Policy in 2004. All projections<br />
suggest that, regardless of which scenario comes to pass, Kiribati can expect to have<br />
at least 20,000 additional people by 2025, and unless opportunities for permanent<br />
emigration increase subs<strong>ta</strong>ntially, the figure is likely to be higher. Only the lowest<br />
projection based on the 2005 census da<strong>ta</strong> does not exceed the Population Policy<br />
objective of no more than 120,000 by 2025, and it is acknowledged in the Census<br />
Report that this is the least likely scenario.<br />
Population growth of this magnitude will place extreme pressure on existing facilities<br />
and further increase the demand for employment and sus<strong>ta</strong>inable livelihoods. Given<br />
that living s<strong>ta</strong>ndards on Kiritimati Island are already compromised by inadequate<br />
infrastructure, it is clear that resettlement to Kiritimati can no longer be viewed as an<br />
easy solution to <strong>population</strong> pressure elsewhere in Kiribati. Any resettlement must be<br />
preceded by construction of adequate water, sani<strong>ta</strong>tion, housing and other services,<br />
and accompanied by economic opportunities to ensure sus<strong>ta</strong>inable communities. The<br />
experience of resettlement in Kiritimati to date indicates that without this<br />
infrastructure, resettlement may simply export the problems of South Tarawa to a new<br />
location.<br />
This points to the need to reaffirm the objectives of the 2004 Kiribati Population<br />
Policy and adopt a new Population Policy Implemen<strong>ta</strong>tion Strategy. This should be<br />
done as soon as possible, to minimise the negative impacts of <strong>population</strong> growth and<br />
manage <strong>population</strong> at the national level in a way that optimises potential for economic<br />
growth.<br />
4. RATIONALE FOR STRENGTHENING LINKAGES BETWEEN<br />
POPULATION AND DEVELOPMENT (SUMMARY)<br />
This is extracted from a paper prepared by the Demographer and Team Leader:<br />
‘POPULATION PLANNING ISSUES AND STRATEGIES: KIRITIMATI<br />
ISLAND AND KIRIBATI’ (See Annex 2.b for complete version of this paper)<br />
The traditional view of <strong>population</strong> planning in Kiribati, as elsewhere in the Pacific, is<br />
that it is primarily about limiting numbers. Since <strong>population</strong> numbers are driven by<br />
fertility, most Pacific <strong>population</strong> plans to date have <strong>ta</strong>rgeted fertility reduction, and<br />
<strong>population</strong> planning has tended to become synonymous with family planning. This<br />
has made it an unpopular concept in some quarters, and <strong>population</strong> planning is still<br />
viewed by many as 'coercive', 'an invasion of rights' or as merely 'women's business'.<br />
The achievements of <strong>population</strong> plans have therefore tended to be limited and/or<br />
short-lived.<br />
Kiribati has long recognised that <strong>population</strong> size is a critical determinant of<br />
development and has approved and adopted numerous strategies to address it. Even so<br />
the rate of fertility decline has been slow and, sus<strong>ta</strong>ined <strong>population</strong> increase continues<br />
to undermine economic growth.<br />
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The 2008-2011 Kiribati Development Plan places 'Monitor and control <strong>population</strong><br />
growth' under the Key Development Area of Health. The three strategies to achieve<br />
this outcome are:<br />
Promote family planning;<br />
Increase public awareness of the effects of a rising <strong>population</strong>;<br />
Address <strong>population</strong> congestion and overcrowding.<br />
Because <strong>population</strong> planning has not been linked with increasing employment<br />
opportunities and improving living s<strong>ta</strong>ndards, however, the benefits of a smaller<br />
family size are not obvious to the community. This is likely to limit the success of the<br />
<strong>population</strong> planning component of the development plan. What is needed is a shift in<br />
<strong>population</strong> <strong>policy</strong> focus towards human resources development and the improvement<br />
of living s<strong>ta</strong>ndards. Such an approach links <strong>population</strong> and development objectives by<br />
simul<strong>ta</strong>neously enhancing national productivity, increasing the appeal of a smaller<br />
family size and strengthening <strong>population</strong> outcomes.<br />
The mechanism is that increases in labour force participation encourage aspirations to<br />
higher living s<strong>ta</strong>ndards. New opportunities to participate in wage employment,<br />
especially for women, increase the opportunity cost of childbearing, and this in turn<br />
encourages a smaller family size. This pattern of fertility change is based on the<br />
model of industrialising Europe, where fertility decline was driven by economic<br />
growth, increased opportunity and rising aspirations, without promotion of family<br />
planning.<br />
The proposed Kiribati Population Policy Implemen<strong>ta</strong>tion Strategy (see Annex 3.a)<br />
proposes such an approach, emphasising human resources development and<br />
promotion of income earning opportunities. Although not at the centre of the Strategy,<br />
informed parenting, <strong>population</strong> awareness and improved access to confidential health<br />
services are included to provide essential support to help families choose and achieve<br />
their desired size.<br />
5. SETTLEMENT AND SQUATTER ISSUES ON KIRITIMATI ISLAND<br />
(SUMMARY)<br />
This is a summary of the findings of a paper prepared by the Resettlement and Social<br />
Protection Specialist of the TA Team: ‘SETTLEMENT AND SQUATTER<br />
ISSUES ON KIRITIMATI ISLAND’ See Annex 3.a)<br />
Kiritimati is 3000 kilometres from Tarawa, and did not become part of Kiribati until<br />
after Independence in 1979. It is therefore unique among the <strong>island</strong>s and atolls of<br />
Kiribati, in that land is owned by the S<strong>ta</strong>te, not traditionally owned, and permanent<br />
settlement is relatively recent. Kiritimati Island had only a few hundred people until it<br />
became an Allied Command base during World War II, then a British base for nuclear<br />
testing in the late 1950s. At Independence in 1979 Kiribati had an estimated<br />
<strong>population</strong> of 1,265, and its to<strong>ta</strong>l land area of 388 km 2 was to become 53% of the to<strong>ta</strong>l<br />
land area of present day Kiribati.<br />
The American and British left Kiritimati with a comparatively good infrastructure of<br />
sealed roads, runways and permanent buildings. There are several clusters of<br />
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settlement on the north-western corridor, but most of Kiritimati Island is an<br />
undeveloped expanse of coral and salt flats covered in scrub and coarse grasses. Apart<br />
from a few ageing coconut plan<strong>ta</strong>tions, its main resources are fish and seabirds. Until<br />
quite recently Kiritimati could only be reached from Tarawa by sea or a costly flight<br />
via Honolulu. In 2006 Air Pacific provided a more affordable weekly connection with<br />
Nadi but this was discontinued towards the end of 2008. At the time of writing the<br />
only air access was via an expensive weekly charter flight from Honolulu.<br />
As Kiritimati was S<strong>ta</strong>te land, Government originally restricted movement via a permit<br />
system. In the mid 1990s this ruling was successfully challenged and declared un-<br />
Constitutional, and since then there has been a steadily increasing flow of settlers,<br />
most from South Tarawa. Resettlement to Kiritimati is now seen as a way of reducing<br />
<strong>population</strong> pressure in crowded settlements elsewhere in Kiribati, and is an objective<br />
of the 2004 Kiribati Population Policy, the 2004-2007 NDS and the 2008-2011<br />
KNDP.<br />
As s<strong>ta</strong>ted in the preceding section, the 2005 census count for Kiritimati was 5,115<br />
compared with 3,431 in 2000. Its inter-censal average annual growth rate of 7.9% was<br />
the highest in Kiribati. This rapid <strong>population</strong> growth was not accompanied by a<br />
commensurate expansion in basic services and infrastructure and issues of inadequate<br />
water and sani<strong>ta</strong>tion, crowding and low quality housing are emerging in the main<br />
settled areas. Aside from a few wage earners in Government and services, most of the<br />
<strong>population</strong> is at least partially dependent on subsistence, fishing and copra cutting,<br />
although harves<strong>ta</strong>ble fish stocks are being depleted and there has been insufficient<br />
replanting to replace ageing coconut trees. Assessments of fresh water lenses on<br />
Kiritimati suggest a maximum carrying capacity of from 15,000 to no more than<br />
22,000 persons, with considerable investment required before these water resources<br />
can be accessed. Actual limits to settlement are also determined by capacity to<br />
develop and main<strong>ta</strong>in a reliable sani<strong>ta</strong>tion system for a coral environment, along with<br />
other necessary infrastructure and opportunities for sus<strong>ta</strong>inable livelihoods.<br />
While most of the land is still owned by the S<strong>ta</strong>te, some has been alienated by means<br />
of three other land tenure systems. In the 1980s and 1990s some land was released as<br />
Unrestricted Freehold, but since 2000 only Restricted Freehold and 25-year Leases<br />
have been granted.<br />
Issues in Kiritimati Island Resettlement<br />
i. Oversight of resettlement is provided by MELAD, MLPID, KLLPB, Cabinet<br />
and a CASL (a screening committee to allocate land). Even so, there is no<br />
whole-of-<strong>island</strong> integrated plan for Kiritimati Island, and no mechanisms to<br />
translate national development objectives into sus<strong>ta</strong>inable settlement. Nor is<br />
any institution responsible for managing Kiritimati Island as a growth centre,<br />
part of which is promoting economic activity through business incentives and<br />
marketing opportunities.<br />
ii. Although all recent studies have concluded that Kiritimati Island should not be<br />
the only growth centre in Kiribati, there is no national growth centre strategy,<br />
nor coordination, management or encouragement to resettle other potential<br />
growth centres.<br />
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iii. Demand for plots in Kiritimati exceeds supply. This has been exacerbated by<br />
Government's inability to limit the free movement to Kiritimati of people who<br />
expect to receive land eventually. Government has released land only every<br />
four to five years, and the <strong>policy</strong> basis for some releases is questionable. There<br />
are also inequities in land tenure arrangements and inconsistencies in plot size.<br />
iv. Kiritimati is experiencing continued <strong>population</strong> increase with little opportunity<br />
for wage employment, income generation or sus<strong>ta</strong>inable subsistence. This<br />
exerts pressure on a nationally and globally recognised fragile ecosystem and<br />
limited natural resources. At present Kiritimati Island is 'mined' rather than<br />
'managed'.<br />
v. Because Kiritimati Island is largely S<strong>ta</strong>te-owned, the local community tends to<br />
lack a sense of belonging or of being custodian to traditional lands. This, plus<br />
a tenure system based on leasehold, has fostered a culture of <strong>ta</strong>king and<br />
depleting rather than husbanding and managing natural resources on<br />
Kiritimati.<br />
vi. Some settlers on Kiritimati who have become squatters in either villages or in<br />
the 'bush' are exploiting local resources without any regulation. Because they<br />
are regarded as illegal and fear eviction, they are especially likely to lack a<br />
sense of stewardship and <strong>ta</strong>ke a short-term, exploitive rather than sus<strong>ta</strong>inable<br />
approach to utilisation of natural resources. This includes depleting stocks of<br />
rare fish species for the aquarium market, exceeding quo<strong>ta</strong>s for copra cutting<br />
and introducing environmen<strong>ta</strong>lly destructive dogs, pigs and cats.<br />
vii. Most of the Kiritimati infrastructure for water, sani<strong>ta</strong>tion and electricity is<br />
decaying or has already failed and is insufficient for the current <strong>population</strong>.<br />
Even so, the 220 half-acre plots originally scheduled for release in Tabwakea<br />
in 2008 do not have water or electricity. Water will be drawn from wells that<br />
are extremely vulnerable to con<strong>ta</strong>mination from sewage, even though some are<br />
classed as ‘protected’. There has been no forward planning or budgeting for<br />
the infrastructure necessary for land development, and no general accep<strong>ta</strong>nce<br />
of the concept of providing infrastructure in advance of land releases.<br />
viii. The human resource capacity and cross-ministry coordination that should<br />
underpin a resettlement <strong>program</strong> is limited. Most people in key positions have<br />
no experience in growth centre planning and do not know how growth centres<br />
function or how they are created.<br />
In view of the above, it is recommended that there should be no more settlement in<br />
Kiritimati Island until these planning and development issues are resolved. Kiritimati<br />
is the world's largest atoll and a unique world fauna habi<strong>ta</strong>t that is threatened by<br />
increasing development pressures. It cannot accommodate continuous and rapid<br />
<strong>population</strong> increase without major environmen<strong>ta</strong>l damage, and even though the<br />
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<strong>population</strong> is still well below the <strong>ta</strong>rgets proposed in some official documents, 8<br />
inadequate planning and infrastructure is already contributing to erosion of its<br />
potential for sus<strong>ta</strong>inable settlement. Unchecked squatter growth in both village and<br />
bush areas only exacerbates these problems.<br />
It is recommended that a cautious approach be <strong>ta</strong>ken to future releases of land, and<br />
none should be released after the current committed Phase 1 and Phase 2 9<br />
without<br />
provision for safe water, sani<strong>ta</strong>tion and electricity. This should be the minimum<br />
requirement, while broader issues of managing in-migration and strengthening the<br />
planning capacity of MLPID also need to be addressed. The Outer Island Growth<br />
Centre Strategy implies well-planned, coordinated and integrated development, but so<br />
far this has not characterised Government's development of Kiritimati Island.<br />
Suspending resettlement means it is critical to launch the Kiribati Population Policy<br />
Implemen<strong>ta</strong>tion Strategy as soon as possible to provide other ways of relieving<br />
<strong>population</strong> pressure in South Tarawa. The <strong>population</strong> and development awarenessraising<br />
that has already <strong>ta</strong>ken place as part of this TA, has generated widespread<br />
interest and support in Government and the community, and ADB’s seed funding for<br />
a Population and Development Coordinator will pave the way for implemen<strong>ta</strong>tion to<br />
commence. Substitutes for resettlement to Kiritimati could include promotion of<br />
livelihood and employment opportunities to in outer <strong>island</strong>s and overseas in order to<br />
improve living s<strong>ta</strong>ndards in South Tarawa.<br />
MELAD asked for assis<strong>ta</strong>nce in reviewing the current Phase 1 land allocation so the<br />
lessons learned may be applied in the design of the Phase 2 release for South Tarawa<br />
residents in 2008-2009. This assis<strong>ta</strong>nce was provided as part of the TOR of this TA.<br />
6. HEALTH SERVICES AND HEALTH NEEDS ON KIRITIMATI<br />
ISLAND (SUMMARY)<br />
This is a summary of the findings of a paper prepared by the Health<br />
Economist of the TA Team. (See Annex 4)<br />
The Line Islands has high rates of diarrhoea, dysentery, pneumonia, other respiratory<br />
infections and conjunctivitis. Of concern also is the incidence of meningitis, STIs and<br />
emerging lifestyle diseases, such as hypertension and diabetes. Health services in the<br />
Line Islands consist of a small hospi<strong>ta</strong>l on the main <strong>island</strong>, Kiritimati, 3 health centres<br />
and 5 dispensaries, with a to<strong>ta</strong>l of 22 s<strong>ta</strong>ff, including 3 doctors. Some factors affecting<br />
health in the Line Islands are not the primary responsibility of the Kiribati Ministry of<br />
Health and Medical Services (MHMS). These include water and sani<strong>ta</strong>tion<br />
infrastructure, transport and communications, housing availability, land tenure,<br />
internal migration rates and food availability. However there are some actions the<br />
Ministry can <strong>ta</strong>ke to improve the situation.<br />
8 For example, the 2004 Kiribati Population Policy proposed that 25% of the to<strong>ta</strong>l Kiribati <strong>population</strong><br />
should be located in Kiritimati, i.e. implying 30,000-40,000 by 2025. This is now recognised as<br />
unrealistic and probably more than double the true size of sus<strong>ta</strong>inable settlement on Kiritimati.<br />
9 The Phase 1 land release comprised 220 plots for eligible applicants already living on Kiritimati.<br />
Phase 2 will comprise 231 plots for eligible applicants currently living in South Tarawa.<br />
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Recommendations to address health concerns on Kiritimati Island:<br />
1. MHMS should fill key vacant positions in the s<strong>ta</strong>ff es<strong>ta</strong>blishment. Some key<br />
positions to be filled have been identified in this report after discussions with a<br />
range of MHMS departments in Tarawa. The cost of filling these positions<br />
and providing the resources needed for the s<strong>ta</strong>ff to under<strong>ta</strong>ke the extra effort to<br />
<strong>ta</strong>ckle the considerable health issues is estimated to be $A433,629 on top of an<br />
estimated current operational budget of $A737,269.<br />
2. When financial resources allow, the MHMS should add to the s<strong>ta</strong>ff<br />
es<strong>ta</strong>blishment some more key s<strong>ta</strong>ff and supporting resources to <strong>ta</strong>ckle the<br />
health issues in more depth. It is estimated these new key positions and<br />
support resources will add $193,813 to the operational budget.<br />
3. To help ensure that the current and extra s<strong>ta</strong>ffing and resources are utilised<br />
more effectively, the MHMS should create two management positions to<br />
manage the Line Islands health services as a more cohesive, flexible and<br />
integrated health service.<br />
4. The MHMS work with the Government of Kiribati should request external<br />
financial and logistics assis<strong>ta</strong>nce to support a regular and reliable boat service<br />
which can be utilised by health s<strong>ta</strong>ff and patients.<br />
5. Buildings should be imported to Kiritimati in s<strong>ta</strong>ged modules by ship and that<br />
these modules progressively are added to make up the new building<br />
infrastructure of the expanded hospi<strong>ta</strong>l and community health services centre.<br />
There is no time to wait the years normally required to build a conventional<br />
hospi<strong>ta</strong>l and health centre from concrete blocks and concrete base. With some<br />
research, good quality por<strong>ta</strong>ble buildings should be ob<strong>ta</strong>inable with only the<br />
linking walkways constructed on site.<br />
6. As hospi<strong>ta</strong>l and health services buildings and support services are expensive it<br />
is recommended that the Government discuss the possible financing of a<br />
s<strong>ta</strong>ged modular development with an external donor.<br />
7. In the longer term MHMS should pursue a <strong>ta</strong>rget rate of budget growth for<br />
the Line Islands health services between the high rate (13.74% per annum) or<br />
a very high rate of 17.8% per annum, the latter being the most desirable, as it<br />
<strong>ta</strong>kes account of necessary budget increases to boost health s<strong>ta</strong>tus, but also<br />
keeps pace with forecast <strong>population</strong> growth. Even the very high rate will have<br />
only a slight effect on overall MHMS budget growth rates, as the Line Islands<br />
budget will continue to be only a small percen<strong>ta</strong>ge of the overall budget.<br />
8. In the short term, the MHMS should boost the budget of the Line Islands<br />
modestly for 2010 (say 6-8%) then again for 2011 (say 10-12%) and review<br />
how well it is able to manage such budget growth. Much will depend on<br />
overall budget availability for the whole of the MHMS. If there are increases<br />
of around 5% or more for the overall health budget, then the MHMS could<br />
boost the Line Islands budget by 13-17% in 2012 and beyond.<br />
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9. Because of possible revenue limi<strong>ta</strong>tions of the Government of Kiribati, the<br />
MHMS should discuss the possible assis<strong>ta</strong>nce of an external donor<br />
(multilateral, bilateral or NGOs) to support the Line Islands operational<br />
components of the health services in hospi<strong>ta</strong>l based, community and<br />
environmen<strong>ta</strong>l health services.<br />
7. GENERAL RECOMMENDATIONS: A COORDINATED APPROACH<br />
TO ADDRESSING POPULATION AND DEVELOPMENT CONCERNS<br />
ON KIRITIMATI ISLAND<br />
The above discussion and recommendations indicate that <strong>population</strong> and<br />
development concerns on Kiritimati Island can be classified into four groups:<br />
a) Inadequate basic infrastructure<br />
b) Inadequate health services<br />
c) Insufficient opportunities for employment and sus<strong>ta</strong>inable livelihoods<br />
d) A high rate of <strong>population</strong> growth, from both in-migration and natural<br />
increase<br />
As s<strong>ta</strong>ted at the outset of this report, Kiritimati does not have exclusive control<br />
of its own destiny as its situation is profoundly impacted by events and<br />
decisions elsewhere in Kiribati. Most of its current concerns have arisen<br />
because it is being used as a safety valve for overcrowding in the Gilbert<br />
Group, but there has not been adequate development of infrastructure and<br />
opportunities on Kiritimati Island to accommodate additional <strong>population</strong>.<br />
Solutions for Kiritimati therefore will not be effective unless they address<br />
causes as well as manifes<strong>ta</strong>tions of concerns.<br />
The key recommendation of this TA are that <strong>population</strong> and development<br />
concerns on Kiritimati Island should be <strong>ta</strong>ckled in two ways, with both<br />
Kiritimati-specific and national level strategies.<br />
The first two concerns, a) and b) above, should be addressed primarily with<br />
Kiritimati-specific strategies, as follows:<br />
a) Inadequate basic infrastructure<br />
Section 5 above and Annexes 3.a-3.d document the need for adequate water,<br />
sani<strong>ta</strong>tion and other services before additional blocks are released to settlers on<br />
Kiritimati Island. This TA recommends that basic infrastructure should be<br />
upgraded and further resettlement should be deferred until adequate<br />
infrastructure is in place. This has been recognised and accepted by both<br />
MELAD and MLPID, and the Government of Kiribati is currently formulating<br />
strategies to improve basic infrastructure on Kiritimati Island.<br />
b) Inadequate health services<br />
Section 6 above and Annex 4.a evaluate existing health services on Kiritimati<br />
Island and recommend upgrading to an accep<strong>ta</strong>ble level. This recommendation<br />
is fully costed, and includes suggestions for providing better services without<br />
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the high cost and inevi<strong>ta</strong>ble delays associated with major construction projects.<br />
This appraisal has been forwarded to the MHMS.<br />
c) Insufficient opportunities for employment and sus<strong>ta</strong>inable livelihoods;<br />
d) A high rate of <strong>population</strong> growth, from both in-migration and natural<br />
increase<br />
Concerns c) and d) need to be addressed with national-level strategies that are<br />
also implemented on Kiritimati Island. There is evidence of a growing<br />
realisation in Government and the Kiribati community as a whole that<br />
Kiritimati Island does not offer virtually unlimited opportunities for<br />
subsistence, as once thought. Already there is evidence that subsistence<br />
opportunities are already barely sufficient for the existing <strong>population</strong> and more<br />
sus<strong>ta</strong>inable land management practices are needed. For example, the Kiribati<br />
MDG report (2007, p46) describes how existing practices are contributing to<br />
environmen<strong>ta</strong>l degradation and loss of habi<strong>ta</strong>t on Kiritimati Island.<br />
It is therefore timely to promote the development of alternative livelihood<br />
opportunities on Kiritimati. In order to be sus<strong>ta</strong>inable and achieve the desired<br />
outcome, however, this needs to occur in a national development context. For<br />
example, employment opportunities in business cannot develop without<br />
markets.<br />
The Population Policy Implemen<strong>ta</strong>tion Strategy (formerly the Kiribati<br />
Population Policy Implemen<strong>ta</strong>tion Strategy, as set out in Annexe 2.c) was<br />
prepared as part of this TA to address these issues. It sets out the agenda for<br />
addressing <strong>population</strong> and development concerns on Kiritimati Island and for<br />
the Kiribati nation as a whole. In August 2009 the Implemen<strong>ta</strong>tion Strategy<br />
was endorsed by the Government of Kiribati. Kiribati now has a<br />
comprehensive and widely supported strategy to address <strong>population</strong> and<br />
development on Kiritimati Island and in Kiribati as a whole. This Strategy<br />
encompasses implemen<strong>ta</strong>tion in Kiritimati as well as the rest of Kiribati and<br />
includes promotion of human resources development and employment<br />
opportunities. It has received enthusiastic support from Government and<br />
community groups and formal Government endorsement.<br />
The human resources development focus of the Population Policy<br />
Implemen<strong>ta</strong>tion Strategy will help to re<strong>ta</strong>in <strong>population</strong> in the outer <strong>island</strong>s. In<br />
addition, by helping to reduce <strong>population</strong> pressure in South Tarawa, it will<br />
also helping to limit migration flows to Kiritimati. The Strategy’s promotion<br />
of improved living conditions and informed parenting will at the same time<br />
encourage a smaller family size in Kiritimati as well as Kiribati as a whole.<br />
8. TA EXIT STRATEGY<br />
The activities of the Team Leader and National Facili<strong>ta</strong>tor during the TA<br />
extension period formed the Exit Strategy for this TA. Delays in approval<br />
resulted in a shorter extension than proposed in the Preliminary Final Report<br />
(submitted to ADB in May 2009), so it was not possible for the National<br />
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Facili<strong>ta</strong>tor to under<strong>ta</strong>ke all the activities proposed. However, it was sufficient<br />
for her to achieve the key TA objective of ensuring final accep<strong>ta</strong>nce and<br />
government endorsement of the Population Policy Implemen<strong>ta</strong>tion Strategy<br />
(formerly the Kiribati Population and Development Implemen<strong>ta</strong>tion Strategy).<br />
The National Facili<strong>ta</strong>tor’s report is at<strong>ta</strong>ched as Annex 5. It describes the<br />
process of approval by Cabinet and strong s<strong>ta</strong>keholder support for the<br />
Strategy. It emphasises ‘the sense of urgency for its implemen<strong>ta</strong>tion; the time<br />
to act collectively is now’. The report points out that already some key<br />
s<strong>ta</strong>keholder represen<strong>ta</strong>tives have changed since the consul<strong>ta</strong>tions under<strong>ta</strong>ken<br />
for this TA, and there is a danger that further delays in implemen<strong>ta</strong>tion could<br />
cause serious loss of momentum and necessi<strong>ta</strong>te further rounds of<br />
consul<strong>ta</strong>tions and approvals. It is envisaged that assis<strong>ta</strong>nce will be sought from<br />
other donors, but there is still an impor<strong>ta</strong>nt opportunity for ADB, ‘as the<br />
original partner and co-architect of the strategy to <strong>ta</strong>ke the lead and<br />
demonstrate commitment by providing additional resources to support the<br />
implemen<strong>ta</strong>tion of the strategy’.<br />
9. EVALUATION OF TA AGAINST SCOPE OF SERVICES AND TOR<br />
The TA has made good progress against its scope of services, in all three focal<br />
areas – <strong>population</strong>, land and health – and has prepared the ground for<br />
subs<strong>ta</strong>ntial progress in the long term.<br />
A point-by-point evaluation is presented in the following matrix.<br />
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Activity specified Outputs required Indicator of fulfilment of<br />
requirements<br />
I. Population<br />
1) Analyse 2005<br />
census results<br />
2) Prepare Population<br />
Implemen<strong>ta</strong>tion<br />
Strategy<br />
3) Raise community<br />
awareness of<br />
<strong>population</strong> and<br />
development issues<br />
a) Background paper on<br />
<strong>population</strong> trends and<br />
living conditions<br />
b) Background paper on<br />
<strong>population</strong> planning HRD<br />
Population Policy<br />
Implemen<strong>ta</strong>tion Strategy<br />
Training materials,<br />
workshops, media releases.<br />
a) Paper prepared<br />
b) Paper prepared<br />
Draft Population<br />
Implemen<strong>ta</strong>tion Strategy<br />
prepared and accepted by<br />
Government and s<strong>ta</strong>keholders<br />
a) Training materials prepared<br />
and tested.<br />
b) Workshops held in South<br />
Tarawa<br />
c) Media reports on <strong>population</strong><br />
issues<br />
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S<strong>ta</strong>tus<br />
a) Completed and submitted to ADB<br />
b) Completed and submitted to ADB<br />
Completed. Strong positive feedback from<br />
community consul<strong>ta</strong>tions. Accep<strong>ta</strong>nce and<br />
approval by Heads of Catholic and Protes<strong>ta</strong>nt<br />
Churches. Document revised after consul<strong>ta</strong>tions<br />
and endorsed by Cabinet.<br />
a) Training materials drafted (see Annexe 2.a).<br />
Because of b) below, it was not appropriate or<br />
feasible to test training materials before<br />
endorsement of Implemen<strong>ta</strong>tion Strategy by<br />
Cabinet and appointment of PDC.<br />
b) As Government wanted community<br />
consul<strong>ta</strong>tion on draft Implemen<strong>ta</strong>tion Strategy,<br />
workshops conducted in South Tarawa and<br />
Kiritimati focussed on informing community<br />
about proposed Strategy rather than on<br />
<strong>population</strong> and development training per se.<br />
c) When appointed, the PDC will arrange media<br />
coverage in conjunction with Population<br />
Launch.
Final Report, October 28th, 2009<br />
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Activity Outputs Indicator of fulfilment of<br />
requirements<br />
II Volun<strong>ta</strong>ry<br />
Resettlement<br />
1) Under<strong>ta</strong>ke a rapid<br />
review of volun<strong>ta</strong>ry<br />
resettlement from South<br />
Tarawa to Kiritimati<br />
Island.<br />
2) Conduct participatory<br />
workshops to review<br />
resettlement from South<br />
Tarawa to Kiritimati<br />
Island.<br />
3) Preparation of a<br />
strategic plan to manage<br />
volun<strong>ta</strong>ry resettlement to<br />
Kiritimati Island<br />
a) Background paper on<br />
volun<strong>ta</strong>ry resettlement<br />
from South Tarawa to<br />
Kiritimati Island.<br />
a) Workshop with CASL in<br />
Kiritimati Island<br />
b) Workshop with MELAD<br />
in South Tarawa<br />
a) A Strategic Plan to<br />
manage resettlement to<br />
Kiritimati Island<br />
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S<strong>ta</strong>tus<br />
a) Paper prepared a) Completed (Annex 2.b)<br />
a) Workshop conducted<br />
b) Workshop conducted<br />
a) Strategic Plan prepared<br />
and accepted by s<strong>ta</strong>keholders<br />
a) Workshop conducted<br />
b) Workshop conducted.<br />
a) A Strategic Plan has been prepared and<br />
accepted by MELAD. The Plan<br />
recommends that further resettlement to<br />
Kiritimati should be deferred until the<br />
basic infrastructure is raised to an<br />
adequate s<strong>ta</strong>ndard for both the present<br />
<strong>population</strong> and any new settlers. It also<br />
recommends observing the limits to<br />
resettlement imposed by the availability of<br />
water and opportunity for sus<strong>ta</strong>inable<br />
livelihoods. See Annex 2.b.
Final Report, October 28th, 2009<br />
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Activity Outputs Indicators S<strong>ta</strong>tus<br />
III Health on Kiritimati Island<br />
1) Recommendations on size of<br />
health facility required on<br />
Kiritimati Island to accommodate<br />
given <strong>population</strong> scenarios.<br />
a) Report on health facilities on<br />
Kiritimati Island<br />
a) Report prepared and accepted<br />
by s<strong>ta</strong>keholders<br />
a) Report prepared (Annexe 2.c)<br />
and forwarded to Secre<strong>ta</strong>ry of<br />
Health for comment.<br />
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Final Report, October 28th, 2009<br />
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ANNEXES SECTION ONE: ADMINISTRATIVE<br />
a) LIST OF TA PERSONNEL<br />
Dr Christine McMurray Team Leader and Demographer<br />
Dr Paul Jones Resettlement and Social Protection Specialist<br />
Mrs Makuri<strong>ta</strong> Baaro National Facili<strong>ta</strong>tor<br />
Mr Ross Naylor Health Economist<br />
b) LIST OF TA ACTIVITIES<br />
South Tarawa and Kiritimati Island, 24 June to 16 July 2008, and follow-up desk work.<br />
i) The Demographer/Team Leader and the Resettlement and Social Protection<br />
Specialist travelled to South Tarawa for introductory briefing meetings with<br />
s<strong>ta</strong>keholders. All meetings were arranged and facili<strong>ta</strong>ted by the Workshop<br />
Facili<strong>ta</strong>tor.<br />
ii) The Demographer/Team Leader and the Resettlement and Social Protection<br />
Specialist travelled to Kiritimati Island to assess <strong>population</strong> and development<br />
patterns and issues. S<strong>ta</strong>keholders were briefed and their opinions and assessments<br />
sought.<br />
iii) Squatter survey in Kiritimati. A questionnaire was designed by the Demographer<br />
/Team Leader and Resettlement and Social Protection Specialist. An officer from<br />
Lands Division, MLPID, conducted questionnaire-based interviews at 25 of the<br />
estimated 53 squatter households on Kiritimati. Half the households surveyed were<br />
in villages and half in the bush. The da<strong>ta</strong> collected was typed into a computer file by<br />
the Demographer, and the analysis forms the basis of papers on squatters and social<br />
and poverty analysis prepared by the Resettlement and Social Protection Specialist<br />
(Annexes 2.b and 3.f).<br />
iv) The Demographer/Team Leader returned to South Tarawa for a meeting with<br />
President Anote Tong, arranged and facili<strong>ta</strong>ted by the National Facili<strong>ta</strong>tor. She<br />
briefed him on TA findings so far, and ob<strong>ta</strong>ined his approval to prepare a whole-ofnation<br />
<strong>population</strong> <strong>policy</strong> implemen<strong>ta</strong>tion strategy based on human resources<br />
development and capacity building.<br />
v) The Demographer/Team Leader prepared discussion papers on <strong>population</strong> trends<br />
and living conditions and <strong>population</strong> and development planning (Annexes 2.a and<br />
2.b).<br />
vi) The Resettlement and Social Protection Specialist began preparing an analysis of<br />
settlement and resettlement plans and policies for Kiritimati Island (Annex 3.a).<br />
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vii) The Resettlement and Social Protection Specialist began preparing a social and<br />
poverty analysis for Kiritimati Island (Annex 3.c)<br />
viii) The Demographer/Team Leader prepared a paper on holistic <strong>population</strong> planning<br />
and the requirements of an effective implemen<strong>ta</strong>tion strategy (Annex 3.d)<br />
ix) The Resettlement and Social Protection Specialist held a workshop for CASL<br />
members to evaluate the screening and selection criteria and processes for allocating<br />
leases on Kiritimati Island.<br />
x) The Demographer/Team Leader and the Resettlement and Social Protection<br />
Specialist met with Mr Edy Brotoisworo of ADB, Manila, to discuss preliminary<br />
findings and recommendations to be made in the Inception Report.<br />
xi) The Demographer/Team Leader prepared the Inception Report.<br />
xii) The Demographer/Team Leader prepared the draft Kiribati Population Policy<br />
Implemen<strong>ta</strong>tion Plan. The National Facili<strong>ta</strong>tor sought comments and suggestions<br />
from the Cabinet Secre<strong>ta</strong>ry and The Secre<strong>ta</strong>ries (Heads of Government Ministries)<br />
Meeting on the document and received their approval to present the document at<br />
community consul<strong>ta</strong>tions.<br />
xiii) The Resettlement and Social Protection Specialist returned to Kiritimati Island to<br />
complete the analysis of squatters including options and strategies for managing<br />
resettlement (Annexes 3.b and 3.d). Options will be discussed with s<strong>ta</strong>keholders on<br />
Kiritimati Island before presen<strong>ta</strong>tion to decision makers in South Tarawa.<br />
xiv) The Resettlement and Social Protection Specialist returned to South Tarawa to<br />
discuss with MELAD and other relevant parties his findings. This included those in<br />
regard to the Phase 1 of the land release on Kiritimati Island and the rationale for<br />
suspending resettlement until all major development issues are resolved in<br />
Kiritimati Island.<br />
xv) The Demographer/Team Leader returned to South Tarawa. With the assis<strong>ta</strong>nce of<br />
the National Facili<strong>ta</strong>tor she made presen<strong>ta</strong>tions and ob<strong>ta</strong>ined feedback on the draft<br />
of the Kiribati Population Policy Implemen<strong>ta</strong>tion Plan. Participants at these<br />
consul<strong>ta</strong>tions included represen<strong>ta</strong>tives of various NGOs and the community, women<br />
and youth groups and senior church leaders.<br />
xvi) The Demographer/Team Leader prepared and ob<strong>ta</strong>ined s<strong>ta</strong>keholder comments on a<br />
<strong>population</strong> education brochure as an example of simple teaching materials that can<br />
be used to support the Implemen<strong>ta</strong>tion Plan<br />
February – March 2009<br />
xvii) The Resettlement and Social Protection Specialist returned to Kiritimati Island for<br />
the Lands Component of this TA so was delegated to carry out consul<strong>ta</strong>tions as in<br />
xv) above in Kiritimati Island.<br />
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xviii) The Demographer/Team Leader revised the Kiribati Population Implemen<strong>ta</strong>tion<br />
Strategy in light of s<strong>ta</strong>keholder comments.<br />
xix) The Demographer/Team Leader prepared a proposal to ADB to provide seed<br />
funding for a local Population and Development Coordinator to launch the<br />
Implemen<strong>ta</strong>tion Strategy from the Office of the President in South Tarawa.<br />
xx) The Demographer/Team Leader returned to South Tarawa to present the revised<br />
Implemen<strong>ta</strong>tion Strategy to the Cabinet Secre<strong>ta</strong>ry. He approved both documents and<br />
agreed to present the Implemen<strong>ta</strong>tion Strategy to Heads of Government for final<br />
endorsement. He welcomed the seed funding proposal and agreed to provide the<br />
necessary support if the proposal is approved by ADB.<br />
xxi) The Health Economist accompanied the Demographer/Team Leader to South<br />
Tarawa where she briefed him on health services on Kiritimati Island and<br />
introduced him to health officials.<br />
xxii) The Health Economist utilised Ministry of Health da<strong>ta</strong> to prepare an assessment of<br />
health expenditure, health services and health needs on Kiritimati Island to serve the<br />
existing <strong>population</strong> and projected <strong>population</strong>s of various sizes (Annex 4.a)<br />
xxiii) The Demographer/Team Leader prepared a handbook for use as resource material<br />
by the Population and Development Coordinator and Kiribati s<strong>ta</strong>keholders. This<br />
handbook explains the key <strong>population</strong> concepts and <strong>population</strong> and development<br />
linkages that provide the rationale for the Implemen<strong>ta</strong>tion Strategy. It is designed to<br />
be used by the Population and Development Coordinator and s<strong>ta</strong>keholders to guide<br />
<strong>population</strong> activities and identify <strong>population</strong> and development linkages (Annex 2.d).<br />
xxiv) The Demographer/Team Leader prepared the preliminary final report.<br />
TA Extension May - September 2009<br />
xxv) The Demographer/Team Leader visited Tarawa to explain to Government of<br />
Kiribati the situation with regard to the TA extension and plan activities that the<br />
National Facili<strong>ta</strong>tor should prioritise in the remaining time available.<br />
xxvi) The National Facili<strong>ta</strong>tor met with President and Secre<strong>ta</strong>ry to the Cabinet and<br />
assisted with preparation of a Cabinet paper on the <strong>population</strong> strategy.<br />
xxvii) The National Facili<strong>ta</strong>tor briefed departmen<strong>ta</strong>l secre<strong>ta</strong>ries on the Strategy and<br />
provided necessary support to the process of its endorsement by Cabinet.<br />
xxviii) The National Facili<strong>ta</strong>tor briefed community s<strong>ta</strong>keholders including NGOs, faith<br />
based organizations, teachers and the Kiribati Family Health Association on the<br />
Strategy and plans for its implemen<strong>ta</strong>tion.<br />
xxix) The National Facili<strong>ta</strong>tor met with Heads of diplomatic missions in Kiribati to<br />
discuss funding for <strong>population</strong> strategy implemen<strong>ta</strong>tion.<br />
xxx) The Demographer/Team Leader prepared this Final Report on the TA.<br />
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c) LIST OF INFORMANTS<br />
Government:<br />
His Excellency President Anote Tong, President of Kiribati<br />
Minister Tawi<strong>ta</strong> Temoku, (Minister, Line and Phoenix Islands Islands Development)<br />
Mr Taam Biribo, Secre<strong>ta</strong>ry to the Cabinet, and Chief Secre<strong>ta</strong>ry.<br />
Heads of Ministries:<br />
Mr Riteti Maninraka, Secre<strong>ta</strong>ry of Health (until October 2008)<br />
Mrs Reina Timau, Secre<strong>ta</strong>ry of Health (from October 2008)<br />
Mr Rikiaua Takeke Secre<strong>ta</strong>ry, MISA<br />
Mr Tebwe Ie<strong>ta</strong>ake, Secre<strong>ta</strong>ry, MELAD;<br />
Ms Teea Tira, Secre<strong>ta</strong>ry MFED,<br />
Mr Eno<strong>ta</strong> Ingin<strong>ta</strong>u, Secre<strong>ta</strong>ry, Office of the President.<br />
Ms Teekoa Ie<strong>ta</strong>ake. Secre<strong>ta</strong>ry MEYS (Education, Youth and Sport)<br />
Mrs Teramweai Itinraoi, Secre<strong>ta</strong>ry, Ministry of Line and Phoenix Island Development<br />
Mr Taakei Taoaba, Secre<strong>ta</strong>ry, Labour and Human Resources Development<br />
Other Government Officials<br />
Mr Tebutonga, Deputy Director, MELAD<br />
Mr Timi Kaiekieki, Director of Planning, MFED<br />
Mr A<strong>ta</strong>nraoi Baiteke, Council Member, KNCC<br />
Mr Tiria<strong>ta</strong>, Secre<strong>ta</strong>ry, Lands Division, MLPID<br />
Mr Taarin, Officer, Lands Division, MLPID<br />
Dr Tea<strong>ta</strong>u Tii, Deputy Director of Public Health<br />
Dr Tea<strong>ta</strong>o Tira, Public Health<br />
Mr Ioelu Ta<strong>ta</strong>pu, Health S<strong>ta</strong>tistician<br />
Ms Moati Nubono, Health S<strong>ta</strong>tistics<br />
Beia Tiim, Environmen<strong>ta</strong>l Health<br />
Maru<strong>ta</strong>ake Karawaiti, Health Promotion<br />
A<strong>ta</strong> Itibi<strong>ta</strong>, O/C Radiology Services<br />
Tamoa Maa<strong>ta</strong>, Biomedical Engineering<br />
Tekoaua Tamarea, Physiotherapy Department<br />
A<strong>ta</strong>teka Tion, Physiotherapy Department<br />
Berenate<strong>ta</strong> Taburimai, Physiotherapy Department<br />
Taukeriri Tibiriano, Physiotherapy Department<br />
Dr Teraira Bangao, Acting Director of Hospi<strong>ta</strong>l Services<br />
Dr Turia Tekaai, Paediatrics Department<br />
Dr Eldo, Paediatrics Department<br />
Ioana Taakau, Pharmacy<br />
Tonganibeia Koakoa, Senior Assis<strong>ta</strong>nt Secre<strong>ta</strong>ry<br />
Dr Baranika Toromon, Obstetrician<br />
SNO Baurina Kaburoro, Ante-na<strong>ta</strong>l Clinic<br />
Sr Rote Tong, Principal Nursing Officer<br />
Tebuka Toatu, Director of Laboratory Services<br />
Tabuaka Nauan, Senior Den<strong>ta</strong>l Officer<br />
Dr Airam Me<strong>ta</strong>i, Public Health Consul<strong>ta</strong>nt<br />
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Dr John Tekanene, retired doctor, Kiritimati Island<br />
Represen<strong>ta</strong>tives of Faith-based Organizations, NGOs and community<br />
Bishop Paul Mea, Head of Kiribati Catholic Church (KCC)<br />
Dr Toom Toakai, Moderator (Head) of Kiribati Protes<strong>ta</strong>nt Church (KPC)<br />
Mr Tebebeku Teia, Secre<strong>ta</strong>ry, KNCC,<br />
Ms Roko Timeon, Executive Director, KANGO (Kiribati Association for Non-Government<br />
Organisations)<br />
Ms Araba, Project Officer, KANGO (Kiribati Association for Non-Government<br />
Organisations)<br />
Members of KANGO (association of NGOs) and AMAK (Main Kiribati women’s<br />
Organisation)<br />
Represen<strong>ta</strong>tives of International Organisations<br />
Ms Anne Quinane, Australian High Commissioner (until May, 2009)<br />
Dr Kathryn Loon, WHO Office.<br />
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ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development Program on<br />
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Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
RECENT TRENDS IN POPULATION AND LIVING<br />
CONDITIONS IN KIRIBATI.<br />
Dr Chris McMurray,<br />
Team Leader and Demographer,<br />
ADB TA <strong>4878</strong> - Kir:<br />
Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
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1
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
CONTENTS Page<br />
1. Population trends in Kiribati 3<br />
2. Population distribution 4<br />
3. Is the Kiribati birth rate decline accelerating? 6<br />
4. Did living s<strong>ta</strong>ndards in Kiribati improve between 2000 and 2005? 10<br />
4.1 Infant mor<strong>ta</strong>lity 11<br />
4.2 Child Mor<strong>ta</strong>lity Rate and Under Five Mor<strong>ta</strong>lity Rate 12<br />
4.3 Life expec<strong>ta</strong>ncy 12<br />
4.4 Access to safe water and sani<strong>ta</strong>tion 15<br />
5. Prospects for further <strong>population</strong> growth 18<br />
6. Concluding remarks 18<br />
TABLES<br />
Table One: Comparison of MHMS birth registrations and census estimates 8<br />
FIGURES<br />
Figure One: To<strong>ta</strong>l Kiribati <strong>population</strong> 1<br />
in census years 1947-2005 3<br />
Figure Two: Population increase since 1947, by <strong>island</strong>. 4<br />
Figure Three: Population Growth 1947-2005, Gilbert Group 4<br />
Figure Four: Population Growth 1947-2005, Line and Phoenix Islands 5<br />
Figure Five: Actual and expected MHMS birth registrations, 2000-2007 7<br />
Figure Six: Population distribution by age group, Kiritimati and Betio, 2005. 9<br />
Figure Seven: Infant mor<strong>ta</strong>lity rates, Kiribati 1973-2005 11<br />
Figure Eight: Occasional and Regular Smokers, Kiribati, 2005 (per cent) 14<br />
Figure Nine: Occasional and Regular Alcohol drinkers, Kiribati, 2005 (per cent) 14<br />
Figure Ten Access to improved water sources, Kiribati 1990 and 2000 15<br />
Figure Eleven: Source of drinking water, all Kiribati households, 2005 16<br />
Figure Twelve: Type of toilet used, all Kiribati households, 2005 17<br />
1<br />
To<strong>ta</strong>ls for present Kiribati only, and excludes atolls that became part of Tuvalu.<br />
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2
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
In June 2004 the Demographer for the present TA prepared a discussion paper on the<br />
<strong>population</strong> situation in Kiribati. The Kiribati Population Policy 2004 was<br />
subsequently drafted, and endorsed by Parliament in August 2004, but funding was<br />
never found for the first phase of the 20-Year Population Policy Implemen<strong>ta</strong>tion Plan.<br />
Although the 2004 Population Policy is referred to in various recent official<br />
documents, including the 2008-2011 Kiribati Development Plan and the Kiribati<br />
MDG report, and the goals set out in the Policy are still widely discussed and<br />
supported in Government and civil society, there has been no coordinated strategy to<br />
achieve these goals. Meanwhile the <strong>population</strong> of Kiribati has continued to increase<br />
steadily at an average of 1.8% each year since 1947.<br />
This discussion paper updates the <strong>population</strong> situation in Kiribati in light of recent<br />
da<strong>ta</strong>, including the 2005 census, and discusses the impact of recent <strong>population</strong> trends<br />
on living conditions.<br />
1. Population trends in Kiribati<br />
100000<br />
90000<br />
80000<br />
70000<br />
60000<br />
50000<br />
40000<br />
30000<br />
20000<br />
10000<br />
0<br />
Figure One: To<strong>ta</strong>l Kiribati <strong>population</strong> 2<br />
in census years 1947-2005<br />
1947 1963 1968 1973 1978 1985 1990 1995 2000 2005<br />
Da<strong>ta</strong> from 2005 Kiribati Population Census, Volume I, Table A, p.12.<br />
Between 1947 and 2000 the average annual rate of <strong>population</strong> increase in Kiribati was<br />
1.8 per cent. 3 Figure One plots the to<strong>ta</strong>l <strong>population</strong>s in each census year. It can be<br />
seen that <strong>population</strong> growth has been steady and at a fairly cons<strong>ta</strong>nt rate, especially<br />
since Independence in 1979. The latest census showed an increase from 84,494 in<br />
2000 to 93,553 in 2005, which also averages 1.8% per year. 4<br />
This was almost entirely<br />
due to natural increase (excess of births over deaths) as the return of Kiribati citizens<br />
previously employed by the Nauru Phosphate Corporation was offset by emigration of<br />
2<br />
To<strong>ta</strong>ls for present Kiribati only, and excludes atolls that became part of Tuvalu.<br />
3<br />
See Republic of Kiribati, Report on the 2000 Census of Population, 2002: 6 and consul<strong>ta</strong>nt's<br />
calculations in 2004 discussion paper.<br />
4<br />
SPC and Republic of Kiribati, Kiribati 2005 Census Report, Volume II: Analytical Report: ix.<br />
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3
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
around 100 persons per year to New Zealand. 5<br />
Although the <strong>population</strong> growth rate has remained cons<strong>ta</strong>nt, the base <strong>population</strong> has<br />
become steadily larger. Whereas an average growth rate of 1.8% between 1995 and<br />
2000 amounted to an increase of 6,836 people, the same growth rate between 2000<br />
and 2005 meant 8,039 people. If it were to continue, the five years between 2000 and<br />
2010 would see the addition of close to 10,000 people.<br />
Moreover, as the <strong>population</strong> grows, most of the additional numbers each year are<br />
infants who need to be supported by their families. In their early years infants and<br />
young children make heavy demands on maternal health services. When they reach<br />
age six years they need primary school places, and at about 13 years of age they need<br />
secondary school places. This is why the MEYS needs to build around 40 new<br />
classrooms each year just to keep pace with <strong>population</strong> increase. 6<br />
2. Population distribution<br />
As emphasised in the 2004 discussion paper, the Kiribati <strong>population</strong> is unevenly<br />
distributed, so the impact of <strong>population</strong> increase differs between <strong>island</strong>s.<br />
45000<br />
40000<br />
35000<br />
30000<br />
25000<br />
20000<br />
15000<br />
10000<br />
5000<br />
0<br />
Figure Two: Population increase since 1947, by <strong>island</strong>.<br />
1947 1963 1968 1973 1978 1985 1990 1995 2000 2005<br />
Da<strong>ta</strong> from 2005 Kiribati Census, Volume I, Basic Tables, Table A, p. 12.<br />
Since South Tarawa has a much larger <strong>population</strong> than any other <strong>island</strong>, it dominates<br />
Figure One, and conceals rapid growth rates in Kiritimati and elsewhere. Figures<br />
Three and Four therefore show the same da<strong>ta</strong> separately for the Gilberts and for the<br />
Line and Phoenix Islands.<br />
5 SPC and Republic of Kiribati, 2007: 33.<br />
6 Personal communication, Mrs Ie<strong>ta</strong>ake, Secre<strong>ta</strong>ry, MEYS, 23 June, 2008. On average 43 new<br />
classrooms each accommodating 35 children would have been needed each year between 2000 and<br />
2005. This would be the minimum to cater for the annual increase at age 6 years after allowing for<br />
mor<strong>ta</strong>lity. because some schools on outer <strong>island</strong>s have only a few children in each class, even more<br />
classrooms are actually needed to keep pace with <strong>population</strong> growth.<br />
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South Tarawa<br />
Other Islands<br />
4
45000<br />
40000<br />
35000<br />
30000<br />
25000<br />
20000<br />
15000<br />
10000<br />
5000<br />
0<br />
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
Figure Three: Population Growth 1947-2005, Gilbert Group<br />
1947 1963 1968 1973 1978 1985 1990 1995 2000 2005<br />
Da<strong>ta</strong> from 2005 Kiribati Census, Volume I, Basic Tables, Table A, p. 12.<br />
Figure One shows that whereas most <strong>island</strong>s only doubled or trebled in size between<br />
1947 and 2005, by 2005 South Tarawa had almost 25 times as many people as in<br />
1947, accounting for 44% of the entire <strong>population</strong> of Kiribati.<br />
6000<br />
5000<br />
4000<br />
3000<br />
2000<br />
1000<br />
Figure Four: Population Growth 1947-2005, Line and Phoenix Islands<br />
0<br />
1947 1963 1968 1973 1978 1985 1990 1995 2000 2005<br />
Da<strong>ta</strong> from 2005 Kiribati Census, Volume I, Basic Tables, Table A, p. 12.<br />
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South Tarawa<br />
Figure Three shows that, although slower than that of South Tarawa, the <strong>population</strong><br />
growth rate of North Tarawa increased between 2000 and 2005. By 2005 North<br />
Tarawa's <strong>population</strong> slightly exceeded that of Abaiang, which decreased slightly<br />
between 2000 and 2005.<br />
Abaiang/Nth Tarawa<br />
Other Gilberts<br />
Kiritimati<br />
Tabuaeran<br />
Teeraina<br />
Kanton<br />
Figure Four shows that the <strong>population</strong> of Kiritimati in 2005 was almost 50% larger<br />
than in 2000, and nearly 100 times as large as in 1947. The 2005 census showed that<br />
it had reached 5.9% of the <strong>population</strong> of Kiribati as a whole, surpassed in size only by<br />
5
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
much larger South Tarawa. There was also subs<strong>ta</strong>ntial <strong>population</strong> growth in<br />
Tabuaeran between 2000 and 2005, although by 2005 it was still only half the size of<br />
the Kiritimati <strong>population</strong>. The <strong>population</strong>s of the two other inhabited Line and<br />
Phoenix Islands, Teeraina and Kanton, remained almost cons<strong>ta</strong>nt.<br />
The <strong>population</strong> growth rate of Kiritimati for 2000-2005 was 7.9%, which was much<br />
higher than for South Tarawa in the same period (1.9%). Even so, South Tarawa still<br />
has a much larger <strong>population</strong> and larger absolute increase each year than anywhere<br />
else in Kiribati.<br />
Uneven <strong>population</strong> distribution across the various <strong>island</strong>s that make up Kiribati brings<br />
two major contrasting problems. On the one hand slow growth or de<strong>population</strong> of on<br />
outer <strong>island</strong>s raises the per capi<strong>ta</strong> cost of providing services, creates a s<strong>ta</strong>gnant climate<br />
for small enterprise and other initiatives, and may even result in insufficient numbers<br />
to sus<strong>ta</strong>in communities. On the other hand, continued inflows of <strong>population</strong> to<br />
densely settled areas in South Tarawa and Kiritimati further increases densities in<br />
already crowded areas, strain local infrastructures and create local pressure on<br />
employment opportunities and living conditions.<br />
There is no particular number of people per square kilometre that signifies <strong>population</strong><br />
density is too high or too low. Nonetheless, in Kiribati, where there limited<br />
opportunities to grow or catch food in urban areas, few wage employment<br />
opportunities and large families dependent on a single wage earner, densities of<br />
several thousand per square kilometre are almost always associated with low living<br />
s<strong>ta</strong>ndards. This is exacerbated by inadequate water, sani<strong>ta</strong>tion and other basic<br />
services, which is typical of all the densely <strong>population</strong> areas of South Tarawa and<br />
Kiritimati Island.<br />
3. Is the Kiribati birth rate decline accelerating?<br />
As s<strong>ta</strong>ted in the 2000 census report, the Kiribati birth rate has been declining steadily<br />
since the 1970s. The estimated To<strong>ta</strong>l Fertility Rate (TFR) 7<br />
derived from the 1990<br />
census was 4.7; the 1995 census yielded a rate of 4.5 and the 2000 census 4.3. The<br />
TFR derived from the 2005 census for the years 2004-2005 was much lower, at 3.5.<br />
Does this mean the birth rate is now declining rapidly?<br />
According to the 2005 census analytical report, there appeared to be a dramatic<br />
reduction in the birth rate a few years prior to the census. On the basis of the number<br />
of children of each age counted, there appears to have been fewer births in 2003 than<br />
in any year previously, equivalent to an average TFR of only 3.2 births per woman.<br />
The census report found that the birth rate increased the following year, but was still<br />
low, at 3.5 for 2004-2005. Although these fluctuating rates promise fewer births in the<br />
future, it is too soon to say that the Kiribati birth rate is now declining rapidly.<br />
7<br />
The To<strong>ta</strong>l Fertility Rate (TFR) is the average number of children women would have in their lifetime<br />
if this rate applied throughout their reproductive years.<br />
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6
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
Figure Five: Actual and expected MHMS birth registrations, 2000-2007<br />
3000<br />
2500<br />
2000<br />
1500<br />
1000<br />
500<br />
0<br />
1611<br />
1988 1961<br />
Actual Expected Linear (Expected)<br />
1803<br />
1864<br />
2281<br />
2603<br />
2072<br />
2000 2001 2002 2003 2004 2005 2006 2007<br />
Source: Based on number of births registered by MHMS.<br />
Figure Five shows the number of births recorded by MHMS for the years 2000 to<br />
2007. The dark bars show the actual number of births recorded, while the white bars<br />
and the trend line show the expected number of birth registrations. 8<br />
The smaller number of births in 2003 and 2004 referred to in the census analytical<br />
report is reflected in the MHMS da<strong>ta</strong> plotted in Figure Five. It can also be seen,<br />
however, that there were considerably more births registered than would be expected<br />
in 2005 and 2006. The 2007 figure appears to be almost exactly what would be<br />
expected if the TFR remained at the average rate prior to 2003. This figure was not<br />
final at the time of writing, however, so could even increase by a small amount.<br />
It is also instructive to compare MHMS and census da<strong>ta</strong>. MHMS figures include only<br />
births attended by a nurse, either during the delivery or when the baby was first <strong>ta</strong>ken<br />
to a clinic, whereas census numbers are based on the number of children of each age<br />
counted. Since the 1980s, the percen<strong>ta</strong>ge of births attended by a nurse has increased<br />
from around 70% to around 90% while traditional birth attendants assist at the<br />
remaining 10% (Republic of Kiribati, 2007: 31).<br />
8 The expected number of births is estimated from the average number of births for the three years<br />
2000-2002, (which were all relatively low birth rate years, according to the 2005 census analytical<br />
report, Figure 12, page 16), plus an allowance for <strong>population</strong> increase of 1.8% per annum.<br />
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Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
Table One: Comparison of MHMS birth registrations and census estimates<br />
MHMS Census<br />
2000 1611 2472<br />
2001 1988 2216<br />
2002 1961 2126<br />
2003 1803 2005<br />
2004 1864 2167<br />
2005 2281 2403<br />
To<strong>ta</strong>l 2000-2005 11508 13389<br />
2006 2606<br />
2007 2070<br />
Source: MHMS da<strong>ta</strong>base and 2005 Kiribati Census Volume I: Basic Information and<br />
Tables, Table 5, p.33.<br />
Table One compares the MHMS birth registrations with the number of children of<br />
each age reported in the census. That is, births of children aged less than one year in<br />
the census are deemed to have been reported in 2005, children aged 1-2 years in 2004,<br />
and so on. The figures for each year are not exactly comparable because the MHMS<br />
uses a calendar year while census ages are calculated backwards from census day,<br />
which was 7th November 2005. Even so, the difference between the MHMS and<br />
census da<strong>ta</strong> in Table One is consistent with the pattern of assis<strong>ta</strong>nce at delivery noted<br />
above. Given that some children would not have survived until the census, while net<br />
international migration is negligible, MHMS clearly recorded at least 1,880 fewer<br />
births than must have occurred during the six years 2000-2005. 9<br />
This suggests that, depending on the extent of under-reporting of births by MHMS,<br />
the to<strong>ta</strong>ls for 2006 and 2007 could be considerably higher than shown in Table One<br />
and TFRs in those years could even be as high as TFRs prior to 2000.<br />
The number of surviving children from births occurring in 2006 and 2007 will not be<br />
known until the results of the 2010 census become available. Until then it can be said<br />
with confidence that there have been some fluctuations in the to<strong>ta</strong>l number of births in<br />
recent years, but there is as yet no concrete evidence of accelerated fertility decline.<br />
A worrying feature of the 2005 census da<strong>ta</strong> is that comparison of age structure by<br />
<strong>island</strong> suggests that fertility on Kiritimati Island could be higher than in South<br />
Tarawa. 10<br />
Figure Six compares the percen<strong>ta</strong>ges of the <strong>population</strong> in the major age<br />
groups in Kiritimati and Betio.<br />
9 Given the census estimate that 51 out of every 1000 live born children dies during their first year, and<br />
18 in every 1000 dies between age one and five years, the extent of under reporting in MHMS is<br />
probably much higher than suggested by Table One. The real difference between MHMS registered<br />
births and actual births for 2000-2005 is probably well over 2000 and could even be close to 3,000.<br />
10 The 2005 analytical report does not include separate estimates of the TFR for each <strong>island</strong>, and the<br />
de<strong>ta</strong>iled da<strong>ta</strong> required for calculation was not available during this TA. Moreover, since fertility<br />
fluctuations from year to year can be marked when numbers are small, in this ins<strong>ta</strong>nce comparison of<br />
age structure is probably a better indication of trends.<br />
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Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
Figure Six: Population distribution by age group, Kiritimati and Betio, 2005.<br />
Per cent<br />
60.0<br />
50.0<br />
40.0<br />
30.0<br />
20.0<br />
10.0<br />
0.0<br />
5.3<br />
4.8<br />
10.2<br />
8.4<br />
Kiritimati Betio<br />
23.6<br />
20.3<br />
6.0<br />
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5.6<br />
45.1<br />
50.7<br />
0-1 2-5 6-14 15-17 18-49 50-69 70+<br />
Age Group (yrs)<br />
Da<strong>ta</strong> from 2005 Kiribati Census, Volume I, Basic Tables, Table 3, pp 24, 3.1<br />
It can be seen that compared with Betio, Kiritimati had higher percen<strong>ta</strong>ges in the<br />
preschool age groups (0-1 and 2-5 years), and in the primary/junior high school age<br />
group (6-14 years). The percen<strong>ta</strong>ge in the secondary school age groups (15-17 years)<br />
was also slightly higher than in Betio. On the other hand, the percen<strong>ta</strong>ge of people of<br />
working age was subs<strong>ta</strong>ntially lower on Kiritimati Island compared with Betio.<br />
Kiritimati also had a relatively young age structure and fewer in the working age<br />
groups when compared with all South Tarawa, all other outer Islands and all of<br />
Kiribati, although the differences were a little less than the comparison with Betio.<br />
Some of the very high growth rate for Kiritimati Island compared with the rest of<br />
Kiribati (see Figures Three and Four) thus appears to be due to higher fertility.<br />
Because many women from outer <strong>island</strong>s give birth at the hospi<strong>ta</strong>l in South Tarawa, it<br />
is difficult to link birth registration da<strong>ta</strong> to particular <strong>island</strong>s. However, MHMS da<strong>ta</strong><br />
shows that the percen<strong>ta</strong>ge of all Kiribati births registered on Kiritimati Island (where<br />
remoteness makes it less likely that women would deliver elsewhere) in the years<br />
2004-2007 was consistently higher than the percen<strong>ta</strong>ge of the to<strong>ta</strong>l <strong>population</strong> counted<br />
on Kiritimati Island in 2005. Given that MHMS typically registers only around 90%<br />
of all births, this also suggests that the to<strong>ta</strong>l fertility rate for Kiritimati could be above<br />
the national average.<br />
Higher fertility on Kiritimati Island than in densely settled Betio is consistent with the<br />
worldwide pattern that fewer wage employment opportunities, greater reliance on<br />
subsistence and a more relaxed lifestyle is almost always associated with higher<br />
fertility. An alternative explanation for the younger age structure on Kiritimati could<br />
be that people who already have large families are more likely to move to Kiritimati.<br />
8.1<br />
8.6<br />
1.6<br />
1.7<br />
9
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
Even if this is the correct explanation, rather than higher fertility per se, it still<br />
suggests that Kiritimati Island is attractive to larger families (presumably because<br />
food is easier to ob<strong>ta</strong>in), and therefore prone to higher fertility rates.<br />
Whatever the cause, the younger age structure on Kiritimati has impor<strong>ta</strong>nt<br />
implications for the Kiribati <strong>population</strong> growth rate. First, it signifies that Kiritimati is<br />
likely to have relatively higher fertility in the future because it will have more<br />
potential parents. Second, although resettlement to Kiritimati Island is seen as a way<br />
of relieving <strong>population</strong> pressure in South Tarawa, it may also be helping to delay<br />
overall fertility decline. If resettlement strategies are to reduce <strong>population</strong> pressure<br />
without slowing the rate of fertility decline, they need to ensure that resettlement<br />
destinations provide opportunities for wage employment and the associated economic<br />
incentives that promote smaller families in urban areas. 11<br />
4. Did living s<strong>ta</strong>ndards in Kiribati improve between 2000 and 2005?<br />
There are numerous internationally recognised indicators of living s<strong>ta</strong>ndards,<br />
including economic indicators derived from national accounts and household income<br />
and expenditure da<strong>ta</strong>. A recent ADB review 12<br />
points to several causes for concern as<br />
regards the national economy, including that a negative trade balance is increasing<br />
reliance on transfers from overseas and withdrawals from reserves (RERF). The ADB<br />
review also questions the apparent growth in wage employment reported in the 2005<br />
census. The 40% increase as compared with 2000 is inconsistent with GDP figures<br />
and could be due to measurement inconsistencies compared with previous censuses.<br />
Although not focussed at the household level, this ADB review clearly indicates<br />
potential declines in living s<strong>ta</strong>ndards.<br />
The 2006 Household Income and Expenditure Survey (HIES) highlighted<br />
discrepancies between income and expenditure at the household level, concluding<br />
that, on average Kiribati households spent $112 more each year than they earn. The<br />
survey found subs<strong>ta</strong>ntial differences by region, with positive values for Central ($184)<br />
and Southern Gilberts ($90) and negative for South Tarawa (-$225), Northern Gilberts<br />
(-$173) and Line and Phoenix Islands (-$25). 13 These finding must be treated with<br />
caution as it is well known that HIES respondents tend to unders<strong>ta</strong>te their incomes,<br />
and for this reason it is usual to analyse patterns of income source in HIES da<strong>ta</strong>, but<br />
avoid direct comparisons of income and expenditure. 14<br />
The HIES results alone are<br />
therefore insufficient evidence of declining living s<strong>ta</strong>ndards.<br />
Some of the most impor<strong>ta</strong>nt and meaningful indicators of living s<strong>ta</strong>ndards can be<br />
found in census da<strong>ta</strong>. They include several key indicators used to calculate the UNDP<br />
Human Development Index 15<br />
and measure progress in Millennium Development<br />
Goals. Da<strong>ta</strong> from many countries have shown that infant and child mor<strong>ta</strong>lity rates, life<br />
expec<strong>ta</strong>ncy and access to water and sani<strong>ta</strong>tion are more robust and sensitive indicators<br />
11<br />
For a fuller discussion of this point refer to the discussion paper on <strong>population</strong> planning and human<br />
resources development to be presented with the Interim Report on this TA.<br />
12<br />
Kiribati: Managing Development Risks (forthcoming)<br />
13<br />
S<strong>ta</strong>tistics Office, Republic of Kiribati, 2007: 23.<br />
14<br />
See, for example, Solomon Islands HIES, 2004/2005 and Tuvalu HIES, 2006.<br />
15<br />
See UNDP website http://www.undp.org for downloadable electronic versions of the Human<br />
Development Reports.<br />
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10
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
of living s<strong>ta</strong>ndards at the community level as compared with economic indicators.<br />
This is acknowledged in the Kiribati Millennium Development Goals report, which<br />
cites Maslow's 1943 Hierarchy of Needs: 'In order to enjoy living to the full, one must<br />
first satisfy his basic needs (food, water, house, toilets) before he/she can proceed to<br />
the next higher level of needs.' 16<br />
The census and the HIES both collected da<strong>ta</strong> on patterns of food production and<br />
consumption, but unless exact quantities are known, only general conclusions about<br />
nutritional adequacy can be drawn from these da<strong>ta</strong>. Similarly, it is difficult to analyse<br />
housing adequacy from secondary da<strong>ta</strong>. In the Kiribati environment design is a more<br />
impor<strong>ta</strong>nt determinant of adequacy than construction materials, and this cannot be<br />
assessed without inspection. The following analysis of trends in living s<strong>ta</strong>ndards is<br />
therefore confined to trends in mor<strong>ta</strong>lity and health, water and sani<strong>ta</strong>tion, as reported<br />
in the census and other key da<strong>ta</strong> sources.<br />
4.1 Infant mor<strong>ta</strong>lity<br />
Kiribati has experienced a subs<strong>ta</strong>ntial decline in the Infant Mor<strong>ta</strong>lity Rate (IMR) 17<br />
since the 1970s, when it was close to 90 per 1000 live births. The census finding that<br />
the IMR increased in the period 2000-2005 is therefore s<strong>ta</strong>rtling.<br />
Figure Seven plots trends in IMR since 1973-78, clearly showing the recent increase.<br />
As in most countries, male infants were slightly more likely to die than female infants<br />
in most years. The 2000-2005 IMR by gender was 53 per 1000 live born males<br />
compared with 51 per 1000 for females.<br />
Figure Seven: Infant mor<strong>ta</strong>lity rates, Kiribati 1973-2005<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
87<br />
82<br />
65<br />
1973-78 1978-85 1985-90 1990-95 1995-00 2000-05<br />
16<br />
Quo<strong>ta</strong>tion from Republic of Kiribati, 2007: 50.<br />
17<br />
IMR= number of deaths before exact age one year per thousand live births.<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
67<br />
43<br />
Da<strong>ta</strong> from Republic of Kiribati, 2007: 25.<br />
Although it is not yet known whether this trend has continued, it should be <strong>ta</strong>ken as an<br />
impor<strong>ta</strong>nt early warning sign of deteriorating living s<strong>ta</strong>ndards. Problems during<br />
52<br />
11
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
delivery are unlikely to account for the increase in IMR because, as noted above, only<br />
an estimated 10% of births are not attended by a health professional. Rather, it points<br />
to a decline in family capacity to care for newborn infants and a decline in the quality<br />
of support services available to them.<br />
Infant mor<strong>ta</strong>lity is widely recognised as a highly sensitive indicator of living<br />
s<strong>ta</strong>ndards. For example, the recent decline in living s<strong>ta</strong>ndards in Nauru was reflected<br />
in a dramatic increase in the IMR, from 13 in the 1991-1992 to 44 by around 2003. 18<br />
As in Nauru, the increase in IMR in Kiribati probably reflects a high prevalence of<br />
water borne diseases, declining nutritional s<strong>ta</strong>ndards that increase infant vulnerability<br />
to infection, and inadequate maternal and child health care <strong>program</strong>s (Republic of<br />
Kiribati, 2007: 25).<br />
4.2 Child Mor<strong>ta</strong>lity Rate and Under Five Mor<strong>ta</strong>lity Rate<br />
The Child Mor<strong>ta</strong>lity Rate (CMR) is the number of deaths in the four years between<br />
ages one and five years per 1000 live births. It is usually expected to be around half to<br />
one third the IMR, because obviously infants are more vulnerable than young children<br />
and face considerable risks in the first year of life. The 2005 census da<strong>ta</strong> yielded a<br />
CMR for all Kiribati of 17.5 deaths per 1000 live births, 18 for males and 17 for<br />
females. Although the Kiribati CMR is consistent with the Kiribati IMR, it too is high<br />
compared with some neighbouring Pacific countries.<br />
CMR estimates are not available from the 2000 census, and there is some<br />
inconsistency between the figures in the 2005 census analysis and the MDG report. 19<br />
No attempt is therefore made to separate out the CMR from the Under Five Mor<strong>ta</strong>lity<br />
Rate (U5MR, i.e. IMR plus CMR) shown in that report to es<strong>ta</strong>blish a trend. What can<br />
be said, however, is that the U5MR also suggests declining living s<strong>ta</strong>ndards and is one<br />
of the highest in the Pacific Region.<br />
4.3 Life expec<strong>ta</strong>ncy<br />
Life expec<strong>ta</strong>ncy is the average number of years an individual of any given age can<br />
expect to live. Analysis of the 2005 census da<strong>ta</strong> produced an average life expec<strong>ta</strong>ncy<br />
at birth of 58.9 years for Kiribati males and 63.1 for Kiribati females, which is low<br />
compared with most other Pacific countries. Female life expec<strong>ta</strong>ncy two or three<br />
years longer than male life expec<strong>ta</strong>ncy is normal, however, because male infants are<br />
more vulnerable, while at subsequent ages males tend to be exposed to more risk<br />
compared with females.<br />
One reason for comparatively short life expec<strong>ta</strong>ncy in Kiribati is high IMR and CMR,<br />
but it is not the only reason. Life expec<strong>ta</strong>ncy at age 25 is still only 40 for males and 44<br />
for females, 20<br />
indicating that many of those who survive the high-risk years of infancy<br />
and early childhood still do not enjoy a long life. The main factors contributing to<br />
relatively high adult mor<strong>ta</strong>lity are the continuing prevalence of infectious disease, and<br />
18<br />
UNICEF, 2005 A Situation Analysis of Children, Youth and Women in Nauru: 13.<br />
19<br />
This report uses only the Under Five Mor<strong>ta</strong>lity Rate (U5MR), which is the IMR plus the CMR. The<br />
figure quoted for 2004, however, is 67 (Republic of Kiribati, 2007: 24), which is less than the census<br />
estimate of 69.5.<br />
20<br />
SPC and Republic of Kiribati, 2006: 23.<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
12
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
the emergence of early-onset, lifestyle-related diseases.<br />
The infectious diseases of particular concern to adults in Kiribati are diarrhoeal<br />
diseases, hepatitis B, tuberculosis (TB) and acute respiratory infections, while<br />
HIV/AIDS is an emerging concern. As discussed further below, diarrhoeal diseases<br />
and hepatitis B reflect poor s<strong>ta</strong>ndards of water and sani<strong>ta</strong>tion, while tuberculoses is<br />
recognised as an indicator of poverty because transmission is facili<strong>ta</strong>ted by<br />
overcrowding and poor ventilation at the household level. 21<br />
Although almost entirely<br />
preven<strong>ta</strong>ble by vaccination and healthy lifestyles, and very uncommon in most<br />
developed countries, tuberculosis remains an on-going concern in Kiribati.<br />
Most lifestyle-related, or early-onset, non-communicable diseases (NCDs), are caused<br />
by diets that are high in fat and sugar, alcohol, smoking and/or insufficient exercise.<br />
NCDs include obesity, diabetes, cancers, cardio-vascular diseases (e.g. heart at<strong>ta</strong>ck,<br />
stroke) and cirrhosis of the liver. They are becoming more common in all Pacific<br />
countries as traditional diets are replaced or supplemented with high calorie imported<br />
foods and frying instead of grilling or baking. Although many Kiribati families still<br />
practice subsistence to some extent, there is increasing consumption of high calorie<br />
foods and soft drinks, even on outlying <strong>island</strong>s. At the same time lifestyles are<br />
becoming more seden<strong>ta</strong>ry. For example, people ride in buses, cars or on motorbikes<br />
instead of walking, use outboard motors instead of rowing or paddling, and purchase<br />
food instead of collecting or growing it.<br />
Figure Eight shows that almost half of all men and almost 60% of men aged 20-24<br />
described themselves as regular smokers in the census, and 27% of all women and<br />
22% of women aged 20-24. Smaller percen<strong>ta</strong>ges said they were occasional smokers,<br />
but since 'sometimes' and 'regular' were not defined in terms of the number of<br />
cigarettes smoked each day or week, perceptions are likely to be highly variable.<br />
Given the universal tendency for people to under-report smoking and alcohol<br />
consumption, these figures represent a major health concern.<br />
The comparable figures for alcohol consumption are shown in Figure Nine. It can be<br />
seen that, according to the census, alcohol consumption is much less common among<br />
women than men. This is probably because female drinking tends to be stigmatised,<br />
which is probably because the typical pattern of drinking in the Pacific is binge<br />
drinking to excess. Although the census figures appear relatively low, it can be<br />
assumed that there is subs<strong>ta</strong>ntial under-reporting, while most of those who do drink<br />
alcohol do so in a way that is high risk and likely to be harmful to health.<br />
21<br />
Republic of Kiribati, 2007: 38.<br />
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Program on Kiritimati Island (Population Policy Component)<br />
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Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
Figure Eight: Occasional and Regular Smokers, Kiribati, 2005 (per cent)<br />
100.0<br />
90.0<br />
80.0<br />
70.0<br />
60.0<br />
50.0<br />
40.0<br />
30.0<br />
20.0<br />
10.0<br />
0.0<br />
48.9<br />
31.6<br />
3.9 5.0 5.3<br />
All Male<br />
Male 15-19<br />
Sometimes Regular<br />
Male 20-24<br />
58.3<br />
All Female<br />
8.1<br />
2.3 2.0 2.5<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
27.0<br />
Female 15-19<br />
Female 20-24<br />
Da<strong>ta</strong> from 2005 Kiribati Census, Volume I, Basic Tables, Table 13, p. 42.<br />
Figure Nine: Occasional and Regular Alcohol drinkers, Kiribati, 2005 (per cent)<br />
100.0<br />
90.0<br />
80.0<br />
70.0<br />
60.0<br />
50.0<br />
40.0<br />
30.0<br />
20.0<br />
10.0<br />
0.0<br />
27.7<br />
All Male<br />
9.2<br />
25.8<br />
Male 15-19<br />
6.9<br />
41.8<br />
Male 20-24<br />
Sometimes Regular<br />
13.8<br />
All Female<br />
22.4<br />
2.5 3.0 4.0<br />
0.9 0.9 1.2<br />
Female 15-19<br />
Female 20-24<br />
Da<strong>ta</strong> from 2005 Kiribati Census, Volume I, Basic Tables, Table 13, p. 43.<br />
Although NCDs are to a very large extent preven<strong>ta</strong>ble, they are rapidly becoming a<br />
serious concern and shortening lives in Kiribati, as elsewhere in the Pacific. Smoking<br />
and excessive drinking are risk factors for cardio-vascular disease as well as direct<br />
14
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
causes of lung cancer and cirrhosis. Obesity is also classified as a disease in itself, as<br />
well as a risk factor for other NCDs. The census did not collect da<strong>ta</strong> on obesity, but<br />
any observer can see that it has become common in Kiribati, especially in urban areas<br />
and especially among women.<br />
4.4 Access to safe water and sani<strong>ta</strong>tion<br />
Access to safe water is a basic human need. Some of the most common infectious<br />
diseases are water borne. Among the most impor<strong>ta</strong>nt are most forms of diarrhoeal<br />
disease, including typhoid and cholera. Diarrhoeal diseases always enter the body<br />
through the mouth, usually in drinking water that has been con<strong>ta</strong>minated by a sick<br />
person, or in food washed in that water. Con<strong>ta</strong>minated water can thus produce<br />
sickness and death in both children and adults, and is a leading cause of high infant<br />
and child mor<strong>ta</strong>lity. Although not water borne, hepatitis B is transmitted in most body<br />
fluids, so poor hygiene contributes to the risk of infection.<br />
There have been a number of subs<strong>ta</strong>ntial donor-funded projects to improve water and<br />
sani<strong>ta</strong>tion in various parts of Kiribati, 22 but still large percen<strong>ta</strong>ges of the <strong>population</strong><br />
remain without one or both. Figure Ten shows the percen<strong>ta</strong>ges of households<br />
classified as having access to improved water sources in 1990 and 2000. 23<br />
Although<br />
there was an increase in both rural and urban areas, both were still well short of 100%.<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Figure Ten Access to improved water sources, Kiribati 1990 and 2000<br />
1990 2000<br />
Rural Urban<br />
Source: Republic of Kiribati, 2007: 48<br />
22<br />
For example, ADB's Sani<strong>ta</strong>tion, Public Health and Environment (SAPHE) Project and AusAID's<br />
Kiribati Water and Sani<strong>ta</strong>tion Project (KWASP).<br />
23<br />
Republic of Kiribati, 2007: 48.<br />
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Program on Kiritimati Island (Population Policy Component)<br />
15
100.0<br />
90.0<br />
80.0<br />
70.0<br />
60.0<br />
50.0<br />
40.0<br />
30.0<br />
20.0<br />
10.0<br />
0.0<br />
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
Figure Eleven: Source of drinking water, all Kiribati households, 2005<br />
24.9<br />
30.7<br />
69.7<br />
24<br />
Republic of Kiribati, 2007: 48.<br />
25<br />
Republic of Kiribati, 2007: 49.<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
21.4<br />
Rain (Tank) Pipe Open Well Closed Well Shop<br />
(bottled)<br />
Source: 2005 Kiribati Census, Volume I, Table H36, p 100<br />
Note: Percen<strong>ta</strong>ges do not sum to 100 because of multiple responses<br />
Figure Eleven shows that in Kiribati as a whole, 70 per cent of all households ob<strong>ta</strong>in<br />
their drinking water from open wells and only 31% from piped water. The pattern by<br />
<strong>island</strong> is interesting. Whereas 67% of households in South Tarawa and 84% of<br />
households in Kiritimati used piped water, 79% of rural households used open wells.<br />
This does not mean, however, that households in South Tarawa and Kiritimati were<br />
necessarily better protected. The number of responses exceeded the number of<br />
households surveyed by 86% in South Tarawa and 55% in Kiritimati, indicating that<br />
some households use more than one source for drinking. This means they may drink<br />
both con<strong>ta</strong>minated and uncon<strong>ta</strong>minated water.<br />
It is also impor<strong>ta</strong>nt to consider exactly what constitutes safe water. The MDG<br />
definition of safe water is 'piped water, public <strong>ta</strong>p, bore or pump, protected well,<br />
protected spring or rainwater'. 24 Any of these sources can become con<strong>ta</strong>minated,<br />
however, sometimes by an action as simple as using a con<strong>ta</strong>minated con<strong>ta</strong>iner to dip<br />
and carry the water. Although improved water sources may be less likely to be<br />
con<strong>ta</strong>minated than other sources, they cannot be relied on unless safeguards are in<br />
place to ensure they remain pure. Unsurprisingly, even in South Tarawa, where access<br />
to piped water is highest, test results show that most water sources are con<strong>ta</strong>minated<br />
and MHMS wisely advises that all drinking water should be boiled before use. 25<br />
1.9<br />
16
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
Figure Twelve: Type of toilet used, all Kiribati households, 2005<br />
100.0<br />
90.0<br />
80.0<br />
70.0<br />
60.0<br />
50.0<br />
40.0<br />
30.0<br />
20.0<br />
10.0<br />
0.0<br />
14.9<br />
Public<br />
Flush<br />
15.7<br />
Private<br />
Flush<br />
33.2<br />
26<br />
Republic of Kiribati, 2007: 50.<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
4.3<br />
50.4<br />
26.7<br />
29.8<br />
Latrine Atollette Beach Bush Sea<br />
Source: 2005 Kiribati Census, Volume I, Table H36, p 100<br />
Note: Percen<strong>ta</strong>ges do not sum to 100 because of multiple responses<br />
Figure Twelve shows the type of toilet used by Kiribati households. It can be seen that<br />
more than 50% of households use the beach and another 30% use the sea. Only 30%<br />
had access to a flush toilet and another 4% to a composting toilet (Atollette). There<br />
were subs<strong>ta</strong>ntial numbers of multiple responses on most <strong>island</strong>s, indicating that many<br />
households were using both a modern and traditional toilet facility.<br />
There is a close association between safe water and sani<strong>ta</strong>tion. Wells that may yield<br />
pure water under normal conditions can be con<strong>ta</strong>minated by sewage that seeps from<br />
pit latrines or broken sewer pipes. Covering wells may prevent them being clogged by<br />
refuse, but is no protection from con<strong>ta</strong>mination that occurs underground. Lagoons that<br />
may be safe for swimming, fishing and bathing can become con<strong>ta</strong>minated if they are<br />
used as toilets. Although flush toilets are usually classed as the optimum form of<br />
sani<strong>ta</strong>tion, they require a cons<strong>ta</strong>nt supply of water to operate properly, and can<br />
become a major source of con<strong>ta</strong>mination if they malfunction, are not kept clean, or if<br />
adjacent hand-washing facilities are not available. The MDG report cites the 2005<br />
SAPHE project finding that 30% of sani<strong>ta</strong>tion systems in South Tarawa are ‘not<br />
functioning well’. 26<br />
As this obviously excludes the beach, sea and bush, it represents<br />
subs<strong>ta</strong>ntially reduced access to adequate sani<strong>ta</strong>tion.<br />
The risk of health problems arising from inadequate water and sani<strong>ta</strong>tion has<br />
increased in Kiribati as higher <strong>population</strong> densities leave insufficient water for proper<br />
hygiene at the household level and intensify the challenge of waste disposal. It is well<br />
known that high levels of water borne disease are being experienced in the more<br />
densely settled parts of Kiribati. So far, lack of development of water and sani<strong>ta</strong>tion<br />
has tended to produce less infectious disease in the outer <strong>island</strong>s where there are<br />
17
Annex 2.a: McMURRAY – Trends in Population and Living Conditions<br />
relatively few people and enough land for wells and pit toilets to be widely separated.<br />
It is a major concern, however, in densely settled areas such as Betio, Bairiki and<br />
Bikenibeu in South Tarawa and Tabwakea and London in Kiritimati Island.<br />
5. Prospects for further <strong>population</strong> growth<br />
The 2005 Census Analytical Report includes a series of nine <strong>population</strong> projections<br />
based on various assumptions about trends in fertility, mor<strong>ta</strong>lity and migration.<br />
Estimates of to<strong>ta</strong>l <strong>population</strong> size in 2025 ranged from a low of 119,000 (assuming<br />
permanent emigration of 200 people per year and a sharp decline in fertility) to<br />
140,000 (if there is negligible permanent emigration and fertility continues to decline<br />
at the same pace as from 1990 to 2000). The medium scenario (based on emigration<br />
of 100 persons a year 27<br />
and fertility decline at a rate extrapolated from the dip in<br />
fertility in 2003) yields a <strong>population</strong> of 130,000 in 2025.<br />
These projections are consistent with those made during the development of the<br />
Kiribati Population Policy in 2004. Those projections estimated a <strong>population</strong> of<br />
120,000 in 2025 if permanent emigration reached 500 persons per year, and 136,000<br />
in 2025 if there were no emigration and slow fertility decline.<br />
Whichever figure is used, it is clear that Kiribati is likely to have at least 20,000<br />
additional people by 2025, and probably subs<strong>ta</strong>ntially more. Most of the annual<br />
increment will be infants who can be expected to make subs<strong>ta</strong>ntial demands on health,<br />
education and other basic facilities for at least 16 years after their birth.<br />
6. Concluding remarks<br />
As s<strong>ta</strong>ted at the outset, the objective of this paper is to consider the impact of recent<br />
<strong>population</strong> trends on living conditions in Kiribati. It is clear from the above evidence<br />
that the to<strong>ta</strong>l <strong>population</strong> is continuing to grow at a steady rate, and can be expected to<br />
reach at least 120,000 by 2025 and very probably more. Aside from problems arising<br />
from uneven distribution, which include de<strong>population</strong> of rural areas as well as<br />
overcrowding in several locations, there is evidence of a real deterioration in living<br />
s<strong>ta</strong>ndards and health as measured by the key indicators infant mor<strong>ta</strong>lity and access to<br />
water and sani<strong>ta</strong>tion. These concerns point to the urgency of implementing strategies<br />
that increase human capacity and promote smaller families in order to con<strong>ta</strong>in<br />
<strong>population</strong> growth and prevent further erosion of living s<strong>ta</strong>ndards.<br />
27 New Zealand currently accepts 75 permanent residents persons per year under the 'Pacific Access<br />
Scheme' (http://www.immigration.govt.nz) while small numbers have moved to Fiji in recent years.<br />
The 2004 Population Policy includes the objective of identifying permanent destinations for 500<br />
persons per year.<br />
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18
Annex 2.b: McMURRAY – Population and development planning<br />
DISCUSSION PAPER:<br />
POPULATION PLANNING ISSUES AND<br />
STRATEGIES: KIRITIMATI ISLAND AND<br />
KIRIBATI<br />
Dr Chris McMurray,<br />
Team Leader and Demographer,<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population<br />
Development Program on Kiritimati Island (Population Policy Component)<br />
_________________________________________________________________<br />
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Program on Kiritimati Island (Population Policy Component)<br />
1
Annex 2.b: McMURRAY – Population and development planning<br />
CONTENTS<br />
1. Introduction 4<br />
2. Previous initiatives to manage <strong>population</strong> 5<br />
3. Recent initiatives and potential for further fertility decline 6<br />
4. Strategies to s<strong>ta</strong>bilise the <strong>population</strong> 9<br />
5. Population momentum 9<br />
6. How much can the Kiribati <strong>population</strong> be expected to increase before it<br />
s<strong>ta</strong>bilises? 10<br />
7. Special issues for <strong>population</strong> planning in Kiribati 11<br />
8. What causes the very low fertility in the most developed countries? 12<br />
9. Why hasn’t Kiribati fertility declined to replacement level already? 14<br />
10. Why have previous <strong>population</strong> policies had only limited success? 14<br />
11. Suggested priorities for a revised implemen<strong>ta</strong>tion strategy for the<br />
2004 Kiribati Population Policy 15<br />
12. Suggested content of the Population Policy Implemen<strong>ta</strong>tion Strategy 16<br />
12.1 Strengthen Human Resources Development 16<br />
12.2 Facili<strong>ta</strong>te overseas migration and employment opportunities 17<br />
12.3 Facili<strong>ta</strong>te local employment and income generation 18<br />
12.4 Improve basic infrastructure and economic opportunities to promote<br />
resettlement and re<strong>ta</strong>in <strong>population</strong> in other outer <strong>island</strong>s 18<br />
12.5 Increase information and advocacy for <strong>population</strong> awareness and<br />
informed parenting 18<br />
12.6 Strengthen health services and ensure accessible and confidential<br />
health services for all ages. 19<br />
13. Summary of the proposed <strong>population</strong> strategy and concluding<br />
remarks 19<br />
FIGURES<br />
Figure One: Kiribati <strong>population</strong> pyramid 1990 7<br />
Figure Two: Kiribati <strong>population</strong> pyramid 2005 8<br />
_________________________________________________________________<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
LIST of ACRONYMS<br />
AusAID Australian Agency for International Development<br />
ADB <strong>Asian</strong> Development Bank<br />
CASL Committee for the Allocation of S<strong>ta</strong>te Lands<br />
CEDAW Convention on the Elimination of All Forms of Discrimination Against<br />
Women<br />
CRC Convention on the Rights of the Child<br />
FBO Faith-Based Organisation<br />
FGD Focus Group Discussion<br />
GDP Gross Domestic Product<br />
IMR Infant Mor<strong>ta</strong>lity Rate<br />
KANGO Kiribati Association of Non-Governmen<strong>ta</strong>l Organisations<br />
KCC Kiribati Catholic Church<br />
KDP Kiribati Development Plan<br />
KPC Kiribati Protes<strong>ta</strong>nt Church<br />
KNCC Kiribati National Council of Churches<br />
KNDP Kiribati National Development Plan<br />
KPA Key Policy Area<br />
MDG Millennium Development Goals<br />
MELAD Ministry of Lands and Agricultural Development<br />
MEYS Ministry of Education, Youth and Sport<br />
MFED Ministry of Finance and Economic Development<br />
MHMS Ministry of Health and Medical Services<br />
MISA Ministry of Internal and Social Affairs<br />
ML&HRD Ministry of Labour and Human Resources Development<br />
NDS National Development Strategy<br />
NGO Non-Government Organisation<br />
NSO National S<strong>ta</strong>tistical Office<br />
SPC Secre<strong>ta</strong>riat of the Pacific Community<br />
TA Technical Assis<strong>ta</strong>nce<br />
TFR To<strong>ta</strong>l Fertility Rate<br />
TVET Technical and Vocational Education and Training<br />
TOR(s) Terms of Reference<br />
UNDP United Nations Development Program<br />
UNFPA United Nations Population Fund<br />
_________________________________________________________________<br />
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3
1. Introduction<br />
Annex 2.b: McMURRAY – Population and development planning<br />
The <strong>population</strong> of Kiribati has been increasing steadily for more than 60 years.<br />
Between 1947 and 2005 the average growth rate was 1.8% per annum. Generally the<br />
number of immigrants has been more or less equal to the number of emigrants, so the<br />
main factor driving <strong>population</strong> growth is natural increase, i.e. the difference between<br />
the birth rate and the death rate. According to the age da<strong>ta</strong> in the 2005 census, the<br />
annual number of births averaged 2,230 between 2000 and 2005. 1<br />
In the same period<br />
there was an average of 850 deaths per annum, so natural increase was probably<br />
around 1,400 people per year.<br />
Obvious disparities in <strong>population</strong> size and growth rates between South Tarawa and<br />
other atolls and the relative emptiness of Kiritimati Island has focussed attention on<br />
<strong>population</strong> relocation to alleviate <strong>population</strong> pressure. In 2004 resettlement to<br />
Kiritimati Island was one of three strategies recommended by an ADB TA to develop<br />
a <strong>population</strong> <strong>policy</strong> and implemen<strong>ta</strong>tion strategy. 2 Since then NZAID has sponsored a<br />
strategic plan for the economic and community and development of Kiritimati Island<br />
2008-2012, 3 ADB’s Outer Islands Growth Centres Project has focused on<br />
resettlement to Kiritimati 4 and the potential for resettlement to Kiritimati was<br />
evaluated in the MISA, NZAID and AUSAID’s Kiribati Urban Renewal Program<br />
Scoping Study and the ensuing Kiribati Sus<strong>ta</strong>inable Towns Program Plan. 5<br />
Kiritimati Island is potentially attractive to new settlers because they are free to utilise<br />
the extensive s<strong>ta</strong>te-owned lands for subsistence. Relocating <strong>population</strong>s to new areas<br />
needs to be carefully managed, however, and requires subs<strong>ta</strong>ntial investment in water,<br />
sani<strong>ta</strong>tion, electricity and other urban facilities to ensure resettled families have<br />
adequate living s<strong>ta</strong>ndards. Moreover, while relocation may alleviate <strong>population</strong><br />
pressure in densely settled areas, if it is not accompanied by slower overall <strong>population</strong><br />
growth the newly settled areas could eventually become as densely populated as<br />
South Tarawa. 6<br />
What is needed is implemen<strong>ta</strong>tion of a <strong>population</strong> strategy that<br />
addresses <strong>population</strong> planning and management in both Kiritimati Island and Kiribati<br />
as a whole.<br />
1<br />
Kiribati Ministry of Finance, 2005, Kiribati Census Volume I: Basic Information and Tables, Table 5,<br />
p.33. Estimates based on census da<strong>ta</strong> are likely to be more complete than those derived from<br />
hospi<strong>ta</strong>l da<strong>ta</strong>, but as they exclude infant and child deaths occurring before the census date they<br />
still underestimate to<strong>ta</strong>l births.<br />
2<br />
ADB TA 3786 KIR: Strengthening Development Strategies and Supporting Poverty Reduction. The<br />
other two strategies were <strong>population</strong> education to promote replacement fertility and promotion<br />
of emigration, ideally to 500 permanent settlers each year.<br />
3<br />
NZAID, 2007, ‘Strategic plan for the economic and community and development of Kiritimati Island<br />
2008-2012’ Unpublished consul<strong>ta</strong>nts’ report.<br />
4<br />
ADB TA 38138, 2004, ‘Technical Assis<strong>ta</strong>nce to the Republic of Kiribati for preparing the Outer<br />
Islands Growth Centers Project’ and ADB ADB TA 38138 2005, ‘Kiribati, Preparing the<br />
Outer Islands Growth Centers Project’, Unpublished consul<strong>ta</strong>nts’ reports.<br />
5<br />
MISA, NZAID and AusAID, 2007 Kiribati Urban Renewal Program Scoping Study, Unpublished<br />
consul<strong>ta</strong>nts’ report.<br />
6<br />
Further discussion and recommendations for management of Kiritimati settlement is presented in the<br />
discussion paper ‘A Review of Settlement and Resettlement Plans and Policies for Kiritimati<br />
Island’ at<strong>ta</strong>ched as Annex Three of the Interim Report for the present TA <strong>4878</strong>.<br />
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Program on Kiritimati Island (Population Policy Component)<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
The Kiribati Population Policy was endorsed by the Government of Kiribati in August<br />
2004. It addresses <strong>population</strong> and development concerns as part of the National<br />
Development Strategy and the Climate Change Adap<strong>ta</strong>tion Strategy. The goal of the<br />
Population Policy is:<br />
To contribute to social and economic progress and a rising s<strong>ta</strong>ndard of living<br />
for the people of Kiribati, and to facili<strong>ta</strong>te adap<strong>ta</strong>tion to climate change by<br />
limiting <strong>population</strong> growth to 120,000 in 2025.<br />
The objective of the Population Policy is ‘A coordinated, vigorous, 20-year, multiministry<br />
strategy that sus<strong>ta</strong>ins the momentum of <strong>population</strong> and development<br />
activities and achieves:<br />
• Community accep<strong>ta</strong>nce of a family size norm of 2-3 children by 2015<br />
• Replacement fertility by 2025 (average of 2.1 children per woman)<br />
• No unmet need for family planning after 2010<br />
• No unplanned pregnancies by 2015’<br />
The 2004 Population Policy also includes two strategies to alleviate <strong>population</strong><br />
pressure in South Tarawa:<br />
• Promotion of alternative growth centres, including Kiritimati Island<br />
• Promotion and facili<strong>ta</strong>tion of emigration<br />
As of mid 2008 there had been no coordination <strong>population</strong>-related activities to support<br />
the Population Policy. The 2005 census and recent birth registrations indicate that<br />
<strong>population</strong> is continuing to increase steadily at around 1.8% per year. At the same<br />
time Kiribati is confronting new challenges posed by climate change and the world<br />
economic situation. Capacity to manage and adapt to these challenges is impaired not<br />
only by <strong>population</strong> increase but also by uneven <strong>population</strong> distribution. It is therefore<br />
essential that immediate action is <strong>ta</strong>ken to improve the balance between <strong>population</strong><br />
and resources and reduce the <strong>population</strong> growth rate.<br />
Strategies to reduce <strong>population</strong> pressure and limit <strong>population</strong> growth have been on the<br />
Kiribati national development agenda for more than three decades. This paper begins<br />
with a review of previous strategies and then suggests priorities for a renewed strategy<br />
to plan and manage <strong>population</strong> on Kiritimati Island and in Kiribati as a whole.<br />
2. Previous initiatives to manage <strong>population</strong><br />
The first major <strong>population</strong>-related activity in Kiribati was the nation-wide family<br />
planning campaign between 1967 and the early 1970s, prior to the at<strong>ta</strong>inment of<br />
Independence. This campaign resulted in a subs<strong>ta</strong>ntial reduction in the number of<br />
births that can still be seen in the <strong>population</strong> age structure, as will be discussed further<br />
in the next section of this paper.<br />
Although this type of <strong>population</strong> <strong>policy</strong> was clearly very successful in Kiribati, in the<br />
mid 1970s international agencies worldwide moved away from vigorous campaigning<br />
in favour of a more integrated approach. Less promotion led to a decline in<br />
contraceptive use in Kiribati, although family planning was still available as part of<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
public health service delivery and donor-supported services also were provided by<br />
some NGOs.<br />
In 1982 a new Health and Family Planning Programme was launched by the then<br />
Ministry of Health and Family Planning. Its aim was to promote and strengthen<br />
family planning services as part of public health, ad provide more information on<br />
family planning. The specific objectives included reducing the <strong>population</strong> growth rate<br />
to 1.6 per cent by 1986 and reducing the to<strong>ta</strong>l fertility rate (TFR) 4.2 by 1986. 7<br />
These <strong>ta</strong>rgets were not achieved and in 1989 new <strong>ta</strong>rgets were set. These were a<br />
<strong>population</strong> growth rate of 1.4 per cent and a TFR of 4.2, initially by 1991, and<br />
subsequently by 1995. 8<br />
Although these exact <strong>ta</strong>rgets were not achieved, the rates in<br />
the period 1990-1995 declined to 1.8 per cent per annum and 4.5 children per women,<br />
as compared with 2.1 per cent and 4.9 in 1980-1985.<br />
Subsequent <strong>population</strong> and health activities included family planning services, but<br />
without pursuing specific <strong>ta</strong>rgets. The 1996 Kiribati National Seminar on Population<br />
and Development for Parliamen<strong>ta</strong>rians and Higher Digni<strong>ta</strong>ries re-asserted national<br />
concern about <strong>population</strong> issues, with renewed emphasis on the cross cutting nature of<br />
<strong>population</strong>, and <strong>population</strong>-development interactions. 9<br />
Seminar participants produced a list of <strong>policy</strong> recommendations to improve living<br />
s<strong>ta</strong>ndards and accelerate fertility decline, including promotion of ‘Education for All’,<br />
human development and promotion of traditional skills, improves sani<strong>ta</strong>tion and<br />
garbage collection and education in family planning and <strong>population</strong> and development.<br />
The 1996 seminar did not lead to formulation and endorsement of a specific<br />
<strong>population</strong> and development plan, however, and no systematic strategy was developed<br />
to address <strong>population</strong> concerns. Some recommendations were implemented by<br />
relevant ministries, and family planning services and sexual and reproductive health<br />
information continued to be an impor<strong>ta</strong>nt part of MHMS activities.<br />
3. Recent initiatives and potential for further fertility decline.<br />
This long history of <strong>population</strong> initiatives shows that the objective of lower fertility is<br />
already a familiar concept in Kiribati. The impact of the 1967-70 campaign is clearly<br />
evident in the <strong>population</strong> pyramids in Figures One and Two.<br />
In the pyramid for 1990 (Figure One) the shorter bars for ages 15-19 reflect the<br />
smaller number of births in the period 1970-1975 due to the family planning<br />
campaign. Similarly, the pyramid for 2005 (Figure Two) shows the same group of<br />
people aged 30-34, and again the bars for that age group are shorter than for the age<br />
groups on either side.<br />
7 Republic of Kiribati, 1996. National Seminar on Population and Development for Parliamen<strong>ta</strong>rians<br />
and Higher Digni<strong>ta</strong>ries. South Tarawa: Ministry of Health and Family Planning. p. 39.<br />
8 Republic of Kiribati, 1996. National Seminar on Population and Development for Parliamen<strong>ta</strong>rians<br />
and Higher Digni<strong>ta</strong>ries. South Tarawa: Ministry of Health and Family Planning. p. 40.<br />
9 Republic of Kiribati, 1996. National Seminar on Population and Development for Parliamen<strong>ta</strong>rians<br />
and Higher Digni<strong>ta</strong>ries. South Tarawa: Ministry of Health and Family Planning.<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
The 2005 pyramid also shows smaller number aged 0-4 years than 5-9 years. This<br />
indicates a new decline in fertility, although, as noted elsewhere, 10<br />
fertility appears to<br />
have risen again since then, so it is too early to say whether this new decline will<br />
definitely be sus<strong>ta</strong>ined in the long term. What can be said, however, is that Kiribati<br />
people respond to campaigns to reduce fertility, that some people are having fewer<br />
children than was the norm even a few years ago and there appears to be potential to<br />
achieve further reductions in fertility in the future.<br />
70-74<br />
60-64<br />
50-54<br />
40-44<br />
30-34<br />
20-24<br />
10-14<br />
0-4<br />
-8000 -6000 -4000 -2000 0 2000 4000 6000 8000<br />
Figure One: Kiribati <strong>population</strong> pyramid 1990<br />
10<br />
See Annex 2.a McMurray ‘Recent trends in <strong>population</strong> and living conditions in Kiribati’ .<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
70-74<br />
60-64<br />
50-54<br />
40-44<br />
30-34<br />
20-24<br />
10-14<br />
0-4<br />
-8000 -6000 -4000 -2000 0 2000 4000 6000 8000<br />
Figure Two: Kiribati <strong>population</strong> pyramid 2005.<br />
The 2004 National Development Strategy (NDS) refocussed attention on <strong>population</strong><br />
increase. Issue 2 of the Key Policy Area 1: Economic Growth was ' Growth of<br />
<strong>population</strong> restricts income per head.' 11<br />
As part of the NDS, a comprehensive<br />
<strong>population</strong> <strong>policy</strong> to achieve s<strong>ta</strong>bility of the to<strong>ta</strong>l <strong>population</strong> by 2020-2025 was<br />
developed and presented to Cabinet in 2004. The main objective of this <strong>policy</strong> is to<br />
reduce the TFR to replacement level (i.e. an average of 2.1 children per woman) by<br />
2025, with a view to eventually achieving a s<strong>ta</strong>ble <strong>population</strong>. It also incorporated a<br />
strategy to relieve <strong>population</strong> pressure in South Tarawa by promoting growth poles in<br />
several outer <strong>island</strong>s.<br />
This <strong>policy</strong> was approved by Cabinet, but insufficient funding was available to launch<br />
the accompanying implemen<strong>ta</strong>tion plan. 12 Even so, 'Monitor and control <strong>population</strong><br />
growth' is as an objective of the 2008-2011 Kiribati Development Plan (KDP) 13 and<br />
local awareness of the economic impact of continuing <strong>population</strong> growth remains<br />
high. The Executive Summary of the 2007 Government of Kiribati/ADB review s<strong>ta</strong>tes<br />
'No single more effective way of improving future income and welfare per head is<br />
available to Kiribati than a well-planned, sus<strong>ta</strong>ined campaign to reduce the likely<br />
future size of the <strong>population</strong>.' 14<br />
Population management is also mentioned in the<br />
MHMS Strategic Plan (2008-2011). The six <strong>population</strong>-related activities, all to be<br />
under<strong>ta</strong>ken by Department of Public Health with UNFPA funding, are:<br />
11<br />
Republic of Kiribati, National Development Strategy, 2003: 13.<br />
12<br />
Republic of Kiribati, Kiribati Development Plan: 2008-2011: 4.<br />
13<br />
Republic of Kiribati, Kiribati Development Plan: 2008-2011: 29.<br />
14<br />
ADB, 2008. ‘Kiribati: Managing Development Risk: A report in ADB’s Pacific Islands Economic<br />
Reports series’, Draft manuscript, p 3.<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
1) Sensitise religious groups to the need for family planning;<br />
2) Train all s<strong>ta</strong>ff in family planning;<br />
3) Train s<strong>ta</strong>ff in advanced family planning methods;<br />
4) Es<strong>ta</strong>blish mobile team and home visits to manage advanced family planning<br />
methods in Outer Islands;<br />
5) Ensure all clinics have continuous supplies of family planning<br />
commodities;<br />
6) Main<strong>ta</strong>in accurate records of family planning activities (MHMS, 2008: 10).<br />
Kiribati is therefore committed to improving the balance between <strong>population</strong> and<br />
resources by s<strong>ta</strong>bilising <strong>population</strong> growth. What is needed to achieve this is an<br />
affordable Population Policy Implemen<strong>ta</strong>tion Strategy that slows <strong>population</strong> growth<br />
and makes for more even <strong>population</strong> distribution while managing resettlement to<br />
ensure it is sus<strong>ta</strong>inable. This strategy should include achievable goals and <strong>ta</strong>rgets and<br />
comprise activities that are both accep<strong>ta</strong>ble to the community and doable. The next<br />
few sections of this paper examine factors commonly associated with fertility decline<br />
and discuss how they might apply in Kiribati.<br />
4. Strategies to s<strong>ta</strong>bilise the <strong>population</strong><br />
As mentioned above, the central long-term objective of the 2004 Kiribati Population<br />
Policy is to s<strong>ta</strong>bilise the <strong>population</strong>. A s<strong>ta</strong>ble <strong>population</strong> is one that neither increases<br />
nor decreases (i.e. a growth rate of 0.0%). A TFR of 2.1 is normally considered to be<br />
‘replacement fertility’. That is, it allows for each person alive to be ‘replaced’ by only<br />
one other person, with a small allowance for early deaths.<br />
The two main ways of achieving <strong>population</strong> s<strong>ta</strong>bility are to reduce fertility to<br />
replacement levels or to offset <strong>population</strong> growth by increasing emigration. A s<strong>ta</strong>ble<br />
<strong>population</strong> can be achieved with higher fertility if there is sufficient emigration to<br />
offset the excess births. This can be seen in a few Polynesian countries such as<br />
Tokelau and Tonga, where fertility is above replacement level, but high emigration<br />
levels have kept the <strong>population</strong> growth rate close to zero.<br />
Emigration levels are determined not only by national policies but also by the<br />
availability of migration destinations, however. Most Pacific Rim countries regulate<br />
immigration closely, and Kiribati does not have the same favoured access to<br />
immigration destinations that are available to some Polynesian countries. Although it<br />
may be possible to increase the emigration from Kiribati to a few hundred each year,<br />
it is very unlikely that emigration would ever be sufficient to offset the current excess<br />
of 1,400 or more births. The most realistic alternative for Kiribati is likely to be a<br />
combination of lower fertility and increased emigration. A two-pronged approach that<br />
includes both fertility and emigration <strong>ta</strong>rgets is therefore a key feature of the 2004<br />
Population Policy and should be emphasised in the Implemen<strong>ta</strong>tion Strategy.<br />
5. Population momentum<br />
Population momentum is a key concept in <strong>population</strong> planning. It is very impor<strong>ta</strong>nt to<br />
unders<strong>ta</strong>nd that the at<strong>ta</strong>inment of replacement fertility does not necessarily mean the<br />
immediate cessation of <strong>population</strong> growth. Because of its young age structure the<br />
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ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
Kiribati <strong>population</strong> has built-in ‘<strong>population</strong> momentum’. This means that even after<br />
replacement fertility has been at<strong>ta</strong>ined, <strong>population</strong> numbers could continue to increase<br />
for a further 30 or 40 years.<br />
The 2005 census showed that half the to<strong>ta</strong>l <strong>population</strong> of Kiribati was aged less than<br />
21 years. In 2005 there were almost 37,000 people in the main child bearing ages of<br />
20-49 years. By 2025, however, when the children born in 2005 s<strong>ta</strong>rt to have children<br />
of their own, there will be around 65,000 people in the main child bearing ages. Even<br />
if these new parents have smaller families than their own parents and only ‘replace’<br />
themselves, around twice as many babies could be born in 2025 as in 2008, simply<br />
because there are more potential parents. ‘Population momentum’ will cause the<br />
Kiribati <strong>population</strong> to increase until the number of people in the main childbearing<br />
ages s<strong>ta</strong>bilises.<br />
Once the <strong>population</strong> s<strong>ta</strong>bilises, any further decrease in fertility or increase in<br />
emigration could cause negative <strong>population</strong> growth, i.e. declining <strong>population</strong><br />
numbers. This is happening in some of the very low fertility countries of Europe such<br />
as France and Germany. Australia, which also has below replacement fertility, is<br />
preventing <strong>population</strong> decrease by main<strong>ta</strong>ining steady levels of immigration to offset<br />
its deficit in births.<br />
6. How much can the Kiribati <strong>population</strong> be expected to increase before it<br />
s<strong>ta</strong>bilises?<br />
The medium <strong>population</strong> projections made in 2004 and the <strong>ta</strong>rget <strong>population</strong> set in the<br />
2004 Population Policy is 120,000 by 2025. 15 This is 30% more people than in 2005.<br />
The medium <strong>population</strong> projection based on the 2005 census da<strong>ta</strong> suggests the to<strong>ta</strong>l<br />
<strong>population</strong> of Kiribati is likely to reach 130,000 by 2025, which is a 40% increase<br />
compared with 2005. Both of these projections assume subs<strong>ta</strong>ntial declines in the<br />
birth rate and subs<strong>ta</strong>ntial increases in permanent emigration, which in fact have not<br />
yet occurred. If there is no change in current fertility and emigration rates and the<br />
<strong>population</strong> continues to increase at an average of 1.8% per year, the <strong>population</strong> could<br />
exceed 140,000 by 2025. 16<br />
If replacement fertility could be reached by 2025 and an average of 200 permanent<br />
emigrants left the country each year, the to<strong>ta</strong>l <strong>population</strong> size in 2025 could be as few<br />
as 120,000 per year. This is still 30% more people than in 2005.<br />
Under any of these scenarios the <strong>population</strong> would continue to increase after 2025<br />
because of <strong>population</strong> momentum. The maximum <strong>population</strong> size at the point when it<br />
stops increasing will depend on how quickly fertility declines and the scale of net<br />
emigration. If fertility declines quickly, the maximum <strong>population</strong> size could be as low<br />
as 135,000, and could be reached in 2050. On the other hand, if the current fertility<br />
rate declines only slowly the maximum could be as high as 250,000 and not achieved<br />
until 2090. If there were no reduction in current fertility and no increase in emigration<br />
15<br />
Although the 2004 projections assumed higher levels of migration than the 2005 census projections,<br />
they also assumed higher fertility and slower fertility decline, so it is reasonable to compare<br />
the projected <strong>population</strong> to<strong>ta</strong>ls derived from the two sets of projections.<br />
16<br />
SPC and Republic of Kiribati, Kiribati 2005 Census Analysis, 2007: 71<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
rates <strong>population</strong> increase would continue indefinitely and a s<strong>ta</strong>ble <strong>population</strong> would<br />
never be achieved.<br />
Every year that implemen<strong>ta</strong>tion of the 2004 Population Policy is delayed it becomes<br />
more likely that the projected <strong>population</strong> numbers for 2025 will be exceeded. Delay<br />
also means a larger maximum <strong>population</strong> size when s<strong>ta</strong>bility is eventually achieved. It<br />
is therefore critically impor<strong>ta</strong>nt that implemen<strong>ta</strong>tion of the 2004 Population Policy<br />
commences as soon as possible.<br />
7. Special issues for <strong>population</strong> planning in Kiribati<br />
Kiribati is not only challenged by continuing <strong>population</strong> increase, but also by uneven<br />
<strong>population</strong> distribution. On the one hand some atolls are very thinly populated, while<br />
some 44% of the to<strong>ta</strong>l <strong>population</strong> is crammed into South Tarawa. This local-level<br />
imbalance between <strong>population</strong> and resources has come about largely because of<br />
migration from outer <strong>island</strong>s. South Tarawa acts like a <strong>population</strong> magnet because<br />
most wage employment opportunities and the best social services are located there,<br />
while generally it is the only part of Kiribati that offers the many, diverse activities of<br />
urban life.<br />
Dense settlements in Betio, Bairiki and Bikenibeu strain capacity to provide adequate<br />
water, sani<strong>ta</strong>tion, waste disposal, transport, communications and housing. The 2005<br />
census showed that average household size in South Tarawa was 7.5 persons. 17<br />
Although 67% of households in South Tarawa had access to piped water, around 30%<br />
relied on open or closed wells, and 50% used the ocean or bush for sani<strong>ta</strong>tion. 18<br />
Moreover, although wage employment is one of the main attractions of South Tarawa,<br />
there are not enough jobs to meet the demand. It is especially difficult for school<br />
leavers and those without previous work experience to find wage employment.<br />
Subs<strong>ta</strong>ntial numbers of urban households have no choice but to practice a semisubsistence<br />
lifestyle because their cash incomes are insufficient, yet land is in short<br />
supply and fish stocks are becoming depleted.<br />
An alternative strategy to alleviate <strong>population</strong> pressure in South Tarawa is to<br />
encourage people to remain on their home on <strong>island</strong>s. This can be difficult when<br />
better services, economic opportunities and market forces tend to attract people to the<br />
es<strong>ta</strong>blished economic area of South Tarawa. Encouraging people to remain on outer<br />
<strong>island</strong>s means upgrading services and creating employment and income generating<br />
opportunities there. The per capi<strong>ta</strong> cost of providing services for small <strong>population</strong><br />
clusters is relatively high, however, while from a businesses perspective small<br />
markets, poor communications and high transport costs make outer <strong>island</strong>s less<br />
attractive than South Tarawa. Decentralisation thus involves reversing es<strong>ta</strong>blished<br />
economic trends and <strong>population</strong> flows, which is difficult and costly.<br />
Another issue for Kiribati <strong>population</strong> planning is that most of the working age<br />
<strong>population</strong> is engaged in subsistence or semi-subsistence work. Many of those who<br />
want to participate in the cash sector do not have appropriate skills or experience for<br />
17<br />
SPC and Republic of Kiribati, 2007, Kiribati 2005 Census Analysis: 56.<br />
18<br />
SPC and Republic of Kiribati, 2007, Kiribati 2005 Census Analysis: Maps 2 and 3, pp 55-56.<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
wage work, or the management skills necessary to es<strong>ta</strong>blish and run a small business.<br />
This applies to both younger and older age groups. Despite the recent es<strong>ta</strong>blishment of<br />
Junior Secondary Schools to improve educational s<strong>ta</strong>ndards and initiatives to develop<br />
technical and vocational education (TVET), many young people leave school without<br />
well-developed skills in either academic or vocational subjects.<br />
One factor hampering human resources development is a widespread perception in the<br />
Kiribati community that white collar work is superior to all other types of work and<br />
vocational education as only for those who can’t achieve good results in white collaroriented<br />
education. This tends to discourage students who have an aptitude for<br />
vocational learning. Those in vocational streams tend to be poorly motivated rather<br />
than eager to acquire valuable and marke<strong>ta</strong>ble skills. Many drop out of both academic<br />
and vocational streams because they are demoralised, or drift through school and<br />
leave without the skills to be competitive in the labour market. In the absence of<br />
alternatives they may fall back on subsistence, semi-subsistence or unskilled<br />
labouring jobs, simply because they have not had sufficient opportunity to realise<br />
their employment potential. Lack of satisfying employment opportunities may even<br />
encourage girls to become mothers at a young age because motherhood appears to be<br />
their only pathway to recognition and s<strong>ta</strong>tus in the community.<br />
8. What causes the very low fertility in the most developed countries?<br />
A consistent pattern throughout the world, as well as the rest of the Pacific, is that the<br />
average fertility (i.e. average number of children borne by women) of rural and<br />
subsistence workers is higher than that of urban and wage workers. Paradoxically,<br />
even though wage employment initially may make large families more affordable, in<br />
the long-term it promotes lower fertility.<br />
One of the best explanations for this pattern is the ‘theory of wealth flows’, which<br />
argues that the spread of mass education, increasing employment opportunities and<br />
urbanization increase the cost of raising children. 19<br />
In a subsistence society the cost of<br />
having an additional child tends to be negligible. Children don't need to s<strong>ta</strong>y in school<br />
for long or spend time studying after school, and from an early age they can help their<br />
family by caring for younger siblings, doing chores, feeding animals, gathering food.<br />
Moreover, having a large family improves the chances that some will survive to <strong>ta</strong>ke<br />
care of their parents when they become old. This means the main ‘flow of wealth’ is<br />
from children to parents, so more children means more wealth.<br />
When people live in urban environments and have paid employment, there are fewer<br />
opportunities for children to contribute to the household economy because most food<br />
is purchased. Work is no longer the same simple subsistence <strong>ta</strong>sks for everyone but<br />
becomes a diversity of occupations, some paid more and some more pleasant to do<br />
than others. The best jobs tend to require professional or trade skills, so as aspirations<br />
increase, parents want their children to acquire the educations and skills to ob<strong>ta</strong>in the<br />
best jobs. This means children need to spend more time at school, and that means<br />
school fees, more and better clothing, books, sporting equipment and the other costs<br />
19<br />
Caldwell, J.C., 1980. ‘Mass education as a determinant of the timing of fertility decline’. Population<br />
and Development Review, Vol 6, No. 2, pp 225-255.<br />
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of education. Because they have less time and opportunity to contribute labour to the<br />
household, children are more dependent than productive. Most parents in developed,<br />
high-aspiration societies provide all their children’s needs for 16-18 years. If children<br />
progress to higher education they may depend on their parents for 25 years or more<br />
before they s<strong>ta</strong>rt to earn an independent income. Although in the long run they will<br />
probably earn much more than less well-educated children, for many years the main<br />
flow of wealth is from parents to children. Raising successful children thus becomes<br />
very expensive, which produces the motivation to have smaller families.<br />
A crucial condition for the process described above to occur is that there must be<br />
plenty of opportunity to realise increasing aspirations, and realising them must be<br />
incompatible with a large family size. That is, there must be appropriate wage<br />
employment available for children in whom parents have invested a great deal, along<br />
with opportunities to acquire consumer goods and more comfor<strong>ta</strong>ble lifestyles. If<br />
employment opportunities are limited, aspirations will be frustrated. Students who<br />
study with little hope of wage employment when they leave school are likely to<br />
become discouraged, perform poorly or drop out. Parents are likely to be discouraged<br />
from investing in upper secondary, post secondary and tertiary education that may not<br />
be utilised. Limited opportunities to earn wages also sus<strong>ta</strong>in subsistent or semisubsistent<br />
lifestyles that are more compatible with a larger family size.<br />
Factors consistently linked with fertility decline are education and employment<br />
opportunities for women. In most of the world the average number of children borne<br />
by women with secondary or higher education is lower than for women with primary<br />
or no education. There are various explanations for this pattern, including the health<br />
benefits - for both mothers and children - of smaller, well-spaced families, and the<br />
greater ability of educated women to achieve their preferred family size. Another<br />
impor<strong>ta</strong>nt explanation is that educated women have more opportunity to participate in<br />
employment, so having fewer children makes it easier for them to do so.<br />
Changing wealth flows and s<strong>ta</strong>tus of women in the world’s most developed countries<br />
means that it is now normal for families to comprise only one or two children. Much<br />
money is spent on the education of these children and preparing them for<br />
employment. Some of the lowest fertility rates in the world can be found in Catholic<br />
countries such as Ireland, I<strong>ta</strong>ly, Spain, Portugal, Poland and South Korea, even though<br />
Catholic families are normally associated with high fertility. The influences of<br />
strongly growing economies, ample opportunities for wage employment and<br />
increasing aspirations are stronger than traditional religious values.<br />
It is remarkable that most developed countries have never had a <strong>population</strong> <strong>policy</strong>.<br />
Their declining <strong>population</strong> growth rates are not due to any deliberate policies or<br />
strategies. What has happened is that the tremendous opportunity generated by<br />
economic growth, diversity of employment and the capacity to acquire consumer<br />
goods has increased family aspirations. This in turn has created the motivation to have<br />
fewer children so that aspirations can be realised.<br />
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9. Why hasn’t Kiribati fertility already declined to replacement level?<br />
Most Kiribati children now attend high school, there has been an increase in paid<br />
employment and almost half of the <strong>population</strong> now live in urban areas. So why isn’t<br />
Kiribati fertility already close to replacement level?<br />
The main explanations seem to be that the Kiribati economy has not developed the<br />
wide diversity of occupations and economic opportunity found in the most developed<br />
countries, and the education system may not be providing the skills for diverse<br />
employment. Put simply, greater participation in education has not been paralleled by<br />
an increase in opportunities to benefit from education. The Kiribati education system<br />
focuses mainly on developing literacy and numeracy – the skills for formal, whitecollar<br />
employment – but there are not enough white-collar jobs for all who seek them.<br />
Nor are there sufficient opportunities in small business, trades and other occupations<br />
to absorb those who do not find white-collar employment. This contributes to student<br />
lack of interest in education, poor performances and high drop-out rates. Another<br />
problem is that where opportunities are available, potential workers may not have<br />
sufficient skills needed to fill them. Skill shor<strong>ta</strong>ges identified in a recent analysis of<br />
the Kiribati labour market include electrical technicians and electricians, plumbers,<br />
building finishing skills, hospi<strong>ta</strong>lity professionals and mechanics. 20<br />
Around half the <strong>population</strong> live in South Tarawa and Kiritimati, both classed as<br />
urban, but many people in these centres do not have wage work and still depend<br />
largely on subsistence activities. Although having secondary education and living in<br />
an ‘urban’ environment may have generated higher aspirations, until there are<br />
opportunities that are more accessible to small families, few couples will be motivated<br />
to limit family size. The main driver of the fertility decline that has occurred in<br />
Kiribati so far is hardship and crowding rather than increasing aspirations. This means<br />
there is still an underlying preference for families of four or more children, and the<br />
reversal in wealth flows that is so critical to fertility decline has not occurred.<br />
10. Why have previous <strong>population</strong> policies had only limited success?<br />
The traditional view of <strong>population</strong> planning in the Pacific is that it is primarily about<br />
numbers. Since <strong>population</strong> numbers are driven by fertility, and most Pacific<br />
<strong>population</strong> plans <strong>ta</strong>rget fertility reduction, <strong>population</strong> planning has tended to become<br />
synonymous with family planning. Not surprisingly, this has made it an unpopular<br />
concept in some quarters. In fact, any <strong>policy</strong> or strategy that includes the objective of<br />
fertility reduction is sure to be viewed by at least a few people as 'coercive', 'an<br />
invasion of rights' or as merely 'women's business'.<br />
Kiribati has long recognised that <strong>population</strong> size is a critical determinant of<br />
development and has approved and adopted strategies to address it. Even so, sus<strong>ta</strong>ined<br />
<strong>population</strong> increase continues to undermine economic growth. This is almost cer<strong>ta</strong>inly<br />
because <strong>population</strong> planning in Kiribati has focussed on family planning, <strong>population</strong><br />
redistribution and emigration, and has given less attention to creating the conditions<br />
20<br />
Voigt-Graf, C. and Tiona<strong>ta</strong>n, T. 2007, Labour market analysis, Kiribati. AusAID unpublished<br />
consul<strong>ta</strong>nts’ report.<br />
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Program on Kiritimati Island (Population Policy Component)<br />
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that motivate couples to have smaller families. Because <strong>population</strong> planning has not<br />
been linked with increasing employment opportunities and improving living<br />
s<strong>ta</strong>ndards, the benefits of a smaller family size have not been obvious to the<br />
community. Inevi<strong>ta</strong>bly this has limited the success of <strong>population</strong> planning.<br />
The 2008-2011 Kiribati Development Plan places 'Monitor and control <strong>population</strong><br />
growth' under the Key Development Area of Health. The three strategies to achieve<br />
this outcome are:<br />
Promote family planning;<br />
Increase public awareness of the effects of a rising <strong>population</strong>;<br />
Address <strong>population</strong> congestion and overcrowding.<br />
What is needed is a broad interpre<strong>ta</strong>tion of these planning strategies that focuses on<br />
human resources development and improving living s<strong>ta</strong>ndards as well as <strong>population</strong><br />
awareness and family planning. This can be directly linked with the 2004 Population<br />
Policy objectives and the revised Population Policy Implemen<strong>ta</strong>tion Strategy being<br />
developed as part of the present TA. 21<br />
Adopting a broader approach means that the<br />
main motivation for a smaller family size will come from increasing aspirations,<br />
increased opportunity for wage employment and enhanced national productivity. This<br />
is much more likely to produce a smaller <strong>population</strong> size, as well as to bring sus<strong>ta</strong>ined<br />
economic and social benefits for all.<br />
UN and donor initiatives since 2000 have placed more emphasise on development<br />
goals and human rights than on <strong>population</strong> numbers per se. Basic goals and rights set<br />
out in the MDGs, CRC and CEDAW 22<br />
for example, include the elimination of<br />
poverty; universal access to health, education, safe water and sani<strong>ta</strong>tion; and the right<br />
to decent work and a sus<strong>ta</strong>inable livelihood. Balancing <strong>population</strong> and resources is<br />
part of ensuring that everyone can realise development goals and enjoy their rights.<br />
Population is not a 'cons<strong>ta</strong>nt' or in any sense a uniform commodity. People vary<br />
enormously in their attributes, such as age, gender, health s<strong>ta</strong>tus, education, skills<br />
development, purchasing power and experience. Enhancing skills for employment and<br />
expanding employment opportunities will add value to human resources, increase<br />
capacity and expand economic growth.<br />
11. Suggested priorities for a revised implemen<strong>ta</strong>tion strategy for the 2004<br />
Kiribati Population Policy<br />
The Population Policy Implemen<strong>ta</strong>tion Strategy for Kiribati needs to be<br />
comprehensive, clever and simple. The lessons learned about fertility decline<br />
elsewhere in the World suggest that the focus should be on human resources<br />
development to improve the balance between <strong>population</strong> and resources. This approach<br />
is most likely to:<br />
• achieve a s<strong>ta</strong>ble <strong>population</strong> as soon as possible;<br />
21 See Annex Two of the Interim Report for this TA <strong>4878</strong>.<br />
22 MDGs = Millennium Development Goals (United Nations, 2000), CRC = Convention on the Rights<br />
of the Child (United Nations, 1989), and CEDAW = Convention on the Elimination of all<br />
Forms of Discrimination Against Women (United Nations, 1995).<br />
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ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
• facili<strong>ta</strong>te economic growth;<br />
• enable everyone in Kiribati to enjoy universal development goals and rights;<br />
and<br />
• alleviate current <strong>population</strong> pressure;<br />
Focusing on human resources development to realise human potential rather than<br />
simply promoting family planning should achieve all these objectives in a manner<br />
that is more accep<strong>ta</strong>ble to the community. At the same time, increased community<br />
awareness of <strong>population</strong> and development linkages will help to guide actions to<br />
ob<strong>ta</strong>in maximum benefit at the family level. This can be achieved by energetic<br />
promotion and campaigning to ensure high levels of <strong>population</strong> awareness in the<br />
community and ensure that <strong>population</strong> is prioritised on the national agenda. Another<br />
impor<strong>ta</strong>nt feature of an effective strategy is that it should be cross cutting, with<br />
Ministries, NGOs, FBOs and communities working together to maximise<br />
opportunity and outcome. Coordination of <strong>population</strong>-related activities will add<br />
value and ensure they achieve the desired <strong>population</strong> outcomes.<br />
A key characteristic of a human resources development-centred implemen<strong>ta</strong>tion plan<br />
is that it has inbuilt incentives for a smaller family size. This is because smaller<br />
families are advan<strong>ta</strong>geous when there is increased participation in formal wage<br />
employment. Although <strong>population</strong> <strong>ta</strong>rgets should be included, these <strong>ta</strong>rgets can be<br />
adjusted in response to achievements in the supply of services and opportunity.<br />
12. Suggested content of the Population Policy Implemen<strong>ta</strong>tion Strategy<br />
It is suggested that the Population Policy Implemen<strong>ta</strong>tion Strategy should include five<br />
key components:<br />
12.1 Strengthen Human Resources Development<br />
This would be the most impor<strong>ta</strong>nt component and the spearhead of the <strong>population</strong><br />
strategy. It means upgrading the skills of Kiribati workers by building on existing<br />
initiatives such as the MTC, the KANI nurses training <strong>program</strong>me and the Cuban<br />
medical doctor training <strong>program</strong>. It could include providing more access to vocational<br />
training at secondary level, strengthening post-secondary vocational training, and<br />
negotiating training opportunities and apprenticeships for Kiribati workers in<br />
Australia and New Zealand, as well as providing on-the-job training for workers in<br />
Kiribati. Other strategies need to be developed to prepare Kiribati workers to <strong>ta</strong>ke<br />
advan<strong>ta</strong>ge of future opportunities in the international labour market. Kiribati workers<br />
have already demonstrated an ability to do this in Nauru, American Samoa and in the<br />
maritime industry. Further development of skills to enable Kiribati workers to <strong>ta</strong>ke<br />
advan<strong>ta</strong>ge of other opportunities is needed.<br />
While there are relatively few job opportunities many lack marke<strong>ta</strong>ble skills. It is<br />
estimated that between one quarter and half of the 2,000 new entrants to the labour<br />
force each year do not have skills to ob<strong>ta</strong>in employment or qualifications to gain<br />
access to a TVET <strong>program</strong>.<br />
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ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
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Skills development is also needed to facili<strong>ta</strong>te employment growth and income<br />
generation in Kiribati. Skilled workers who resettle in outer <strong>island</strong>s growth centres are<br />
more likely to find or create work opportunities and contribute to a healthy climate for<br />
the es<strong>ta</strong>blishment of new enterprises and income generating activities.<br />
12.2 Facili<strong>ta</strong>te overseas migration and employment opportunities<br />
Expansion of overseas migration and employment has the potential to make a very<br />
subs<strong>ta</strong>ntial contribution to the Kiribati economy. In the past few decades phosphate<br />
workers in Nauru, fish cannery workers in American Samoa and seafarers employed<br />
on overseas shipping lines have made impor<strong>ta</strong>nt contributions to household income in<br />
Kiribati. The 2005 census found that 14% of all households in Kiribati received<br />
remit<strong>ta</strong>nces from seafarers, and 20% of households in South Tarawa. 23<br />
Negotiating<br />
other opportunities and ensuring that the labour force is equipped with the skills to<br />
<strong>ta</strong>ke advan<strong>ta</strong>ge of them could make a very subs<strong>ta</strong>ntial contribution to economic<br />
development<br />
Since 2007 New Zealand has accepted 75 permanent migrants from Kiribati each year<br />
under the Pacific Access Scheme. The new Australian Labour Government is<br />
considering allowing some Kiribati workers into Australia on short-term employment<br />
visas. To <strong>ta</strong>ke advan<strong>ta</strong>ge of these and other possible emerging opportunities, Kiribati<br />
workers need to show that they are appropriately skilled and responsible workers.<br />
Negotiation of employment opportunities should be the priority, but consideration<br />
should also be given to seeking more opportunities for overseas resettlement of<br />
families. For example, something similar to New Zealand's quo<strong>ta</strong> of 40 families a year<br />
could perhaps be negotiated with Australia and other countries. Great care needs to be<br />
<strong>ta</strong>ken, however, to ensure that this does not result in a 'brain drain' from Kiribati,<br />
which would be the case if the recipient countries set criteria that can be met by only<br />
the most qualified white collar workers.<br />
An essential part of developing and deploying overseas workers is pre-departure<br />
social and cultural preparation. Mastering the language of the country in which they<br />
plan to work is the first step. It is also essential that potential workers unders<strong>ta</strong>nd and<br />
are prepared to comply with work ethics and expec<strong>ta</strong>tions of employers in these<br />
countries. Preparation for work overseas should include cultural briefings and advice<br />
on risks and difficulties that could be encountered while working overseas, such as<br />
exploi<strong>ta</strong>tion, prejudice, unaccustomed freedom from social regulation and health<br />
risks, and strategies to manage them. There must also be monitoring of work<br />
conditions of overseas contract workers and a source of counselling and support if<br />
they experience difficulties. Strategies such as employing a social worker and offering<br />
telephone counselling in countries with subs<strong>ta</strong>ntial numbers of Kiribati contract<br />
workers need to be considered. The pre-departure preparation and support services<br />
that overseas countries provide to volunteers and diplomatic personnel working in<br />
Kiribati could serve as models for the development of services for Kiribati workers.<br />
23<br />
Calculated from National S<strong>ta</strong>tistics Office, 2005 Census of Population Volume 1, Table H38, p.101.<br />
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Program on Kiritimati Island (Population Policy Component)<br />
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12.3 Facili<strong>ta</strong>te local employment and income generation:<br />
Increase participation in the cash economy to improve living s<strong>ta</strong>ndards and food<br />
security and create incentives for a smaller family size. As well as (1) and (2) above,<br />
conduct awareness-raising to improve the s<strong>ta</strong>tus of blue collar work and provide<br />
business advisory services, micro-credit and management assis<strong>ta</strong>nce to encourage and<br />
assist the development of small business.<br />
12.4 Improve basic infrastructure and economic opportunities to promote<br />
resettlement and re<strong>ta</strong>in <strong>population</strong> in other outer <strong>island</strong>s<br />
Improvement of water, sani<strong>ta</strong>tion, waste disposal, health facilities and schools are<br />
already priorities of the Kiribati Development Plan 2008-2011, as well as part of<br />
Kiribati's commitment to achieving MDGs. Satisfactory levels of basic services must<br />
be achieved at existing settlements, while rates of resettlement must also be<br />
determined by the availability of basic services at proposed destinations. Resettlement<br />
without adequate basic infrastructure risks transferring the problems of South Tarawa<br />
to other areas, and there is also evidence of this in Kiritimati in unregulated squatter<br />
settlements. Resettlement without basic infrastructure is also likely to sus<strong>ta</strong>in higher<br />
<strong>population</strong> growth rates because people in disadvan<strong>ta</strong>ged circums<strong>ta</strong>nces tend to have<br />
lower aspirations and higher fertility.<br />
A crucial part of sus<strong>ta</strong>ining resettlement is ensuring a healthy climate for small<br />
business and employment opportunities at proposed growth centres. The example of<br />
North Tabituea shows that people do not move for improved facilities alone. Despite<br />
the construction of a subs<strong>ta</strong>ntial new hospi<strong>ta</strong>l, North Tabituea has so far attracted few<br />
settlers other than those employed in the hospi<strong>ta</strong>l. Subs<strong>ta</strong>ntial resettlement is unlikely<br />
to occur until there is sufficient local demand for goods and services to attract and<br />
provide opportunities for additional settlers.<br />
12.5 Increase information and advocacy for <strong>population</strong> awareness and informed<br />
parenting<br />
Education is essential to support the above strategies by raising community awareness<br />
of national <strong>population</strong> issues and the benefits of smaller, better-educated families. In<br />
the past family planning promotion in Kiribati and elsewhere in the Pacific has tended<br />
to emphasise minimum and maximum ages for child bearing and family spacing as a<br />
way of achieving smaller families (e.g. the slogan 'Too young, too old, too many, too<br />
close').<br />
In fact there is a much simpler and more flexible approach that is capable of achieving<br />
much better <strong>population</strong> outcomes. It is: Every child should be wanted, planned for<br />
and deliberately conceived by both parents, and both parents should be prepared to<br />
care for that child and provide all its needs - including food, clothing, shelter, health<br />
and education - until it is equipped for and able to ob<strong>ta</strong>in decent, sus<strong>ta</strong>inable<br />
employment in its chosen field. This is accep<strong>ta</strong>ble to almost everyone, as well as<br />
consistent with CRC, CEDAW and other treaties and commitments on human rights.<br />
It also feeds into a concept of ‘affordable family size’.<br />
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ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
If everyone of reproductive age strictly followed this recommendation and thought in<br />
terms of ‘affordable family size’ there would be no unplanned teenage pregnancies,<br />
parents would have only as many children as they could afford to raise and every<br />
child would be properly supported until it reached working age. This recommendation<br />
is appropriate regardless of whether the parents’ and child's ambition is subsistence,<br />
wage employment, or life outside the labour force. Moreover, it does not compromise<br />
the basic human right of parents to choose how many children they will have.<br />
The informed parenting component of the strategy will therefore promote this<br />
objective by reminding all people of reproductive age of their on-going<br />
responsibilities to the children they bear, which may span 20 or more years. It means<br />
providing the necessary information and other support so that all parents can properly<br />
perform their duty to help their children realise their human potential. Informed<br />
parenting is compatible with existing <strong>program</strong>s on prevention of STIs and promotion<br />
of safe sex.<br />
12.6 Strengthen health services and ensure accessible and confidential health<br />
services for all ages.<br />
On-going strengthening of health services to ensure the universal human right of all<br />
citizens to good health. Ensure that health services on each <strong>island</strong> are adequate for the<br />
<strong>population</strong> size. Ensure easy access to confidential, non-discriminatory medical<br />
services for males and females of all ages in all parts throughout Kiribati. This<br />
includes ensuring that contraception is readily available to everyone of reproductive<br />
age. While a <strong>population</strong> strategy based on realising human potential is completely<br />
different from a family planning <strong>program</strong>, it must be recognised that contraception is<br />
likely to be the main method used to many couples to prevent unplanned births, so<br />
ready access is essential. Any factors such as discrimination, lack of confidentiality<br />
and unavailability of supplies could compromise the effectiveness of the whole<br />
<strong>population</strong> strategy.<br />
This component is compatible with previous and current strategies of the MHMS and<br />
NGOs to strengthen health service delivery as well as to prevent STIs, including<br />
HIV/AIDS, and reduce teenage and unplanned pregnancies.<br />
13. Summary of the proposed <strong>population</strong> strategy and concluding remarks<br />
The first point to be noted is that most of the five proposed components are not new,<br />
and are already being implemented in Kiribati to a greater or lesser extent. What is<br />
new is grouping these particular components together so that the <strong>population</strong><br />
implemen<strong>ta</strong>tion strategy is driven by economic factors rather than by health and<br />
family planning objectives.<br />
The key reason for doing this is that this particular combination of components<br />
emulates the factors that resulted in fertility decline in Europe and other developed<br />
countries. These very major declines generally occurred without any promotion of<br />
<strong>population</strong> or family planning objectives whatsoever. The objective was not to slow<br />
<strong>population</strong> growth rates but human betterment. When people were able to acquire<br />
these skills and were provided with opportunities to apply their skills in gainful wage<br />
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ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
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Annex 2.b: McMURRAY – Population and development planning<br />
employment, they automatically chose to limit their family size so that they could<br />
achieve their aspirations.<br />
In a modern developed economy the realisation of human potential is facili<strong>ta</strong>ted by a<br />
smaller family size. Focussing on developing skills and opportunities to utilise the<br />
skills acquired, achieving development goals and rights, and informing the<br />
community about the rationale for and means to achieve a smaller family size is a<br />
cross-sectoral approach. Costs will be shared between Ministries, NGOs and FBOs.<br />
The Implemen<strong>ta</strong>tion Strategy can be used to enlist donor support to achieve this<br />
crucially impor<strong>ta</strong>nt development outcome. It will almost cer<strong>ta</strong>inly prove much more<br />
effective than a traditional <strong>population</strong> strategy focussed almost entirely on achieving<br />
<strong>population</strong> <strong>ta</strong>rgets and promoting family planning.<br />
_________________________________________________________________<br />
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REVISED DRAFT INCORPORATING<br />
STAKEHOLDER COMMENTS<br />
THE KIRIBATI POPULATION POLICY<br />
IMPLEMENTATION STRATEGY<br />
This draft was prepared by Dr Chris McMurray as part of<br />
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Email con<strong>ta</strong>ct for discussion and comment:<br />
Christine.McMurray@anu.edu.au<br />
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EXECUTIVE SUMMARY<br />
In 2004 the Kiribati Population Policy was prepared as part of the National Development<br />
Strategy and the Climate Change Adap<strong>ta</strong>tion Strategy. Its goal:<br />
To contribute to social and economic progress and a rising s<strong>ta</strong>ndard of living for the<br />
people of Kiribati, and to facili<strong>ta</strong>te adap<strong>ta</strong>tion to climate change by limiting<br />
<strong>population</strong> growth to 120,000 in 2025.<br />
The 2004 Implemen<strong>ta</strong>tion Strategy was too costly and could not be funded. There is<br />
therefore currently no coordinated strategy to <strong>ta</strong>ckle <strong>population</strong> issues.<br />
A draft Implemen<strong>ta</strong>tion Strategy has been proposed as part of ADB Technical Assis<strong>ta</strong>nce. It<br />
involves a comprehensive, community-owned approach to <strong>population</strong> planning. It focuses<br />
on human resources development to increase employment, improve living s<strong>ta</strong>ndards and<br />
food security, reduce <strong>population</strong> pressure and encourage a smaller family size. This strategy<br />
is definitely NOT a family planning <strong>program</strong>…it is about improving the balance between<br />
<strong>population</strong> and resources.<br />
The Proposed Population Policy Implemen<strong>ta</strong>tion Strategy<br />
Many <strong>population</strong>-related activities are being carried out now, by Government, NGOs and<br />
FBOs, but there is no overall coordination. The proposed Implemen<strong>ta</strong>tion Strategy<br />
coordinates these activities and involves the participation of Government, NGOs, FBOs,<br />
donors and communities in SIX key areas:<br />
1) Strengthen human resources development: Upgrading the skills of present and future<br />
workers, both male and female, to increase their contribution to economic<br />
development and match skills to employment opportunities.<br />
2) Facili<strong>ta</strong>te overseas employment opportunities and permanent emigration. Negotiate<br />
overseas permanent migration and short-term employment opportunities, improve<br />
s<strong>ta</strong>ndards of basic education, literacy and language skills and increase opportunities<br />
for Technical and Vocational Training<br />
3) Facili<strong>ta</strong>te local employment and income generation: Increase participation in the cash<br />
economy to improve living s<strong>ta</strong>ndards and food security and create incentives for a<br />
smaller family size. As well as (1) and (2) above, conduct awareness-raising to<br />
improve the s<strong>ta</strong>tus of blue collar work and provide business advisory services, microcredit<br />
and management assis<strong>ta</strong>nce to encourage and assist the development of small<br />
business.<br />
4) Improve basic infrastructure and economic opportunities to promote resettlement<br />
and re<strong>ta</strong>in <strong>population</strong> in other outer <strong>island</strong>s. This will promote more even<br />
settlement patterns and reduce pressure on South Tarawa. It will include improving<br />
water, sani<strong>ta</strong>tion, waste disposal, health facilities and schools and promoting<br />
employment opportunities in growth centres, the outer <strong>island</strong>s and South Tarawa. It<br />
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includes a special focus on developing infrastructure and economic opportunities on<br />
Kiritimati Island.<br />
5) Increase information and advocacy for <strong>population</strong> awareness and informed<br />
parenting. Raise community awareness of national <strong>population</strong> issues, paren<strong>ta</strong>l<br />
responsibilities and the economic benefits of smaller, better-educated families. The<br />
core message will be: 'Every birth should be wanted by both parents. Parents are<br />
jointly responsible for providing food, clothing, shelter, protection, healthcare,<br />
education and informed parenting until their children ob<strong>ta</strong>in decent, sus<strong>ta</strong>inable and<br />
independent livelihoods'.<br />
6) Strengthen health services and ensure accessible and confidential health services for<br />
all ages. On-going strengthening of health services to ensure the universal human<br />
right of all citizens to good health. Ensure that health services on each <strong>island</strong> are<br />
adequate for the <strong>population</strong> size. Ensure easy access to confidential, nondiscriminatory<br />
medical services for males and females of all ages in all parts<br />
throughout Kiribati.<br />
A special focus will be ensuring that all the above strategies are implemented on Kiritimati<br />
Island. As crown land with no long history of settlement, Kiritimati lacks es<strong>ta</strong>blished<br />
structures and practices to absorb settlers. It therefore requires special efforts and careful<br />
management to ensure sus<strong>ta</strong>inable development.<br />
THE ACE TOOLKIT will add value to existing <strong>population</strong>-related activities:<br />
Advocacy:<br />
Coordination:<br />
Education:<br />
ADVOCACY - vigorously promote <strong>population</strong> awareness and <strong>population</strong>-related activities<br />
in the community. Advocacy is the promotion and driving force that ensures the<br />
benefits of education are utilised.<br />
COORDINATION of <strong>population</strong>-related activities maximises the impact of <strong>population</strong><br />
related activities and ensures that gaps are addressed.<br />
EDUCATION includes all methods of transferring <strong>population</strong>-related information and<br />
awareness, in primary and secondary schools, in government, at community<br />
meetings and in the media, and supporting human resource development and adult<br />
education in informed parenting.<br />
Guiding Principles for the Implemen<strong>ta</strong>tion Strategy<br />
• Access of all I-Kiribati to education, health and the means to a decent, sus<strong>ta</strong>inable<br />
livelihood are basic human rights.<br />
• Every citizen has the right to make an independent choice about his or her desired<br />
family size and that right will always be respected and preserved.<br />
• All <strong>population</strong>-related activities will <strong>ta</strong>rget men, and women and youth equally.<br />
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• Population educators will be of the appropriate age and gender to optimise<br />
communication with <strong>ta</strong>rget groupsIncentives to promote smaller family size will be<br />
preferred to disincentives.<br />
• Although the strategy will encourage an ideal family size norm of 2-3 children there<br />
will never be any discrimination against larger families.<br />
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CONTENTS<br />
Executive Summary 2<br />
List of Acronyms 6<br />
1. Background and overview 7<br />
2. Implemen<strong>ta</strong>tion Strategy Rationale 7<br />
3. The Implemen<strong>ta</strong>tion Strategy 8<br />
4. Implemen<strong>ta</strong>tion Strategy Mechanisms 8<br />
5. The Implemen<strong>ta</strong>tion Strategy ACE toolkit 10<br />
6. Six Focal Areas of the Implemen<strong>ta</strong>tion Strategy 11<br />
6.1 Strengthen Human Resources Development 12<br />
6.2 Facili<strong>ta</strong>te overseas employment opportunities and permanent emigration 13<br />
6.3 Facili<strong>ta</strong>te local employment and income generation 13<br />
6.4 Improve basic infrastructure and economic opportunities for managed resettlement<br />
to outer <strong>island</strong> growth centres and retention of <strong>population</strong> in other outer <strong>island</strong>s 14<br />
6.5 Increase and expand information and advocacy for <strong>population</strong> awareness and<br />
informed parenting 15<br />
6.6 Strengthen health services and ensure easy access and confidential health services<br />
for all ages 16<br />
7. Impor<strong>ta</strong>nce of a special focus on Kiritimati 16<br />
8. Time Frame 17<br />
9. Monitoring and Evaluation 17<br />
10. Guiding Principles 17<br />
ANNEXES<br />
Annex One: Draft TOR for the Population and Development Coordinator 19<br />
Annex Two: Draft TOR for the Population Task Force 21<br />
Annex Three: Rationale for the Kiribati Population Policy Implemen<strong>ta</strong>tion Strategy 22<br />
Annex Four: The Six Key Areas of the Kiribati Population Implemen<strong>ta</strong>tion Strategy 34<br />
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LIST of ACRONYMS<br />
ACE Advocacy, Communication, Education<br />
ADB <strong>Asian</strong> Development Bank<br />
APTC Australia-Pacific Technical College<br />
AusAID Australian Agency for International Development<br />
CASL Committee for the Allocation of S<strong>ta</strong>te Lands<br />
CEDAW Convention on the Elimination of All Forms of Discrimination Against<br />
Women<br />
CRC Convention on the Rights of the Child<br />
DCC Development Coordination Committee<br />
FBO Faith-Based Organisation<br />
FTC Fisheries Training Centre<br />
KANGO Kiribati Association of Non-Governmen<strong>ta</strong>l Organisations<br />
KANI Kiribati-Australia Nursing Initiative<br />
KDP Kiribati Development Plan<br />
KIT Kiribati Institute of Technology<br />
KPA Key Policy Area<br />
MCTTD Ministry of Communication, Transport and Tourism Development<br />
MDG Millennium Development Goals<br />
MELAD Ministry of Lands and Agricultural Development<br />
ME Ministry of Education<br />
MFAI Ministry of Foreign Affairs and Immigration<br />
MFED Ministry of Finance and Economic Development<br />
MHMS Ministry of Health and Medical Services<br />
MISA Ministry of Internal and Social Affairs<br />
ML&HRD Ministry of Labour and Human Resources Development<br />
MLPID Ministry of Line and Phoenix Island Development<br />
MTC Marine Training College<br />
NDS National Development Strategy<br />
NGO Non-Governmen<strong>ta</strong>l Organisation<br />
NSO National S<strong>ta</strong>tistical Office<br />
PDC Population and Development Coordinator<br />
PTF Population Task Force<br />
RERF Revenue Equalization Reserve Fund<br />
SPC Secre<strong>ta</strong>riat of the Pacific Community<br />
TA Technical Assis<strong>ta</strong>nce<br />
TFR To<strong>ta</strong>l Fertility Rate<br />
TOR(s) Terms of Reference<br />
TVET Technical and Vocational Education<br />
UNFPA United Nations Population Fund<br />
UNICEF United Nations Childrens' Fund<br />
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The KIRIBATI POPULATION POLICY IMPLEMENTATION STRATEGY<br />
1. Background and overview<br />
The Kiribati Population Policy was endorsed by the Government of Kiribati in August 2004.<br />
It addresses <strong>population</strong> and development concerns as part of the National Development<br />
Strategy and the Climate Change Adap<strong>ta</strong>tion Strategy. The goal of the Population Policy is:<br />
To contribute to social and economic progress and a rising s<strong>ta</strong>ndard of living for the<br />
people of Kiribati, and to facili<strong>ta</strong>te adap<strong>ta</strong>tion to climate change by limiting<br />
<strong>population</strong> growth to 120,000 in 2025.<br />
The objective of the Population Policy is:<br />
A coordinated, vigorous, 20-year, multi-ministry, whole-of-nation strategy that<br />
sus<strong>ta</strong>ins the momentum of <strong>population</strong> and development activities and achieves:<br />
• Community accep<strong>ta</strong>nce of a family size norm of 2-3 children by 2015<br />
• Replacement fertility by 2025 (average of 2.1 children per woman)<br />
• No unmet need for family planning after 2010<br />
• No unplanned pregnancies by 2015<br />
The 2004 Population Policy also includes two strategies to alleviate <strong>population</strong> pressure in<br />
South Tarawa:<br />
• Promotion of alternative growth centres<br />
• Promotion and facili<strong>ta</strong>tion of emigration<br />
Since then there has been no whole of Government, national coordination of <strong>population</strong>related<br />
activities to support the Population Policy. The 2005 Kiribati Census and recent birth<br />
registrations indicate that <strong>population</strong> is continuing to increase steadily at around 1.8 per cent<br />
per annum. At the same time Kiribati is confronting new challenges posed by climate<br />
change and the world economic situation. Capacity to manage and adapt to these challenges<br />
is impaired by sus<strong>ta</strong>ined <strong>population</strong> growth and uneven <strong>population</strong> distribution. It is<br />
therefore essential that immediate action is <strong>ta</strong>ken to improve the balance between <strong>population</strong><br />
and resources and reduce the <strong>population</strong> growth rate.<br />
This Implemen<strong>ta</strong>tion Strategy is designed to realise the objectives of the Population Policy.<br />
Unlike most previous <strong>population</strong>-related activities in Kiribati, it is not about promoting use<br />
of modern contraception. Instead it <strong>ta</strong>kes a holistic approach to <strong>population</strong> planning. This<br />
encompasses human resources development to facili<strong>ta</strong>te employment, improve living<br />
s<strong>ta</strong>ndards and food security, alleviate <strong>population</strong> pressure and create incentives for a smaller<br />
family size.<br />
2. Implemen<strong>ta</strong>tion Strategy Rationale<br />
The resources of every country comprise not only land, sea, minerals and other natural<br />
resources, but also the skills, educated and employability of the <strong>population</strong>. Development of<br />
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human resources has as much potential to increase wealth as development of natural<br />
resources. To date Kiribati's human resources have been relatively underdeveloped. While<br />
there is little potential to increase Kiribati’s endowment of natural resources, there is huge<br />
potential to increase national and individual wealth by developing human resources.<br />
While re<strong>ta</strong>ining the 2025 <strong>population</strong> <strong>ta</strong>rget of 120,000 and the four fertility-related <strong>ta</strong>rgets of<br />
the Population Policy, this Strategy recognises that <strong>population</strong> change is a long-term process<br />
that depends on the level of motivation at the family and community level. The focus is<br />
therefore on maximising the development and utilisation of human resources. This in turn<br />
will motivate <strong>population</strong> change as people become more aware of the linkages between<br />
family size, the balance between <strong>population</strong> and resources and individual and national<br />
prosperity.<br />
3. The Implemen<strong>ta</strong>tion Strategy<br />
The core of the Implemen<strong>ta</strong>tion Strategy is coordination and expansion of existing<br />
<strong>population</strong>-related activities to create synergy and increase effectiveness. Many development<br />
projects and activities that are already being carried out in Kiribati by Government, NGOs<br />
and FBOs potentially impact <strong>population</strong>. These include multiple projects in health,<br />
education, human resources development and infrastructure funded by the core Government<br />
budget, donors and the community.<br />
What is needed is for these activities to be coordinated, energised, resourced and enhanced<br />
to create synergy and a much greater impact on <strong>population</strong> and development outcomes.<br />
Advocacy and education to raise awareness and unders<strong>ta</strong>nding of how these multiple<br />
projects and <strong>program</strong>s impact <strong>population</strong> and living s<strong>ta</strong>ndards will increase engagement and<br />
commitment and improve development project outcomes. Advocacy and education will also<br />
generate attitudinal change and motivate and empower the people to prepare and adapt for<br />
the future. Slower <strong>population</strong> growth will come about as a consequence of enhanced<br />
awareness and motivation, and the demonstrated benefits of smaller families as the s<strong>ta</strong>ndard<br />
of human resources development and employment opportunities increase.<br />
A key aspect of coordination in this Implemen<strong>ta</strong>tion Strategy is strengthening links between<br />
Government, NGOs, FBOs, donors and communities, and coordinating their activities. In<br />
particular, NGOs, FBOs and community groups will <strong>ta</strong>ke the lead in providing essential<br />
community-level advocacy, awareness-raising and skills for income generation that will<br />
vastly enhance both development project outcomes and community capacity to benefit from<br />
them.<br />
4. Implemen<strong>ta</strong>tion Strategy Mechanisms<br />
S<strong>ta</strong>rt-up costs for the Implemen<strong>ta</strong>tion Strategy are very low because it builds on existing<br />
activities and does not involve any new <strong>policy</strong> directions. New areas for investment will<br />
emerge as it gathers impetus, but in the initial s<strong>ta</strong>ges it will involve primarily the<br />
coordination and enhancement of existing and planned activities.<br />
Initially the Implemen<strong>ta</strong>tion Strategy will require one full-time appointment, the Population<br />
and Development Coordinator (PDC). The PDC will be a person of exceptional energy,<br />
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initiative and commitment, with outs<strong>ta</strong>nding communication and analytical skills and a<br />
thorough unders<strong>ta</strong>nding of the linkages between <strong>population</strong> and development.<br />
The PDC will coordinate, energise and raise the community profile of <strong>population</strong>-related<br />
activities. This will include raising awareness of <strong>population</strong> and development linkages,<br />
focussing efforts on measurable outcomes and coordinating activities to generate synergy<br />
and enhance their impact. The PDC will identify gaps and missing linkages, and advocate<br />
supplemen<strong>ta</strong>ry activities to facili<strong>ta</strong>te synergy and enhance outcomes. For example, a project<br />
may be achieving limited outcomes because a particular type of training or awarenessraising<br />
might not be reaching groups who most need it; or because there are no opportunities<br />
to utilise the skills acquired. Similarly, the performance of overseas contract workers might<br />
be limited by lack of adequate preparation and skills development before departure and/or<br />
on-going support.<br />
The appointment of the PDC will be made in the Office of the President to facili<strong>ta</strong>te crossministry<br />
and Government/NGO/ FBO/donor coordination. The PDC will require office<br />
support, computing facilities and a small activities budget for local consul<strong>ta</strong>tions, workshops,<br />
publicity and transport. Additional appointments may be needed in the future as increased<br />
<strong>population</strong>-awareness and more <strong>population</strong>-related activities generate impetus and increase<br />
the workload of the PDC. Draft Selection Criteria and Terms of Reference for the PDC are<br />
at<strong>ta</strong>ched as Annex One.<br />
A Task Force comprising 15 - 20 represen<strong>ta</strong>tives from Government, NGOs, FBOs and the<br />
community will serve as an advisory committee to oversee progress in implemen<strong>ta</strong>tion. Each<br />
member of the Task Force will serve as a focal point for the sector they represent, thus<br />
providing one of several channels for community feedback. The Task Force will meet at<br />
least twice a year to review reports presented by the PDC, share community feedback, <strong>ta</strong>ble<br />
recommendations and assist with problem solving and <strong>ta</strong>rget setting. Draft Terms of<br />
Reference for the Task Force are at<strong>ta</strong>ched as Annex Two.<br />
An annual Plan of Action will be developed by the PDC, no later than August each year.<br />
The Plan of Action will be reviewed and amended by the Task Force and then the<br />
Secre<strong>ta</strong>ries' Committee before submission by Cabinet in time for the Budget Committee<br />
meetings in November. In addition, project proposals that have been reviewed by the Task<br />
Force and agreed to by any ministries or other agencies concerned can be submitted to<br />
donors in accordance with any time<strong>ta</strong>bles they may have.<br />
The process of identifying and prioritising areas of need and funding activities will be ongoing.<br />
Population <strong>ta</strong>rgets and objectives will be reviewed by the PDC and the Task Force<br />
and revised whenever new da<strong>ta</strong> come to hand.<br />
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5. The Implemen<strong>ta</strong>tion Strategy ACE toolkit<br />
The Implemen<strong>ta</strong>tion Strategy uses three key <strong>ta</strong>ctics to add value and enhance the outcomes<br />
of a wide range of <strong>population</strong>-related activities and projects:<br />
Advocacy:<br />
Coordination:<br />
Education:<br />
This toolkit is referred to as the ACE Strategy. The PDC will use the ACE Strategy to raise<br />
awareness of <strong>population</strong> issues in government and the community, coordinate <strong>population</strong><br />
related activities and facili<strong>ta</strong>te a holistic approach to <strong>population</strong> planning.<br />
ADVOCACY involves vigorously promoting <strong>population</strong> awareness and <strong>population</strong>-related<br />
activities throughout the community. Advocacy is closely linked to education. It can<br />
be thought of as the promotion and driving force that ensures the benefits of<br />
education are utilised.<br />
• Advocacy involves ensuring much publicity and media attention to <strong>population</strong>related<br />
activities so that everyone unders<strong>ta</strong>nds and discusses how they relate to<br />
living s<strong>ta</strong>ndards in Kiribati. Improving the <strong>population</strong>/resources balance needs to<br />
become an issue at the top of the whole-of-nation agenda.<br />
• Presen<strong>ta</strong>tions in schools, community and FBO meetings will explain the impor<strong>ta</strong>nce<br />
of improving the balance between <strong>population</strong> and resources. This will help to<br />
make the balance between <strong>population</strong> and resources and ways to improve it an<br />
everyday topic of conversation throughout Kiribati.<br />
• Advocacy also includes providing mechanisms for sharing ideas and facili<strong>ta</strong>ting<br />
initiatives so that communities are not only well-informed but also actively<br />
engaged in the process of improving the balance between <strong>population</strong> and<br />
resources.<br />
• Everyone in the community, regardless of age, needs to feel that <strong>population</strong> issues<br />
concern them, and their own thoughts and ideas about <strong>population</strong> and<br />
development are impor<strong>ta</strong>nt.<br />
COORDINATION of <strong>population</strong>-related activities is essential to maximise the impact of<br />
<strong>population</strong> related activities.<br />
• Coordination can create synergy between activities to add value to outputs. It will<br />
ensure that <strong>population</strong>-related activities under<strong>ta</strong>ken in one government<br />
department or by an NGO or a community will complement those of other<br />
departments, NGOs and communities.<br />
• Gaps and missing linkages that are limiting outcomes need to be identified. Some<br />
simple examples are:<br />
o young people who receive training in job-skills need opportunities to<br />
use them in productive employment;<br />
o individuals who see opportunities to s<strong>ta</strong>rt a small business need finance,<br />
management advice and/or assis<strong>ta</strong>nce, and perhaps also adult education<br />
to improve their literacy and numeracy skills;<br />
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o couples who are motivated to have a smaller family size need<br />
community approval, accep<strong>ta</strong>ble methods and medical support to<br />
control their fertility;<br />
o families resettled to outer <strong>island</strong>s need proper facilities and income<br />
opportunities so they can enjoy a healthy and sus<strong>ta</strong>inable lifestyle.<br />
• The main activities in coordination are facili<strong>ta</strong>ting a free flow of knowledge,<br />
pointing out where opportunities exist, engaging s<strong>ta</strong>keholders, sharing ideas and<br />
lessons from past experience and highlighting examples of best practice.<br />
EDUCATION in the ACE toolkit refers to all methods of transferring <strong>population</strong>-related<br />
information and awareness, in primary and secondary schools, in government, at community<br />
meetings and in the media. It includes facili<strong>ta</strong>ting and supporting human resource<br />
development and also adult education in informed parenting.<br />
• Relevant and high quality schooling and skills training is needed to equip the<br />
workforce with marke<strong>ta</strong>ble skills. This brings both individual and community<br />
level benefits. It is part of ensuring that Kiribati is prepared to <strong>ta</strong>ke advan<strong>ta</strong>ge of<br />
emerging overseas employment opportunities.<br />
• Another component of education is ensuring widespread community unders<strong>ta</strong>nding<br />
of the way many different factors interact to affect the <strong>population</strong>/ resources<br />
balance, e.g. health, education, opportunity and employment. This type of<br />
education will be carried out by NGOs and FBOs at community meetings, as<br />
well as in schools. It includes raising awareness that even simple community<br />
activities such as helping school leavers find informal employment and income<br />
generation activities can bring far-reaching <strong>population</strong> benefits. Supporting this<br />
type of education with advocacy is crucial.<br />
• The third component of ACE education is informed parenting. This means raising<br />
awareness of paren<strong>ta</strong>l responsibilities in a modern, cash-based society. Potential<br />
parents need to unders<strong>ta</strong>nd children’s rights, especially that 'Every child should<br />
be wanted, planned for and deliberately conceived by both parents. Both parents<br />
should plan to meet all that child’s needs for food, clothing, shelter, health,<br />
education and good parenting until it ob<strong>ta</strong>ins a sus<strong>ta</strong>inable livelihood.’<br />
Informed parenting should include support services to provide advice and<br />
counselling when parents need it.<br />
6. Six Focal Areas of the Implemen<strong>ta</strong>tion Strategy<br />
The PDC will use the ACE Strategy to coordinate, advocate and facili<strong>ta</strong>te implemen<strong>ta</strong>tion of<br />
six key focal areas of <strong>population</strong>-related activities. The activities, responsible partners, role<br />
of the PDC and the performance measures for each focal area are set out in this section.<br />
Section 8 discusses sources of da<strong>ta</strong> for monitoring and evaluating activities.<br />
Annex Three provides de<strong>ta</strong>ils of the rationale for choosing these six focal areas. Annex Four<br />
analyses the current situation in regard to the six focal areas and provides additional de<strong>ta</strong>ils<br />
on how the Strategy will contribute to the goals of the 2004 Kiribati Population Policy.<br />
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6.1 Strengthen Human Resources Development<br />
Promoting human resources development is the spearhead of the Implemen<strong>ta</strong>tion Strategy.<br />
Upgrading the skills of present and future workers, both male and female, will increase<br />
capacity to contribute to economic development in Kiribati and as well as developing skills<br />
to match opportunities for overseas employment. Increased marke<strong>ta</strong>ble skills in the<br />
workforce will increase employability and capacity to es<strong>ta</strong>blish businesses and generate<br />
income through self-employment. The resulting increase in wage employment and<br />
engagement with the cash sector will raise living s<strong>ta</strong>ndards and improve food security, and<br />
this in turn will provide incentives for a smaller family size.<br />
Opportunities and mechanisms for human resources development will continue to be<br />
provided by Government and donor activities. The Implemen<strong>ta</strong>tion Strategy will ensure they<br />
are enhanced by advocacy and awareness-raising to promote optimal utilisation and add<br />
value to outcomes.<br />
Main responsible partners: ML&HRD, ME<br />
Key Activities:<br />
a) Improve attendance and educational s<strong>ta</strong>ndards at all levels of education for<br />
both male and female students;<br />
b) promote technical and vocational education (TVET) in secondary schools;<br />
c) provide free choice, equal opportunity and equal quality in academic and<br />
TVET streams in secondary schools;<br />
d) strengthen and expand the Kiribati Institute of Technology (KIT);<br />
e) develop partnerships with employers and apprenticeship schemes in Kiribati<br />
and overseas;<br />
f) negotiate additional special training schemes, such as the Kiribati-Australia<br />
Nursing Initiative (KANI) and the medical training provided by Cuba;<br />
g) develop post-secondary non-formal education (NFE) to improve literacy and<br />
develop skills for employment and business management in the wider<br />
community.<br />
h) increase training and development of skills in the hospi<strong>ta</strong>lity industry and<br />
tourism to facili<strong>ta</strong>te growth in Kiribati and well as skills for short-term<br />
employment overseas<br />
i) provide more training in appropriate methods of agriculture and land and<br />
marine crop cultivation in atoll environments; encourage and support the<br />
development of various forms of cropping for home use and marketing.<br />
Role of PDC: Use the ACE toolkit to support and facili<strong>ta</strong>te coordination of human resource<br />
development initiatives. Support will include encouraging and supporting NGOs and<br />
FBOs to conduct informed parenting activities and raise community awareness of<br />
linkages between human resource development, living s<strong>ta</strong>ndards and ideal family<br />
size; use the media to raise awareness of these linkages; vigorously promote the<br />
improvement of s<strong>ta</strong>ndards in education and human resources development.<br />
Performance measures: Increased educational s<strong>ta</strong>ndards of school leavers; increased number<br />
of school leavers finding paid work; higher participation of both males and females<br />
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in the cash sector, including wage work, self-employment, businesses (small and<br />
large); more overseas employment; improved living s<strong>ta</strong>ndards.<br />
6.2 Facili<strong>ta</strong>te overseas employment opportunities and permanent emigration<br />
This is a key strategy to facili<strong>ta</strong>te utilisation of human resources. Negotiation of overseas<br />
permanent migration and short-term employment opportunities is conducted at senior<br />
government level and managed by the Ministry of Labour and Human Resources<br />
(ML&HRD). Improved s<strong>ta</strong>ndards of basic education, literacy and language skills and more<br />
opportunities for TVET are essential to meet these requirements. Potential migrants and<br />
overseas workers need reliable and up-to-date labour market information, pre-departure<br />
information and support services at destinations.<br />
Main responsible partners: ML&HRD, MFAI, MFED<br />
Key Activities:<br />
a) Negotiate additional opportunities for overseas employment contracts for<br />
Kiribati workers, including seafarers and other types of contract labour in<br />
Pacific Rim countries, and emigration quo<strong>ta</strong>s for permanent settlement<br />
overseas.<br />
b) Proactively negotiate additional overseas employment opportunities with all<br />
countries that have diplomatic relations with Kiribati.<br />
c) Lobby vigorously to remind donors that providing overseas-employment<br />
opportunities is one of the most effective forms of development assis<strong>ta</strong>nce.<br />
d) Ensure that Kiribati citizens working overseas have access to confidential and<br />
culturally appropriate counselling and affordable health services.<br />
d) Ensure that all Kiribati citizens intending to work overseas receive<br />
comprehensive information and pre-departure briefing and know where they<br />
can ob<strong>ta</strong>in confidential and culturally appropriate counselling and affordable<br />
health services at their destination.<br />
Role of PDC: Use the ACE toolkit to promote the acquisition of marke<strong>ta</strong>ble skills by<br />
potential workers. Identify gaps and advocate for the development of support<br />
services to prepare and support overseas workers.<br />
Performance measures: Negotiation of agreements with overseas countries; increased<br />
emigration and overseas employment opportunities; numbers accepted for<br />
emigration; numbers ob<strong>ta</strong>ining labour contracts for overseas employment; increased<br />
remit<strong>ta</strong>nces.<br />
6.3 Facili<strong>ta</strong>te local employment and income generation<br />
Increased participation in the cash economy is essential to improve living s<strong>ta</strong>ndards,<br />
improve food security and create incentives for a smaller family size. Improved basic<br />
education and literacy skills are essential to facili<strong>ta</strong>te local employment and income<br />
generation. Expansion of TVET opportunities and improved s<strong>ta</strong>ndards are needed to develop<br />
a skilled workforce. Community consul<strong>ta</strong>tions and awareness-raising are needed to improve<br />
the s<strong>ta</strong>tus of blue collar work in the community.<br />
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Micro-credit organizations, business advisory services and management assis<strong>ta</strong>nce are<br />
essential to facili<strong>ta</strong>te and support small business. Assis<strong>ta</strong>nce with market development and<br />
regular transport for goods is also needed, especially to facili<strong>ta</strong>te small business<br />
development on outer <strong>island</strong>s, including food production enterprises and tourism.<br />
Government needs to provide incentives and a healthy climate for development of private<br />
businesses and other forms of local enterprise, both large and small, and ensure that s<strong>ta</strong>te<br />
enterprises do not have a negative impact on or discourage local business initiatives.<br />
Main responsible partners: ML&HRD, ME, MFED, MISA, MCTTD<br />
Key Activities:<br />
a) Improve basic education and TVET opportunities and s<strong>ta</strong>ndards;<br />
b) Increase incentives for small business and enhanced business environment;<br />
business management and support services<br />
Role of PDC: Use the ACE toolkit to promote the at<strong>ta</strong>inment of marke<strong>ta</strong>ble skills by<br />
potential workers; identify gaps and advocate for the es<strong>ta</strong>blishment of support<br />
services for small business; work with NGOs and FBOs to promote positive<br />
community attitudes to 'blue collar' work and informed parenting to encourage and<br />
support youth electing to train and work in TVET and non-formal areas.<br />
Performance measures: Improving s<strong>ta</strong>ndards in basic education; improving s<strong>ta</strong>ndard of<br />
TVET; increased small business activity; increased wage employment in semiskilled<br />
and skilled sectors; reduced reliance on expatriate tradesman and technicians;<br />
increase in informal cash-earning activity.<br />
6.4 Improve basic infrastructure and economic opportunities for managed resettlement<br />
to outer <strong>island</strong> growth centres and retention of <strong>population</strong> in other outer <strong>island</strong>s<br />
Resettlement to new growth centres and improvement of facilities and opportunities in outer<br />
<strong>island</strong>s will reduce pressure on South Tarawa. Re<strong>ta</strong>ining <strong>population</strong> in outer <strong>island</strong>s will also<br />
reduce pressure on South Tarawa, and is more cost effective than resettlement to growth<br />
centres. Improvement of water, sani<strong>ta</strong>tion, waste disposal, health facilities and schools in<br />
growth centres, outer <strong>island</strong>s and South Tarawa is already a priority of the Kiribati<br />
Development Plan 2008-2011, as well as part of Kiribati's commitment to achieving<br />
Millennium Development Goals (MDGs). Facili<strong>ta</strong>tion of local employment opportunities<br />
(see C above) will also help to re<strong>ta</strong>in <strong>population</strong> in outer <strong>island</strong>s and improve living<br />
s<strong>ta</strong>ndards and food security on all outer <strong>island</strong>s including growth centres.<br />
This strategy includes a special focus on developing Kiritimati Island, which does not have a<br />
long history of settlement and economic activity<br />
Main responsible partners: MELAD, MISA, MLPID, MHMS, ME, MCTTD<br />
Key Activities:<br />
a) Provide and or/upgrade water supply, sani<strong>ta</strong>tion, waste disposal and<br />
electricity in all outer <strong>island</strong>s, Kiritimati and South Tarawa;<br />
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b) Improve communications; provide access to adequately resourced schools<br />
and health facilities in the outer <strong>island</strong>s;<br />
c) Improve outer <strong>island</strong> school capacity to develop marke<strong>ta</strong>ble skills e.g.<br />
visiting specialist teachers in TVET subjects.<br />
d) Ensure that all settlements in both rural and urban areas meet basic s<strong>ta</strong>ndards<br />
of sani<strong>ta</strong>tion and health and provide their residents with an accep<strong>ta</strong>ble living<br />
environment.<br />
e) Combat the perception that squatter settlements and slum conditions are the<br />
‘norm’ and accep<strong>ta</strong>ble for migrants from other <strong>island</strong>s.<br />
Role of PDC: Use the ACE toolkit to promote decentralisation and improved services on all<br />
outer <strong>island</strong>s, work with NGOs and FBOs to raise awareness of linkages between<br />
<strong>population</strong>, living conditions and development; promote small business and<br />
employment generation at growth centres and on all outer <strong>island</strong>s.<br />
Performance measures: Universal access to water, sani<strong>ta</strong>tion and electricity; improved waste<br />
disposal, improved quality of outer <strong>island</strong> schools and health facilities; reduced<br />
migration from outer <strong>island</strong>s to South Tarawa; higher school retention rates on outer<br />
<strong>island</strong>s; increased business activity and income generation on outer <strong>island</strong>s and outer<br />
<strong>island</strong> growth centres, including Kiritimati Island.<br />
6.5 Increase and expand information and advocacy for <strong>population</strong> awareness and<br />
informed parenting<br />
Information and advocacy is needed to raise community awareness of national <strong>population</strong><br />
issues, development/ <strong>population</strong>/ resources linkages, paren<strong>ta</strong>l responsibilities and the<br />
economic benefits of smaller, better-educated families. The core message will be: 'Every<br />
child should be wanted by both parents. Both parents should plan to meet all that child’s<br />
needs for food, clothing, shelter, health, education, protection and good parenting until it<br />
ob<strong>ta</strong>ins a sus<strong>ta</strong>inable livelihood.’ Awareness-raising will <strong>ta</strong>rget current and future parents as<br />
well as anyone else who has care of children and contributes to their education, including<br />
teachers and grandparents.<br />
Main responsible partners: NGOs, FBOs, MHMS, MISA, ME<br />
Key Activities:<br />
a) Community workshops and media messages to increase awareness of<br />
linkages between <strong>population</strong> and living s<strong>ta</strong>ndards. Workshops will include<br />
men and women equally, parents and future parents and other members of the<br />
community especially anyone who has care of children.<br />
b) Increased community recognition of paren<strong>ta</strong>l responsibilities to prepare<br />
young people for a sus<strong>ta</strong>inable future; promotion of the advan<strong>ta</strong>ges of a<br />
smaller family size.<br />
Role of PDC: Use the ACE toolkit to promote and support informed parenting initiatives by<br />
NGOs, FBOs, schools and communities, including arranging for training-of-trainers<br />
to provide community workshops; vigorously promote <strong>population</strong> awareness and<br />
informed parenting via the media.<br />
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Performance measures: Reduction in unplanned pregnancy; smaller average family size;<br />
more inter-active parenting and paren<strong>ta</strong>l engagement in child development, including<br />
encouraging children to read and study at home, monitoring and encouraging<br />
children’s progress in school and providing guidance.<br />
6.6 Strengthen health services and ensure easy access and confidential health services<br />
for all ages<br />
On-going strengthening of health services is needed to ensure the universal human right of<br />
all citizens to good health. This will include providing appropriate and sufficient wellsupplied<br />
health services for the number of people on each <strong>island</strong>. It will also ensure that<br />
males and females of all ages in all parts of the country have easy access to confidential,<br />
non-discriminatory medical services and are able to ob<strong>ta</strong>in advice and/or treatment for any<br />
health condition or health need.<br />
Main responsible partners: MHMS, NGOs, FBOs, ME<br />
Key Activities:<br />
a) Ensure health services are adequate for <strong>population</strong> numbers in each area<br />
or <strong>island</strong>.<br />
b) Ensure that health services are confidential and non-discriminatory for<br />
males and females of all ages<br />
c) Ensure that males and females of all ages are able to ob<strong>ta</strong>in confidential<br />
advice and/or treatment for any health conditions and/ or health<br />
needs.<br />
Role of PDC: Use the ACT toolkit to facili<strong>ta</strong>te coordination of government, NGO, FBO and<br />
donor health activities and promote confidential, non-discriminatory health services<br />
for everyone.<br />
Performance measures Improved and expanded health services, increased sensitisation of<br />
health service providers to the need for confidential, non-discriminatory health<br />
services, greater willingness of adolescents to utilise health services, improved<br />
community confidence in adequacy and performance of health services.<br />
7. Impor<strong>ta</strong>nce of a special focus on Kiritimati<br />
Implemen<strong>ta</strong>tion activities should include a special focus on Kiritimati Island. As crown land<br />
with no long history of settlement, Kiritimati lacks es<strong>ta</strong>blished structures and practices to<br />
absorb settlers. On the one hand this can help to promote enterprise and initiative, but there<br />
is evidence that it is also contributing to mismanagement of resources and poor living<br />
conditions on Kiritimati.<br />
While Kiritimati could potentially absorb more settlers, and generate income from various<br />
forms of land use and tourism, very careful management is needed to ensure balance and<br />
optimum benefits from each of these sectors. Special efforts are needed to ensure that all<br />
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aspects of the Implemen<strong>ta</strong>tion Strategy are applied in Kiritimati. This should include<br />
prioritising investment in the provision of adequate basic infrastructure and the development<br />
of whole-<strong>island</strong> management strategies.<br />
8. Time Frame<br />
The Implemen<strong>ta</strong>tion Strategy is not time bound but an on-going strategy that will continue<br />
until the Kiribati <strong>population</strong> growth rate s<strong>ta</strong>bilises and a culture of optimum human<br />
resources development is es<strong>ta</strong>blished. It is likely to span at least two decades. The specific,<br />
time-bound <strong>ta</strong>rgets included in the Population Policy will be reviewed whenever new<br />
information becomes available.<br />
Variation of <strong>population</strong> <strong>ta</strong>rgets and expansion of implemen<strong>ta</strong>tion activities will be decided<br />
by the Development Coordination Committee (DCC) and Cabinet on the basis of<br />
information provided by the PDC and the Task Force.<br />
9. Monitoring and Evaluation<br />
Effective monitoring, evaluation, feedback and response are the keys to success in any<br />
project. They are especially impor<strong>ta</strong>nt for main<strong>ta</strong>ining direction of the Kiribati Population<br />
Policy Implemen<strong>ta</strong>tion Strategy, which is long-term.<br />
Effective monitoring requires base line da<strong>ta</strong> against which progress can be measured.<br />
Potential sources of monitoring da<strong>ta</strong> for the Implemen<strong>ta</strong>tion Strategy include the five-yearly<br />
Kiribati Census, the recent Kiribati Demographic and Health Survey, the Secre<strong>ta</strong>riat of the<br />
Pacific Community’s PRISM and MDG da<strong>ta</strong>bases (which are main<strong>ta</strong>ined in conjunction<br />
with the S<strong>ta</strong>tistics Office, MFED) and s<strong>ta</strong>tistics kept by MFED and other Ministries.<br />
One of the first <strong>ta</strong>sks of the PDC will be to coordinate and oversee a da<strong>ta</strong> gathering exercise.<br />
It will include preparing an inventory of all projects and activities that impact <strong>population</strong> in<br />
any way, assembling existing <strong>population</strong> da<strong>ta</strong> and analysing linkages and identifying gaps<br />
that need to be addressed, including gaps in da<strong>ta</strong>. The S<strong>ta</strong>tistics Office, MFED, should play a<br />
leading role in assembling these da<strong>ta</strong>, along with s<strong>ta</strong>tistical sections in other ministries. The<br />
PDC will prepare a report to the DCC on da<strong>ta</strong> availability, additional da<strong>ta</strong> and gaps in<br />
linkages within six months of commencement of Implemen<strong>ta</strong>tion.<br />
10. Guiding Principles<br />
The Implemen<strong>ta</strong>tion Strategy and all <strong>population</strong>-related activities of Government, NGOs,<br />
FBOs, donors and communities will be guided by the following principles:<br />
• Access of all I-Kiribati to education, health and the means to a decent, sus<strong>ta</strong>inable<br />
livelihood are basic human rights and part of the MDGs.<br />
• Every Kiribati citizen has the right to make an independent choice about his or her<br />
desired family size and that right will always be respected and preserved.<br />
• Access to health information and advice or treatment for any health concern or<br />
condition is a basic human right for males and females of all ages.<br />
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• All <strong>population</strong>-related activities will <strong>ta</strong>rget men, and women and youth equally. This<br />
includes <strong>population</strong> and development education, human resources development,<br />
guidance in responsible parenting and family planning service delivery.<br />
• Population information will be communicated to groups by people of their own age<br />
and gender whenever possible e.g. Younger adults to communicate with youth,<br />
mature age men to communicate with men, mature mothers to communicate with<br />
women.<br />
• Incentives to promote smaller family size will be preferred to disincentives, e.g. paid<br />
maternity leave only for up to two children rather than penalties for larger families.<br />
• There will be no discrimination against families that do not comply with the 2-3<br />
children family size norms, e.g. school fees and educational opportunities must be<br />
the same for all children.<br />
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ANNEX ONE:<br />
Annex 2.c: McMURRAY - Kiribati Population Policy Implemen<strong>ta</strong>tion Strategy, 2009<br />
Interim TOR for Population and Development Coordinator (PDC) (Working<br />
Document).<br />
The appointment of the PDC will be made in the Office of the President to facili<strong>ta</strong>te crossministry<br />
and Government/NGO/ FBO/donor coordination.<br />
Qualifications and personal characteristics<br />
• A university degree, preferably in <strong>population</strong> studies or other <strong>population</strong>-related subject<br />
• A demonstrated high-level unders<strong>ta</strong>nding of <strong>population</strong>-development linkages<br />
• An in-depth unders<strong>ta</strong>nding of Kiribati society and culture<br />
• Exceptional energy, initiative, commitment and enthusiasm<br />
• Ability to work without supervision<br />
• Creativity and ability to recognise and respond to opportunities<br />
• Ability to relate confidently and in a friendly manner to community groups of ages and<br />
backgrounds throughout Government and the community<br />
• Ability to make confident and effective presen<strong>ta</strong>tions to the media and to meetings<br />
• High level written and oral communication skills<br />
• Ability to analyse information, prepare reports and make recommendations<br />
• Basic computing skills<br />
Duties<br />
• Coordinate and energise <strong>population</strong> activities by facili<strong>ta</strong>ting flows of information<br />
between s<strong>ta</strong>keholders and providing advice and suggestions<br />
• Advocate on all <strong>population</strong>-related matters in the community via the media and<br />
promotional material<br />
• Identify gaps and missing linkages, and advocate supplemen<strong>ta</strong>ry activities to facili<strong>ta</strong>te<br />
synergy and enhance outcomes;<br />
• Use the ACE toolkit (Advocacy, Coordination and Education) to support the six focal<br />
areas as set out in Part Six of the Population Implemen<strong>ta</strong>tion Strategy<br />
• Provide community education on <strong>population</strong> matters via community consul<strong>ta</strong>tions<br />
• Assist NGOs with training-of-trainers for <strong>population</strong> awareness and informed parenting<br />
by explaining <strong>population</strong> issues and advising on teaching materials<br />
• Facili<strong>ta</strong>te improved and expanded human resources development and employment<br />
generation by providing advice and coordination<br />
• Prepare reports for Government on progress of the Implemen<strong>ta</strong>tion Strategy and other<br />
matters as required<br />
• Brief donors on <strong>population</strong> activities<br />
• Seek out opportunities to facili<strong>ta</strong>te implemen<strong>ta</strong>tion of the Kiribati Population Policy, raise<br />
the profile of <strong>population</strong> activities and formulate new recommendations as needed<br />
• Serve as Secre<strong>ta</strong>ry to the Population Task Force<br />
• Develop a Plan of Action for submission to the Population Task Force.<br />
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• Advise on the development of <strong>population</strong> related proposals and help ministries and<br />
community organizations, ensure they are coordinated, and prepare proposals for<br />
review by the Task Force prior to submission to potential donors<br />
• Prepare any other reports as required by the agency funding this post<br />
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ANNEX TWO:<br />
Interim TOR for the Population Task Force (Working Document)<br />
• The Task Force will comprise 15 - 20 represen<strong>ta</strong>tives from Government, NGOs, FBOs<br />
and the community<br />
• The Task Force will serve as an advisory committee to provide general oversight of<br />
progress in implemen<strong>ta</strong>tion and the work of the PDC<br />
• Each member of the Task Force will serve as a focal point for the sector they represent,<br />
thus providing one of several channels for community feedback.<br />
• The Task Force will meet at least twice a year to review reports presented by the PDC,<br />
share community feedback, <strong>ta</strong>ble recommendations and assist with problem solving<br />
and <strong>ta</strong>rget setting.<br />
• The Task Force will review and coordinate project proposals from ministries or other<br />
agencies for submission to donors<br />
• The process of identifying and prioritising areas of need and funding activities will be ongoing.<br />
Population <strong>ta</strong>rgets and objectives will be reviewed by the PDC and the Task<br />
Force and revised whenever new da<strong>ta</strong> come to hand.<br />
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ANNEX THREE:<br />
Rationale for the Kiribati Population Policy Implemen<strong>ta</strong>tion Strategy<br />
1. Population growth in Kiribati<br />
Managing <strong>population</strong> growth has been on the Kiribati national development agenda for at<br />
least three decades. Most recently:<br />
• Issue 2 of the 2004 National Development Strategy (NDS), Key Policy Area 1:<br />
Economic Growth was ' Growth of <strong>population</strong> restricts income per head.' 1 As part of<br />
the NDS, a comprehensive <strong>population</strong> <strong>policy</strong> to achieve s<strong>ta</strong>bility of the to<strong>ta</strong>l<br />
<strong>population</strong> by 2020-2025 was presented to Cabinet in 2004. This <strong>policy</strong> was<br />
approved but not properly implemented. 2<br />
• 'Monitor and control <strong>population</strong> growth' is an objective of the 2008-2011 Kiribati<br />
Development Plan (KDP).<br />
3<br />
• The Executive Summary of the 2008 Government of Kiribati/ADB review s<strong>ta</strong>tes 'No<br />
single more effective way of improving future income and welfare per head is<br />
available to Kiribati than a well-planned, sus<strong>ta</strong>ined campaign to reduce the likely<br />
4<br />
future size of the <strong>population</strong>.'<br />
The 2005 census showed that, despite this recognition of the impor<strong>ta</strong>nce of managing<br />
<strong>population</strong> growth, the national <strong>population</strong> growth rate has averaged 1.8% per annum since<br />
1947. The <strong>population</strong> growth rate is the excess of births over deaths, plus the difference<br />
between immigration and emigration. In recent years the number of immigrants and<br />
emigrants has been roughly the same, so the main factor driving <strong>population</strong> growth is natural<br />
increase, i.e. the difference between the birth rate and the death rate. In recent years there<br />
have been, on average, around 2,650 births in Kiribati each year, and around 850 deaths.<br />
This means that the <strong>population</strong> is increasing by around 1,800 people per year, or an average<br />
of 1.8%.<br />
A s<strong>ta</strong>ble <strong>population</strong> is one that neither increases nor decreases (i.e. a growth rate of 0.0%).<br />
S<strong>ta</strong>ble <strong>population</strong>s usually have ‘replacement fertility’. ‘Replacement fertility’ means that<br />
the number of births is equal to the number of deaths, that is, each person alive is ‘replaced’<br />
by only one other person. Including an allowance for early deaths, this is normally<br />
considered to be an average family size of 2.1 children per women. That is, most families<br />
will comprise two children, while a few will be more or less than this norm.<br />
A s<strong>ta</strong>ble <strong>population</strong> can be achieved with higher fertility if there is permanent emigration to<br />
offset the excess births. This pattern exists in a few Polynesian countries such as Tokelau<br />
and Tonga, where fertility is above replacement level, but emigration levels are also high.<br />
As of mid 2008, opportunities for permanent emigration of Kiribati citizens are quite limited.<br />
Although it may be possible to increase the emigration rate to a few hundred each year, it is<br />
very unlikely that emigration would ever exceed immigration by 1,800 per year – the<br />
1<br />
Republic of Kiribati, National Development Strategy, 2003: 13.<br />
2<br />
Republic of Kiribati, Kiribati Development Plan: 2008-2011: 4.<br />
3<br />
Republic of Kiribati, Kiribati Development Plan: 2008-2011: 29.<br />
4<br />
ADB, forthcoming.<br />
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number required to completely offset the excess of births over deaths. This means that s<strong>ta</strong>ble<br />
<strong>population</strong> in Kiribati is most likely to be achieved by a combination of near replacement<br />
fertility plus permanent emigration of a few hundred people each year.<br />
2. Population momentum<br />
It is very impor<strong>ta</strong>nt to unders<strong>ta</strong>nd that even after replacement fertility is at<strong>ta</strong>ined, <strong>population</strong><br />
increase can continue for 30 or 40 years because of built-in ‘<strong>population</strong> momentum’. This is<br />
likely to happen in Kiribati because the <strong>population</strong> is relatively ‘young’, with half the<br />
Kiribati <strong>population</strong> aged less than 21 years in 2005.<br />
Population momentum exists when the number of potential parents in any <strong>population</strong> is still<br />
increasing over time. In 2005 there were almost 37,000 people in the main child bearing<br />
ages of 20-49 years. By 2025, when the children born in 2005 s<strong>ta</strong>rt to have children of their<br />
own, there will be around 65,000 people in the main child bearing ages. Even if these new<br />
parents have smaller families than their own parents and only enough children to replace<br />
themselves, around twice as many babies could be born in 2025 as in 2008 because of this<br />
increase in the number of potential parents. Thus even after fertility reaches replacement<br />
level, ‘<strong>population</strong> momentum’ will cause the <strong>population</strong> to increase until the number of<br />
people in the main childbearing ages s<strong>ta</strong>bilises.<br />
Once a <strong>population</strong> becomes s<strong>ta</strong>ble, any further decrease in fertility or increase in emigration<br />
can cause negative <strong>population</strong> growth, i.e. declining <strong>population</strong> numbers. This is happening<br />
in some of the very low fertility countries of Europe such as France and Germany. Australia,<br />
which also has below replacement fertility, is preventing <strong>population</strong> decrease by main<strong>ta</strong>ining<br />
steady levels of immigration to offset the deficit in births.<br />
3. How much can the Kiribati <strong>population</strong> be expected to increase before it<br />
s<strong>ta</strong>bilises?<br />
The medium <strong>population</strong> projections made in 2004 and the <strong>ta</strong>rget <strong>population</strong> set in the 2004<br />
Population Policy is 120,000 by 2025. 5<br />
This is 30% more people than in 2005. The medium<br />
<strong>population</strong> projection based on the 2005 census da<strong>ta</strong> suggests the to<strong>ta</strong>l <strong>population</strong> of Kiribati<br />
is likely to reach 130,000 by 2025, which is 40% more than in 2005. Both of these<br />
projections assume subs<strong>ta</strong>ntial declines in the birth rate and subs<strong>ta</strong>ntial increases in<br />
permanent emigration, which in fact have not yet occurred. If there is no change in current<br />
fertility and emigration rates and the <strong>population</strong> continues to increase at an average of 1.8%<br />
per year the <strong>population</strong> could be well over 140,000 by 2025.<br />
If replacement fertility could be reached by 2025 and an average of 200 permanent<br />
emigrants were to leave the country each year, the to<strong>ta</strong>l <strong>population</strong> size in 2025 could be as<br />
few as 120,000 per year. This is still a 30% increase compared with 2005.<br />
Under any of these scenarios the <strong>population</strong> will continue to increase after 2025 because of<br />
<strong>population</strong> momentum. The maximum <strong>population</strong> size at the point when it stops increasing<br />
5 Although the 2004 projections assumed higher levels of migration than the 2005 census projections,<br />
they also assumed higher fertility and slower fertility decline, so it is reasonable to compare the<br />
projected <strong>population</strong> to<strong>ta</strong>ls derived from the two sets of projections.<br />
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will depend on how quickly fertility declines and the scale of net emigration. If fertility<br />
declines quickly the maximum <strong>population</strong> size could be as low as 135,000, and could be<br />
reached in 2050. On the other hand, if fertility declines only slowly the maximum could be<br />
or as high as 250,000 and not achieved until 2090. If there is no reduction in current fertility<br />
and no increase in emigration rates the <strong>population</strong> will continue to increase forever and<br />
never s<strong>ta</strong>bilise.<br />
,<br />
Every year that implemen<strong>ta</strong>tion of the 2004 Population Policy is delayed it becomes more<br />
likely that the projected <strong>population</strong> numbers for 2025 will be exceeded and the maximum<br />
<strong>population</strong> size when it s<strong>ta</strong>bilises will be larger.<br />
4. Special issues for Kiribati <strong>population</strong> planning<br />
Uneven <strong>population</strong> distribution<br />
A concern in Kiribati is not only the absolute number of people, but also uneven <strong>population</strong><br />
distribution. On the one hand some atolls are very thinly populated, while 44% of the to<strong>ta</strong>l<br />
<strong>population</strong> is crammed into South Tarawa. This local-level imbalance between <strong>population</strong><br />
and resources has come about because most wage employment opportunities and the best<br />
social services are in South Tarawa, and generally it is the only place that offers the many,<br />
diverse activities of urban life.<br />
Dense settlements in Betio, Bairiki and Bikenibeu strain capacity to provide adequate water,<br />
sani<strong>ta</strong>tion, waste disposal, transport, communications and housing. The 2005 census showed<br />
that average household size in South Tarawa was 7.5 persons, a small decline from 8.1 in<br />
2000. 6 Although 67% of households in South Tarawa had access to piped water, around<br />
30% relied on open or closed wells, and 50% used the ocean or bush for sani<strong>ta</strong>tion. 7<br />
Insufficient employment opportunities<br />
Moreover, although wage employment is one of the main attractions of South Tarawa there<br />
are insufficient jobs to meet the demand. Subs<strong>ta</strong>ntial numbers of urban households have no<br />
choice but to practice a subsistence lifestyle because their cash incomes are insufficient, yet<br />
land is in short supply and fish stocks are becoming depleted. Crowding is thus having a<br />
major negative impact on food security. The 2005 census classifies all employment as either<br />
‘cash work’ or ‘village work’ and does not separate formal and informal employment. Cash<br />
work outside the public sector includes both formal employment and informal economic<br />
activity, such as small trade stores and selling produce.<br />
The census classified 13,133 workers as cash workers, and 21,582 as village workers. Sixtyone<br />
per cent of cash workers resided in South Tarawa (8,068). Fifty-three per cent of all<br />
cash work in Kiribati as a whole was in the public sector (of which 63% was in South<br />
Tarawa).<br />
Even though South Tarawa is classified as an urban area, 5,272 people residing there were<br />
classified as ‘village workers’. A further 1,632 were classified as unemployed (i.e.11% of<br />
the South Tarawa labour force). These figures exclude people who are not in the labour<br />
force (e.g. those caring for children, retired, disabled). Given that many ‘village workers’ in<br />
6 SPC and Republic of Kiribati, 2007: 54.<br />
7 SPC and Republic of Kiribati, 2007: Maps 2 and 3, pages 56, 57.<br />
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South Tarawa would prefer to do ‘cash work’ if they could find it, and probably also some<br />
of those reporting as not in the labour force, the real unemployment rate in South Tarawa is<br />
much higher than the 11% reported. 8<br />
Finding wage employment is especially difficult for school leavers and those without<br />
previous work experience. The 2005 census showed that in Kiribati as a whole, 4,376 of<br />
youth aged 15-19 were not at school, of whom 60% were employed in either cash or village<br />
work. Given that few out-of-school youth aged 15-19 have a reason not to be in the labour<br />
force, while many young people doing village work would prefer cash work, the real rate of<br />
youth unemployment probably exceeds 40%. 9<br />
Population relocation and resettlement<br />
The obvious disparity between South Tarawa and other atolls has focussed attention on<br />
<strong>population</strong> relocation to alleviate <strong>population</strong> pressure. The 2004 Population Strategy<br />
included volun<strong>ta</strong>ry settlement to Kiritimati Island as one of its three main components, and<br />
The Outer Islands Growth Centres Project focuses on resettlement to Kiritimati.<br />
Kiritimati is attractive to new settlers because they are able to utilise the extensive s<strong>ta</strong>teowned<br />
lands for subsistence. To date, however, utilisation has been largely hunting and<br />
gathering, and there has been little development of more sus<strong>ta</strong>inable and productive<br />
cultivation methods. Relocating <strong>population</strong>s to new areas needs to be carefully managed,<br />
requiring subs<strong>ta</strong>ntial investment in basic infrastructure, including water, sani<strong>ta</strong>tion and<br />
electricity, as well as creation of employment opportunities and introduction of sus<strong>ta</strong>inable<br />
food production methods to ensure resettled families have adequate living s<strong>ta</strong>ndards and<br />
food security. Moreover, while relocation may alleviate <strong>population</strong> pressure in densely<br />
settled areas, unless the <strong>population</strong> growth rate declines the newly settled areas will<br />
eventually become as densely populated as South Tarawa.<br />
S<strong>ta</strong>ying on the home <strong>island</strong><br />
An alternative strategy to alleviate <strong>population</strong> pressure in South Tarawa is to encourage<br />
people to return to or remain on their home <strong>island</strong>s. This can be difficult when superior<br />
services, economic opportunities and market forces tend to attract people to the es<strong>ta</strong>blished<br />
economic area of South Tarawa. Encouraging people to remain on outer <strong>island</strong>s means<br />
upgrading services and creating employment and income generating opportunities, and this<br />
tends to involve higher per capi<strong>ta</strong> costs than in Tarawa. However, as there is already housing<br />
and some basic facilities in outer <strong>island</strong> communities it is generally less costly than<br />
relocation to new areas on Kiritimati Islands.<br />
A factor working against s<strong>ta</strong>ying on home <strong>island</strong>s is that small markets, poor<br />
communications and high transport costs make outer <strong>island</strong>s less attractive than South<br />
Tarawa from a businesses perspective. Decentralisation thus involves reversing es<strong>ta</strong>blished<br />
economic trends and <strong>population</strong> flows, and developing and promoting income earning<br />
opportunities, which is a significant challenge.<br />
8 Calculated from NSO, 2007: 47-48.<br />
9 Calculated from NSO, 2007: 38.<br />
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Shor<strong>ta</strong>ge of skilled labour<br />
Another issue for Kiribati <strong>population</strong> planning is the generally low level of skills in the<br />
labour force. Many of the working age <strong>population</strong> have limited literacy and have only<br />
experienced subsistence or informal economic activity. Many of those who want to<br />
participate in the cash sector do not have appropriate skills or experience for wage work, or<br />
the management skills necessary to es<strong>ta</strong>blish and run a small business. This applies to both<br />
younger and older age groups. Although the es<strong>ta</strong>blishment of Junior Secondary Schools<br />
throughout Kiribati has subs<strong>ta</strong>ntially increased retention after primary grades, s<strong>ta</strong>ndards<br />
remain low. Technical and vocational education (TVET) remains underdeveloped and also<br />
tends to be of a low s<strong>ta</strong>ndard. As a consequence, many young people leave school without<br />
well-developed skills in either academic or vocational subjects.<br />
Is “a white collar” job always better?<br />
Human resources development in Kiribati tends to be hampered by a widespread perception<br />
in the community that white collar work is superior to all other types of work, and<br />
vocational education is only for those who can not make it in academic streams. This tends<br />
to discourage students who have an aptitude for vocational learning, and often students in<br />
vocational streams are poorly motivated rather than engaged and eager to acquire valuable<br />
and marke<strong>ta</strong>ble skills.<br />
This perception, which originates from the colonial emphasis on bureaucracy, is<br />
incompatible with modern society. A key characteristic of the modern, well-developed<br />
economy is that there are many diverse occupations and many different kinds of work to be<br />
done. It is normal for many in the labour force to prefer to earn their living by working<br />
outside and/or with their hands rather than being confined to a desk.<br />
Much of the Kiribati prejudice against trades and manual work derives from a belief that<br />
white collar work is better paid than other work. But is that always true? Some of the<br />
wealthiest people in developed countries are people who have built successful businesses<br />
using their own skills. Many of the basic trade skills that are in short supply in Kiribati, such<br />
as plumbing, house-painting, paving and tiling, can command high incomes in a modern<br />
diversified economy. Wise parents accept that any wage employment is worthy of respect<br />
and children should be encouraged to prepare for the type of work that interests them most.<br />
A positive sign that perceptions are beginning to change in this direction is the growing<br />
support and encouragement of Kiribati parents for career training initiatives such as the<br />
Kiribati-Australia Nursing Initiative (KANI).<br />
Disinterested parents<br />
Lack of paren<strong>ta</strong>l interest and support also limits educational performances. A common<br />
attitude is that teachers should <strong>ta</strong>ke full responsibility for children’s education so many<br />
parents do not <strong>ta</strong>ke an interest in their children’s school experiences or provide the support<br />
and encouragement necessary to produce good school performances. Often the reason why<br />
students fail or drop out of school is that they are demoralised, do not see the value of<br />
education or do not feel supported by their family. 10<br />
10 See UNICEF, 2005 ‘ The S<strong>ta</strong>te of Pacific Youth’, pp 4-5 and 19-22 for an analysis of factors<br />
inhibiting school performance in Pacific countries.<br />
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This causes many students to leave school without a sufficient s<strong>ta</strong>ndard of education to<br />
compete in the labour market. In the absence of alternatives, they have no choice but to fall<br />
back on subsistence, semi-subsistence or unskilled labouring jobs because they have not<br />
acquired more marke<strong>ta</strong>ble skills. Lack of satisfying employment opportunities may even<br />
encourage girls to become mothers at a young age because motherhood appears to be their<br />
only pathway to recognition and s<strong>ta</strong>tus in the community.<br />
5. What has caused the very low fertility in the most developed countries?<br />
A consistent pattern throughout the world, as well as the rest of the Pacific, is that the<br />
average fertility (i.e. average number of children borne by women) of rural and subsistence<br />
workers is higher than that of urban and wage workers. Paradoxically, even though wage<br />
employment initially makes large families more affordable, in the long-term it promotes<br />
lower fertility.<br />
The ‘cost of children’ is low in subsistence societies<br />
One of the best explanations for this pattern is the ‘theory of wealth flows’, which argues<br />
that the spread of mass education, increasing employment opportunities and urbanization<br />
increase the cost of raising children. 11<br />
In a subsistence society the cost of having an<br />
additional child tends to be negligible. Children do not need to s<strong>ta</strong>y in school for long or<br />
spend time studying after school, and from an early age they can help their family by caring<br />
for younger siblings, doing chores, feeding animals, gathering food. Moreover, having a<br />
large family improves the chances that some will survive to <strong>ta</strong>ke care of their parents when<br />
they become old. This means the main ‘flow of wealth’ is from children to parents, so more<br />
children tends to mean more wealth.<br />
Wage employment and higher aspirations increase the ‘cost of children’<br />
When people live in urban environments and have paid employment, there are fewer<br />
opportunities for children to contribute to the household economy because most food is<br />
purchased. Work is no longer the same simple subsistence <strong>ta</strong>sks for everyone but becomes a<br />
diversity of occupations, some paid more and some more pleasant to do than others. The<br />
best jobs tend to require high level professional or trade skills, so, as aspirations increase,<br />
parents want their children to acquire the high-level education and skills to ob<strong>ta</strong>in the best<br />
jobs.<br />
When children spend more time at school it means school fees, more and better clothing,<br />
books, sporting equipment and the other costs of education. Because they have less time and<br />
opportunity to contribute labour to the household, children are more dependent than<br />
productive. Most parents in developed, high-aspiration societies provide all their children’s<br />
needs for 16-18 years. If children progress to higher education they may depend on their<br />
parents for 25 years or more before they s<strong>ta</strong>rt to earn an independent income. Although in<br />
the long run they will probably earn much more than less well-educated children, for many<br />
years the main flow of wealth is from parents to children. Raising successful children thus<br />
becomes very expensive, which produces the motivation to have smaller families.<br />
Opportunity to realise aspirations is impor<strong>ta</strong>nt<br />
11 Caldwell, J.C., 1980. ‘Mass education as a determinant of the timing of fertility decline’. Population<br />
and Development Review, Vol 6, No. 2, pp 225-255.<br />
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A crucial condition for the process described above to occur is that there must be plenty of<br />
opportunity to realise increasing aspirations, and realising them must be incompatible with a<br />
large family size. That is, there must be appropriate wage employment available for children<br />
in whom parents have invested a great deal, along with opportunities to acquire consumer<br />
goods and more comfor<strong>ta</strong>ble lifestyles. If employment opportunities are limited, aspirations<br />
will be frustrated. Students who study with little hope of wage employment when they leave<br />
school are likely to become discouraged, perform poorly or drop out. Parents are likely to be<br />
discouraged from investing in upper secondary, post secondary and tertiary education that<br />
may not be utilised. Limited opportunities to earn wages also sus<strong>ta</strong>in subsistent or semisubsistent<br />
lifestyles that are more compatible with a larger family size.<br />
Women’s education and employment also reduce fertility<br />
Increases in education levels and employment opportunities for women are consistently<br />
linked with fertility decline are. In most of the world the average number of children borne<br />
by women with secondary or higher education is lower than for women with primary or no<br />
education. There are various explanations for this pattern, including the health benefits - for<br />
both mothers and children - of smaller, well-spaced families, and the greater ability of<br />
educated women to achieve their preferred family size. Another impor<strong>ta</strong>nt explanation is<br />
that educated women have more opportunity to participate in employment, so having fewer<br />
children makes it easier for them to do so.<br />
Changing wealth flows and s<strong>ta</strong>tus of women in the world’s most developed countries means<br />
that it is now normal for families to comprise only one or two children. Much money is<br />
spent on the education of these children and preparing them for employment. Some of the<br />
lowest fertility rates in the world can be found in Catholic countries such as Ireland, I<strong>ta</strong>ly,<br />
Spain, Portugal, Poland and South Korea, even though Catholic families are normally<br />
associated with high fertility. The influences of strongly growing economies, ample<br />
opportunities for wage employment and increasing aspirations are stronger than traditional<br />
religious values.<br />
It is remarkable that most developed countries have never had a <strong>population</strong> <strong>policy</strong>. Their<br />
declining <strong>population</strong> growth rates are not due to any deliberate policies or strategies. What<br />
has happened is that the tremendous opportunity generated by economic growth, diversity of<br />
employment and the capacity to acquire consumer goods has increased family aspirations.<br />
This in turn has created the motivation to have fewer children so that aspirations can be<br />
realised.<br />
6. Why has increasing wage employment had less impact on <strong>population</strong> growth in<br />
Kiribati?<br />
Most Kiribati children now attend high school, there has been an increase in paid<br />
employment and almost half of the <strong>population</strong> now live in urban areas. So why is Kiribati<br />
fertility still well above replacement level?<br />
More education but less increase in opportunity<br />
The main explanations seem to be that the Kiribati economy has not developed the wide<br />
diversity of occupations and economic opportunity found in the most developed countries,<br />
and the education system does not seem to be providing the skills for diverse employment.<br />
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Put simply, greater participation in education has not been paralleled by an increase in<br />
opportunities to benefit from education.<br />
The Kiribati education system focuses mainly on developing literacy and numeracy – the<br />
skills for formal, white-collar employment – but there are not enough white-collar jobs for<br />
all who seek them. Nor are there sufficient opportunities in small business, trades and other<br />
occupations to absorb those who do not find white-collar employment. This contributes to<br />
lack of interest in education, poor performances and high drop-out rates among students. A<br />
consequence of this emphasis on white collar skills is that where opportunities are available,<br />
the pool of potential workers tends to lack the skills needed to fill vacancies. Skill shor<strong>ta</strong>ges<br />
identified in a recent analysis of the Kiribati labour market include electrical technicians and<br />
electricians, plumbers, building finishing skills, hospi<strong>ta</strong>lity professionals and mechanics. 12<br />
Aspirations hard to achieve so no motivation to limit family size<br />
Around half the <strong>population</strong> live in South Tarawa and Kiritimati. Although both places are<br />
classed as urban, many people in these centres do not have wage work and still depend<br />
largely on subsistence activities. Although having secondary education and living in an<br />
‘urban’ environment may have generated higher aspirations, small families are seen as<br />
benefiting from more opportunity, few couples will be motivated to limit family size. The<br />
main driver of the fertility decline that has occurred in Kiribati so far is hardship and<br />
crowding rather than increasing aspirations. This means there is still an underlying<br />
preference for families of four or more children, and the reversal in wealth flows that is so<br />
critical to fertility decline has not occurred.<br />
7. Why haven't past <strong>population</strong> policies had a major impact in Kiribati?<br />
The traditional view of <strong>population</strong> planning in the Pacific is that it is primarily about<br />
numbers. Since <strong>population</strong> numbers are driven by fertility, and most Pacific <strong>population</strong><br />
plans <strong>ta</strong>rget fertility reduction, <strong>population</strong> planning has tended to become synonymous with<br />
family planning. Not surprisingly, this has made it an unpopular concept in some quarters. In<br />
fact, any <strong>policy</strong> or strategy that includes the objective of fertility reduction is sure to be<br />
viewed by at least a few people as 'coercive', 'an invasion of rights' or as merely 'women's<br />
business'.<br />
Kiribati has long recognised that <strong>population</strong> growth needs to be regulated. The first major<br />
activity aimed at slowing the <strong>population</strong> growth rate was the nation-wide family planning<br />
campaign that took place prior to Independence, between 1967 and the early 1970s. When<br />
international agencies worldwide de-emphasised this style of campaign in favour of a more<br />
integrated approach, family planning subsequently became a part of the public health<br />
strategy. Donor-supported services were also provided by some NGOs.<br />
In 1982, a Health and Family Planning Programme was launched by the then Ministry of<br />
Health and Family Planning. It promoted and strengthened family planning services as part<br />
of public health, and provided more information on family planning. The specific objectives<br />
were:<br />
12<br />
Voigt-Graf, C. and Tiona<strong>ta</strong>n, T. 2007, Labour market analysis, Kiribati. AusAID unpublished<br />
consul<strong>ta</strong>nts’ report.<br />
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• reduce the <strong>population</strong> growth rate from 2.1 per cent in 1981-85 to 1.6 per cent by<br />
1986<br />
• reduce the to<strong>ta</strong>l fertility rate (TFR) 13<br />
to from 4.9 in 1981-85 to 4.2 by 1986.<br />
These <strong>ta</strong>rgets were not achieved, and in 1989 were revised to<br />
• reduce the <strong>population</strong> growth rate from 2.1 per cent in 1981-85 to 1.4 per cent by<br />
1991<br />
• reduce the to<strong>ta</strong>l fertility rate (TFR) to from 4.9 in 1981-85 to 4.2 by 1991 (Republic<br />
of Kiribati, 1996: 40).<br />
The same document s<strong>ta</strong>tes that the Health and Family Planning Programme <strong>ta</strong>rgets at that<br />
time were<br />
• reduce the <strong>population</strong> growth rate from 2.1 per cent in 1981-85 to 1.6 per cent by<br />
1995<br />
• reduce the to<strong>ta</strong>l fertility rate (TFR) to from 4.9 in 1981-85 to 4.2 by 1995 (Republic<br />
of Kiribati, 1996: 39).<br />
.<br />
Despite failure to achieve the precise <strong>ta</strong>rgets set, these efforts achieved partial success, as the<br />
respective rates in the period 1990-1995 were a growth rate of 1.8 per cent per annum and a<br />
TFR of 4.5. And although fertility has continued to decline since then, the rate of decline<br />
continues to be very slow.<br />
Subsequent health plans have continued to offer family planning services, but without<br />
pursuing specific <strong>ta</strong>rgets. Family planning services are available at Ministry of Health and<br />
Medical Services (MHMS) clinics and from the Kiribati Family Health Association (KIFA),<br />
with UNFPA funding free contraceptives. A UNFPA-funded Adolescent Reproductive<br />
Health Programme within MHMS provides free education and counselling and free<br />
contraceptives to young people in Betio and Bairiki, and conducts outreach activities in<br />
outer <strong>island</strong>s. A Health Education Section within The Ministry of Health and Medical<br />
Services prepares health promotion materials and conducts health, reproductive health and<br />
environmen<strong>ta</strong>l health education throughout Kiribati. In addition, some NGOs and most<br />
churches provide various forms of family life education, including informed parenting and<br />
advice on the methods of contraception that their beliefs permit.<br />
When the focus is only on family planning fertility is slow to decline<br />
Despite these efforts and small successes, sus<strong>ta</strong>ined <strong>population</strong> increase continues to<br />
undermine economic growth. This is almost cer<strong>ta</strong>inly because <strong>population</strong> planning in<br />
Kiribati has focussed on family planning, <strong>population</strong> redistribution and emigration rather<br />
than <strong>ta</strong>king a comprehensive, <strong>population</strong> and development approach.<br />
The 2008-2011 Kiribati Development Plan places 'Monitor and control <strong>population</strong> growth'<br />
under the Key Development Area of Health. The three strategies to achieve this outcome are:<br />
Promote family planning;<br />
Increase public awareness of the effects of a rising <strong>population</strong>;<br />
13 TFR = average number of children a woman would bear during her lifetime if current fertility rates applied<br />
throughout her reproductive period.<br />
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Address <strong>population</strong> congestion and overcrowding.<br />
Because <strong>population</strong> planning has not been linked with increasing employment opportunities<br />
and improving living s<strong>ta</strong>ndards, the benefits of a smaller family size have not been<br />
experienced in the general community. This has limited the success of <strong>population</strong> planning<br />
efforts. A shift in <strong>population</strong> <strong>policy</strong> focus to an approach that focuses on human resources<br />
development and improving living s<strong>ta</strong>ndards is needed to enhance national productivity,<br />
increase the accep<strong>ta</strong>bility of <strong>population</strong> planning and strengthen <strong>population</strong> outcomes.<br />
8. Why will a comprehensive Population Policy Implemen<strong>ta</strong>tion Strategy have<br />
more impact on the <strong>population</strong> growth rate?<br />
While <strong>population</strong> size is obviously a crucially impor<strong>ta</strong>nt determinant of development, and<br />
access to contraception of some kind (either natural or modern) is part of fertility reduction,<br />
good <strong>population</strong> planning is about much more than that. Comprehensive <strong>population</strong><br />
planning promotes lower fertility by increasing employment opportunities and improving<br />
living s<strong>ta</strong>ndards. As described above, increased opportunities and improving living<br />
s<strong>ta</strong>ndards provide the incentive and motivation for a smaller family size. This is far more<br />
effective than making family planning the main focus of a <strong>population</strong> <strong>policy</strong>.<br />
The Kiribati Population Policy Implemen<strong>ta</strong>tion Strategy addresses <strong>population</strong> well-being<br />
rather than just concentrating on numbers. UN and donor initiatives since 2000 have placed<br />
more emphasise on development goals and human rights than on <strong>population</strong> numbers per se.<br />
For example, basic goals and rights set out in the MDGs, CRC and CEDAW 14<br />
include the<br />
elimination of poverty; universal access to health, education, safe water and sani<strong>ta</strong>tion; and<br />
the right to decent work and a sus<strong>ta</strong>inable livelihood.<br />
Balancing <strong>population</strong> and resources is part of ensuring that everyone can realise<br />
development goals and enjoy their rights. Holistic <strong>population</strong> planning that emphasises the<br />
at<strong>ta</strong>inment of basic goals and rights rather than only <strong>population</strong> numbers shifts attention to<br />
positive social outcomes. This approach also helps people to unders<strong>ta</strong>nd that there is no<br />
'optimum <strong>population</strong> density' or 'critical mass' for development. Population is not a 'cons<strong>ta</strong>nt'<br />
or in any sense a uniform commodity. People vary enormously in their attributes, such as<br />
age, gender, health s<strong>ta</strong>tus, education, skills development, purchasing power and experience.<br />
Changing the attributes of the people, especially enhancing skills for employment, adds<br />
value to human resources and increases capacity. As long as there are opportunities to utilise<br />
the skills acquired, human resource development can make a very subs<strong>ta</strong>ntial contribution to<br />
economic growth by improving the balance between <strong>population</strong> resources.<br />
An implemen<strong>ta</strong>tion strategy that <strong>ta</strong>kes a comprehensive approach has several other<br />
advan<strong>ta</strong>ges:<br />
• although <strong>population</strong> <strong>ta</strong>rgets may be included, the emphasis is on developing human<br />
potential to enhance the value and utilisation of resources, which in turn improves<br />
living s<strong>ta</strong>ndards;<br />
• it is more widely accep<strong>ta</strong>ble because it is not perceived simply as family planning;<br />
14 MDGs = Millennium Development Goals (United Nations, 2000), CRC = Convention on the Rights<br />
of the Child (United Nations, 1989), and CEDAW = Convention on the Elimination of all<br />
Forms of Discrimination Against Women (United Nations, 1995).<br />
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• it has inbuilt flexibility because <strong>ta</strong>rgets can be adjusted in response to achievements<br />
in the supply of services and opportunity;<br />
• it has inbuilt incentives for a smaller family size, because smaller families are<br />
advan<strong>ta</strong>geous when there is increased engagement with the cash economy (see next<br />
section).<br />
9. What is in the Kiribati Population Policy Implemen<strong>ta</strong>tion Strategy?<br />
The Implemen<strong>ta</strong>tion Strategy is comprehensive but simple. It:<br />
• promotes human resources development to improve the balance between <strong>population</strong><br />
and resources and increase food security;<br />
• facili<strong>ta</strong>tes the at<strong>ta</strong>inment of a s<strong>ta</strong>ble <strong>population</strong> as soon as possible;<br />
• facili<strong>ta</strong>tes economic growth;<br />
• facili<strong>ta</strong>tes the enjoyment of universal development goals and rights by everyone in<br />
Kiribati; and<br />
• alleviates current <strong>population</strong> pressure;<br />
It focuses on human resources development to realise human potential and achieve all these<br />
objectives in a manner that is accep<strong>ta</strong>ble to the community:<br />
• Coordination of <strong>population</strong>-related activities will add value and ensure better<br />
<strong>population</strong> outcomes<br />
• The strategy will be cross cutting, with Ministries, NGOs, FBOs and communities<br />
working together to maximise opportunity and outcome<br />
• Energetic promotion and campaigning will increase levels of <strong>population</strong> awareness<br />
and ensure that <strong>population</strong> is prioritised on the national agenda<br />
• Increased community awareness of <strong>population</strong> and development linkages and new<br />
attitudes to paren<strong>ta</strong>l responsibilities will promote lower fertility<br />
The Population Policy Implemen<strong>ta</strong>tion Strategy focuses on six key areas:<br />
1) Strengthened human resources development<br />
2) Facili<strong>ta</strong>tion of overseas employment opportunities and permanent emigration<br />
3) Facili<strong>ta</strong>tion of local employment and income generation<br />
4) Improve basic infrastructure and economic opportunities for managed<br />
resettlement to outer <strong>island</strong> growth centres and retention of <strong>population</strong> in<br />
other outer <strong>island</strong>s.<br />
5) Increased information and advocacy for informed parenting<br />
6) Improved access to sexual and reproductive health information and<br />
contraception.<br />
It includes a special focus on Kiritimati Island where major improvements in infrastructure<br />
and increases in economic opportunities are needed to support settlement.<br />
De<strong>ta</strong>ils of needs in each key area and how the Implemen<strong>ta</strong>tion Strategy will contribute to<br />
these areas are provided in Annex Four.<br />
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10. Summary<br />
As s<strong>ta</strong>ted above, the six proposed key areas are not new, and are already being implemented<br />
in Kiribati to a greater or lesser extent. What is new is supporting this grouping of strategies<br />
with the ACE toolkit – advocacy, coordination and education – to raise the profile of<br />
<strong>population</strong> activities. This will create synergies and a <strong>population</strong> implemen<strong>ta</strong>tion strategy<br />
that is driven by economic factors rather than by health and family planning objectives.<br />
This approach emulates the factors that brought about fertility decline in Europe and other<br />
high-income countries, where major declines in fertility occurred without any promotion of<br />
<strong>population</strong> or family planning objectives whatsoever. The focus in these countries was not<br />
on slowing <strong>population</strong> growth rates but on human betterment. As the skills level and<br />
opportunities for wage employment increased, people realised of their own accord that a<br />
smaller family size facili<strong>ta</strong>ted the achievement of higher aspirations.<br />
A focus on developing skills and improving living s<strong>ta</strong>ndards is consistent with Kiribati’s<br />
commitment to MDGs as a strategy to achieve a s<strong>ta</strong>ble <strong>population</strong>. The proposed Kiribati<br />
Population Plan Implemen<strong>ta</strong>tion Strategy has low s<strong>ta</strong>rt-up costs, and <strong>ta</strong>kes a cross-sectoral<br />
approach. Many of the proposed activities already have funding from Government, NGOs,<br />
FBOs, donors or the community. As these activities are expanded the Implemen<strong>ta</strong>tion<br />
Strategy can be used to ob<strong>ta</strong>in more funding for this crucially impor<strong>ta</strong>nt development<br />
outcome. It will prove much more effective than a traditional <strong>population</strong> <strong>policy</strong> based on<br />
achieving <strong>ta</strong>rgets and promoting family planning.<br />
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ANNEX FOUR: The Six Key Areas of the Kiribati Population Implemen<strong>ta</strong>tion<br />
Strategy<br />
1) Strengthened Human Resources Development<br />
This is the most impor<strong>ta</strong>nt component and the spearhead of the Implemen<strong>ta</strong>tion Strategy. It<br />
means upgrading the skills of Kiribati workers by improving s<strong>ta</strong>ndards of education,<br />
promoting universal literacy, strengthening technical and vocational education (TVET) and<br />
seeking out opportunities to develop capacity. It includes providing more access to<br />
vocational training at secondary level, strengthening post-secondary vocational training, and<br />
negotiating training opportunities and apprenticeships for Kiribati workers in Australia and<br />
New Zealand, as well as providing on-the-job training for workers in Kiribati.<br />
Human resources development includes expanding and building on opportunities in other<br />
countries, such as the courses offered overseas by the Australia-Pacific Technical College<br />
(APTC) the Kiribati Australia Nursing Initiative (KANI) and the medical training provided<br />
by Cuba.<br />
A major component will be strengthening, expanding and raising the s<strong>ta</strong>ndard of courses<br />
<strong>ta</strong>ught in Kiribati at the Kiribati Institute of Technology (KIT) and other national training<br />
institutions. This should include expanding apprenticeship opportunities, especially in the<br />
construction trades, and providing more TVET opportunities for both males and females. A<br />
potential area for expansion is hospi<strong>ta</strong>lity training based at the two Government-owned<br />
hotels. Also crucial is main<strong>ta</strong>ining the quality of training at the Marine Training Centre<br />
(MTC) and ensuring that it adapts to changing skills needs that arise as new technologies are<br />
introduced in the maritime industries.<br />
Secondary schools can help to improve performances in post-secondary training by<br />
providing careers advice and opportunities for students to learn about and prepare for their<br />
chosen vocation. For example, there is a strong demand for places in the Fisheries Training<br />
Centre (FTC), originally es<strong>ta</strong>blished to prepare fishermen to work on Japanese ships, but<br />
dropout rates are high. Japanese language is no longer a requirement for the course and the<br />
FTC now trains for Taiwan and Korea, but there are still dropouts. 15<br />
Providing prospective<br />
students with opportunities to learn about these <strong>Asian</strong> cultures and their approach to the<br />
fishing industry could help improve performances, commitment and adap<strong>ta</strong>tion to the<br />
foreign working environment.<br />
Other strategies encompassed by human resources development include preparing Kiribati<br />
workers to <strong>ta</strong>ke advan<strong>ta</strong>ge of emerging opportunities in the local and international labour<br />
markets. It is estimated that between one quarter and half of the 2,000 new entrants to the<br />
labour force each year do not have skills to ob<strong>ta</strong>in employment or qualifications to gain<br />
access to a TVET <strong>program</strong>. 16<br />
Lack or underdevelopment of skills not only contributes to<br />
unemployment in the formal sector but also inhibits self-employment and income generation.<br />
Skills development is also a crucial part of <strong>population</strong> retention in outer <strong>island</strong>s as it<br />
facili<strong>ta</strong>tes employment growth and income generation. Skilled workers who resettle in outer<br />
<strong>island</strong>s growth centres are more likely to find or create work opportunities, which in turn<br />
15<br />
ML&HRD, 2008 ‘Labour Market Analysis Kiribati, p. 53<br />
16<br />
ML&HRD, 2008 ‘Labour Market Analysis Kiribati, p. 1.<br />
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will contribute to a healthy climate for the es<strong>ta</strong>blishment of new enterprises and income<br />
generating activities.<br />
2) Facili<strong>ta</strong>tion of overseas employment opportunities and permanent emigration<br />
Expansion of overseas migration and employment has the potential to make a very<br />
subs<strong>ta</strong>ntial contribution to the Kiribati economy. In the past few decades phosphate workers<br />
in Nauru, fish cannery workers in American Samoa and seafarers employed on overseas<br />
shipping lines have made subs<strong>ta</strong>ntial contributions to household income in the form of<br />
remit<strong>ta</strong>nces. The 2005 census found that 14% of all households in Kiribati received<br />
remit<strong>ta</strong>nces from seafarers, and 20% of households in South Tarawa. 17<br />
Negotiating other<br />
opportunities and ensuring that the labour force is equipped with the skills to <strong>ta</strong>ke advan<strong>ta</strong>ge<br />
of them could make a very subs<strong>ta</strong>ntial contribution to economic development. The new<br />
Australian Labour Government is considering allowing some Kiribati workers into Australia<br />
on short-term employment visas. To <strong>ta</strong>ke advan<strong>ta</strong>ge of these and other possible emerging<br />
opportunities, Kiribati workers need to show that they are appropriately skilled and<br />
responsible workers.<br />
An essential part of developing and deploying overseas workers is pre-departure briefing<br />
and social and cultural preparation. Mastering the language used in their new workplace is<br />
the first step and a crucial part of ensuring success. It is also essential that potential workers<br />
unders<strong>ta</strong>nd and are prepared to comply with work ethics and expec<strong>ta</strong>tions of their new<br />
employers. Preparation for work overseas should include cultural briefings and advice on<br />
risks and difficulties that could be encountered while working overseas, such as exploi<strong>ta</strong>tion,<br />
prejudice, unaccustomed freedom from social regulation and health risks. Workers need to<br />
be well prepared with a plan for managing such risks before they leave Kiribati, including<br />
knowing where they can ob<strong>ta</strong>in counselling and assis<strong>ta</strong>nce if required.<br />
There should also be monitoring of work conditions of overseas contract workers and a<br />
source of counselling and support if they experience any kind of difficulty, including<br />
personal problems such as depression. Employing a social worker and offering telephone<br />
counselling in countries with subs<strong>ta</strong>ntial numbers of Kiribati contract workers should be<br />
considered. The pre-departure preparation and support services that overseas countries<br />
provide to volunteers and diplomatic personnel working in Kiribati could serve as models<br />
for the development of support services for Kiribati workers.<br />
Whereas short-term overseas labour contracts may make a small contribution to alleviation<br />
of <strong>population</strong> pressure, permanent emigration can make a major contribution to slowing the<br />
<strong>population</strong> growth rate. There appears to be no shor<strong>ta</strong>ge of Kiribati citizens willing to<br />
emigrate to Pacific Rim countries, but potential destinations are quite limited.<br />
New Zealand currently accepts 75 permanent migrants from Kiribati each year under the<br />
Pacific Access Scheme, with applicants far exceeding the number of places. So far the<br />
Australian Government has resisted offering a special quote for Kiribati, although as early as<br />
1984 the Jackson Committee on Immigration recommended that consideration should be<br />
given to doing so.<br />
17 Calculated from National S<strong>ta</strong>tistics Office, 2005 Census of Population Volume 1, Table H38, p.101.<br />
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While efforts to lobby for such opportunities should continue, great care needs to be <strong>ta</strong>ken to<br />
ensure that new emigration opportunities do not result in a 'brain drain' from Kiribati. This<br />
risk should be managed during preliminary negotiations by including safeguards to ensure<br />
that recipient countries do not set criteria that can be met by only the most qualified white<br />
collar workers and skilled tradesmen.<br />
3. Facili<strong>ta</strong>tion of local employment and income generation<br />
Growth of employment opportunities outside the Public Sector depends on generating<br />
markets, opportunities and skills. When high percen<strong>ta</strong>ges of the <strong>population</strong> depend largely<br />
on subsistence, the markets for construction, re<strong>ta</strong>iling and other private services tend to be<br />
small and underdeveloped. Increasing engagement with the cash sector increases the demand<br />
for these services, which in turn stimulates more employment and more engagement with<br />
the cash sector. Conversely, reduction in demand leads to contraction of employment<br />
opportunities. Growth in demand is thus the basis of the momentum that sus<strong>ta</strong>ins economic<br />
growth.<br />
Private sector employment generation thus depends on recognises opportunities to supply a<br />
demand, and acquiring the necessary skills or offering the services to do so. The capacity of<br />
I-Kiribati to recognise opportunities and provide services in response to a demand is well<br />
illustrated by the proliferation of small re<strong>ta</strong>il businesses and local transport services. What is<br />
needed now is enhanced skills, finance and business management support to enable other<br />
business development in response to other opportunities.<br />
Some of the skills gaps noted in the MLHRD Labour Market Analysis are an on-going<br />
demand for technicians, electricians, plumbers, mechanics, operators of heavy equipment,<br />
including excavator and crane drivers, laboratory technicians, engineers, surveyors and<br />
workers with finishing skills such as paving, tiling and painting. In the re<strong>ta</strong>il sector there is a<br />
demand for skilled salespersons, especially in hardware, automotive and electronics where<br />
advice and/or follow-up services are essential. Acute shor<strong>ta</strong>ges of plumbers, pavers, car<br />
mechanics and telecommunications and refrigeration technicians were noted. Jobs in these<br />
areas needs are currently being filled by expatriate labour because adequately skilled<br />
workers are not available in Kiribati. Replacing them with Kiribati workers would make a<br />
subs<strong>ta</strong>ntial contribution to local employment, which in turn would generate an increased<br />
demand and further opportunities for business and services. Other potential growth areas<br />
noted in the report include the tourism and hospi<strong>ta</strong>lity industry, including work on overseas<br />
airlines and cruise liners. 18<br />
As employment in these areas increases there will also be a<br />
growing demand for management skills.<br />
While some of these jobs are with existing employers, there are also opportunities that could<br />
be filled by new small businesses. This may be more attractive to some tradesmen as it<br />
usually generates higher returns, although s<strong>ta</strong>rt-up involves greater risk. A key part of<br />
facili<strong>ta</strong>ting development of small business opportunities is provision of s<strong>ta</strong>rt-up capi<strong>ta</strong>l at<br />
affordable interest rates and access to support services. For example, a tradesman such as a<br />
plumber who wishes to s<strong>ta</strong>rt his own business is likely to require at least the purchase of<br />
18 MLHRD, 2008, Labour Market Analysis Kiribati: p 9<br />
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tools and a vehicle, ob<strong>ta</strong>ining sui<strong>ta</strong>ble premises from which to manage the business,<br />
communications, advertising and basic management skills. Es<strong>ta</strong>blishing a small business<br />
advisory and support service is one way of helping small businesses get s<strong>ta</strong>rted. Such<br />
services could offer basic financial management assis<strong>ta</strong>nce on a contract basis, which is<br />
itself another potential growth area as the small business sector expands.<br />
Expansion of employment opportunities and support for male and female workers and<br />
business people need to be encouraged in South Tarawa and in the outer <strong>island</strong>s. Increasing<br />
employment outside the Public Sector will bring the additional benefits of increasing the <strong>ta</strong>x<br />
base, which in turn will enable Government to provide improved services to meet basic<br />
needs and the at<strong>ta</strong>inment of MDGs.<br />
Small business opportunities for outer <strong>island</strong>s include agriculture, livestock, aqua-culture<br />
and artisan and handicrafts. Provision of training and in these areas needs to be linked with<br />
business development support services, and, most impor<strong>ta</strong>ntly, market research and<br />
development and quality control to ensure the goods produced can be sold.<br />
An impor<strong>ta</strong>nt part of this strategy is developing and disseminating techniques to increase<br />
productivity in rural food industries. Dependence on imported foods is increasing rapidly in<br />
Kiribati, even though increasing numbers of families have little access to cash. Productivity<br />
increase is crucial to provide food security as well as to increase incomes and living<br />
s<strong>ta</strong>ndards.<br />
4. Improvement of basic infrastructure for managed resettlement to outer <strong>island</strong> growth<br />
centres<br />
Improvement of water, sani<strong>ta</strong>tion, waste disposal, health facilities and schools are already<br />
priorities of the Kiribati Development Plan 2008-2011, as well as part of Kiribati's<br />
commitment to achieving MDGs. Satisfactory levels of basic services must be achieved at<br />
existing settlements, while rates of resettlement must also be determined by the availability<br />
of basic services at proposed destinations. Resettlement without adequate basic<br />
infrastructure risks transferring the problems of South Tarawa to other areas. There is<br />
already evidence of unregulated squatter settlements and inadequately serviced allocated<br />
land in Kiritimati. Alarmingly, many Kiribati citizens are tending to accept this as inevi<strong>ta</strong>ble<br />
and ‘the norm’ for people who relocate. Resettlement without basic not only hinders the<br />
at<strong>ta</strong>inment of basic human rights but also sus<strong>ta</strong>ins higher <strong>population</strong> growth rates because<br />
people in disadvan<strong>ta</strong>ged circums<strong>ta</strong>nces tend to have lower aspirations and higher fertility.<br />
A crucial part of sus<strong>ta</strong>ining resettlement is ensuring a healthy climate for small business and<br />
employment opportunities at proposed growth centres. The example of North Tabiteuea<br />
shows that people do not move for improved facilities alone. Despite the construction of a<br />
subs<strong>ta</strong>ntial new hospi<strong>ta</strong>l, North Tabiteuea has so far attracted few settlers other than those<br />
employed in the hospi<strong>ta</strong>l. Subs<strong>ta</strong>ntial resettlement is more likely to be triggered by<br />
increasing local demand for goods and services to attract and provide opportunities for<br />
additional settlers.<br />
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5. Increased information and advocacy for informed parenting<br />
Education is essential to support the above strategies by raising community awareness of<br />
national <strong>population</strong> issues and the benefits of smaller, better-educated families. In the past<br />
family planning promotion in Kiribati and elsewhere in the Pacific has tended to emphasise<br />
minimum and maximum ages for child bearing and family spacing as a way of achieving<br />
smaller families ('Too young, too old, too many, too close').<br />
In fact there is a simpler and more flexible set of conditions that can produce better<br />
<strong>population</strong> outcomes. It is: ‘Every child should be wanted, planned for and deliberately<br />
conceived by both parents. Both parents should plan to meet all that child’s needs for food,<br />
clothing, shelter, health, education and good parenting until it ob<strong>ta</strong>ins a sus<strong>ta</strong>inable<br />
livelihood.’ These conditions link to two key concepts in the Implemen<strong>ta</strong>tion Strategy: 1)<br />
that the basic needs and rights of every child should be respected, and 2) ‘affordable family<br />
size’.<br />
If everyone of reproductive age strictly observed these conditions and thought in terms of<br />
long-term paren<strong>ta</strong>l responsibilities and ‘affordable family size’ there would be no unplanned<br />
teenage pregnancies. Parents would have only as many children as they could afford to raise<br />
and every child would be properly supported until it reached working age. These conditions<br />
are appropriate regardless of whether the parents’ and child's ambition is subsistence, wage<br />
employment, or life outside the labour force. Moreover, they do not compromise the basic<br />
human right of parents to choose how many children they will have.<br />
Informed parenting promotes this objective by reminding all people of reproductive age of<br />
their on-going responsibilities to the children they bear, and that these responsibilities may<br />
persist for 20 years or even more. It means providing the necessary information and other<br />
support so that all parents can properly perform their duty to help their children realise their<br />
human potential. Informed parenting is also compatible with existing <strong>program</strong>s on<br />
prevention of STIs and promotion of safe sex.<br />
The main vehicles for delivering informed parenting messages are workshops, community<br />
consul<strong>ta</strong>tions, schools and the media. NGOs and FBOs could increase and make more<br />
specific informed parenting messages in many of their activities. Informed parenting is a<br />
crucial strategy for generating <strong>population</strong>-awareness and adding value to the other key areas<br />
of this Implemen<strong>ta</strong>tion Strategy.<br />
6. Strengthen health services and ensure easy access and confidential health services<br />
for all ages<br />
The final pillar of an effective <strong>population</strong> <strong>program</strong> must be that adequate health services are<br />
readily available to all who need them, including everyone of reproductive age. While the<br />
Implemen<strong>ta</strong>tion Strategy is based on realising human potential does not prioritise family<br />
planning, it must be recognised that many families are likely to seek medical assis<strong>ta</strong>nce to<br />
prevent unplanned births. Any limi<strong>ta</strong>tions in health services such as discrimination, lack of<br />
confidentiality or unavailability of supplies could compromise the effectiveness of the whole<br />
<strong>population</strong> strategy.<br />
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There is growing concern about unplanned teenage pregnancy in Kiribati. While often<br />
regarded as simply disobedience and ‘bad behaviour’, teenage pregnancy is often a<br />
consequence of lack of opportunity for young people to achieve personal goals and career<br />
choices. This can lead to low self-esteem and/or indifference to the outcomes of sexual<br />
activity. The Population Implemen<strong>ta</strong>tion Strategy promotes informed parenting activities,<br />
and enhancing opportunities for young people in the workforce. Specific measures include<br />
promotion of employment opportunities, especially for females, and raising awareness of<br />
paren<strong>ta</strong>l responsibilities to prepare all children with appropriate skills for employment and a<br />
sus<strong>ta</strong>inable livelihood. The Implemen<strong>ta</strong>tion Strategy will therefore help to strengthen<br />
MHMS and NGOs initiatives to reduce teenage and unplanned pregnancies and prevent<br />
HIV/AIDS and STIs.<br />
7. Impor<strong>ta</strong>nce of a special focus on Kiritimati<br />
Implemen<strong>ta</strong>tion activities should include a special focus on Kiritimati Island. As crown land<br />
with no long history of settlement, Kiritimati lacks es<strong>ta</strong>blished structures and practices to<br />
absorb settlers. On the one hand this can help to promote enterprise and initiative, but there<br />
is evidence that it is also contributing to mismanagement of resources and poor living<br />
conditions on Kiritimati. Special efforts are needed to ensure that all six strategies are<br />
applied in Kiritimati, including prioritising investment in the provision of adequate basic<br />
infrastructure, sus<strong>ta</strong>inable economic opportunities and optimum management strategies.<br />
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UNDERSTANDING POPULATION<br />
AND DEVELOPMENT:<br />
A simple handbook for Kiribati<br />
DRAFT<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development<br />
Program on Kiritimati Island (Population Policy Component)<br />
By<br />
Chris McMurray<br />
This handbook was prepared to support The Kiribati Population Policy<br />
Implemen<strong>ta</strong>tion Strategy. Preparation was part of the assis<strong>ta</strong>nce provided by The<br />
<strong>Asian</strong> Development Bank under ADB TA <strong>4878</strong> - Kir: Republic of Kiribati:<br />
Integrated Land and Population Development Program on Kiritimati Island<br />
(Population Policy Component)<br />
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Annex 2.d: McMURRAY – Population and Development Handbook<br />
INTRODUCTION<br />
An unders<strong>ta</strong>nding of the basic theories and processes of <strong>population</strong> and development<br />
will help the Population and Development Coordinator and other s<strong>ta</strong>keholders interpret<br />
<strong>population</strong> da<strong>ta</strong> and identify potential linkages and synergies to enhance <strong>population</strong> and<br />
development outcomes. Sharing this basic unders<strong>ta</strong>nding with as many people as possible<br />
throughout the Kiribati community – male and female, young and old – will assist the<br />
formulation and accep<strong>ta</strong>nce of sound <strong>population</strong> and development strategies and<br />
increase community motivation and participation.<br />
This handbook provides an easy-to-unders<strong>ta</strong>nd introduction to the key <strong>population</strong> and<br />
development concepts relevant to Kiribati planners and community. It comprises<br />
simplified summaries of the most impor<strong>ta</strong>nt theoretical concepts, with examples, simple<br />
exercises and discussion topics to facili<strong>ta</strong>te learning.<br />
Initially this paper should be used as a basic reference handbook for the Population and<br />
Development Coordinator and distributed to Ministerial Secre<strong>ta</strong>ries and members of the<br />
Population and Development Task Force.<br />
The handbook can also be used as source material for the development of appropriate<br />
training materials for a range of workshops to raise awareness of <strong>population</strong> and<br />
development linkages and processes. This includes training materials for NGO trainersof-trainers,<br />
teachers in schools and FBOs, and community leaders. The trainers should<br />
select topics that are appropriate and relevant to their particular <strong>ta</strong>rget audience, simplify<br />
the material still further and present it in user-friendly formats. Only one or two topics<br />
should be covered per training session.<br />
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PART ONE: POPULATION AND DEVELOPMENT LINKAGES AND<br />
THEORIES OF POPULATION CHANGE<br />
1.1) Population and development linkages<br />
Living s<strong>ta</strong>ndards in any country are usually determined by the balance between<br />
<strong>population</strong> and resources. Population simply means ‘the people’. Resources include all<br />
forms of produce from land, sea and mineral wealth. We can picture this balance scales<br />
with resources on one side and <strong>population</strong> on the other. When there are plenty of<br />
resources and not many people to share them, living s<strong>ta</strong>ndards tend to be high. But when<br />
<strong>population</strong> numbers increase and the share of resources for each person declines, the<br />
<strong>population</strong> side becomes heavier and living s<strong>ta</strong>ndards decline.<br />
POOR<br />
Population<br />
Land, sea and minerals doesn’t usually increase unless a country acquires new territory.<br />
On the other hand, <strong>population</strong> numbers tend to increase gradually over time, so<br />
strategies are needed to prevent <strong>population</strong> outweighing resources. One way of<br />
preventing a decline in living s<strong>ta</strong>ndards is to continually increase outputs from natural<br />
resources. But there’s also another way: that is, increase human productivity though<br />
eduction and productive work. We call this ‘human resources development’. With<br />
effective human resources development, living s<strong>ta</strong>ndards can remain high even if<br />
<strong>population</strong> numbers increase. This is because human skills and capacity add value to the<br />
resources on the other side of the balance.<br />
So you can see that there are actually two types of <strong>population</strong>. One type has low levels of<br />
education and workplace skills, and is mostly engaged in subsistence or low paying work,<br />
or unemployed. This <strong>population</strong> weighs heavily and does not add much value to natural<br />
resources. The other type of <strong>population</strong> is highly educated, highly skilled and highly<br />
productive. Workers add much value to resource outputs. This offsets <strong>population</strong><br />
increase and main<strong>ta</strong>ins a favourable balance and high living s<strong>ta</strong>ndards.<br />
Population<br />
Resources<br />
Population<br />
RICH<br />
Resources/services<br />
Resources<br />
VERY RICH<br />
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A large <strong>population</strong> in a small country with few resources can have high living s<strong>ta</strong>ndards if<br />
human resources are well developed. The world’s richest countries have highly developed<br />
and very productive human resources that add to the value of resource outputs, provide<br />
high quality services and generate much wealth.<br />
So, what’s the situation in Kiribati? Well, Kiribati has experienced sus<strong>ta</strong>ined <strong>population</strong><br />
increase since the 1940s, and there is now clear evidence that increasing numbers are<br />
leading to an unfavourable balance between <strong>population</strong> and resources. Swift action is<br />
needed to improve the balance and prevent major declines in living s<strong>ta</strong>ndards. As natural<br />
resources cannot be increased, human resources should be developed to increase<br />
productivity. This means improving and diversifying education to provide marke<strong>ta</strong>ble<br />
skills for the workplace. Equally impor<strong>ta</strong>nt is developing new wage employment and<br />
business opportunities, so that education and skills can be used to generate wealth and<br />
high incomes. This strategy will create the favourable balance shown in Figure Three and<br />
improve living s<strong>ta</strong>ndards in Kiribati.<br />
An unders<strong>ta</strong>nding of how social and economic factors can affect <strong>population</strong> growth<br />
helps <strong>population</strong> planners make policies that will produce the outcomes they want. The<br />
following well-known theories, developed by historians and researchers, are based on<br />
observations of similar patterns in many countries over many years.<br />
1.2) Demographic Transition<br />
Demographic Transition explains how technology and economic development shaped<br />
<strong>population</strong> patterns in Europe between about 1800 and the 1950s. As described in 2.1<br />
below, <strong>population</strong> size is determined by balance between births, deaths and migration. In<br />
the days before modern medicine and technology, both birth rates (often called ‘fertility<br />
rates’) and death rates (often called the ‘mor<strong>ta</strong>lity rates’) tended to be quite high. Overall,<br />
the number of births each year tended to be only slightly higher than the number of<br />
deaths. The <strong>population</strong> growth rate was therefore very slow and it took many thousands<br />
of years for the World's <strong>population</strong> to reach one billion.<br />
Figure One: Landmarks in World Population Growth<br />
The above figure shows that <strong>population</strong> growth was still quite slow during the early<br />
human civilisations. It began to accelerate during the Agricultural and Industrial<br />
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Revolutions, and then in the past century began to increase rapidly. Since the 1960s there<br />
have been huge '<strong>population</strong> explosions' especially in the poorest countries in Asia, Africa<br />
and Latin America. Although it took thousands of years for the World's <strong>population</strong> to<br />
reach one billion, it took only 12 years (1987-1999) to increase from 5 to 6 billion!!<br />
The theory of Demographic Transition describes five main phases in the change from<br />
high to low birth (fertility) and death (mor<strong>ta</strong>lity) rates. When considering the Phases<br />
described in <strong>ta</strong>ble below it's very impor<strong>ta</strong>nt to remember that these changes don't occur<br />
at the same time in every country. While most of Europe and the more developed<br />
countries are now in Phase Four or Five, many countries are still in Phase Two or Three,<br />
and there are even a few countries still in Phase One.<br />
Table One: Phases of the Demographic Transition<br />
There were many reasons for the major reduction in mor<strong>ta</strong>lity in Phase Two. In the early<br />
19th Century it was probably due mainly to improved nutrition and the spread of safe<br />
water and sani<strong>ta</strong>tion technology. Later in the century improvements in hygiene in<br />
households and hospi<strong>ta</strong>ls brought further declines. In the early 20th Century mor<strong>ta</strong>lity<br />
was greatly reduced by the spread of more effective medicines and especially by the<br />
development of vaccines to prevent serious childhood infectious diseases.<br />
Early declines in the birth rate in European countries in Phase Three occurred before<br />
modern contraception was developed, with widespread use of various traditional<br />
methods including abortion. Since the 20th Century there has been much greater reliance<br />
on modern contraception to reduce the birth rate.<br />
The impact of Demographic Transition on <strong>population</strong> growth can be seen very clearly in<br />
Figure Two below. It shows ‘crude’ birth and death rates, that is, the number of births or<br />
deaths per 1000 <strong>population</strong>. Before demographic transition these rates are usually around<br />
40-50. After demographic transition they usually drop to below 20 per 1000 or even<br />
below 10 per thousand.<br />
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Figure Two: Population growth during demographic transition<br />
Population growth occurs when there are more births than deaths. When the birth rate<br />
and the death rate are both high and there’s little difference between them, there's not<br />
much <strong>population</strong> growth (left hand side of figure). When the death rate declines quickly<br />
but the birth rate s<strong>ta</strong>ys high or declines only slowly, the excess of births over deaths<br />
causes rapid <strong>population</strong> growth (shaded area in middle of figure).When the birth rate<br />
declines further and becomes similar to the death rate <strong>population</strong> growth slows to little<br />
or nothing (right hand side of figure). Of course, whenever the death rate exceeds the<br />
birth rate, as can be seen for short periods on the left and right hand sides of the figure,<br />
<strong>population</strong> size actually declines until the birth rate increases again. A little fluctuation is<br />
normal in both high birth and death and low birth and death countries.<br />
These phases occurred at different times in different countries. Most of the World's<br />
more developed countries, including those in Asia and South America, passed through a<br />
phase of rapid <strong>population</strong> growth and have now reached Phase Five. That is, although<br />
fertility and mor<strong>ta</strong>lity rates are much lower, there's not much difference between them,<br />
so <strong>population</strong> growth is zero, negative or very slow.<br />
Until the mid to late 20th Century it was widely assumed that all countries would<br />
automatically pass through the Demographic Transition and reach Phase 4 with very<br />
slow <strong>population</strong> increase. Then it was noticed that many developing countries seemed to<br />
be getting stuck somewhere between Phase 2 and 3. That is, they had subs<strong>ta</strong>ntial declines<br />
in mor<strong>ta</strong>lity rates but little or no decline in fertility. This meant that their <strong>population</strong>s<br />
continued to increase rapidly.<br />
In the 1970s country governments, donors and the international community began to be<br />
became very concerned about <strong>population</strong> increase and there was vigorous promotion of<br />
family planning <strong>program</strong>s. Although these campaigns helped to slow the birth rate, what<br />
probably had more impact was economic development and improvements in living<br />
s<strong>ta</strong>ndards (more about that in 1.3 below). Although most countries now have gradually<br />
declining birth rates, both birth rates and <strong>population</strong> growth rates tend to be lowest in<br />
countries that have achieved most economic development, and highest in the least<br />
developed and poorest countries.<br />
This is no coincidence. There's plenty of evidence that, on average, people engaged in<br />
traditional and subsistence lifestyles tend to have larger families than wage-workers,<br />
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especially when large percen<strong>ta</strong>ges of women are employed in wage work. Most of the<br />
World's poorest countries still depend heavily on subsistence because their wage sectors<br />
are underdeveloped and there are few employment opportunities. (We will discuss this<br />
further in 1.3 and 1.4 below).<br />
Discussion: Can you see any evidence of a Demographic Transition in Kiribati? If so,<br />
which phase of the Demographic Transition would you say Kiribati has reached now?<br />
What do you think would cause it to move to the next s<strong>ta</strong>ge? When would you expect<br />
that to happen?<br />
1.3) Causes of fertility decline<br />
So, we have discussed World and country patterns of change in <strong>population</strong> size and<br />
growth rates. Now we will consider family size at the household level. As everybody<br />
knows, decisions about family size are made by couples, not by governments. So if most<br />
couples decide to have smaller families than was usual in the past, something must have<br />
happened to change the way they think.<br />
As you would expect, many different factors influence decisions about family size. The<br />
most impor<strong>ta</strong>nt factors seem to be patterns of 'wealth flows', changing perceptions of the<br />
'value of children' and changing perceptions of s<strong>ta</strong>tus.<br />
The theories go like this: In traditional, subsistence societies, the costs of having children<br />
are very low. Families grow or catch most of their food, so cash isn't needed to feed a<br />
family. Children don't need to s<strong>ta</strong>y in school for long or spend time studying after school,<br />
and from an early age they can help by caring for younger children, doing chores, feeding<br />
animals, gathering food and so on. This means the main 'flow of wealth' is mainly from<br />
children to parents. Also, in traditional societies a large family tends to be an impor<strong>ta</strong>nt<br />
sign of family s<strong>ta</strong>tus and influence. It also improves the chances that some of the<br />
children will help to <strong>ta</strong>ke care of the parents when they become old. This is why the<br />
'value of children' in traditional societies tends to mean having many children, because<br />
more children means more wealth.<br />
It is quite the opposite in a modern urban environment where everything is store bought<br />
and survival depends on having cash. There are fewer opportunities for children to<br />
contribute to the household economy because most food is purchased. A good education<br />
is essential for a well-paid job, so parents want their children to be well-educated and<br />
well-prepared with work and life skills for the future. The 'value of children' is no longer<br />
judged by family size, but by the skills and earning capacity of each child. Now parents<br />
need to invest in developing their children's skills, and children must spend more time at<br />
school and less time helping in the house. Parents must buy more and better clothing for<br />
their children, books, sporting equipment and other costly items and support them for<br />
much longer than in a traditional society. Most parents in developed societies provide all<br />
their children’s needs for at least 18 years. If children progress to higher education they<br />
may depend on their parents for 25 years or more before they are able to earn their own<br />
income and support themselves. Thus for many years the 'flow of wealth' is mainly from<br />
parents to children.<br />
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A large family also reduces the parents' ability to buy other things, such as modern<br />
housing, expensive household items, motor vehicles, and more expensive food and<br />
clothing. In most modern societies s<strong>ta</strong>tus is judged by money and ability to buy such<br />
items, not by a large family size. In fact, a large family size tends to be associated with<br />
poverty. Another factor is that having a lot of children <strong>ta</strong>kes up much of the mother's<br />
time and limits her capacity to work in the cash sector. In a developed society most<br />
women return to work after marriage and even after they have children, because it is<br />
more profi<strong>ta</strong>ble and more interesting than s<strong>ta</strong>ying at home. Many continue to work<br />
throughout their lives, with only short breaks to bear and care for children. Increasingly<br />
employers are encouraging this by providing benefits for maternity leave, and child care<br />
facilities at the workplace. In developed societies women's s<strong>ta</strong>tus, as well as that of men,<br />
tends to be judged by the type of work they do and their income rather than the number<br />
of children they have borne.<br />
So you can see how a modern, cash society tends to promote a smaller family size. In<br />
most of the highly developed countries it is now normal for families to comprise only<br />
one or two children. Much money is spent on the education of these children and<br />
preparing them for employment. Although as is well known the Catholic church is<br />
generally opposed to use of modern contraception, some of the lowest fertility rates in<br />
the world can be found in Catholic countries such as Ireland, I<strong>ta</strong>ly, Spain, Portugal,<br />
Poland and South Korea. This is because these countries have strongly growing<br />
economies that provide plenty of opportunities for wage employment and increasing<br />
aspirations.<br />
What is particularly interesting is that most of the World's highly developed countries<br />
have never promoted family planning or encouraged smaller families. Their low fertility<br />
and slow <strong>population</strong> growth rates are not due to any deliberate policies or strategies.<br />
What has happened is that as living s<strong>ta</strong>ndards improve and opportunity increases, large<br />
families are seen as a burden while smaller families are seen as an economic advan<strong>ta</strong>ge.<br />
This is what makes couples decide to have fewer children.<br />
Obviously there are always exceptions, and families of five or more children can still be<br />
found in highly developed countries, even in urban areas where they are wholly<br />
dependent on cash for all their needs. But it is very clear that, throughout the World,<br />
average family size is almost always larger where people live mainly by subsistence, and<br />
smaller where they live in urban areas and earn their living from wage work. This is true<br />
in virtually every country, rich or poor, as well as all Pacific countries.<br />
DISCUSSION: How well do you think these theories explain family size in Kiribati? Can<br />
you think of reasons why average family size in Kiribati still tends to be larger than most<br />
developed countries, even in urban areas? What changes to the economy and society do<br />
you think could cause the average family size in Kiribati to become only two children?<br />
1.4) Determinants of fertility<br />
The theories of fertility decline (described in 1.3) above tell us about the changing<br />
community attitudes and values that lead to smaller families. But these are only the<br />
underlying factors. Before we can fully unders<strong>ta</strong>nd fertility change, we have to consider<br />
exactly what causes or prevents child bearing at the individual level. We all know that<br />
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children are produced from a relationship between a man and a woman. But a normal,<br />
healthy man and woman in a relationship that lasts until they die are physically capable of<br />
producing 20 or more children!<br />
Since most couples don't produce anywhere near this number, there are obviously factors<br />
that limit the number of births, even in traditional and subsistence societies. They include<br />
biological, socio-economic and environmen<strong>ta</strong>l factors. They are called 'determinants of<br />
fertility' 1<br />
and can be grouped roughly as follows:<br />
1. The amount of her lifetime that a woman spends in a relationship with a man<br />
(affected by age at marriage, divorce, widowhood, proportion who never marry)<br />
2. The amount of sexual con<strong>ta</strong>ct of a couple, i.e. time together<br />
(affected by amount of time couples spend apart, relationship breakdown, serious<br />
illness)<br />
3. The time a woman spends fully breastfeeding her babies<br />
(full breastfeeding prevents conception for up to six months)<br />
4. Prevention of births and foe<strong>ta</strong>l death<br />
(contraception, abortion, miscarriages, still births)<br />
5. The physical ability of the couple to produce a child<br />
(male or female natural or acquired infertility)<br />
Some of these determinants are shaped by social attitudes and personal preferences,<br />
while are others are a result of the physical characteristics of the parents, or to<br />
unforeseen events.<br />
ACTIVITY: Consider the three stories below. Then fill out the <strong>ta</strong>ble that follows them,<br />
to indicate which 'determinants of fertility' affected each of the three couples.<br />
Uera and Timi fell in love while they were still in High School. Neither of them were<br />
very interested in schoolwork, and both dropped out of school before they<br />
reached 18. They married soon afterwards and went to live with Timi's family on<br />
an outer <strong>island</strong>. They both enjoyed the peaceful <strong>island</strong> lifestyle. Uera and Timi<br />
were both very healthy, and for the rest of their lives were rarely apart for more<br />
than a night or two. They did not use modern contraception. Uera had her first<br />
child at age 19, breastfed for six months, and then had a second child almost two<br />
years after the first one. She continued to have babies every two or three years.<br />
By the time Uera was 37 they had seven children, all healthy and strong. The<br />
nurse suggested that Uera had a tubal ligation and Timi agreed. After that there<br />
were no more babies.<br />
Anere and Tom fell in love in their final year at high school. Anere was selected to train<br />
as a nurse under the KANI scheme, and Tom went to Suva to do accounting at<br />
USP. They decided to delay marriage until they had finished their studies. Anere<br />
completed her training and found a work-experience employment in a Brisbane<br />
1 This list is derived from J. Bongaarts, O. Frank and R. Lesthaeghe, 1984 ‘The proximate determinants<br />
of fertility in Sub-Saharan Africa’, Population and Development Review, 10(3): 511-537. The<br />
Bongaarts et al. classification is generally preferred and easier to apply than an earlier model proposed<br />
by K. Davis and J. Blake (1956) in ‘Social structure and fertility’, Economic Development and Cultural<br />
Change, 4: 211-235.<br />
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hospi<strong>ta</strong>l. Tom did very well at his studies at USP and when he finished his degree<br />
he too was offered the chance to go to Australia to gain work experience.<br />
Although the job was in Sydney, not Brisbane, he decided to <strong>ta</strong>ke it. As they were<br />
living in different cities, Tom and Anere only saw each other ever few months<br />
and at Christmas when they both came home to Kiribati for a holiday. After a<br />
few years of this they decided to return to Kiribati permanently and get married.<br />
By this time Anere was 25 and Tom was 26. Soon they were busy with their<br />
careers again. Tom had a good job in the Public Service, and Anere was working<br />
at Tawerewere Hospi<strong>ta</strong>l. So they used modern contraception to delay having<br />
children for a couple of years. Anere had her first child when she was 29. She<br />
took six months of maternity leave to breastfeed, then she returned to work for<br />
two years. She had her second child when she was 32, this time <strong>ta</strong>king a whole<br />
year off work. Even though now they were both in well-paid jobs, Tom and<br />
Anere decided not to have any more children. They were still paying off their<br />
house and their car and they wanted to save money so their two children could<br />
have the same educational opportunities they had. Also Anere wanted to do<br />
some postgraduate training in Australia so she could become a nurse educator.<br />
Tieri and Mina didn't meet until they had been out of high school for a few years. Tieri<br />
had trained at the Maritime College and had a contract with a German shipping<br />
line. Mina was working part-time as a receptionist at a hotel, and also helping her<br />
mother prepare and sell school lunches. When they decided to marry Mina was<br />
19 and Tieri was 22. Soon after the wedding, Tieri signed a new 11-month<br />
contract and went back to sea. Mina found she was pregnant, but sadly, she<br />
miscarried that baby, and also the one she conceived next time Tieri came home<br />
between contracts. The third time she found she was pregnant she went to the<br />
clinic straight away, and the nurse and doctors supervised her very carefully<br />
throughout the pregnancy. Next time Tieri came home again he found Mina<br />
breastfeeding a beautiful two-month old son. After a short break Tieri returned<br />
to sea again, but Mina did not find herself pregnant that year. Then, just before<br />
he returned home for another break, tragedy struck and Tieri was badly injured in<br />
an accident. After three months in hospi<strong>ta</strong>l in Europe he returned to Kiribati, but<br />
his back and hip had not yet mended and he could not walk. It was two years<br />
before he was fully recovered. As he couldn't go back to sea again, he s<strong>ta</strong>rted a<br />
small business selling and repairing outboard motors. Tieri and Mina were<br />
delighted when Mina became pregnant again, as by now their only son was<br />
already four. But even though she was very well looked after, Mina had another<br />
miscarriage, and then another one. Eventually the doctor advised her not to try to<br />
become pregnant again because she was severely anaemic and the chances of her<br />
successfully carrying another child were very low. Luckily for Tiera and Mina<br />
their only son grew up to be a fine young man and very successful businessman.<br />
Uera & Timi<br />
Anere & Tom<br />
Mina and Tieri<br />
1.<br />
Delayed<br />
marriage<br />
2.<br />
Time<br />
apart<br />
3.<br />
Breastfeeding<br />
prevents<br />
conception<br />
4.<br />
Contraception,<br />
abortion,<br />
miscarriage.<br />
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5.<br />
Infertility/physic<br />
al inability to<br />
bear child<br />
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ACTIVITY AND DISCUSSION: Tick the boxes in the <strong>ta</strong>ble above to show which of<br />
the five groups of 'determinants of fertility' affected each couple in the stories. Compare<br />
and discuss your answers and the way the ‘determinants of fertility’ have shaped the<br />
family size of each couple. Do you all agree?<br />
Without mentioning any names, discuss how the ‘determinants of fertility’ have shaped<br />
the size of some of the families you know.<br />
So now the picture is coming together. Economic and social changes affect the way<br />
people think about family size. This in turn affects their behaviour and causes the fertility<br />
determinants to affect the number of children they bear. But before we sum up there are<br />
a couple of other things that need to be mentioned about <strong>population</strong> and development.<br />
1.5) Determinants of mor<strong>ta</strong>lity<br />
Mor<strong>ta</strong>lity (i.e. death) is different from fertility in that it is inevi<strong>ta</strong>ble. Sooner or later<br />
everyone on earth must die. The determinants of mor<strong>ta</strong>lity are therefore not about<br />
preventing death, but about delaying death and maximising years of healthy life. So<br />
when we <strong>ta</strong>lk about 'a decline in the death rate' or a 'low deathrate' we are really <strong>ta</strong>lking<br />
about fewer deaths at young ages and more people surviving into old age. That is, about<br />
an increase in average life expec<strong>ta</strong>ncy.<br />
As death is a usually a consequence of illness, the determinants of ill health (morbidity)<br />
and mor<strong>ta</strong>lity are similar. The main factors associated with health and long life are:<br />
• Safe water<br />
• Safe sani<strong>ta</strong>tion and garbage disposal<br />
• Good household hygiene<br />
• A nutritious diet<br />
• Normal body weight<br />
• Not smoking<br />
• Drinking little or no alcohol<br />
• High safety s<strong>ta</strong>ndards in every workplace<br />
• Road safety and safety of other forms of transport<br />
• Ready access to health services and medical care when needed<br />
• Medical supervision of pregnancy<br />
• Safe and medically supervised delivery of infants<br />
• Maternal and child healthcare and full immunisation of all infants<br />
ACTIVITY AND DISCUSSION: Can you make the opposite list - the factors<br />
associated with LOW life expec<strong>ta</strong>ncy and HIGH mor<strong>ta</strong>lity? Exactly how do each of these<br />
factors decrease or increase mor<strong>ta</strong>lity?<br />
Obviously economic development and improving living s<strong>ta</strong>ndards are associated with<br />
improvements in most of the factors associated with low mor<strong>ta</strong>lity in the list above. But<br />
there's a catch. As living s<strong>ta</strong>ndards increase, there's also a tendency for some unhealthy<br />
adult behaviours to increase. These unhealthy behaviours include smoking, drinking<br />
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alcohol, being overweight or obese and not doing enough physical exercise. Another<br />
behaviour that's becoming a concern is practicing unsafe sex and risking serious and/or<br />
fa<strong>ta</strong>l sexually transmitted infections, such as syphilis and HIV/AIDS. There are also the<br />
health and mor<strong>ta</strong>lity risks associated with use of drugs and increased use of motor<br />
vehicles.<br />
So, as you can see, the mor<strong>ta</strong>lity picture is complicated. On the one hand economic<br />
development, improved living s<strong>ta</strong>ndards and better medical care are reducing the risk of<br />
death from most infectious diseases. On the other hand, human behaviour is increasing<br />
the risk of death from non-infectious diseases, especially cancer, heart disease and<br />
circulatory problems (e.g. stroke), sexually transmitted infectious diseases for which there<br />
are no vaccines, and motor vehicle accidents.<br />
Infant and child deaths are included in the calculation of life expec<strong>ta</strong>ncy at birth. High<br />
infant mor<strong>ta</strong>lity is normally said to reflect low living s<strong>ta</strong>ndards and lack of access to<br />
maternal and child health care. The Kiribati infant mor<strong>ta</strong>lity rate is higher than most<br />
other Pacific countries, and increased from 43 deaths per 1000 live births between 1995<br />
and 2000 to 52 between 2000 and 2005. This is one reason why Kiribati life expec<strong>ta</strong>ncy<br />
at birth is still relatively low by Pacific s<strong>ta</strong>ndards, and well below that of as some of the<br />
World's most developed countries.<br />
DISCUSSION: Why do you think Kiribati infant and child mor<strong>ta</strong>lity increased between<br />
2000 and 2005?<br />
The health of adults may be affected by their lifestyle. Overweight, smoking, drinking,<br />
and not doing enough exercise are generally considered to have a negative impact on<br />
health and life expec<strong>ta</strong>ncy. How true is this for Kiribati? Can you think aspects of<br />
traditional lifestyles that were better for health, and life expec<strong>ta</strong>ncy? Can you think of<br />
aspects of traditional lifestyles that were worse for health and life expec<strong>ta</strong>ncy?<br />
1.6) Internal migration and urbanization<br />
The last key <strong>population</strong> and development concepts that we need to consider are internal<br />
migration (i.e. movement within the country) and urbanization. A striking trend<br />
throughout the World in the past two hundred years has been the growth of urban areas.<br />
Most people in developed countries live in urban areas and purchase all their needs with<br />
cash. This is possible because agriculture has become very efficient, and only a relatively<br />
small number of farmers are needed to provide food for the whole country. This frees up<br />
the rest of the <strong>population</strong> to migrate to urban areas and work in wage jobs.<br />
Rural to urban migration has become subs<strong>ta</strong>ntial in most countries in the Pacific Region,<br />
even those that have not at<strong>ta</strong>ined a high level of economic development. This is because<br />
it is well known that most employment opportunities can be found in urban areas.<br />
Moreover, as both rural and urban areas now rely on imported food such as rice, there is<br />
a strong demand for wage employment.<br />
Kiribati also has experienced rapid urban growth as a result of internal migration. In<br />
2005 most of the 24 <strong>island</strong>s/atolls of Kiribati had two or three times as many people as<br />
in 1947, but South Tarawa had 25 times as many!! This wasn't because there was a higher<br />
birth rate on South Tarawa, but because many people have moved there from the outer<br />
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<strong>island</strong>s. And, as in other countries, the most common reason for moving to the urban<br />
area of South Tarawa was to find opportunities to earn cash.<br />
Unfortunately, moving to South Tarawa hasn't always brought the benefits the migrants<br />
were looking for. It is well known that employment opportunities and the development<br />
of facilities haven't kept up with <strong>population</strong> increase. Even though they are no longer on<br />
their land, many families that have migrated to South Tarawa have no choice but to live a<br />
semi-subsistence lifestyle because their cash income is insufficient to purchase all their<br />
needs.<br />
The 2005 census showed that 44% of the to<strong>ta</strong>l Kiribati <strong>population</strong> were living on the<br />
small atoll of South Tarawa. Another 5% were living in the more developed, 'nearly<br />
urban' parts of Kiritimati Island, which are also currently unable to provide enough<br />
employment opportunities and facilities to keep up with the demand. This means almost<br />
half the Kiribati <strong>population</strong> is living in a few small urban areas, while the outer <strong>island</strong>s<br />
remain thinly populated.<br />
DISCUSSION: Urbanisation can bring both benefits and problems. What benefits has<br />
urbanisation brought to Kiribati? What are the main problems for the people living in<br />
crowded settlements? What problems has it brought for town councils?<br />
This section of the handbook has described the main factors that cause <strong>population</strong>s to<br />
change. Many people will that find Part One, plus the short summary in Part Three (see<br />
last page of this handbook) are quite enough to think about. If you feel you are one of<br />
those people, you can skip Part Two.<br />
Part Two has been included for those people who enjoy doing calculations and would<br />
like to learn a little more about the Kiribati <strong>population</strong>. It explains a few simple<br />
demographic and s<strong>ta</strong>tistical techniques and provides more information about <strong>population</strong><br />
trends in Kiribati to help us unders<strong>ta</strong>nd and keep track of <strong>population</strong> change.<br />
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PART TWO: KEEPING TRACK OF POPULATION CHANGE<br />
2.1) Population dynamics and the balancing equation<br />
Population size in any country is always determined by only three things: births, deaths<br />
and international migration. The birth rate (sometimes called the fertility rate) is the<br />
number of births added to the <strong>population</strong>. The death rate (sometimes called mor<strong>ta</strong>lity<br />
rate) is the number of deaths subtracted from the <strong>population</strong>. The international<br />
migration rate may be positive or negative. If there are more immigrants (people coming<br />
into the country) than emigrants (people leaving the country) it is positive, because it<br />
increases the <strong>population</strong>. If there are more emigrants than immigrants it is negative, and<br />
reduces <strong>population</strong>.<br />
The effect of these rates on <strong>population</strong> size can be seen in the simple formula used to<br />
calculate <strong>population</strong> growth.<br />
Population (Yr 1) + births – deaths +/- net international migration<br />
= Population (Yr 2)<br />
For example, let's suppose that Kiribati had 100,000 people at the beginning of Year 1.<br />
During that year there were<br />
4,500 births<br />
3,000 deaths, and<br />
5,000 people went overseas but only 4,800 came back (that is, net international<br />
migration was -200).<br />
In this example the Population in Year 2 would be<br />
100,000 + 4500 - 3000 -200<br />
= 101,200<br />
This formula is sometimes called 'The Balancing Equation'.<br />
Usually the death rate changes very gradually, as health improves and average life<br />
expec<strong>ta</strong>ncy increases. But sometimes a serious epidemic, a war or natural disaster or big<br />
reductions or increases in infant and child deaths can bring a sudden increase in the<br />
death rate. The number of births also fluctuates from year to year, and also tends to<br />
follow an overall trend, usually downward. On the other hand, the migration balance can<br />
change subs<strong>ta</strong>ntially from one year to the next in response to economic and political<br />
changes.<br />
Part A above has discussed causes of change in the three rates. The impor<strong>ta</strong>nt point to<br />
note here is that the factors most likely to slow the <strong>population</strong> growth rate quickly are<br />
subs<strong>ta</strong>ntial reductions in the birth rate and increases in emigration to overseas countries.<br />
2.2) Interpreting <strong>population</strong> growth rates<br />
Population growth rates are usually expressed as a percen<strong>ta</strong>ge each year. For example, the<br />
average Kiribati <strong>population</strong> growth rate since 1947 has been 1.8% each year.<br />
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A <strong>population</strong> growth rate works exactly the same as the compound interest rate paid on<br />
money in the bank. It simply means the amount (percen<strong>ta</strong>ge) added each year.<br />
For example, if the <strong>population</strong> in Year 1 is 100,000 and the average annual growth rate is<br />
1.8%, in Year 2 the <strong>population</strong> will have increased to 101,800.<br />
(i.e. 100,000 + (100,000 x 0.018 = 1,800)<br />
= 101,800<br />
In Year 3 the 101,800 will again increase by 1.8%, to become .<br />
(i.e. 101,800 + (101,800 x 0.018 = 1,832)<br />
= 103,632<br />
Then in Year 4 the 103,632 increases by 1.8% to become 105,497,<br />
and so on and on.<br />
In this example you are calculating the <strong>population</strong> for the following year simply by<br />
multiplying the previous year by 1.018 (very easy if you know how to use a spreadsheet<br />
on a computer).<br />
You can use this formula for any rate of increase, simply by changing the multiplier. For<br />
example, if the average annual increase were 2.2%, you would multiply by 1.022.<br />
You can also calculate roughly how long the current growth rate would <strong>ta</strong>ke to double<br />
the <strong>population</strong> size. Just divide 70 by the growth rate.<br />
For example, 70/1.8 = 39.<br />
This means that if the Kiribati <strong>population</strong> continued to increase steadily at an average<br />
annual rate of 1.8%, it would <strong>ta</strong>ke 39 years to double.<br />
Between 2000 and 2005 the <strong>population</strong> of Kiritimati Island increased by an average of<br />
7.9% each year. How long would it <strong>ta</strong>ke to double if that rate continued?<br />
Yes, that's right,<br />
70/7.9<br />
= 8.86...which is just under 9 years!<br />
Of course, this was not just due to births, but because many people moved from South<br />
Tarawa to Kiritimati Island. That is, there was in-migration.<br />
By the way, if you know the interest rate you are being paid, you can use the <strong>population</strong><br />
doubling formula to estimate how long it would <strong>ta</strong>ke to double any money you have<br />
invested in a bank or a provident fund! Why don’t you try it?<br />
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2.3) Unders<strong>ta</strong>nding <strong>population</strong> projections and the impact of different fertility,<br />
mor<strong>ta</strong>lity and international migration rates on <strong>population</strong> size<br />
Population projections are estimates of how large the <strong>population</strong> will be in the future. To<br />
make a <strong>population</strong> projection you need to know the exact <strong>population</strong> size at a particular<br />
time (usually you use the to<strong>ta</strong>l number from the last census). You can make a projection<br />
in one of two ways. The very simple way is to estimate either the likely overall growth<br />
rate (or use the average for past years) and keep multiplying year by year, as in 3) above.<br />
This gives a very simple estimate of what overall <strong>population</strong> size might be in a particular<br />
year.<br />
The more usual way of making <strong>population</strong> projections is to s<strong>ta</strong>rt with <strong>population</strong> size at a<br />
particular time and then estimate growth rates for each age and gender group in the<br />
<strong>population</strong>. Past rates are calculated from previous census da<strong>ta</strong> for fertility (i.e. the<br />
average number of children per woman), mor<strong>ta</strong>lity (deaths) and international migration,<br />
then likely trends in these rates are estimated and used to calculate possible <strong>population</strong><br />
increase. This produces a more de<strong>ta</strong>iled picture of the possible age/sex composition of<br />
the <strong>population</strong> in the future, as well as its size.<br />
But is the second, more de<strong>ta</strong>iled method more likely to give you the true <strong>population</strong> size<br />
in the future? No! Only someone who can see into the future can tell you for cer<strong>ta</strong>in how<br />
big the <strong>population</strong> will be, and no one can do that. In fact, all <strong>population</strong> projections are<br />
just guesses!<br />
Even so, they are still very useful for planning purposes. Since it is impossible predict the<br />
future growth rate or future fertility, mor<strong>ta</strong>lity and international migration rates, we don't<br />
pretend that <strong>population</strong> projections are predictions. Instead we use them to show us how<br />
big the <strong>population</strong> could be if it grew at a particular rate. This is why <strong>population</strong><br />
projections are usually produced in sets of at least three.<br />
For example, in the 2005 Kiribati Census Report, nine <strong>population</strong> projections were<br />
made, for the years 2005 to 2025. Three of these projections were given names and<br />
discussed in de<strong>ta</strong>il: Medium Fertility, High Fertility and Low Fertility.<br />
• The Medium Fertility projection assumed that fertility decreases to 2.6 children<br />
per women by 2025, but slowly.<br />
• The High Fertility projection assumed that fertility increases sightly, then<br />
decreases to 3.1 children per woman by 2025.<br />
• The Low Fertility projection assumes that fertility decreases more rapidly, to 2.1<br />
by the year 2025.<br />
All three projections assumed roughly the same slow decline in the death rate. As it is<br />
extremely difficult to predict international migration patterns, and because these<br />
projections were not attempting to predict the actual future <strong>population</strong> size, they didn't<br />
include different assumptions about international migration.<br />
How much difference to the to<strong>ta</strong>l estimate do these small differences in assumptions<br />
make? The answer is, they make a lot of difference!<br />
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According to the Census, the to<strong>ta</strong>l Kiribati <strong>population</strong> in 2005 was 92,500.<br />
• The Medium Fertility projection estimate is 129,500 in 2025<br />
• The High Fertility Projection estimates 140,400 in 2025<br />
• The Low Fertility Projection estimates 119,400 in 2025<br />
You can see the difference on the graph below, which is <strong>ta</strong>ken from the 2005 census<br />
report.<br />
Popultion size (in numbers)<br />
150.0<br />
145.0<br />
140.0<br />
135.0<br />
130.0<br />
125.0<br />
120.0<br />
115.0<br />
110.0<br />
105.0<br />
100.0<br />
95.0<br />
90.0<br />
85.0<br />
80.0<br />
75.0<br />
77.7<br />
84.5<br />
92.5<br />
102.8<br />
So, if there's such a big difference, how useful are these projections? In fact they are very<br />
useful. Even though they can't tell us exactly how big the <strong>population</strong> will be in 2025, they<br />
tell us how big it could be if there are particular rates apply to fertility, mor<strong>ta</strong>lity and<br />
international migration. Planners use this information to estimate the likely demand for<br />
facilities and services (see 2.5) below). They can also use it to make policies to encourage<br />
changes in rates and produce the desired <strong>population</strong> size.<br />
Obviously, fertility, mor<strong>ta</strong>lity and international migration rates don't usually remain<br />
cons<strong>ta</strong>nt from one year to the next. Nor is it likely that any of the rates assumed would<br />
turn out to be exactly right. We are seldom guess exactly what the average rates and<br />
future <strong>population</strong> will be. It may turn out that the actual <strong>population</strong> of Kiribati in 2025<br />
could be more or less than any of the projections. It's even possible that by 2025 the<br />
<strong>population</strong> could be smaller than in 2005, if lots of people emigrate!<br />
The impor<strong>ta</strong>nt thing to remember is that <strong>population</strong> projections tell us what the<br />
<strong>population</strong> size and composition COULD be if cer<strong>ta</strong>in assumptions proved correct, not<br />
what it WILL be. They are not predictions about the future, but still they are very useful<br />
planning tools. The other impor<strong>ta</strong>nt thing to remember is that new projections should<br />
always be made as soon as new information - i.e. the next census - becomes available.<br />
2.4) Monitoring <strong>population</strong> trends and sources of <strong>population</strong> information<br />
A very impor<strong>ta</strong>nt part of development planning is monitoring <strong>population</strong> trends and<br />
adjusting government policies accordingly. Population size and composition (that is the<br />
17<br />
115.0<br />
106.0<br />
110.5<br />
127.8<br />
120.3<br />
113.0<br />
140.4<br />
129.8<br />
119.4<br />
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99.1<br />
1995 2000 2005 2010<br />
Year<br />
2015 2020 2025<br />
Past High Medium Low
Annex 2.d: McMURRAY – Population and Development Handbook<br />
numbers of each age and gender) determine the demand for services and opportunities.<br />
This includes:<br />
• The number of women likely to produce children and require Maternal Child<br />
health services;<br />
• The number of people likely to use health facilities, doctors and nurses;<br />
• The number of children who will require a place in primary school<br />
• The number of secondary school places required;<br />
• The number of school leavers each year;<br />
• The expected size of the labour force and the number of working age likely to<br />
need wage work;<br />
• The number of houses likely to be needed; and<br />
• The likely demand for transport, water, sani<strong>ta</strong>tion, electricity and<br />
communications.<br />
Planners need to consider not just the to<strong>ta</strong>l <strong>population</strong> numbers at the national level, but<br />
also <strong>population</strong> distribution. Dense <strong>population</strong> concentrations such as Betio have a much<br />
higher demand for services and opportunities than thinly populated <strong>island</strong>s of the same<br />
size. It is therefore very impor<strong>ta</strong>nt to have reliable <strong>population</strong> da<strong>ta</strong> and sensible<br />
<strong>population</strong> projections.<br />
So where do we get good <strong>population</strong> da<strong>ta</strong>? And what are the most impor<strong>ta</strong>nt indicators<br />
(i.e. measures) for monitoring and planning for the <strong>population</strong>?<br />
2.4.1 The Census: The most impor<strong>ta</strong>nt source of <strong>population</strong> information in Kiribati is<br />
the census, which is carried out every five years. The census counts everyone in the<br />
country, and also collects other very valuable information about the <strong>population</strong> to assist<br />
planners. It is extremely impor<strong>ta</strong>nt that censuses are carried out efficiently and with the<br />
full cooperation of the people so that the da<strong>ta</strong> are as reliable as possible. Although the<br />
census collects information about individuals, personal de<strong>ta</strong>ils are always kept<br />
confidential, and names are never recorded in census da<strong>ta</strong> files. Census analysis is<br />
concerned with the big picture, not with individual people.<br />
Analysis of census da<strong>ta</strong> and comparison of one census with another provides many key<br />
<strong>population</strong> indicators that are vi<strong>ta</strong>l for planners. This includes:<br />
• To<strong>ta</strong>l <strong>population</strong> size on census night<br />
• The number of men and women<br />
• The number of people of each age<br />
• Distribution of the <strong>population</strong> between <strong>island</strong>s and rural and urban areas<br />
• The change in numbers and the <strong>population</strong> growth rate between one census and<br />
another<br />
• The average number of children born per woman, and the average ages at which<br />
women bear children<br />
• The average number of years people live (which can be used to calculate the<br />
death rate, the chances of surviving each age and average life expec<strong>ta</strong>ncy)<br />
• Estimates of international migration<br />
• Numbers belonging to each religious faith<br />
• Education and skills at<strong>ta</strong>inment<br />
• Economic activity, employment and occupational patterns,<br />
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Annex 2.d: McMURRAY – Population and Development Handbook<br />
• Da<strong>ta</strong> to make <strong>population</strong> projections, and<br />
• various information about household characteristics and ownership<br />
A great deal of analysis that can be done with census da<strong>ta</strong>, and most census are never<br />
fully analysed. The reports produced after each census are extremely valuable sources of<br />
information, however, not just for planners but for many others. For example, census<br />
da<strong>ta</strong> and <strong>population</strong> projections can help businesses estimate the demand for their<br />
products, and air and shipping lines estimate how many passengers they can expect.<br />
2.4.2: Birth and death registration. The other main source of <strong>population</strong> information<br />
is registration of births and deaths, by both the Civil Registration Office and the health<br />
system. Registration tells us the number of births and deaths each year, and, if complete<br />
and timely, registration da<strong>ta</strong> provides more reliable estimates of fertility and mor<strong>ta</strong>lity.<br />
Unfortunately, in Kiribati, as in most Pacific countries, registration of births and deaths is<br />
far from complete and often delayed several years. Moreover, civil registration and health<br />
system da<strong>ta</strong> are not always consistent.<br />
The census therefore continues to form the basis for estimates of fertility and mor<strong>ta</strong>lity,<br />
while registration da<strong>ta</strong> help to fill out the picture in between censuses.<br />
2.4.3: Migration records. Records of international immigration and emigration are a<br />
valuable source of information about <strong>population</strong> movements, but they too are not<br />
reliable unless complete. There is a lot of movement in and out of Kiribati by air and sea.<br />
Some I-Kiribati citizens, some I-Ma<strong>ta</strong>ng, some s<strong>ta</strong>ying a few days, some s<strong>ta</strong>ying a long<br />
time, some leaving permanently. So it can be difficult and very time consuming to analyse<br />
international migration da<strong>ta</strong>, even if it is fully computerised. In recent years only a few<br />
hundred I-Kiribati each year have migrated permanently to overseas destinations. This is<br />
mainly because most countries place strict limits on immigration so there are few<br />
opportunities for I-Kiribati to emigrate. Migration patterns can therefore increase or<br />
decrease sharply if there is a change in <strong>policy</strong>, and it can be difficult to predict future<br />
patterns. For example, between 2000 and 2005 about 1,000 long-term I-Kiribati residents<br />
of Nauru returned to Kiribati.<br />
Discussion: Why do you think many births in Kiribati are not registered? Can you think<br />
of ways of increasing birth registration in those places where it is low? Suppose Australia<br />
decided to accept 1,000 permanent immigrants from Kiribati each year, and New<br />
Zealand decided to accept 500. Can you think of both good and bad consequences this<br />
<strong>policy</strong> change would have for Kiribati?<br />
2.5) Short-term and long-term <strong>population</strong> indicators<br />
One of the traps in the interpre<strong>ta</strong>tion of <strong>population</strong> information is the difference<br />
between short-term and long-term indicators (i.e. measures). In fact most <strong>population</strong><br />
indicators can relate to any period of time for which the da<strong>ta</strong> are available, short or longterm.<br />
The trap is that indicators often fluctuate significantly between one year and the<br />
next, especially in relatively small countries such as Kiribati. For example, according to<br />
the 2005 census, there were 2,472 people born in 2000 and only 2,005 born in 2003.<br />
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Does this mean the birth rate declined sharply between 2000 and 2003? No. As shown in<br />
Figure Four, the census da<strong>ta</strong> show that the number of births in 2005 was 2,403, which is<br />
almost the same as in 2000 2<br />
.<br />
Figure Four: Number of births each year (according to the 2005 census)<br />
3000<br />
2500<br />
2000<br />
1500<br />
1000<br />
500<br />
0<br />
2000 2001 2002 2003 2004 2005<br />
So, while we should <strong>ta</strong>ke note of short-term changes, we should not draw conclusions<br />
about trends until we have compared indicators over a longer term. Depending on the<br />
source of da<strong>ta</strong>, a short-term increase or decrease in a <strong>population</strong> indicator such as the<br />
birth rate could be due to chance, to people rounding off their child's age to the nearest<br />
year, giving an incorrect birth date or to delayed or incomplete information being sent<br />
from health centres. For this reason estimates of fertility and mor<strong>ta</strong>lity rates are usually<br />
based on three or five year averages, because this helps to smooth out short-term<br />
fluctuations. When we look at the long-term trend, it does seem that the number of<br />
births in Kiribati is gradually declining, but perhaps not as sharply as suggested from a<br />
comparison of 2000 and 2003.<br />
The impor<strong>ta</strong>nt thing to remember is, if there's a promising sign such as a reduction in the<br />
fertility or mor<strong>ta</strong>lity rate for a particular year, be happy about it and publicise it as a<br />
promising sign. But don't assume it's a long-term trend until you have evidence that it<br />
has been sus<strong>ta</strong>ined for several years or more.<br />
So there are a few tools to help you unders<strong>ta</strong>nd and follow changes in <strong>population</strong> size<br />
and <strong>population</strong> indicators. Part Three will now pull together everything we have<br />
discussed in this handbook.<br />
2<br />
These are not exact calendar years. The census figure is actually the number of births in the year<br />
preceding the census date, in the year before that, and so on.<br />
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PART THREE: CONCLUSION: Putting it all together…<br />
In Part One we looked at the factors that cause <strong>population</strong> growth rates to change, and<br />
especially at the factors that influence decisions about family size. Part Two was about<br />
how we measure and project <strong>population</strong> growth. So how does all this apply to Kiribati?<br />
Earlier you were asked which phase of the Demographic Transition applies to Kiribati<br />
now. Although it doesn't fit any of them exactly, it is probably closest to Phase Three.<br />
Mor<strong>ta</strong>lity is lower than in traditional times, but still not very low, while fertility is<br />
declining slowly. The <strong>population</strong> has increased subs<strong>ta</strong>ntially since traditional times, and is<br />
continuing at a steady average of 1.8 per cent per year. It hasn't yet reached the phase of<br />
little or no growth. Why not?<br />
Well, although Kiribati has subs<strong>ta</strong>ntial modernisation, and almost half the <strong>population</strong> are<br />
living in urban areas, many people are still living a subsistence lifestyle. While some<br />
families have wage work, good incomes, a high s<strong>ta</strong>ndard of living and high ambitions<br />
that encourage them to have fewer children, many do not. Many I-Kiribati still see large<br />
families as an advan<strong>ta</strong>ge, or maybe they just don't think about family size at all, because<br />
they still think in traditional ways and are not in the habit of planning for the long-term.<br />
But now the nation of Kiribati has to face major new challenges from the changing<br />
world economic situation and climate change. These changes are affecting livelihoods,<br />
food security and gradual sea-level rise is even s<strong>ta</strong>rting to eat away at area of land.<br />
Adap<strong>ta</strong>tion to these changes is vi<strong>ta</strong>l, and improving the balance between <strong>population</strong> and<br />
resources is an essential part of that adap<strong>ta</strong>tion. As s<strong>ta</strong>ted at the beginning of this<br />
handbook, it is difficult to increase natural resources, but it is possible to add value to<br />
human resources by developing capacity. And as we have seen in the discussion of<br />
fertility determinants above, when human resources develop and people have<br />
opportunities to improve their living s<strong>ta</strong>ndards and economic situation, they tend to want<br />
fewer children.<br />
This improves the <strong>population</strong> and resources balance in two ways. On the one hand<br />
human resources become more productive, while on the other hand the <strong>population</strong><br />
growth rate slows.<br />
The Kiribati Population Policy Implemen<strong>ta</strong>tion Strategy is designed to improve the<br />
balance between <strong>population</strong> and resources in exactly this way. It promotes the<br />
development of human resources and employment, while at the same time encouraging<br />
people to <strong>ta</strong>ke a long-term view of their future. This includes having only the number of<br />
children they can afford to support, and educate until they can find a sus<strong>ta</strong>inable<br />
livelihood. It will require a lot of time and effort before everyone in Kiribati unders<strong>ta</strong>nds<br />
the impor<strong>ta</strong>nce of this adap<strong>ta</strong>tion, and even longer before everyone s<strong>ta</strong>rts to act in a way<br />
that makes it happen. But, if properly implemented, these strategies will play a major part<br />
in achieving sus<strong>ta</strong>inability and a bright and prosperous future for Kiribati.<br />
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'Population' simply means 'the people'. We<br />
usually say '<strong>population</strong>' instead of 'the people'<br />
when we <strong>ta</strong>lk about things like<br />
• The to<strong>ta</strong>l number in the country<br />
• How fast that number is growing<br />
• Distribution across the country<br />
• The numbers of males and females<br />
• The numbers in each age group<br />
Population and living s<strong>ta</strong>ndards<br />
Population size and the balance between<br />
<strong>population</strong> and resources are the major<br />
determinants of living s<strong>ta</strong>ndards.<br />
Resources are the wealth of the nation,<br />
including natural resources, such as the land,<br />
coconut trees and fish, and human capacity,<br />
skills and knowledge.<br />
If resources are shared among a small<br />
<strong>population</strong> a high s<strong>ta</strong>ndard of living is possible<br />
If the same resources are shared among a<br />
larger <strong>population</strong>, living s<strong>ta</strong>ndards tend to be<br />
lower.<br />
As <strong>population</strong> increases, living s<strong>ta</strong>ndards tend<br />
to decline unless resources also increase.<br />
This is true for each family as well as for the<br />
whole country<br />
Which family will get the biggest share per<br />
person from their $100?<br />
How can Kiribati improve its balance<br />
between <strong>population</strong> and resources?<br />
There are three main ways:<br />
• Human resource development (more<br />
education, more skills, more cash<br />
earning opportunities)<br />
• Use human skills to increase the value<br />
of natural resources like fish and<br />
coconuts<br />
• Slow the <strong>population</strong> growth rate<br />
(promote a smaller family size)<br />
The best strategy is a combination of all three,<br />
because they are linked:<br />
Investing in education to develop human<br />
resources, especially trade skills, gives the<br />
<strong>population</strong> more capacity to earn cash and add<br />
value to natural resources. This helps to slow<br />
<strong>population</strong> growth because smaller families are<br />
an advan<strong>ta</strong>ge when livelihoods come mainly<br />
from cash earnings.<br />
The Kiribati Population Policy<br />
Implemen<strong>ta</strong>tion Strategy uses this approach<br />
to improve living s<strong>ta</strong>ndards and slow the<br />
<strong>population</strong> growth rate
What do I need to know<br />
about <strong>population</strong>?<br />
Kiribati Population Implemen<strong>ta</strong>tion Strategy<br />
2009<br />
Some useful facts about the Kiribati<br />
<strong>population</strong> 1<br />
:<br />
To<strong>ta</strong>l <strong>population</strong>, 1969 = 48,000<br />
To<strong>ta</strong>l <strong>population</strong>, 2009 = 100,000<br />
Average increase<br />
each year = 1.8 %<br />
Population doubling time<br />
(at 1.8% per year) = 39 years<br />
Males = 49.3 %<br />
Females = 50.7 %<br />
Age groups:<br />
Younger than 15 years = 37 %<br />
Less than 21 years =50%<br />
Working age (15-59) = 58%<br />
Past working age<br />
(55 years and over) = 5 %<br />
Population living in<br />
South Tarawa = 44 %<br />
Population living in<br />
Line Islands = 6 %<br />
Population living on<br />
other Outer Islands = 50 %<br />
1 Estimates based on 2005 census report<br />
Why does Kiribati need a <strong>population</strong><br />
strategy as soon as possible?<br />
The World is changing. International economic<br />
and financial systems are becoming uns<strong>ta</strong>ble.<br />
The climate is becoming warmer and<br />
subs<strong>ta</strong>ntial sea level rise is predicted. Some i-<br />
Kiribati may need to look for jobs and/or new<br />
homes in other countries.<br />
I-Kiribati need to be well prepared with skills to<br />
help them find work, at home or overseas.<br />
Smaller families and slower <strong>population</strong> growth<br />
make it easier to adapt to new conditions and<br />
climate change.<br />
Some I-Kiribati, in both South Tarawa and the<br />
outer <strong>island</strong>s, do not have safe water,<br />
adequate sani<strong>ta</strong>tion or a good s<strong>ta</strong>ndard of<br />
health. Many do not have the right skills to find<br />
wage employment.<br />
Developing skills and upgrading services<br />
across the entire country would encourage<br />
people to remain or resettle in the outer <strong>island</strong>s,<br />
including Kiritimati. This would increase cash<br />
earning opportunities outside South Tarawa.<br />
Spreading the <strong>population</strong> more evenly would<br />
improve living s<strong>ta</strong>ndards in both South Tarawa<br />
and the outer <strong>island</strong>s.
Annex 3.a: JONES: Discussion Paper - Squatters in Kiritimati Island<br />
Squatters in Kiritimati Island<br />
Issues, Causes and Strategic Directions<br />
Squatter housing on the edge of Poland, a small copra cutting village on the south west peninsula<br />
of Kiritimati Island.<br />
March, 2009<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
Table of Contents<br />
1. Objectives of the Paper<br />
2. What is a Squatter?<br />
3. The Number and Location of Squatters in Kiritimati Island<br />
4. Results of the Squatter Survey, 2008<br />
5. Summary of the Survey Findings<br />
6. The Causes of Squatting<br />
7. The Impacts of Squatting<br />
8. Option for Management<br />
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1. Objectives of the Paper<br />
The objectives of this discussion paper are to;<br />
Discussion Paper - Squatters in Kiritimati Island<br />
(i) assess the condition and characteristics of squatters living on Kiritimati Island,<br />
including unders<strong>ta</strong>nding why drives households to illegally occupy S<strong>ta</strong>te lands.<br />
(ii) identify options to address the growing squatter problem on Kiritimati Island, and<br />
(iii) recommend directions for the future management of squatters. 1<br />
2. What is a Squatter?<br />
In the Kiritimati Island context, squatter refers to a household who is living illegally on S<strong>ta</strong>te<br />
lands. Illegal refers to a household who has not been issued formal permission to reside and<br />
develop S<strong>ta</strong>te lands. Such permission could have been given in the form of a lease, the issue of<br />
freehold land or a licence to cut copra. Lease and freehold land tenure can be conferred under the<br />
provisions of the S<strong>ta</strong>te Lands Act, 2001.<br />
A main driver of squatting has been the issue of licences to cut copra. The copra licences were<br />
issued jointly by the Wildlife Unit of the Environment and Conservation Division, MELAD, in<br />
London, as well as the Land Management Division, Kiritimati Island (LMDK). The legal basis<br />
of these licences is uncer<strong>ta</strong>in and cannot be ascer<strong>ta</strong>ined from either LMDK or the Wildlife Unit.<br />
However, a direction from the Minster in late 2008 has resulted in no more licences being issued<br />
given the concern on the extent of squatters (te ka kai) and the environmen<strong>ta</strong>l damage now being<br />
caused. This direction was reaffirmed during the MELAD Ministerial Tour to Kiritimati Island in<br />
early March, 2009.<br />
The copra licences as issued were for 3 months at a cost of $30 for households who wish to live<br />
in the bush to cut copra. Weekend or daily access to cut copra requires no permit or permission.<br />
It is estimated by the Wildlife Unit that approximately 50% of copra cutters issued with licences<br />
(now well expired) are squatters, that is, they have resided in the bush as over s<strong>ta</strong>yers. Under the<br />
licence conditions, copra cutters are supposed to vacate the site at the end of 3 months and have<br />
to wait one month before reapplying. The number of applicants applying to the Wildlife Unit for<br />
1<br />
The fieldwork for this paper was under<strong>ta</strong>ken in July 2008, and completed after discussion with s<strong>ta</strong>keholders in<br />
March, 2009.<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
a copra licence declined in 2008, one reason being that the copra cutters are s<strong>ta</strong>ying on as<br />
squatters at the expiry of their lease and not renewing.<br />
2. The Number and Location of Squatters in Kiritimati Island<br />
As at July, 2008, there were 48 squatter families in Kiritimati Island, comprising 19 squatters in<br />
the villages (40%) and 29 squatters in the bush (60%). 2 A recount of squatters was done at the<br />
beginning of March, 2009, to gauge the extent of change. 3 As at the 6 th<br />
March, 2009, there were<br />
now 67 squatter families, comprising 64 in the bush and 3 in the villages. Thus, over an 8 month<br />
period, there had been an increase of nearly 40% of squatters.<br />
The location of squatters can be divided into two broad categories, namely, village or bush.<br />
Village refers to the planned settlements of London, Tennessee, Tabwakea, Main Camp, Banana<br />
and Poland where land has been leased or allocated as freehold. Squatters have <strong>ta</strong>ken up land<br />
mainly in the villages of Banana and Poland, and to a lesser extent Tabwakea. The villages of<br />
Banana and Poland are furthest removed from the headquarters of Government. With the<br />
exception of several agricultural leases allocated between Banana and Man Camp, the villages<br />
are surrounded by S<strong>ta</strong>te lands that have not been alienated. Bush refers to all the areas outside<br />
the villages in Kiritimati Island, and specifically, the former copra plan<strong>ta</strong>tions. These copra<br />
plan<strong>ta</strong>tions are numbered numerically in the northern peninsula area (1 to 7) including those near<br />
the Decca and Four Wells water reserves on the lagoon side. To the south of Banana, as well as<br />
near Poland and the New Zealand airstrip, there are located another 7 plan<strong>ta</strong>tions, all having<br />
4<br />
specific names. It is these plan<strong>ta</strong>tions which are <strong>ta</strong>rgeted by the <strong>population</strong> including squatters<br />
for the cutting of copra. The only non copra based squatter households in the bush are the pet<br />
fish divers located to the southeast near the Korean Wreck.<br />
Previous attempts at dealing with squatters have focused on asking them formally and informally<br />
to leave and issuing them with notices to vacate. However, none of these actions have ever<br />
proceeded to court as a direction had been issued by the responsible Ministry not to proceed.<br />
2 Best estimate after field research by LMDK, July, 2008 and February, 2009..<br />
3 Under<strong>ta</strong>ken for the Population Component of the ADB TA as well as to provide an up to date figure for the<br />
MELAD Ministerial Tour which visited Kiritimati Island, beginning of March, 2009.<br />
4 Sourced from Wildlife Unit, Conservation and Environment Division, MELAD, London.<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
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4. Results of the Squatter Survey, 2008<br />
Discussion Paper - Squatters in Kiritimati Island<br />
A survey of 25 squatter households was under<strong>ta</strong>ken in the week Monday 30 June, to 4 July,<br />
2008. The survey represents some 52% of squatters in Kiritimati Island as counted by the<br />
LMDK and provides a ‘snapshot’ of conditions, concerns and lifestyle characteristics of<br />
squatters. The survey was pre-tested on Friday 27 June, 2008, and fine tuned. A copy of the<br />
questionnaire is provided as Annex 1. Some 11 squatters were interviewed in the villages and 14<br />
squatters interviewed in the bush. Some 19 of those interviewed (76%) were the head of the<br />
household while 6 were the wife of the husband who was head of the household (22%). The<br />
to<strong>ta</strong>l number of people living in the households was 108 people which equates to a household of<br />
size of approximately 4.3 per household here. This lower than average household size may be<br />
explained by the fact that most squatters have moved from a larger family group to the village or<br />
bush. The squatters are more akin to a nuclear group rather than an extended family.<br />
* Question 1; Home Island (Birthplace)<br />
Number<br />
18<br />
16<br />
14<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Home Island - Birthplace<br />
Rabi Tarawa Other Gilbert<br />
Group<br />
Home Island<br />
Kiritimati Fanning<br />
Of the 25 respondents, some 16% were from Tarawa and 64% were from other <strong>island</strong>s in the<br />
Gilbert Groups. Thus, the to<strong>ta</strong>l from the Gilbert Group was 80%. Only 3 respondents or 12% of<br />
squatters were from Kiritimati Island. In migration is high with 88% of squatters on Kiritimati<br />
Island being born elsewhere.<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
* Question 2: Place of residence immediately before coming to Kiritimati Island<br />
Of the 23 respondents who had moved to Kiritimati Island - 2 respondents indicated they have<br />
always been living here - 21 or 91% said they were living in Tarawa before coming to Kiritimati<br />
Island. The other 2 were living in Fiji and Teeraina before relocating to Kiritimati Island.<br />
Number<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
Place of Residence before Kiritimati Island<br />
Tarawa Teeraina<br />
Location<br />
Fiji<br />
* Question 3: List of places of residence before the last place of residence<br />
The places of residence include <strong>island</strong>s in the Gilbert Group, the Line and Phoenix Islands as<br />
well as Fiji. The average number of locations before the last place of residence was 5.3. If one<br />
excludes the 3 households who lived in over 10 locations, the average is 4.3<br />
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Number<br />
16<br />
14<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Discussion Paper - Squatters in Kiritimati Island<br />
Place of Residence before Last Residence<br />
* Question 4: How long have you lived here?<br />
up to 5 locations 6-10 locations 11-12 locations<br />
Range of Locations<br />
Of the 23 respondents, the majority of squatters had lived in their current location for less than<br />
one year. The two squatters that had lived in one location for 17 and 20 years respectively were<br />
in Banana. If one excludes these two squatters, the average length of time the squatters have been<br />
in their current location is 1.7 years.<br />
Number of Years<br />
16<br />
14<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Length of Time in Current Location<br />
up to 1 year 2 to 5 years<br />
Range<br />
6 to 20 years<br />
* Question 5: Where else in Kiritimati have you lived besides this place?<br />
In addition to their current place of residence, squatters having lived on average in 2.4 other<br />
locations in the village or bush in Kiritimati Island. Only 2 out of 25 respondents had been in the<br />
same location (Banana). Some 9 squatters (36%) had been in 3 locations before the current place<br />
of squatting.<br />
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Number<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Discussion Paper - Squatters in Kiritimati Island<br />
Other Locations of Residence in KI besides<br />
Current Place<br />
same<br />
location<br />
1 location 2 locations 3 locations 4 locations 5 locations<br />
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Range<br />
* Question 6 (a): Why did you choose to live in the village rather than bush?<br />
Some 11 of the 25 squatters were living in the villages. The reasons for residing in the village<br />
rather than bush were diverse including: (i) social interaction - access to news, play games, (ii)<br />
earn money, (iii) family in the village, (iv) close to school, (v) no tools for copra and (vi) easy to<br />
fulfil needs.<br />
Number<br />
3.5<br />
3<br />
2.5<br />
2<br />
1.5<br />
1<br />
0.5<br />
0<br />
Easy to get<br />
needs<br />
Main reasons for squatting in village<br />
Close to<br />
schools<br />
Social<br />
interaction<br />
Reasons<br />
Family ties Other<br />
* Question 6(b): Why did you choose to live in the bush rather than village?
Discussion Paper - Squatters in Kiritimati Island<br />
Some 14 of the 25 squatters were residing in the bush. The overwhelming reason for squatting in<br />
the bush instead of the village was the need cash and money (71%) followed by (i) easier to meet<br />
needs in bush rather than village, (ii) not working, and (iii) to serve the family.<br />
Number<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Main reasons for squatting in bush<br />
Not working Serve family Easier to meet<br />
needs<br />
Reasons<br />
* Question 7 (a): Is it easy to get medical treatment for the family?<br />
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Need cash and<br />
monery<br />
While 2 out of the 25 respondents said they do not use the formal clinics or health center in<br />
London. The remainder (92%) said it was easy to get medical treatment.<br />
Number<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
Easy to get Medical Treatment?<br />
Don’t use Yes<br />
Response<br />
* Question 7(b): Where do you go for medical treatment?
Discussion Paper - Squatters in Kiritimati Island<br />
There is a strong relationship between place of squatting and use of clinics. Most squatters use<br />
the clinics in the village where they reside or the closest village to the bush where they are<br />
squatting. Of the 23 respondents, 7 used the clinic in Banana, 8 used the clinic in Tabwakea, 3<br />
used the London Health Center and 5 used a mix of clinics as well as the Health Center.<br />
Number<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Location of Medical Treatment<br />
Banana clinic Tabwakea clinic London Health<br />
Center<br />
Clinics and Health Center Used<br />
* Question 8: Is it easy for children to get to school?<br />
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Mix if clinic - HC<br />
Some 20 out of the 25 squatters had school children. One was unsure as to ease of access while<br />
the remaining 19 (95%) said access to school was not a constraint.
Number<br />
20<br />
15<br />
10<br />
5<br />
0<br />
Discussion Paper - Squatters in Kiritimati Island<br />
Ease of Access to Schools<br />
* Question 9(a): Is it easy for you to earn cash?<br />
unsure no school age children easy to get to school<br />
Results<br />
Of the 25 respondents, 5 (20%) indicated it was easy to earn cash and 20 (80%) indicated it<br />
wasn’t. Of the 5 that said it was easy to earn cash, 4 of these households were located in the<br />
villages (Banana and Tennessee).<br />
Number of<br />
Respondents<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
Easy to Earn Cash<br />
Yes No<br />
Response<br />
* Question 9(b): How does your family earn cash?<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
There were a to<strong>ta</strong>l of 38 responses with the two dominant ways of earning money being cutting<br />
of copra (45%) and fishing (24%). Other ways of earning cash included selling of handicrafts,<br />
casual and contract work such as working when the ship comes in at the Kiribati Port Authority,<br />
making toddy and other including pet fish diving and cash from other family members in full<br />
time employment.<br />
Number of Respondents<br />
18<br />
16<br />
14<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Casual<br />
contract<br />
work<br />
Main Ways of Earning Cash<br />
Cutting<br />
copra<br />
Fishing Making<br />
toddy<br />
Response<br />
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Selling<br />
crafts<br />
Other<br />
* Question 10(a and b)); Did your family apply for land under the Phase 1 CASL land<br />
release and were you successful or unsuccessful?<br />
Only six respondents (24%) applied for land under the Phase 1 land release. Of the six<br />
respondents, 4 (66%) were successful and 2 (33%) unsuccessful.<br />
Number of<br />
Respondents<br />
20<br />
15<br />
10<br />
5<br />
0<br />
Phase 1 CASL Land Release<br />
Apllied Not Applied Successful Unsuccessful<br />
Result
Discussion Paper - Squatters in Kiritimati Island<br />
* Question 10 (c): Why did you not apply for land under the CASL land release?<br />
There were 19 responses with a range of reasons given as to why they did not apply. The main<br />
reason was not being eligible (such as under 25 years of age), just arrived in Kiritimati Island,<br />
some already have an existing lease in Kiritimati Island and some had no plans as yet. Other<br />
responses included the mother or grandmother had applied and one respondent was just happy to<br />
s<strong>ta</strong>y as a squatter.<br />
Number<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Why household did not apply for land in the<br />
CASL land release?<br />
Have<br />
existing<br />
lease<br />
Not eligible No plans Just arrived Other<br />
Response<br />
* Question 11: Would you apply for land if you got another opportunity?<br />
There were 22 responses with 18 (82%) indicating they would apply and 4 (18%) indicating they<br />
would not. The reason for the four not reapplying was that they had applied and anticipated<br />
being allocated land.<br />
Number<br />
20<br />
15<br />
10<br />
5<br />
0<br />
Would you reapply for land?<br />
Yes No<br />
Response<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
* Question 12(a): What is the best thing about living here?<br />
There were a range of responses (31) with the most prominent being ease of access to food<br />
(copra and fish - 52%) followed by the location being quite with no people, plenty of free time<br />
and money easy to get.<br />
Number<br />
18<br />
16<br />
14<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Easy to get<br />
food<br />
Best thing about squatting ?<br />
Quiet - no<br />
people<br />
Free time Money easy<br />
to get<br />
Response<br />
* Question 12(b): What is the worst thing about living here?<br />
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Other<br />
There were 28 responses with the half the responses being that there was nothing wrong with<br />
living in their current location as a squatter (50%). Some 21% complained of youth and people<br />
generally drinking, while 11% complained of noise (likely from drinking). Other responses<br />
included no toilet, flies, difficulty of transport and limited vege<strong>ta</strong>bles.<br />
Number<br />
16<br />
14<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
Worst thing about living here?<br />
Nothing People - youth<br />
drnking<br />
Noise Other
5. Summary of the Survey Findings<br />
Discussion Paper - Squatters in Kiritimati Island<br />
There are a number of findings that can be derived from the survey. In summary, these are;<br />
• the squatters are a highly mobile group, being overwhelmingly non Kiritimati Island<br />
born residents. Only 12% of squatters nominated Kiritimati Island as their birthplace<br />
while 80% had come from the Gilbert Group. Some 91% of squatters said they were<br />
living in Tarawa before coming to Kiritimati Island.<br />
• the average number of locations lived in prior to coming to Kiritimati Island was 5.3 and<br />
excluding three households who had lived in over ten locations, the average was 4.3<br />
locations. Prior places of residence include <strong>island</strong>s in the Gilbert Group, Line and<br />
Phoenix Islands as well as Fiji. The average length of time in their current location in<br />
Kiritimati Island was 1.7 years.<br />
• squatters had lived on average in 2.4 other locations in Kiritimati Island prior to their<br />
current location. Whether such residence was as a squatter or as part of a household on<br />
leasehold or freehold land, is unclear. All of the above findings are significant as they<br />
point towards a highly mobile and itinerant group of people who migrate within Kiribati<br />
as well as move within Kiritimati Island.<br />
• squatters reside in the village and bush for different motives. In the village the main<br />
drivers are family connections, the need for social interaction as well access to schools<br />
and other needs. In the bush, the main overwhelming driver is the need for employment<br />
in copra so as to generate cash and money (71%). Those squatting in the bush saw it<br />
easier to meet their needs by not living in the village.<br />
• access to medical treatment by squatters including use of health clinics and London<br />
Health Center was not seen as a problem. Some 92% said it was easy to access to<br />
medical treatment while access to schools (95%) was also not seen as problematic. Thus,<br />
basic services such as medical services and schools are not seen as limiting factors by<br />
squatters in their location.<br />
• while working to earn cash and money is not seen as easy, the two dominant ways of<br />
earning money come from copra (45%) and fishing (24%). Thus, some 69% rely directly<br />
on exploi<strong>ta</strong>tion of the natural resource for household monetisation.<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
• few squatters (24%) applied for land under the CASL Phase 1 release. There was range<br />
of reason given including not being eligible to apply, respondents having just arrived in<br />
Kiritimati Island, squatters already having leases and some being unsure of their future<br />
plans. Some 82% of squatters said they would apply for land if another land release<br />
phase was announced, suggesting security of land tenure was an aspiration for many.<br />
• In terms of living in their current location, the overwhelming factor that squatters liked<br />
was ease of access to food (52%). When asked what the worst thing about living in the<br />
current location, 50% said there was nothing wrong. Thus, there is a perception by half<br />
of the squatters surveyed that the quality life that squatting offers in the bush and village<br />
is satisfactory and provides no constraint.<br />
6. The Causes of Squatting<br />
The survey results indicate that the bulk of squatters are from the Gilbert Group. Residents from<br />
Kiritimati Island represent only a small number of those who are squatting in the villages and<br />
bush. When in migrants arrive in Kiritimati Island, primarily by ship, they reside with relatives<br />
or friends, occupy private or government housing, or s<strong>ta</strong>y in a church compound area. These<br />
settlers are prominent in the Baha’i in Banana, Church of Christ in Tabwakea and the Catholic<br />
Church compound in London, for example. These accommodation arrangements provide a<br />
safety valve for families who do not have access to their own land, the land of relatives or friends<br />
or access to Government and private housing. Families do not squat on immediate arrival in<br />
Kiritimati Island, the process being a step by step movement from one location to another so as<br />
to best meet family needs at the time. Civil servants who have retired, left their government<br />
housing and have not been able to get land on Kiritimati Island and are now squatting in village<br />
areas, provide one example of the range of squatters living on Kiritimati Island. .<br />
The survey results show that there are two types of squatter groups in Kiritimati Island - those<br />
who prefer to reside in the village and those who reside in the bush. Those wanting to live in the<br />
village have different needs and expec<strong>ta</strong>tions from those in the bush and vice versa. Those<br />
squatting in the village have not been able to get land through the formal land process and are not<br />
prepared to wait the many years that this process may <strong>ta</strong>ke. Those living in the bush seek ready<br />
access to copra so as to generate cash and income. The trigger for a family to move from a<br />
household and squat comes from three main drivers:<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
• social issues and concerns such as disagreement or argument with the household or<br />
church, moving to be close to another relative, the need to have better access to food such<br />
as fish and coconut, completion of government work contract and loss of housing, etc,<br />
• economic drivers, namely, the need to cut copra so as to ob<strong>ta</strong>in money. There are also<br />
the residents who squat so they have access to the better pet fish diving sites. These were<br />
originally based in the villages but as the pet fish resource has declined, the better fish<br />
sites are now accessed from areas outside the village. For those living in the bush,<br />
cutting copra and generating cash is the overwhelming driver.<br />
• environmen<strong>ta</strong>l concerns such as overcrowding, less noise, less people, etc.<br />
From the survey, the first two triggers emerge as the main drivers for squatting although in<br />
reality it is a combination of all and primarily the social and economic concerns.<br />
In addition to the above, there are a number of other factors which create a favourable enabling<br />
environment which assists in facili<strong>ta</strong>ting the process of squatting in Kiritimati Island. These are;<br />
• the reality that lands to be occupied are S<strong>ta</strong>te lands and as such, the public have some<br />
right to share the resources of these ‘public’ lands,<br />
• the reluc<strong>ta</strong>nce by the land owner (the S<strong>ta</strong>te) to <strong>ta</strong>ke eviction action against those who are<br />
squatters. Squatters would be far less likely to squat without permission on lands that are<br />
family or traditional lands, as the consequences could be severe,<br />
• the small amount of land that is periodically released, with families knowing that demand<br />
for land far outstrip supply. Eligibility criteria has to be met and the outcome is very<br />
much uncer<strong>ta</strong>in.<br />
• the slowness and erratic nature of the land allocation process to date. In other words,<br />
land is not readily available as in a ‘normal’ market where there is buying or leasing of<br />
land and there is reasonable supply in advance of demand. The land market in Kiritimati<br />
Island is constrained and heavily regulated, with land being more readily available<br />
through the informal system (such as squatting) so as to meet immediate day to day needs<br />
rather than complying with a long term uncer<strong>ta</strong>in formal process.<br />
Figure 1 outlines a conceptual approach to unders<strong>ta</strong>nding the process of squatting in Kiritimati<br />
Island.<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
Figure 1: Conceptual Approach to Unders<strong>ta</strong>nding the Process of Squatting in Kiritimati Island<br />
Kiritimati<br />
Island<br />
residents<br />
Social Drivers<br />
* family and<br />
household disputes<br />
* need for easy<br />
access to natural<br />
resources for food<br />
In migration primarily<br />
from the Gilbert Group<br />
Migrants reside with<br />
relatives, friends, use church<br />
compounds-maneabas<br />
Triggers for squatting - social,<br />
economic and environmen<strong>ta</strong>l drivers to<br />
meet day to day and short term needs<br />
Economic<br />
Drivers<br />
* cut copra and<br />
catch fish to<br />
generate cash and<br />
income<br />
Squat on S<strong>ta</strong>te lands<br />
Village lands Bush lands<br />
Little or no enforcement<br />
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Consider<br />
options for<br />
formal land<br />
supply in 3-4<br />
years<br />
Ob<strong>ta</strong>in 3 month<br />
copra license<br />
Environmen<strong>ta</strong>l<br />
Drivers<br />
* noise<br />
* overcrowding<br />
* too many people
7. The Impacts of Squatting<br />
Discussion Paper - Squatters in Kiritimati Island<br />
There is increasing concern by the Wildlife Unit and others such as Agriculture over the increase<br />
in <strong>population</strong> numbers generally and specifically the increase in squatters in the bush. Squatters<br />
are now visibly impacting on the environmen<strong>ta</strong>l protected areas which exist to the south and<br />
south east of the <strong>island</strong>. Many of the copra plan<strong>ta</strong>tions used by copra cutters including squatters<br />
exist side by side with the areas designated by legislation as ‘environmen<strong>ta</strong>l protection’. These<br />
‘protected areas’ are recognised nationally and globally for their bird and fish life. These latter<br />
areas are approximately marked on the ground with concrete markers and signs.<br />
The concerns being expressed on the environmen<strong>ta</strong>l impacts are wide ranging and include;<br />
• an increase in traffic including construction of new roads. This includes the new ‘cross<br />
<strong>island</strong>’ road constructed by the pet fish squatters in the south east of the <strong>island</strong> near<br />
Korean Wreck. The road, now formalised, goes through a protected area.<br />
• an increase in cats, dogs and pigs, many of which end up as feral in the bush. The cats are<br />
a recognised danger to a declining bird life including the endangered ground bird species,<br />
the bokikokiko.<br />
• the stripping of young nuts from coconut trees, which have not yet reached maturity,<br />
• the spread of wildfire which has occurred in the past, burning for 2- 3 weeks over<br />
extensive protected and no protected areas.<br />
• the permanency of many dwellings including extensive use of local materials and more<br />
recently permanent materials such as roofing iron, and<br />
• the extent of non renewable rubbish now being left in the bush, such as tins, rubber and<br />
plastics.<br />
8. Options for Management<br />
The community and the Government have created for themselves a problem of major magnitude.<br />
Unchecked in migration and <strong>population</strong> growth, lack of formal employment, lack of access to<br />
land combined with no or little enforcement, has mean the creation of a squatter problem with<br />
major consequences. There are only 2 paths of action:<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
• Take action - this will require strength and commitment which, as history shows, is not<br />
a key feature of Kiribati community, political life and the machinery of Government.<br />
Clearly, the causes of the problem need to be foremost and firstly addressed, namely, in<br />
migration and <strong>population</strong> growth and access to land. Until this main driver is <strong>ta</strong>ckled, the<br />
symptoms such as squatting with its major environmen<strong>ta</strong>l consequences will not change.<br />
Concurrent with the above, is the need for enforcement, albeit done in a manner which<br />
allows families ‘breathing space’ to return to other families in the villages or move back<br />
to their home <strong>island</strong>s. This should be the priority action to be put in place in<br />
combination with awareness of environmen<strong>ta</strong>l responsibilities. The reality is that there<br />
should be access to the bush areas but on a highly regulated short term basis aimed at<br />
sus<strong>ta</strong>ining the <strong>island</strong>s resources.<br />
• Take no action - continuation of inaction will mean the issues and concerns will<br />
continue to escalate. The unique environmen<strong>ta</strong>l resource will be depleted and continued<br />
to be ‘mined’. Many in the community are acutely aware of the consequences of no<br />
action. However, day to day demands for living including food, and lack of collective<br />
local; vision, mean a longer term view of sus<strong>ta</strong>ining and protecting the resource for<br />
others, is not a realistic consideration in the I-Kiribati socio-cultural order. Therein lies<br />
the challenge to be confronted.<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
Annex 1<br />
KIRITIMATI ISLAND SURVEY OF SQUATTER LIVING CONDITIONS, JULY 2008<br />
Interview location________________________________________________<br />
Date of Interview: ________________Interviewer: ______________________<br />
Person Interviewed<br />
[1] Head of household<br />
[2] Wife of husband of head<br />
[3] Other<br />
Number in household<br />
Males 16 yrs and over<br />
Males under 16 years<br />
Female 16 yrs and over<br />
Female under 16 yrs<br />
TOTAL<br />
Males Females<br />
***************************************************************<br />
Q1 Where is your home <strong>island</strong> (birthplace)?<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
_____________________________________________________________<br />
Q2 Where were you living immediately before you came to Kiritimati?<br />
_____________________________________________________________<br />
Q3 Where did you live before that? (List all places in reverse order)<br />
_____________________________________________________________<br />
_____________________________________________________________<br />
Q4 How long have you lived here?<br />
_____________________________________________________________<br />
Q5 Where else have you lived in Kiritimati besides this place? (List all places<br />
in reverse order, and put (R) after those that were living with relatives)<br />
_____________________________________________________________<br />
_____________________________________________________________<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
Q6 Why did you choose to live in (village/bush) instead of (village/bush)?<br />
__________________________________________________________<br />
Q7 Is it easy for you to get medical treatment for your family?<br />
[1] Yes<br />
[2] No<br />
Where do you go?________________________________________________<br />
Q8 Is it easy for your children to get to school?<br />
[1] Yes<br />
[2] No<br />
Q9 Is it easy for you to earn cash?<br />
[1] Yes<br />
[2] No<br />
How does your family earn cash?____________________________________<br />
_______________________________________________________________<br />
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Discussion Paper - Squatters in Kiritimati Island<br />
Q10 Did your family apply for land under the recent CASL land release?<br />
[1] Yes<br />
[2] No<br />
---> Successful [1] Unsuccessful [2]<br />
If no, why not?_________________________________________________<br />
____________________________________________________________<br />
Q11 Would you consider applying for land if you get another opportunity?<br />
[1] Yes<br />
[2] No<br />
If no, why not?__________________________________________________<br />
____________________________________________________________________<br />
Q12 What is the best thing about living here?<br />
____________________________________________________________________<br />
Q12 What is the worst thing about living here?<br />
____________________________________________________________________<br />
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Q13 Anything else you would like to say?<br />
Discussion Paper - Squatters in Kiritimati Island<br />
____________________________________________________________________<br />
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Annex 3.b: JONES: Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
A Review and Analysis of Settlement and Resettlement<br />
Plans and Policies for Kiritimati Island<br />
February, 2009<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
Table of Contents<br />
Section A - Existing Settlement and Resettlement Plans and Polices for Kiritimati Island<br />
1. Objectives of the Paper<br />
2. The Uniqueness of Land on Kiritimati Island<br />
3. Population and Migration<br />
4. Future Population Estimates<br />
5. Settlement History<br />
6. Village Settlement Patterns<br />
7. Institutional Arrangements<br />
8. Legislative Framework for Settlement and Resettlement Planning<br />
9. Arrangements for Land Tenure<br />
10. Physical Framework Plans for the Growth of Kiritimati Island<br />
11. Settlement and Resettlement Policy<br />
12. Characteristics of the New Settlers<br />
13. New Forms of Villages<br />
14. Land Allocation Policy Before 2005<br />
15. Land Allocation Targets and Process Post 2005<br />
16. Committee for the Allocation of S<strong>ta</strong>te Lands (CASL)<br />
17. Infrastructure Needs for the Phase 1 222 Plot Release, 2008<br />
18. Environmen<strong>ta</strong>l Decline<br />
19. Limits to Settlement Growth<br />
Section B – Recommendations for Future Settlement and Resettlement on Kiritimati Island<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
Section A - Existing Settlement and Resettlement Plans and Polices<br />
1. Objectives of the Paper<br />
The objectives of this discussion paper are to;<br />
(i) identify and assess Governments existing settlement and resettlement plans and<br />
polices for Kiritimati Island, and<br />
(ii) outline recommendations to guide the future settlement and resettlement of<br />
Kiritimati Island.<br />
In this paper, settlement refers to the varying concentrations and patterns of housing, business<br />
and other uses and functions including villages and towns which arise from <strong>population</strong>,<br />
economic and social change. Settlements may increase in size due to <strong>population</strong> growth and<br />
other factors, or decreasing in size and function due to economic change, for example.<br />
Resettlement is the movement from one location to another and maybe volun<strong>ta</strong>ry or<br />
involun<strong>ta</strong>ry. Volun<strong>ta</strong>ry resettlement is when people or households decide on their own<br />
volition to move, such as from South Tarawa to Kiritimati Island. Involun<strong>ta</strong>ry resettlement is<br />
when people are forced to move from one settlement to another as a result of development or a<br />
natural disaster such as construction of an airport runway, protection of a public water reserve or<br />
widening of a major road. For both volun<strong>ta</strong>ry and involun<strong>ta</strong>ry settlements, Governments and<br />
other organisations may or may not assist in the process.<br />
2. The Uniqueness of Land on Kiritimati Island<br />
Kiritimati Island is located in the isolated Line Islands to the east of Kiribati. The Line and<br />
Phoenix Islands are unique in Kiribati in that all of the <strong>island</strong>s were not historically part of<br />
Kiribati. It was not until immediately after political independence in 1979 that they formally<br />
became a part of the country having being ceded by the Government of the United of S<strong>ta</strong>tes of<br />
America to the Government of Kiribati under the Treaty of Friendship. (Tabuaeran - Fanning<br />
Island - to the north of Kiritimati Island was purchased from Burns Philp Ltd after the country<br />
gained political independence)<br />
As a result, all of the land in this group as acquired is S<strong>ta</strong>te owned land. The exceptions to this<br />
are Government approved one acre freehold tittles sold by Government to individuals chosen by<br />
their own Island Councils in the Gilbert Group for Tabuaeran and Teeraina (Washington)<br />
Islands. This was carried out under what is perhaps the largest resettlement scheme in the<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
Pacific in the 1980s. More recently, the Government granted limited freehold tittles on Kiritimati<br />
Island in what is now known as Tabwakea village in the 1990s. 1 The latter was allocated to long<br />
term I-Kiribati copra workers who had been employed by the Burns Philp Company on the<br />
plan<strong>ta</strong>tions on Kiritimati Island.<br />
Consequently, with the exception of first and second generation children born on these <strong>island</strong>s,<br />
there is no-one on the Line and Phoenix <strong>island</strong>s including Kiritimati Island who can truly say<br />
their families are from those <strong>island</strong>s compared to say someone from Abaiang, Tarawa or other<br />
<strong>island</strong>s in the Gilbert Group. Families in these latter <strong>island</strong>s have land tittles that can be traced<br />
back to ancestral wars prior to the arrival of the British Colonial Administration and the<br />
beginnings of land registers that now exist. Because of this, there is no sense of ownership of the<br />
land except for those with freehold land tittles at the village of Tabwakea. Some residents with<br />
leases on Kiritimati Island consider the issue of freehold title as improper, seeing them as<br />
political favours.<br />
There is therefore a corresponding absence of the traditional notion of individual land owners<br />
being custodians to the land with an obligation to, not only <strong>ta</strong>ke from the land but also, tender,<br />
1 Formerly called ‘Te Riiti’ (Lease Village) as lease agreements were in place prior to the granting of freehold title.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
manage and look after the land for future generations as is common in the rest of Kiribati. More<br />
impor<strong>ta</strong>ntly, there are no traditional social structures revolving around the maneaba and the<br />
“unimwane” (old wise men) system in Kiritimati as is characteristic of other <strong>island</strong>s of Kiribati<br />
in the Gilbert Group (except for South Tarawa).<br />
3. Population and Migration<br />
Kiritimati Island was designated by Government as a “closed district” until the mid 1990s when<br />
it was opened up to I-Kiribati wanting to go there following a court case decision declaring the<br />
“closed district order” as non-Constitutional. This decision was the beginning of a steady flow of<br />
people and increase in <strong>population</strong> on Kiritimati Island (see Table 1). The 2005 <strong>population</strong> was<br />
5,115 persons with a growth rate of 7.9% over the previous five years. This compares to a 1.2%<br />
<strong>population</strong> growth over the previous 1995-2000 period. At the end of 2008, the <strong>population</strong> on<br />
the <strong>island</strong> was estimated to be approximately 6,443 persons.<br />
Population (in numbers)<br />
7,000<br />
6,000<br />
5,000<br />
4,000<br />
3,000<br />
2,000<br />
1,000<br />
0<br />
52<br />
Table 1: Kiritimati Island Population Trends: 1947- 2005<br />
477 367<br />
674<br />
1,265<br />
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5<br />
1,737<br />
2,537<br />
3,225<br />
3,431<br />
5,115<br />
1947 1963 1968 1973 1978 1985 1990 1995 2000 2005<br />
Census year<br />
The increase in <strong>population</strong> in Kiritimati Island needs to be understood in the context of<br />
<strong>population</strong> changes occurring in wider Kiribati. While the overall growth rate of Kiribati was<br />
1.8% per annum, <strong>island</strong>s in the Gilbert Group grew only at a rate of 1.4% while the <strong>island</strong>s in the<br />
Line and Phoenix Group grew at rapid rate of 6.7% per annum. Islands that experienced major<br />
<strong>population</strong> increases included South Tarawa (3,594), Kiritimati Island (1,684) and Fanning<br />
Island (782). The proportion of the national <strong>population</strong> living in the Gilbert Group in 1985 was
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
96% while by 2005 this had decreased to 90%. The proportion of the <strong>population</strong> now residing in<br />
the Line and Phoenix Group is approximately 10% and has increased steadily since 1985 when<br />
only 4.2% of the <strong>population</strong> lived there.<br />
Migration is a key element in the growth of Kiritimati Island. Internal migration within Kiribati<br />
can be estimated from the following:<br />
• comparing the 2000 and 2005 intercensal growth rates per <strong>island</strong> and region,<br />
• comparing the actual number of people born on cer<strong>ta</strong>in <strong>island</strong>s and who still live there,<br />
and<br />
• comparing the place of residence in 2000 with the 2005 place of residence.<br />
Based on the question of where a person lived 5 years ago before the 2000 Census, 72% of the<br />
<strong>population</strong> 5 years and older said they had not moved from their current place, while 26% said<br />
they had lived elsewhere in Kiribati. During the 2000-2005 period, South Tarawa had a net loss<br />
of people to the Gilbert Group of 360 people and net loss of 495 people to the Line and Phoenix<br />
Islands. The Gilbert Group excluding South Tarawa had a net loss to the Line and Phoenix<br />
Islands of 470 persons. Overall, the Line and Phoenix Islands had a net gain from the Gilbert<br />
Group and South Tarawa of approximately 1,000 persons (965) during the 2000-2005 intercensal<br />
period.<br />
In terms of place of birth, less than one third (27,552 persons) of the <strong>population</strong> were born in<br />
South Tarawa and 5% of the <strong>population</strong> in the Line and Phoenix Islands. Almost 82% of the<br />
residents of the Gilbert group were born there while only 39% of the residents of the Line and<br />
Phoenix Islands were born at their current place of residence. Thus, some 71% of residents in the<br />
Line and Phoenix Islands had moved from other locations to settle. Considering the above<br />
trends, South Tarawa had net gain of 11,149 persons in 2000-2005, mainly from the Gilbert<br />
Group, while the Line and Phoenix Islands had a net gain of nearly 4,000 persons, also from the<br />
Gilbert Group. (Table 2)<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
Table 2: Interregional Migration, Kiribati, 2005<br />
Island and Region In Migrants Out<br />
Migrants<br />
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7<br />
Net<br />
Migration<br />
South Tarawa 19,055 7,906 11,149<br />
Gilbert <strong>island</strong>s (excluding South<br />
Tarawa)<br />
6,931 22,074 -15,143<br />
Line and Phoenix <strong>island</strong>s 5,184 1,190 3,944<br />
Kiribati 31,170 31,170 0<br />
Source: Kiribati 2006 Census, Secre<strong>ta</strong>riat of the Pacific Community, 2007<br />
The Kiritimati Island squatter survey (June - July, 2008) under<strong>ta</strong>ken as part of the Population<br />
Component of TA <strong>4878</strong> - KIR, asked 3 questions that provide further information on the nature<br />
of migration from South Tarawa to Kiritimati Island; (i) where is your home <strong>island</strong>?, (ii) where<br />
did you live before coming to Kiritimati Island?, and (iii) where did you live before that this<br />
former place of residence?<br />
As to ones Home Island, only 3 out of 23 respondents (12%) said they were born on Kiritimati<br />
Island. Some 20% were born on Tarawa and the rest (68%) were distributed over the remaining<br />
Kiribati <strong>island</strong>s. In terms of where did you live before Kiritimati Island, 76% said they were from<br />
Tarawa while the remainder were from <strong>island</strong>s ranging from Teeraina to Fiji. In terms of where<br />
did you live before the above <strong>island</strong>, the average location was 4.48, with 2 respondents having<br />
lived in 11 places and one respondent having lived in 12 places. The above all adds weight to<br />
the itinerant nature of many of the migrants to Kiritimati Island.<br />
4. Future Population Estimates<br />
There are a number of <strong>population</strong> scenarios for Kiritimati Island (see Table 3). At the 1995 -<br />
2000 growth rate, the <strong>population</strong> of Kiritimati Island will have doubled to approximately 10,000<br />
persons by around 2020. At the higher 2000-2005 7.9% growth rate, the <strong>population</strong> will have<br />
tripled to nearly 17,000 persons by 2020 and will have doubled by 2010. If <strong>population</strong> continues<br />
unchecked as current, the higher 2000-2005 7.9% growth rate scenario is likely to be most<br />
realistic for Kiritimati Island.
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
Table 3: Population Estimates 1995 to 2020 – Kiribati and Kiritimati Island<br />
Population Projections 1995 2000 2005 2010 2015 2020<br />
Kiribati 77,658 84,494 92,533<br />
(a) 1995-2005 growth rate:<br />
1.75% 100,994 110,230 120,309<br />
(b) 2000-2005 growth rate:<br />
1.82% 101,349 111,004 121,579<br />
South Tarawa 28,350 36,717 40,311<br />
(a) 1995-2005 growth rate:<br />
3.52% 48,068 57,319 68,349<br />
(b) 2000-2005 growth rate:<br />
1.87% 44,262 48,600 53,363<br />
Kiritimati Island<br />
(a) 1995-2005 growth rate:<br />
3,225 3,431 5,115<br />
4.61% 6,441 8,111 10,213<br />
(b) 2000-2005 growth rate: 7.99% (8<br />
Source: Secre<strong>ta</strong>riat of the Pacific Community (SPC), 2007<br />
7,515 11,041 16,957<br />
Based on the above growth rate of 7.9% (8%), the annual estimates of <strong>population</strong> for Kiritimati<br />
Island for the period 2006 to 2012 are as follows:<br />
* 2006: 5,524 * 2007: 5,966<br />
* 2008: 6,443 * 2009: 6,958<br />
* 2010: 7,515 * 2011: 8,116<br />
* 2012: 8,765 * 2013: 9,466<br />
* 2014: 10,223 * 2015: 11,041<br />
The above indicates that the <strong>population</strong> of Kiritimati Island end 2008 was approximately 6,443<br />
persons, an increase of approximately 1,328 persons since the 2005 Census. In February, 2008,<br />
as a result of work under<strong>ta</strong>ken by the ADB Water and Sani<strong>ta</strong>tion Design (the Growth Centers TA<br />
Project), the Government agreed that measures needed to be <strong>ta</strong>ken to better manage ‘undesirable<br />
trends in <strong>population</strong> growth in Kiritimati Island’. The options by which this could be achieved<br />
are now awaited.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
5. Settlement History<br />
Permanent <strong>population</strong> commenced on Kiritimati Island in 1882, six years before the atoll was<br />
formally annexed to Great Bri<strong>ta</strong>in from the jurisdiction of the United S<strong>ta</strong>tes. Initial settlement on<br />
Kiritimati Island was for the collection of pearl shells and copra harvesting, but projects were<br />
uneconomic and occupation had to be abandoned. In the 1911, the <strong>island</strong> was resettled and<br />
development was limited to harvesting the existing coconut plan<strong>ta</strong>tions and accommodating<br />
copra cutters. During the Second World War, Kiritimati Island was used as a base for the Allied<br />
Pacific Air Command, comprising United S<strong>ta</strong>tes and New Zealand forces. A Cantilena seaplane<br />
used to service a hotel and guest accommodation built in the area known as Paris Flats near<br />
Poland village after the Second World War. In 1957, the British mili<strong>ta</strong>ry used Kiritimati Island to<br />
conduct hydrogen bomb tests (“Operation Grapple”), subsequently followed by US mili<strong>ta</strong>ry<br />
bomb testing (“Operation Dominic”). By 1962, all testing had been completed and by 1964, the<br />
extensive mili<strong>ta</strong>ry presence had ended. In 1979, the British Government as part of the<br />
independence agreement gave Kiritimati Island to the newly formed Republic of Kiribati. Some<br />
1265 people were living on Kiritimati Island at that time, harvesting copra and exporting lobster<br />
and fish. Government <strong>policy</strong> restricted entry to Kiritimati Island through a permit system until<br />
late 1994 when Government decided to focus on the Line Islands, specifically Tabuaeran and<br />
Teeraina Islands, as growth <strong>island</strong>s for the increasingly overcrowded <strong>island</strong>s to the west such as<br />
South Tarawa. These <strong>island</strong>s were promoted for formal resettlement on the basis of their<br />
subsistence affluence.<br />
As a result of the hydrogen bomb testing, Kiritimati Island has two international sized airports,<br />
both constructed by the British. Only one is currently operational, Cassidy Airport. There is an<br />
extensive network of sealed road infrastructure in the northern peninsula, a legacy of the British<br />
occupation. Because of its historical origins, names of major <strong>population</strong> centers in Kiritimati are<br />
not typical Kiribati names. Examples are Ronton (London), Baeriti (Paris), Boran (Poland)<br />
Banana, Bamboo, Main Camp (named from where the British mili<strong>ta</strong>ry camp had it headquarters<br />
during the testing days). Kiritimati Island is therefore not typical of the <strong>island</strong>s in Kiribati and is<br />
seen as a place to get additional land. Kiritimati Island is over three thousand kilometres east<br />
from Tarawa just 2degrees north of the equator. In the new millennium, the only way to get to<br />
Kiritimati Island by air from Tarawa is to go through Hawaii, and thus I-Kiribati travelling to<br />
Kiritimati Island required an American visa. With the recent introduction of the Air Pacific direct<br />
flight from Nadi to Kiritimati Island in 2006, one has to travel to Fiji first to get to Kiritimati<br />
Island. There is no direct air connection from Tarawa to Kiritimati Island.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
6. Village Settlement Patterns<br />
Kiritimati Island has an area of 388 km 2 or 53% of the to<strong>ta</strong>l land area of Kiribati (726 km 2 ). If<br />
all the land on the <strong>island</strong>s in the Gilbert Group were considered as one (285 km 2 ), they would<br />
comprise only 75% of the area of Kiritimati Island. Approximately one third of Kiritimati Island<br />
is salt flats, subject to tidal inundation, and is uninhabi<strong>ta</strong>ble for human occupation. The area of<br />
the main lagoon is 160 km 2<br />
. Unlike the small atolls in the Gilbert Group such as the islets<br />
comprising South Tarawa, the land varies from 1 to 4 metres above mean sea level, with the<br />
highest point (“Joe’s Hill”) being 13 metres above sea level.<br />
There were initially three villages in Kiritimati Island, namely, London, Poland and Banana.<br />
These villages have been expanded to include London to Tennessee, Tabwakea, Main Camp,<br />
Banana and Poland. The village of Poland is in southern peninsula while the remaining areas are<br />
within the northern peninsula. Tennessee village is located between London and Tabwakea and<br />
is part of the wider London-Tabwakea growth corridor. Approximately 75% of all housing in<br />
Kiritimati Island is located in the contiguous ‘urban’ area in the London to Tabwakea corridor.<br />
Excluding Poland village to the south, development is primarily con<strong>ta</strong>ined in what is referred to<br />
as the northern peninsula corridor - that is, from Banana to London and vice versa. Except for<br />
the pet fish squatter housing, there are no settlements on the expansive south-eastern portion of<br />
the <strong>island</strong>. The main development activities of the <strong>island</strong> including <strong>population</strong> growth, housing,<br />
social and economic activities are focused in London -Tennessee - Tabwakea corridor. London<br />
is the main Government administrative center and with Banana, forms the main locations for<br />
government housing. Main Camp consists of the Cap<strong>ta</strong>in Cook Hotel and associated government<br />
housing while Poland consists of a school, a clinic, 25 government houses, churches and<br />
maneabas. Due to the location of the existing Banana village and the impact of human and<br />
animal activities on the adjoining water lens, Government agreed in 2001 that no new<br />
development should occur in Banana and that a new village be commenced on a site to the north<br />
west of Main Camp (referred to as New Banana). Two new church buildings have commenced<br />
construction on the New Banana site.<br />
Population by village in 2000 - 2005 is shown in Table 4. Population densities in Kiritimati<br />
Island are low and are in the order 13 persons per km 2 . Average household size is 6.7 persons<br />
per household compared to 7.7 persons per household in South Tarawa. 2<br />
2 Source: 2005 Census<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
Table 4: Population by Village, Kiritimati Island, 2000-2005<br />
Village 2000 Census 2005 Census<br />
London - Tennessee 1465 1829<br />
Tabwakea 976 1881<br />
Banana – Main Camp 707 1170<br />
Poland 283 235<br />
To<strong>ta</strong>l Kiritimati Island 3,431 5,115<br />
Source: Census 2000 and 2005<br />
7. Institutional Arrangements<br />
There are a number of key s<strong>ta</strong>keholder’s involved in the planning and development of Kiritimati<br />
Island. These comprise central government; local government; committees (boards) es<strong>ta</strong>blished<br />
via legislation, and advisory committees. There are six main groups;<br />
• the Ministry of Environment, Lands and Agricultural Development (MELAD) under<br />
which LMDK sits and who is responsible for implementing the release of lands under the<br />
S<strong>ta</strong>te Lands Act. This includes implementing land use plans and polices, under<strong>ta</strong>king land<br />
survey and land administration. 3<br />
MELAD is responsible for the planning and releasing<br />
of S<strong>ta</strong>te lands under the current 2008 Phase 1 and proposed Phase 2 release. For the<br />
proposed Phase 2 release for applicants from South Tarawa, MELAD will coordinate the<br />
process in South Tarawa. This will include liaising with the 2 local councils (Betio Town<br />
Council and Teinanano Urban Council), agreeing the priority applicants, confirming the<br />
criteria, es<strong>ta</strong>blishing the Committee for the Allocation of S<strong>ta</strong>te Lands (CASL), and<br />
monitoring the cadastral survey in Kiritimati Island.<br />
• the Ministry of Line and Phoenix Island Development (MLPID) who is responsible of<br />
overall economic, social and environmen<strong>ta</strong>l planning and development of Kiritimati<br />
Island. These include infrastructure and service coordination and provision. While the<br />
MLPID has no s<strong>ta</strong>tutory base setting out its planning functions and enabling it to formally<br />
coordinate with other Ministries, it is accepted by all as the overarching <strong>island</strong> planner<br />
3 Such as the lease contracts and collection of leasehold rent.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
and coordinator. All major settlement and resettlement settlement decisions are done<br />
jointly in consul<strong>ta</strong>tion with the MLPID.<br />
• the Kiritimati Local Land Planning Board (KLLPB) who is responsible for under<strong>ta</strong>king<br />
physical land use planning derived from powers set down in the (LPA), 1977. The LPA<br />
provides for the designation of <strong>island</strong>s and parts thereof for land use planning purposes<br />
including the es<strong>ta</strong>blishment of a local land planning board (LLPB) to under<strong>ta</strong>ke land use<br />
planning. The LMDK provides the secre<strong>ta</strong>rial services to the KLLPB. The KLLPB<br />
comprises a range of cross sector groups representing both government, such as the<br />
Ministry of Commerce, Tourism, KUC, and the community. The Secre<strong>ta</strong>ry for the<br />
MLPID is the chairperson of the KLLPB.<br />
• the CASL, a screening and selection committee agreed to by Cabinet in 2005. It was<br />
es<strong>ta</strong>blished in Kiritimati Island in 2007 to evaluate applications for land from Kiritimati<br />
Island residents against criteria as set and agreed by Cabinet. The key role of CASL is to<br />
recommend the preferred applicants as assessed by CASL to Cabinet.<br />
• the Kiritimati Urban Council (KUC) who is responsible for solid waste disposal in the<br />
Government and non Government villages. There are eight councillors from the three<br />
main village areas. The KUC was only recently es<strong>ta</strong>blished in 2004 and is struggling to<br />
find to find its legitimacy with the <strong>population</strong>, aside from selective and erratic waste<br />
disposal collection.<br />
• Cabinet who has overarching responsibility for setting the land <strong>ta</strong>rgets and the land tenure<br />
type, agreeing the priority groups, confirming the criteria and agreeing the recommended<br />
list of preferred applicants including any objections received. All national and Kiritimati<br />
Island development <strong>policy</strong> and plans must ultimately come from Cabinet.<br />
For the resettlement to Tabuaeran and Teeraina Islands, the coordination was under<strong>ta</strong>ken by the<br />
former Ministry of Home Affairs and Rural Development (MHARD) based in Tarawa. MHARD<br />
coordinated with <strong>island</strong> councils the selection of applicants, organised the land survey, shipping,<br />
issue of a deed licence and ensured accommodation in maneabas when settlers first arrived. A<br />
specific Resettlement Position existed to coordinate and implement the process. When land<br />
management was annexed to the new MELAD in 2003 and MHARD was renamed and refocused<br />
to the Ministry of Internal and Social Affairs (MISA), MELAD took the lead role in the<br />
settlement process. This was based on its role as mandated in the S<strong>ta</strong>te Lands Act of planning<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
and managing the alienation of S<strong>ta</strong>te Lands in Kiritimati, Tabuaeran and Teeraina Islands, as<br />
agreed from time to time by Cabinet.<br />
Institutionally, there is no community and government approved ‘whole of <strong>island</strong>’ integrated<br />
plan’ for Kiritimati Island which identifies an overall vision for settlement, key development<br />
directions, <strong>program</strong> works, priority project needs, etc, at the <strong>island</strong> level. Settlement and<br />
resettlement is seen as being much about securing land and land only. Households are left to<br />
their own devices to survive. There are no mechanisms to translate the overarching national<br />
development plan, 2008-2011, into a local reality with key agencies who are working in<br />
Kiritimati Island. The result is that the overarching <strong>policy</strong> directions for Kiritimati Island are not<br />
systematically integrated into Ministry <strong>policy</strong> activities, and hence, many Ministries tend to do<br />
‘their own thing’. Furthermore, because individual Ministry budgets are not linked to an overall<br />
<strong>island</strong> development vision such as a Cabinet ‘whole of <strong>island</strong> plan’ for Kiritimati Island, budgets<br />
are prepared in isolation to overall <strong>island</strong> needs and priorities.<br />
8. Legislative Framework for Settlement and Resettlement Planning<br />
Planning and managing settlement growth on Kiritimati Island falls under the auspices of two<br />
main pieces of legislation, namely, the Land Planning Act (Cap. 48, 1977) and the S<strong>ta</strong>te Lands<br />
Act, 2001. 4 The Native Lands Act (Cap. 61), which applies to the bulk of native lands in<br />
Kiribati, is irrelevant on Kiritimati Island as such lands are S<strong>ta</strong>te lands, that is, Government<br />
owned. 5<br />
The purpose of the LPA is to address issues of land use planning, development control and<br />
assessment on all forms of land tenure in Kiribati, that is, native, freehold and s<strong>ta</strong>te lands. The<br />
purpose of the S<strong>ta</strong>te Lands Act is to es<strong>ta</strong>blish a strategic framework by which S<strong>ta</strong>te lands can be<br />
effectively administered and made available for orderly development including alienation from<br />
Government to another party as part of Governments settlement plans. The S<strong>ta</strong>te Lands Act was<br />
only developed in the early 2000’s to deal with the increasing number of persons migrating from<br />
the Gilbert Group of <strong>island</strong>s to the predominantly S<strong>ta</strong>te lands in Kiritimati, Tabuaeran and<br />
Teeraina Islands. Migration has been under<strong>ta</strong>ken either as part of the Governments formal<br />
volun<strong>ta</strong>ry resettlement <strong>program</strong> or by informal movement by families. Given this migration,<br />
4 Note - The words 'Act' or 'Ordinance' are often used interchangeably in describing I-Kiribati legislation.<br />
5 The only exception to this is in Tabwakea village. These lands were originally S<strong>ta</strong>te lands and their tenure<br />
changed by Government from s<strong>ta</strong>te leasehold to freehold as part of an arrangement by Government to grant former<br />
employees of the Atoll Plan<strong>ta</strong>tion Limited, who worked on Kiritimati Island prior to 1972, land plots.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
there has been no framework in which S<strong>ta</strong>te lands can be alienated, whether for freehold or lease,<br />
to third parties. This contrasts to the Native Lands Act, which sets out a clear process for the<br />
protection of native lands including the issue of leases, in Kiribati.<br />
In addition to the above, a S<strong>ta</strong>te Pre-Emptive Rights of Purchase Act, 2001, came into effect in<br />
2002 in regard to freehold lands that were given to settlers under deed or license in Tabuaeran<br />
and Teeraina Islands during the period 1988 to 1992. The Act provides that these freehold 1 acre<br />
lands in question (described in a schedule to the Act) shall not be alienated without first<br />
providing the S<strong>ta</strong>te (that is, the Government) the opportunity to acquire such lands under<br />
processes and procedures set out in the Act. The Act was an attempt to reign in freehold lands<br />
that had been allocated and which Government now realised maybe transferred to anyone and<br />
commercially exploited in the future.<br />
The S<strong>ta</strong>te Lands Act is the key legal instrument that allows Government as owner of S<strong>ta</strong>te Lands<br />
to under<strong>ta</strong>ke the process of making land available for development. The S<strong>ta</strong>te Lands Act leaves<br />
open the question of preferred land tenure for development in an <strong>island</strong> such as freehold or lease.<br />
This was to be decided from time to time as Cabinet see fit for the development period in<br />
question. The S<strong>ta</strong>te Lands Act requires that the Minister for Environment, Lands and Agriculture<br />
may by order declare an <strong>island</strong> or part of it to be available for the disposal of S<strong>ta</strong>te lands. Before<br />
recommending on the number of plots to be available for development including plot size 6 and<br />
any surveys required to be under<strong>ta</strong>ken, a strategic plan is to be prepared for the land in question.<br />
Impor<strong>ta</strong>ntly, the plan may include a plan prepared under the LPA 1977 and shall include the<br />
number of plots that may be transferred to a third party in the next ‘strategic planning period’. 7<br />
The President on the advice of Cabinet must approve the plan. Under the S<strong>ta</strong>te Lands Act, the<br />
potential occupants of land will be required to sign a contract, namely, a transfer agreement from<br />
the Government to the new owners regarding the plot in question, the lease or freehold amount to<br />
be paid and any other conditions.<br />
9. Arrangements for Land Tenure<br />
Land tenure refers to the systems of man made rights and obligations which are at<strong>ta</strong>ched to the<br />
use, management and ownership of land. There are four different types of land tenure<br />
characterising land in Kiritimati Island. S<strong>ta</strong>te lands dominate 98% of all land in Kiritimati<br />
6<br />
This is to be based on the unit of land required to sus<strong>ta</strong>in the support for a family including subsistence.<br />
7<br />
Although land is being released in Kiritimati Island, no strategic plan as made under the S<strong>ta</strong>te Lands Act has been<br />
prepared.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
Island, with the remaining three tenure types being land tenure models applied to land as<br />
alienated from S<strong>ta</strong>te lands. Aside from S<strong>ta</strong>te lands, these three land tenure types are;<br />
(i) freehold land for the Tabwakea village Phase 1 and 2 and 3. Settlers have full title to the<br />
land over which Government has no control. This land was released in the 1980’s and<br />
1990’s prior to any legislative framework being in place for the management of S<strong>ta</strong>te<br />
lands. These lands can be transferred and sold to anyone, I-Kiribati or foreigner - there are<br />
no restrictions on sale or transfer.<br />
(ii) restricted freehold lands for Tabwakea Phase 3, released under the new S<strong>ta</strong>te Lands Act,<br />
2001. They are not 100% freehold lands as consent must be ob<strong>ta</strong>ined from Government<br />
before transferring the land onto to anyone other than a family member,<br />
(iii) leasehold tenure on S<strong>ta</strong>te lands for a 25 renewable year term for business, residential,<br />
churches, community and Government corporations. 8<br />
Lessees are supposed to pay an<br />
annual rent to Government.<br />
All lands on Kiritimati Island are S<strong>ta</strong>te owned land and leased, with the exception of 139 half<br />
acre plots released in Tabwakea village, Phase 1, 2 and 3 which were given to residents as<br />
9<br />
freehold or restricted freehold by Government prior to 2000 and in 2003. Leasehold is the form<br />
of land tenure to be applied to land as allocated for residential use under the current 2008 Phase 1<br />
and Phase 2 land release. In 2006, a Cabinet paper was prepared outlining the various options<br />
for land tenure for Kiritimati Island given the planned land releases. Various options for<br />
freehold, restricted freehold and leasehold were discussed including the benefits and advan<strong>ta</strong>ges<br />
of each land tenure arrangement. Restricted freehold was argued as the preferred approach as it<br />
would mean up front revenue for Government, a stimulus for economic growth and re<strong>ta</strong>in a<br />
degree of control by Government if the land was to be transferred. Impor<strong>ta</strong>ntly, it was a move<br />
away from the current leasehold regime, with only 25% of lease rent paid and some $450,000<br />
being in rent arrears in Kiritimati Island. Cabinet adopted the most conservative approach<br />
restraining economic growth and agreed that 25 year leasehold be the preferred land tenure<br />
system, despite the major problems of managing a leasehold system.<br />
8<br />
It is possible that freehold land in Tabwakea could also be leased in the future.<br />
9<br />
These 135 plots were half an acre ($1,000 price) and allocated as follows: 64 in Tabwakea 1, 58 Tabwakea 2 ands<br />
17 in Tabwakea 3.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
10. Physical Framework Plans for the Growth of Kiritimati Island<br />
There are two types of physical framework plans which are used to guide the physical, social and<br />
environmen<strong>ta</strong>l development of Kiritimati Island for the next 10-15 years. These plans are; (i) the<br />
General Land Use Plan (GLUP) which guides development at the overall strategic <strong>island</strong> level,<br />
and (ii) De<strong>ta</strong>iled Land Use Plans (DLUPs) which provide for local de<strong>ta</strong>iled plans such as those at<br />
the village level. Both plans are prepared under the provisions of the LPA, 1978, with the<br />
DLUPS being a more de<strong>ta</strong>iled subset of the overarching GLUP. The draft GLUP for Kiritimati<br />
Island prepared in 2005 by the LMDK (MELAD) and the KLLPB, including a local exhibition<br />
process in Kiritimati Island, sets the strategic framework for accommodating future land use and<br />
development on Kiritimati Island over the next 10 to 15 year period. The development strategy<br />
embodied in the GLUP includes identification of what village lands should be expanded or<br />
con<strong>ta</strong>ined, the need for protection of key water lenses and identification of areas considered to be<br />
of major environmen<strong>ta</strong>l and conservation significance to the health of Kiritimati Island in the<br />
medium to longer term.<br />
The key features of the draft GLUP (see Figure 1) as agreed were that:<br />
• development be consolidated into key village areas in the northern peninsula, that is,<br />
from Cassidy Airport - Banana to London development corridor,<br />
• Tabwakea North and Main Camp - New Banana be the focus of future main growth<br />
villages in the northern peninsula corridor,<br />
• Banana village be con<strong>ta</strong>ined, with no new development and no new plots released, with<br />
any relocation (if any) to be on a volun<strong>ta</strong>ry basis to Tabwakea or New Banana villages,<br />
• the isolated Poland village be con<strong>ta</strong>ined as far as possible, with minimal growth due to its<br />
isolation, lack of services and potential impact of <strong>population</strong> on the natural resource,<br />
• the main freshwater lenses - Decca, Four Wells, Banana, New Zealand Airfield - and<br />
surrounding buffer areas be protected from all development activity, and<br />
• that the <strong>island</strong> outside the northern corroder located to the south and southwest of<br />
Banana including the main lagoon, be designated as major environmen<strong>ta</strong>l protection areas<br />
and managed accordingly.<br />
The draft GLUP has major implications for the future development pattern for Kiritimati Island<br />
including what infrastructure needs to be provided by development front and when, such as land,<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
water and sani<strong>ta</strong>tion. In terms of settlement patterns, the draft GLUP identifies that Tabwakea<br />
North and New Banana will be the main new development villages (both developing as major<br />
extensions to existing village areas of Tabwakea and Main Camp respectively) and that Poland<br />
and Banana will be ‘minor’ villages with little or no growth respectively.<br />
11. Settlement and Resettlement Policy<br />
The resettlement <strong>policy</strong> of former Governments has been the main driver for the development on<br />
Tabuaeran and Teeraina Islands to the northwest of Kiritimati Island. 10 Despite documen<strong>ta</strong>tion<br />
to the contrary, there have been no formal resettlement <strong>program</strong>s, volun<strong>ta</strong>ry or involun<strong>ta</strong>ry, in<br />
place for Kiritimati Island. Increased volun<strong>ta</strong>ry settlement and development on Kiritimati Island<br />
is essentially a <strong>policy</strong> of the current Government, as elected in 2003, in line with the National<br />
Development Strategy (NDS), 2004-2007. Formal resettlement of <strong>population</strong> to Tabuaeran and<br />
Teeraina Islands has occurred from the Gilbert Group at intervals of approximately 5 years, the<br />
last organised resettlement of people being in 2001. Residents accepted under Government<br />
resettlement <strong>program</strong>s for Tabuaeran and Teeraina Islands received free passage and were<br />
allocated land plots that had to be purchased from Government. The size of the residential plots<br />
allocated in Tabuaeran and Teeraina Islands was 1 acre, sufficient to support subsistence living.<br />
Government also provided basic <strong>island</strong> infrastructure including health clinics, schools, port<br />
facilities and <strong>island</strong> councils. 11<br />
The <strong>island</strong>s were developed along the lines of ‘social<br />
development models’, building on their subsistence affluence, rather then being planned and<br />
developed as economic growth centers.<br />
In the 1990’s and early 2000 on Kiritimati Island, development via leases had been encouraged<br />
on the basis that it was for the es<strong>ta</strong>blishment of business purposes. Any housing was to be a<br />
minor use associated with the larger business. Land was not to be allocated solely for residential<br />
use, with the exception being development of land given to the former copra cutters, associated<br />
workers and their families in Tabwakea. This included a final ‘one off’ release of freehold plots<br />
and 20 leases for residential use at<br />
10 Tabuaeran and Teeraina Islands are 280 km and 430 km respectively northwest of Kiritimati Island.<br />
11 The exception for local government has been Kiritimati Island, es<strong>ta</strong>blished only since June, 2004<br />
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Figure 1: The General Land Use Plan for Kiritimati Island<br />
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Tabwakea in early 2003. 12<br />
The size of a plot allocated for a business lease has been a quarter of<br />
an acre, 25 year lease renewable, while plots allocated for residential development at Tabwakea<br />
(S<strong>ta</strong>ge 1, 2 and 3) phase for the original copra cutters have been half an acre. Given the demand<br />
for land for residential use and the inability to ob<strong>ta</strong>in it except if one fitted the criteria applied to<br />
former copra cutters, it was not surprising that many people submitted business applications<br />
when the real intent was to ob<strong>ta</strong>in land for the main use of housing. LMDK (2008) estimate some<br />
75% of leases issued for business are used solely for housing and non business purposes. As a<br />
consequence of this <strong>policy</strong> and an inability of residents to secure land tenure, squatters,<br />
inappropriate uses and overcrowded households exist on Kiritimati Island. The latter includes<br />
Government housing, as well as freehold and leasehold plots.<br />
The Government as elected in 2003 changed this restricted <strong>policy</strong> of ‘business only’ leases in<br />
Kiritimati Island, with the current land allocation process now allowing for residential use. A<br />
backlog of applications for business leases now exists, as well as those for residential use. It is<br />
intended to deal with the business leases once the 2008 Phase 1 residential release of 222 plots is<br />
underway.<br />
12. Characteristics of the New Settlers<br />
Notwiths<strong>ta</strong>nding the formal resettlement <strong>program</strong>s which has operated from time to time in<br />
Tabuaeran and Teeraina Islands, residents continue to arrive at Kiritimati Island on their own<br />
initiative, knowing their ability to secure land is uncer<strong>ta</strong>in. Because of the dis<strong>ta</strong>nce from the<br />
Gilbert Group, the relatively expensive passage in fares, both sea 13<br />
and air, and the strong<br />
perception of Kiritimati being a land of opportunities, those who <strong>ta</strong>ke the initiative to travel to<br />
Kiritimati fall into one of three categories. Firstly, there are those who are Government<br />
employees who are posted or apply for work in Kiritimati Island. Some Government employees<br />
s<strong>ta</strong>y long term depending on seniority and performance while others are ro<strong>ta</strong>ted and return to<br />
Tarawa after 3-4 years. Secondly, there are those with business aspirations that are willing to<br />
<strong>ta</strong>ke the risk to travel all the way to build something for their families, sensing opportunities in a<br />
far away place. Thirdly, there are those who for family reasons or reasons want to leave to s<strong>ta</strong>rt<br />
all over somewhere afar from the Gilbert Group. Because people in these latter two categories<br />
pay their own way to get to Kiritimati Island, there is often a prevailing view of having earned<br />
12<br />
These plots were given to those copra cutters who complained they had not been included in the earlier Tabwakea<br />
freehold releases. They existed on their lands under interim occupation agreements<br />
13<br />
The cost for a ticket for a one way 10-12 day boat trip to Tarawa or vice versa to Kiritimati Island is<br />
approximately $200 AUD.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
the right for preferential treatment from Government and more impor<strong>ta</strong>ntly, the rights to access<br />
the resources of the land and sea.<br />
In Kiritimati Island, there is also a greater prevalence of “pushy,” aggressive and go-getters than<br />
in the rest of the <strong>island</strong>s in Kiribati. The <strong>population</strong> on Kiritimati Island generally have strong<br />
views including resis<strong>ta</strong>nce to further movements of <strong>population</strong> from the rest of the country, a<br />
view that is not generally shared by Government (Government of Kiribati Millennium<br />
Development Goals report, 2007). This is partly related to the absence of traditional structures,<br />
norms and values which are prevalent on home <strong>island</strong>s with their rules and regulations but not on<br />
Kiritimati Island.<br />
13. New Forms of Villages<br />
A major feature of the settlements as developed in Kiritimati Island is the absence of the<br />
“unimwane system” and the intricate social order surrounding the “maneaba system” in the<br />
villages in Kiritimati Island. The traditional meeting house in Kiribati called the “maneaba” is<br />
more than just a physical structure. It is the centre of the social fabric of life in the outer <strong>island</strong><br />
villages. Each family has an allocated place to sit in the maneaba that is associated with a role,<br />
defined by traditions, which is reflected by each family in the “maneaba” and in the village.<br />
Central to the maneaba system is the “unimwane” (old men) who meet in the maneaba and<br />
discuss and make decisions on issues which affect village life on a daily basis. Old men’s<br />
decisions on rules and regulations carry a lot of weight and have often conflicted with western<br />
laws as they now exist, particularly in relation to sanctions for wrong doings in the village.<br />
On Kiritimati Island, this impor<strong>ta</strong>nt traditional system has been lost in the villages with the surge<br />
of <strong>population</strong> from other <strong>island</strong>s to these main centres. Those newcomers who arrive recognize<br />
no higher traditional authority in the family or village, unlike their own home <strong>island</strong>s. Families<br />
from the <strong>island</strong>s of Makin and Beru live next to families from Arorae and Maiana within the<br />
Kiritimati Island villages. The <strong>population</strong> is heterogeneous and no overarching social structures,<br />
norms and values apply. Social control measures as seen on outer <strong>island</strong>s in the Gilbert group,<br />
for example, have been lost with urbanisation on S<strong>ta</strong>te lands and the emergence of new village<br />
forms.<br />
Church groups (makoro) are fast replacing traditional authority in the villages. An impor<strong>ta</strong>nt<br />
differentiation is that these church groupings are mostly focused on fund raising and church<br />
oriented support which is not as effective as a social control measure. Also, participation in these<br />
groupings is volun<strong>ta</strong>ry, and one can pull out of the groupings. However, in a traditional village<br />
setting, one is a life long member and cannot decide to pull out of the village if not happy with<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
the decisions of the old men. The only way out is to move out of the village and move to another<br />
village, or move to S<strong>ta</strong>te lands such as in Kiritimati, Tabuaeran or Teeraina Islands where less<br />
restrictive village and family social structures exist.<br />
The absence of higher traditional authority on Kiritimati Island has resulted in a social vacuum<br />
where each person and family is not part of a traditional community. They are therefore not<br />
answerable to systems of traditional authority as applies in the Gilbert Group. This breakdown<br />
of traditional social order is also seen on South Tarawa and is accompanied by a weaker sense of<br />
community and a stronger individual and nuclear family focus. The stronger individual<br />
aspirations are best reflected in the <strong>ta</strong>lk by some of the desire to s<strong>ta</strong>rt a small business on S<strong>ta</strong>te<br />
lands. These business aspirations are not as common in outer <strong>island</strong>s where social control and an<br />
individuals place in the community, defining what one can do and can’t do, is clearly<br />
demarcated. Conformity rather than expressing ones view are the norm on outer <strong>island</strong>s while in<br />
Kiritimati Island one is less constrained in their development aspirations for S<strong>ta</strong>te lands.<br />
14. Land Allocation Policy Before 2005<br />
Prior to the agreement by Government to a new land release and allocation system in June, 2005,<br />
an application for a business lease needed to be made to the Kiritimati Local Land Planning<br />
Board (KLLPB). The KLLPB was the body responsible for recommending the allocation of plots<br />
and a change in land tenure from S<strong>ta</strong>te lands to lease hold, or to freehold as has been the case for<br />
special allocated in Tabwakea. At the same time, the KLLPB was the body responsible for the<br />
land planning and development assessment as provided for under the LPA. Until 2005, the<br />
KLLPB assessed both the land use planning permit and the lease application in the same process.<br />
Using the same form and process, the KLLPB considered applications for land use planning and<br />
business lease, with all applicants required to submit a business plan for the proposed<br />
commercial operation.<br />
The demand for land has been historically strong, with the KLLPB receiving 409 applications for<br />
business leases between 1988 and 2003, with few being approved. 14<br />
Potential applicants for land<br />
since late 2003 have been advised that planning and lease applications would only be considered<br />
by Cabinet when a new land management system is in place, such system agreed by Government<br />
in 2005 and now currently being implemented. This includes the current 222 plot release for<br />
14 In 2003, Cabinet agreed to review the land allocation process in Kiritimati Island. No more sublease applications<br />
were accepted after that, with the current land lease being the main land release <strong>program</strong> in place since that time.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
Kiritimati Island residents now being implemented. The current breakdown of S<strong>ta</strong>te lands as<br />
allocated on Kiritimati Island to end 2007 is summarised in Table 5.<br />
Tenure<br />
Type and<br />
To<strong>ta</strong>l Plots<br />
Leasehold<br />
374<br />
Freehold<br />
139<br />
To<strong>ta</strong>l: 513<br />
%<br />
Table 5: Leasehold and Freehold Lands from S<strong>ta</strong>te Lands by Village, 2008<br />
London Tabwakea Main Camp Banana Poland<br />
110<br />
202 21 12 21<br />
0 139 0 0 0<br />
110<br />
22%<br />
341<br />
67%<br />
Prior to 2005, planning for the movement of people to Kiritimati Island has been characterized<br />
by; (i) a lack of an orderly land supply <strong>program</strong> on a regular basis, (ii) an absence of a strategic<br />
plan addressing the integrated needs of the three <strong>island</strong>s in the Line Group which indicates the<br />
number of plots to be provided, their timing and the level of infrastructure needed, and (iii) no<br />
effective system to ensure security of land tenure.<br />
15. Land Allocation Targets and Process Post 2005<br />
In June, 2005, the Government approved a new land management system for the planning and<br />
release of land on Kiritimati Island (see Figure 2). The system comprised a number of key<br />
elements including:<br />
• the separation of the role of the KLLPB as both; (i) a land use planner and regulator and<br />
(ii) a body under<strong>ta</strong>king the allocation of S<strong>ta</strong>te lands. Thus, the often conflicting role of<br />
KLLPB being both a land use planner and acting as the land owner, needed to be<br />
differentiated.<br />
• strengthened role for the KLLPB in <strong>island</strong> physical and land use planning and<br />
coordination (rather than acting as a landowner),<br />
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22<br />
21<br />
4%<br />
12<br />
3%<br />
21<br />
4%
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
• a strengthened role for the Government as the landowner in deciding who should be<br />
allocated land on Kiritimati Island including the es<strong>ta</strong>blishment of the Committee for<br />
Allocation of S<strong>ta</strong>te Lands (CASL),<br />
• the setting of regular land releases and supply <strong>ta</strong>rgets, such as bi annual land supply<br />
<strong>ta</strong>rgets, subject to an agreed physical <strong>island</strong> development strategy being<br />
Figure 2: Process for ob<strong>ta</strong>ining Land and Development Assessment on S<strong>ta</strong>te Lands,<br />
Kiritimati Island, as agreed by Cabinet, 2005<br />
Landowner (Government) (i) agrees<br />
land application eligibility criteria for<br />
business, residential land use; etc (ii)<br />
confirms land tenure type<br />
If rejected,<br />
appeal or<br />
reapply<br />
later<br />
LMDK prepares Strategic Plan assessment<br />
of land to accommodate growth as required<br />
by S<strong>ta</strong>te Lands Act, 2001<br />
Residents from KI and South Tarawa,<br />
business, churches, etc make application<br />
to reserve plot on S<strong>ta</strong>te lands<br />
23<br />
Cabinet agrees to land supply<br />
<strong>ta</strong>rgets in Kiritimati Island – 600<br />
plots over next 4 years for residents<br />
from KI and South Tarawa<br />
Committee for Allocation of S<strong>ta</strong>te Lands (CASL), with<br />
LMDK as Secre<strong>ta</strong>riat, assesses land applications against<br />
criteria – CASL recommends applicants to Cabinet<br />
If applicant successful, CASL allocates name<br />
to plot, LMDK issues 25 year lease contracts<br />
and lease pays 1 st annual lease rent<br />
KLLPB under<strong>ta</strong>kes development assessment of<br />
If application<br />
land use application - land, water, sani<strong>ta</strong>tion,<br />
rejected,<br />
land use, EIA, environmen<strong>ta</strong>l impacts, etc, under<br />
appeal to<br />
Land Planning Act, 1977 – determines applications<br />
Central Land<br />
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in place (the GLUP) to accommodate growth in a planned manner, and a clear allocation<br />
process including setting of assessment criteria and a transparent plot allocation process<br />
for applicants.<br />
As part of the decision in June, 2005, the Government agreed to release up to 600 private<br />
leasehold plots in Kiritimati Island over the next 4 years, with the initial release consisting of 300<br />
residential plots. 15 The first 300 plots were to address the backlog in applications submitted to<br />
the KLLPB for housing only. The <strong>ta</strong>rgets as set were commensurate with; (i) the precarious s<strong>ta</strong>te<br />
of infrastructure and services on Kiritimati Island and (ii) minimal resources for coordinating the<br />
allocation process. Of the 300 plot <strong>ta</strong>rget, some; (i) 150 plots were to be allocated to residents<br />
already residing in Kiritimati Island who, in the main, had been waiting for land to be released<br />
for a number of years, and (ii) the remaining 150 plots allocated to residents from South Tarawa,<br />
including overcrowded parts of the Betio Town Council and Teinanano Urban Council. 16<br />
The<br />
allocation of land to residents in Kiritimati Island (Phase 1) was to precede the process for<br />
allocating S<strong>ta</strong>te lands to people in the Gilbert Group (Phase 2), and as such, this process is yet to<br />
commence.<br />
16. Committee for the Allocation of S<strong>ta</strong>te Lands (CASL)<br />
Following Government’s decision to commence a new planning system for Kiritimati Island, the<br />
CASL was es<strong>ta</strong>blished in early 2007. The objectives of CASL were to: (i) prepare and approve<br />
forms for applicants based on agreed criteria from Cabinet, (ii) screen and consider applications<br />
for land leases in Kiritimati Island and (iii) make recommendations to Cabinet for approval of<br />
applicants. The CASL was appointed by Cabinet and consisted of 4 represen<strong>ta</strong>tives: (i)<br />
Secre<strong>ta</strong>ry of the M:PID (Chairperson), (ii) Chief Councillor from the KUC, (iii) an unimane<br />
represen<strong>ta</strong>tive from the old men’s association, and (iv) the Chief Land Management Officer,<br />
LMDK. The LMDK was the Secre<strong>ta</strong>riat.<br />
In March, 2007, CASL called for applications from Kiritimati Island residents who wished to<br />
apply for a plot (size 1,000 m2 and lease 25 years renewable) as part of the 150 plot allocation<br />
release process. The application process included meeting screening and selection criteria as<br />
approved by Cabinet in 2006. (see Table 6). The initial screening criteria were assessed by<br />
LMDK on behalf of CASL and if the screening criterion was met, CASL then assessed the<br />
15 Note - applications for business lease are to be considered separate to this 300 <strong>ta</strong>rget.<br />
16 The 150 plot <strong>ta</strong>rget was also to accommodate requests from I-Kiribati displaced from Orona Island in the Phoenix<br />
Group, and who were resettled to Solomon Islands in the 1970’s and 1980’s. Some of these settlers now wish to<br />
return to Kiribati following the recent civil unrest in the Solomon Islands.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
applications against the assessment criteria as publicly advertised. CASL members undertook<br />
the latter process, with each assessment criteria weighted and scored. By the end of April, 2007,<br />
following a 6 week application submission period, CASL had received 699 applications for<br />
assessment against the screening and assessment criteria.<br />
Table 6: Screening and Assessment Criteria as used by CASL<br />
Screening Criteria to determine if eligible to apply:<br />
* no evidence by Police of a criminal record<br />
* applicant has no or minimal lands (freehold or lease) within the Line and Phoenix Islands, or<br />
Government lease or sublease which they have surrendered,<br />
* applicant has no outs<strong>ta</strong>nding payment to Government such as outs<strong>ta</strong>nding rent<br />
* applicant was not squatting at the time of application<br />
Assessment Criteria to determine eligibility for allocation;<br />
* applicant has land leased from them by Government in South Tarawa<br />
* applicant is over 25 years of age, married and has children<br />
* applicant has certified skills including but not limited to plumbing, electrical, etc<br />
* ability to pay rent on the leased land<br />
* minimum 5 years residence on Kiritimati Island with a preference for those that have s<strong>ta</strong>yed<br />
longer<br />
* civil servants who are over 45 years of age<br />
In late May, 2007, CASL recommended to Tarawa the ranking of the 699 applications. In June,<br />
2007, Cabinet agreed that applicants for residential village plots (permanent houses) be those with<br />
a score of 16 or above - in other words, 153 successful applicants. Of these 153 applications, 131<br />
were to be allocated to Tabwakea village and 22 to Poland. Cabinet also agreed at its June meeting<br />
that in addition to the 300 plot <strong>ta</strong>rget, 150 traditional village plots (local houses) be provided with<br />
69 being for applicants in Kiritimati Island in Tabwakea village. The remainder of these 81 plots<br />
would be for those who will apply under the South Tarawa release scheme. Thus, the to<strong>ta</strong>l plots<br />
for release for Kiritimati Island residents under the current Phase 1 are 222 plots, being 200 for<br />
Tabwakea and 22 for Poland. The above plot allocation by origin of selection is summarised in<br />
Table 7.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
Based on the 222 applicants as approved by Cabinet, CASL in February, 2008, publicly announced<br />
the names of the successful applicants and the villages to which they had been allocated.<br />
Applicants were given nominated days in March, 2008, by which to attend<br />
Figure 2: Location of the 222 Plots for Tabwakea and Poland<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
the MLPID offices and randomly select a plot number in the designated village as allocated,<br />
namely, Tabwakea or Poland. The latter was done in full view of the public and other<br />
represen<strong>ta</strong>tives, with applicants formally signing to acknowledge the plot allocation process. The<br />
location of the 222 plots is shown in Figure 2.<br />
Origin of<br />
Applicant<br />
Kiritimati<br />
Island<br />
(Phase 1)<br />
South<br />
Tarawa<br />
(Phase 2)<br />
Table 7: Residential Plots for Release as agreed by Government, 2007<br />
Permanent<br />
Houses<br />
153<br />
Local<br />
Houses<br />
69<br />
To<strong>ta</strong>l Plots Village<br />
Location in<br />
Kiritimati<br />
222 200<br />
Tabwakea<br />
22 Poland<br />
150 81 231 not<br />
determined<br />
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27<br />
Allocation -<br />
Release<br />
S<strong>ta</strong>tus<br />
in progress -<br />
release<br />
process<br />
advanced<br />
yet to<br />
commence<br />
To<strong>ta</strong>l: 303 150 453 - -<br />
After the public release of the approved applicants in February, 2008, LMDK and MLPID<br />
received some 210 complaints by the end March, 2008, from people not selected. These<br />
objectors raised issues concerning the land allocation process, the criteria and the weighting as<br />
applied. These complaints and objections were assessed by MELAD in Tarawa in conjunction<br />
with the MLPID and in June, 2008, Cabinet agreed that 168 of the 222 plots could be released as<br />
soon as possible while the remaining 54 needed further scrutiny. The extremely slow pace by<br />
which land has been released in Kiritimati Island, combined with steady in migration from<br />
Tarawa, is continuing to cause overcrowding issues in London, Banana and particularly<br />
Tabwakea village as well as environmen<strong>ta</strong>l concerns. There is frustration at the process by the<br />
community at the way the 222 plots were released especially the criteria and whether it has been<br />
rigorously applied or not.<br />
17. Infrastructure Needs for the Phase 1 222 Plot Release, 2008-2009<br />
The Phase 1 land release focuses on the development of 222 plots of which 200 are in Tabwakea<br />
and 22 in Poland. Table 8 summarises the main development needs for the 200 new plots in<br />
Tabwakea in terms of;
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
• land administration, water supply and water resources,<br />
• sani<strong>ta</strong>tion,<br />
• civil works,<br />
• power, and<br />
• phone connections.<br />
Land<br />
Development<br />
Need<br />
1. Land<br />
administration<br />
2. Protection<br />
of the water<br />
resources<br />
3. Water<br />
supply<br />
Summary of Priority<br />
Infrastructure or Service to<br />
be Provided<br />
* plot survey - cadastral plans<br />
* preparation of leases<br />
* issue of leases<br />
* dealing with CASL<br />
unapproved applicants<br />
* legal requirements to be met<br />
under S<strong>ta</strong>te Lands Act<br />
* KLLPB development<br />
assessment<br />
* salinity monitoring at<br />
head<strong>ta</strong>nk <strong>ta</strong>ps and gallery pump<br />
wells at Banana, Decca, Four<br />
Wells<br />
* salinity monitoring of 3<br />
boreholes at 3 Decca galleries<br />
* meter readings at Decca<br />
head<strong>ta</strong>nk, combined Decca<br />
galleries and combined<br />
galleries at Four Wells<br />
* local reticulation for main 3<br />
sub areas of North Tabwakea<br />
and Tabwakea infill, Tabwakea<br />
permanent and local village,<br />
and Tabwakea an<strong>ta</strong>ai<br />
* laying of 729 metres of 100<br />
mm PVC pipe and 6,097<br />
metres of 50 mm PVC pipe<br />
* ins<strong>ta</strong>llation of maximum 200<br />
x 500 litre household supply<br />
<strong>ta</strong>nks and household<br />
connections<br />
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Current S<strong>ta</strong>tus<br />
- Summary<br />
Advanced with<br />
all external area<br />
boundaries<br />
marked. Survey<br />
finished by<br />
June, 2008.<br />
Lease contracts<br />
approved<br />
No monitoring<br />
<strong>program</strong> in<br />
place<br />
Some galleries<br />
being over<br />
pumped as solar<br />
pumps and<br />
windmills have<br />
failed<br />
No planning,<br />
design and<br />
budget process<br />
commenced.<br />
Major Constraints to<br />
Infrastructure or<br />
Service Provision<br />
* human resources<br />
* technical resources<br />
* limited budget<br />
* human resources<br />
* technical resources<br />
* limited budget<br />
* approval for ADB<br />
major water resources<br />
rehabili<strong>ta</strong>tion,<br />
improvements and<br />
monitoring <strong>program</strong> by<br />
Government uncer<strong>ta</strong>in<br />
* material procurement<br />
* no budget for Phase 1<br />
release for materials,<br />
transport and<br />
equipment<br />
* siting of supply <strong>ta</strong>nks<br />
* compliance with EIA<br />
process<br />
* approval for project<br />
for primary supply<br />
works by ADB not in<br />
place by Government
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
4. Sani<strong>ta</strong>tion * on site concrete septic <strong>ta</strong>nk,<br />
evaporation field, soak pit and<br />
toilet structure (with pedes<strong>ta</strong>l<br />
toile) to be provided by each<br />
household.<br />
* water supply for toilet from<br />
well (bucket or pump)<br />
5. Civil works * clearing and construction of<br />
6.8 kilometres of local roads<br />
* construction of community<br />
sports ground in Tabwakea<br />
6. Power * relocation of power generator<br />
to new site west Tabwakea<br />
* ins<strong>ta</strong>llation of 220 KVA<br />
power generator from London<br />
* ins<strong>ta</strong>llation of maximum 200<br />
distribution boxes and power<br />
cable to households<br />
7. Telecom -<br />
Phone<br />
Connections<br />
In terms of the provision of basic infrastructure, the reality is that the 200 plots being released in<br />
Tabwakea in 2008 will be provided without water and electricity. No forward planning has been<br />
put in place to cater for the increased demand, with the exception of local funds which have been<br />
requested for the power generator. On site sani<strong>ta</strong>tion is to be provided by each household,<br />
technically in accordance with the s<strong>ta</strong>ndard plans used by the Water and Sani<strong>ta</strong>tion Unit,<br />
MLPID, for concrete septic, evaporation trench and pedes<strong>ta</strong>l toilet. Water for sani<strong>ta</strong>tion will be<br />
sourced from wells, not the reticulated water supply system. Implemen<strong>ta</strong>tion of this arrangement<br />
remains problematic and requires leadership and enforcement by the KLLPB if the existing<br />
system is to work. Telecom will be available in 2008. Land administration is well advanced,<br />
with all external area boundaries have been surveyed, identified and permanently marked on the<br />
ground. Internal plot boundaries have been temporarily marked and are to be completed by June,<br />
2008. Major constraints to the provision of infrastructure in Tabwakea for the 200 new plots<br />
include;<br />
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29<br />
Household<br />
responsibility.<br />
No<br />
enforcement by<br />
KLLPB and<br />
WSD at<br />
individual plot<br />
level<br />
No planning,<br />
design and<br />
budget process<br />
commenced.<br />
Emergency<br />
local funds<br />
allocated –<br />
procurement<br />
2009.<br />
* procurement by<br />
suppliers (e.g. KSCL)<br />
of pedes<strong>ta</strong>l toilet<br />
* assumption that each<br />
household will ins<strong>ta</strong>ll<br />
septic - pedes<strong>ta</strong>l toilet<br />
* no KLLPB<br />
enforcement<br />
* no budget for Phase 1<br />
release area for<br />
materials, transport and<br />
equipment (grader,<br />
roller, etc)<br />
* delay in funds and<br />
generator procurement<br />
for new London 500<br />
KVA generator which<br />
will release London<br />
generator for<br />
Tabwakea<br />
* EIA process for<br />
* affordability<br />
* ins<strong>ta</strong>llation of new <strong>island</strong> Planning, design<br />
satellite tower at TSKL in budget process<br />
London (60 metre)<br />
advanced -<br />
* wireless phones for operational<br />
households<br />
2008<br />
Table 8: Land Development needs for the 200 Plot release, Tabwakea, 2008
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
• no budget available, including no specific budget tied for the proposed land release and<br />
its development, and<br />
• technical and human resources limi<strong>ta</strong>tions, with the process of budgeting, planning and<br />
procurement yet to commence for water, power and civil works for Phase 2.<br />
18. Environmen<strong>ta</strong>l Decline<br />
Growing settlements such as Tabwakea village has resulted in increasing environmen<strong>ta</strong>l<br />
degradation of the land and exploi<strong>ta</strong>tion of the marine resources. These impacts have been well<br />
documented over the last few years by ADB, SPREP and the Government of Kiribati. 17<br />
The<br />
symptoms of expanding settlements as well as uncontrolled squatters living in the bush outside<br />
the planned villages include:<br />
• a decline in birds, bird eggs and coconuts,<br />
• the expansion of rats and cats into the environmen<strong>ta</strong>l protection and conservation areas,<br />
• indiscriminate lagoon fishing, with unregulated fishing nets impacting on the numbers of<br />
fish generally,<br />
• a decline in bonefish and milkfish,<br />
• increasing utilisation of coconut trees for building materials and roof thatching,<br />
• an increasing number of poachers into the protected conservation areas especially to the<br />
south west, and<br />
• increasing domestic waste disposal, with no system in place to manage all households<br />
(only Government households and businesses get their domestic waste collected - private<br />
households such as in Tabwakea village receive no collection).<br />
There are wide differences in methods of sani<strong>ta</strong>tion by villages and resul<strong>ta</strong>nt impact on the<br />
environment. Cistern and flush toilets are more prevalent in Government villages such as<br />
London while the use of a pit toilet and beach is highest in non Government villages. Sani<strong>ta</strong>tion<br />
in Kiritimati Island is a significant consumer of water, a polluter of groundwater and the<br />
17 See (i) ADB Environmen<strong>ta</strong>l Working Paper No. 8, ADB Water and Sani<strong>ta</strong>tion Project Design, April, 2008, (ii)<br />
Government of Kiribati Millennium Development Gaols Report, 2007. UNDP, and (iii) Surveys and Capacity<br />
Building in Kiritimati June, 2007, to assist in Restorations of Bokikokiko and Seabirds. SPREP and IUCN.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
environment generally. Poor sani<strong>ta</strong>tion practices are a potential risk to personal and family<br />
health. Poorer households in Kiritimati Island rely almost exclusively on household well water as<br />
their main source of water, a practice also common amongst households that have access to<br />
piped water. However, it is the local groundwater that is con<strong>ta</strong>minated by poor sani<strong>ta</strong>tion<br />
practices and other activities such as household pig pens. Many wells, even those classed as<br />
protected, are con<strong>ta</strong>minated by poor sani<strong>ta</strong>tion. Illnesses related to poor water and sani<strong>ta</strong>tion as<br />
reported to the London Hospi<strong>ta</strong>l include diarrhoea diseases, urinary tract infections, infectious<br />
hepatitis (hepatitis A and E viruses), typhoid, skin, ear and eye infections.<br />
19. Limits to Settlement Growth<br />
New settlement increases the demand for land, water supply, protection of the water resource,<br />
waste disposal, sani<strong>ta</strong>tion, electricity, roads, services such as schools and hospi<strong>ta</strong>ls, as well as<br />
consumption of goods and materials. The 2004 Kiribati Population and Development Plan<br />
suggested Kiritimati Island could accommodate a <strong>population</strong> of approximately 23,400 persons,<br />
although the basis of the assessment was not defined. Earlier ADB studies suggested a capacity<br />
of around 25 - 30,000 persons based on usable land and water resources, such land being subject<br />
to de<strong>ta</strong>iled local assessments. Water has often been elevated as the limiting factor determining<br />
the carrying capacity of Kiritimati Island. Considering water alone as the key limit to growth<br />
and assuming water is sourced from the major freshwater lenses, the estimated sus<strong>ta</strong>inable yield<br />
and approximate gross <strong>population</strong> capacity for each of the major lenses are shown in Table 9.<br />
The Table indicates an estimated <strong>population</strong> capacity of 21,700 persons of which approximately<br />
13,000 persons could be con<strong>ta</strong>ined in the northern peninsula if no other limits and constraints to<br />
growth are considered. The estimated sus<strong>ta</strong>inable yields are based on a December, 2007, analysis<br />
of groundwater recharge from rainfall to the lenses and knowledge of the thickness and lateral<br />
extent of the lenses assessed from previous studies.<br />
Table 9: Capacity of the Freshwater lenses, Kiritimati Island, 2007<br />
Water Lenses Estimated Sus<strong>ta</strong>inable<br />
Yield<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island (Population)<br />
31<br />
Estimated Gross<br />
Population Capacity<br />
Decca 260 2,200<br />
Four Wells 300 3,800<br />
Banana 550 6,900<br />
NZ Airfield 700 8,800<br />
To<strong>ta</strong>l 1,810 21,700
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
As continued <strong>population</strong> increases and the challenges of managing settlement in Kiritimati Island<br />
become more clearer, there are other limits to growth which are as impor<strong>ta</strong>nt, if not more<br />
impor<strong>ta</strong>nt, than water resources. These are;<br />
• lack of sui<strong>ta</strong>ble soils and insufficient rainfall for supporting ea<strong>ta</strong>ble fruit and vege<strong>ta</strong>bles.<br />
This constraint contributes to the high emphasis by the <strong>population</strong> on the exploi<strong>ta</strong>tion of<br />
the natural environment,<br />
• failing water supply and sani<strong>ta</strong>tion systems to meet current <strong>population</strong> needs,<br />
• minimal implemen<strong>ta</strong>tion of agreed plans and polices for Kiritimati Island which are<br />
necessary to align Kiritimati Island as an economic growth center, the most obvious<br />
being the ADB Water and Sani<strong>ta</strong>tion Project as deferred by Government,<br />
• uncontrolled and unchecked in migration,<br />
• a culture of ‘<strong>ta</strong>king’ and ‘mining’ of a nationally and globally recognised environment<br />
resource, rather than managing and conserving it,<br />
• little community support, respect and responsibility for protecting the environment, the<br />
latter a key component of the economic future of the <strong>island</strong>,<br />
• minimal opportunities for employment and livelihoods,<br />
• limited human resource capacity, and<br />
• poor cross sector and ‘whole of <strong>island</strong>’ leadership including environmen<strong>ta</strong>l stewardship.<br />
The above are the real limits to sus<strong>ta</strong>inable settlement and <strong>island</strong> development which need to be<br />
addressed urgently. The above constraints and limits to growth all suggest that the current<br />
<strong>population</strong> levels are not sus<strong>ta</strong>inable. Population levels need to be main<strong>ta</strong>ined within the carrying<br />
capacity of the social, economic and environmen<strong>ta</strong>l framework which underpins the future of<br />
Kiritimati Island. The fragility of this framework all suggests that in the short term, there should<br />
be no more land released, with an emphasis on main<strong>ta</strong>ining existing <strong>population</strong> levels and better<br />
managing in migration. There needs to be moratorium on the future development of Kiritimati<br />
Island as the current approaches to the planning and management of settlement and the<br />
environment in Kiritimati Island are not sus<strong>ta</strong>inable.<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
Section B – Recommendations for Future Settlement and Resettlement on Kiritimati Island<br />
A number of conclusions can be drawn from the existing settlement and resettlement patterns<br />
and processes.<br />
• Demand for land in Kiritimati Island exceeds supply. Government has not been able<br />
to keep up with the demand for land as demands outstrips supply. This issue has been<br />
exacerbated by the inability of Government to manage the free movement of people to<br />
Kiritimati Island. There is an expec<strong>ta</strong>tion that if people migrate to Kiritimati Island and<br />
s<strong>ta</strong>y there long enough, they will be rewarded with S<strong>ta</strong>te land with secure tenure.<br />
• The land allocation process has been slow and erratic. On average, Government has<br />
released land every 4 to 5 years in Kiritimati Island, to ease the demand placed on the<br />
land owner (the Government). The <strong>policy</strong> basis for some of the releases is questionable<br />
including the release <strong>policy</strong> in the 1990’s and early millennium which was based on<br />
land being released for business use only. No land was to be made available solely for<br />
housing except for those who were Government employees and associated <strong>island</strong><br />
workers.<br />
• More people means greater pressure on the natural resource. Continued <strong>population</strong><br />
increase and little opportunity for livelihoods and employment means the national and<br />
globally recognised land resource are under major pressure for exploi<strong>ta</strong>tion. Pressures<br />
on families to met demands for day to day survival combined with limited or no cash<br />
income - such as seen in families in Tabwakea - means continued pressure on the<br />
natural resource. The <strong>island</strong> continues to be ‘mined’ for its limited resource rather than<br />
being managed.<br />
• Perpetuating a culture of ‘<strong>ta</strong>king’ from S<strong>ta</strong>te lands. The current land tenure system<br />
based on leasehold (not freehold) and the historical background of Kiritimati Island<br />
being S<strong>ta</strong>te and ‘public’ lands has meant there is no real sense of belonging and<br />
affiliation to Kiritimati Island by the average I-Kiribati. The absence of the traditional<br />
notion of being custodian to family lands has resulted in the development of an unusual<br />
and destructive culture of “<strong>ta</strong>king as much as you can”, with no obligation to return to<br />
the land on Kiritimati Island. This mindset is the dominant norm as it applies to the<br />
management of natural resources in Kiritimati Island.<br />
• There are many inequalities in the land tenure arrangements. Land tenure ranges<br />
from freehold, to restricted freehold and to leasehold. There are also inconsistencies in<br />
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Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
the plot size, originally at half an acre and now quarter of an acre. The current 25 year<br />
leasehold arrangements are the least conducive land tenure arrangements to support<br />
economic growth and development activity. Many in the community question the<br />
inequality of the varying land tenure arrangements now in place across the villages.<br />
• There is no institutional responsibility for planning and managing Kiritimati<br />
Island in its to<strong>ta</strong>lity as a Growth Center. Kiritimati Island is at a s<strong>ta</strong>ge where it is a<br />
‘rudderless ship’ with little on <strong>island</strong> coordination and integration for planning and<br />
managing its future. There is no institution <strong>ta</strong>king the lead on coordinating the future<br />
planning and development of Kiritimati Island as a Growth Center. At the Kiritimati<br />
Island or national level, there is no ‘institutional home’ for addressing development<br />
issues arising on Kiritimati Island. 18 A Growth Center implies well planned,<br />
coordinated and integrated development. An economic growth center implies the<br />
promotion of economic activity through business incentives and marketing of<br />
opportunities including timely land releases for genuine businesses. Cabinet has agreed<br />
a number of times over the last 3 years to realign the MLPID to be a more effective<br />
<strong>island</strong> planner focusing on a ‘whole of <strong>island</strong> plan’ for Kiritimati Island. 19<br />
This cross<br />
sector plan would have to be I-Kiribati driven and owned and would be time bound plan<br />
with budget, setting out strategy, objectives, priority <strong>island</strong> actions, responsibilities,<br />
monitoring and evaluation.<br />
• There is no National Growth Centers Strategy. All the current studies under<strong>ta</strong>ken<br />
over the past 4 years with Government and other development partners, have<br />
increasingly reached the conclusion that the answer to managing the distribution of<br />
<strong>population</strong> in Kiribati does not lie solely in Kiritimati Island. Government in 2005<br />
nominated other potential growth areas for development primarily in the Gilbert Group<br />
but no systematic assessment of their potential was ever under<strong>ta</strong>ken. “The<br />
implemen<strong>ta</strong>tion of outer <strong>island</strong> growth centers has not been fully released and more<br />
work needs to be done to develop outer <strong>island</strong>s”, (Government of Kiribati Millennium<br />
Development Gaols report, p.47, 2007). There exists no national strategy or plan for<br />
growth centers, or no national strategy or plan for land and human settlement<br />
18 Cabinet in February, 2008, agreed to appoint a local Project Manager to <strong>ta</strong>ke responsibility for resolving whole of<br />
<strong>island</strong> and project kevel issues and coordination in both Tarawa and Kiritimati Island.<br />
19 Subs<strong>ta</strong>ntial work has already been done in preparing a draft Kiritimati Island Development Plan (KIDP) which<br />
could form the basis of this ‘whole of <strong>island</strong> plan. See ADB TA No. 4456 – KIR. Preparing the Outer Islands<br />
Growth Centers Project (Kiritimati Island). March, 2006.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island (Population)<br />
34
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
development for all of Kiribati. Such growth management plans are fundamen<strong>ta</strong>l tenet<br />
to national development as they indicate where <strong>population</strong> should be encouraged, how<br />
the settlement would be sus<strong>ta</strong>ined (for example, options to mobilise family and<br />
traditional lands), economic opportunities and the infrastructure, services, costs, budget<br />
and other support required for their development.<br />
• Functioning infrastructure is absent. Most of the infrastructure for water, sani<strong>ta</strong>tion<br />
and power is already in a precarious s<strong>ta</strong>te of decline or failure in Kiritimati Island due to<br />
under design, lack of maintenance or both. The needs of the existing <strong>population</strong> are not<br />
being met let alone any future <strong>population</strong>. The 200 plots to be released in Tabwakea in<br />
2008 will be provided without water and electricity. Water will be from wells and many<br />
wells, both protected and unprotected, are con<strong>ta</strong>minated from poor sani<strong>ta</strong>tion. The<br />
uncer<strong>ta</strong>inty over the proposed ADB Water and Sani<strong>ta</strong>tion Project only contributes to this<br />
crisis in infrastructure given the 2-3 year lead times requited to bring these projects on<br />
line. There has been no forward planning and budgeting of any note for major and minor<br />
infrastructure needed to underpin the land development process. The exception is the<br />
land planning and survey activities in place by LMDK. The concept of providing<br />
infrastructure in advance of the land to be released so that serviced land is available<br />
remains a foreign concept. It is hard to plan and develop a Growth Center where these<br />
principles are absent.<br />
• Need for major changes to the S<strong>ta</strong>te Lands Act, 2001. The S<strong>ta</strong>te Lands Act is the key<br />
legal instrument that allows Government as owner and custodian of S<strong>ta</strong>te Lands to<br />
under<strong>ta</strong>ke the process of making land available for development. The S<strong>ta</strong>te Lands Act<br />
includes the process of making a Strategic Plan so that land allocation and land<br />
development is under<strong>ta</strong>ken in a systematic approach. However, the Act has major<br />
shortcomings, the most significant being the absence of provisions to allow existing and<br />
future residents on Kiritimati Island to use leased land as collateral and security to gain<br />
a mortgage or development loan. 20<br />
Such a move would enhance economic activity<br />
across all sections of the community such as building construction, brick making,<br />
purchase of water <strong>ta</strong>nks, etc, for all those currently unable to borrow development<br />
monies.<br />
20 Leased land could be used as collateral with the Bank of Kiribati (BoK) or Development Bank of Kiribati (DBK).<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island (Population)<br />
35
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
• Human resources and capacity is limited. Despite the enthusiasm by some in<br />
Government and the community to work towards a more integrated and coordinated<br />
approach to development on Kiritimati Island - for example, a rejuvenated and far<br />
stronger MLPID - human resource capacity is limited. Most Ministries are preoccupied<br />
with their own mandate and there is little on <strong>island</strong> coordination by the MLPID to<br />
address major issues. Most Ministries doing their ‘own thing’. Human resource<br />
capacity in key positions is absent or limited, with most having no experience or having<br />
seen what a growth center is, how it functions and what needs to be done to achieve it.<br />
The MLPID needs to be urgently rejuvenated.<br />
• Poor leadership and stewardship. The culture of ‘<strong>ta</strong>king’ and the mining of the natural<br />
resource as it applies to the unique situation of S<strong>ta</strong>te lands on Kiritimati Island, requires<br />
long term solutions and hard decisions. Kiritimati has reached a s<strong>ta</strong>ge where there is a<br />
crisis in the absence of integrated and coordinated planning, with strong leadership. No<br />
serous moves are place to address issues of environmen<strong>ta</strong>l sus<strong>ta</strong>inability. Squatters, for<br />
example, are on the increase and there is not serous attempt to address the underlying<br />
issues of lack of land supply and unchecked in migration.<br />
The conclusion to be drawn from the above is that there should be no more settlement and<br />
resettlement (including the proposed Phase 2) until the key existing planning and<br />
development issues are systematically resolved. As the world’s largest atoll, Kiritimati Island<br />
is an asset of national and international ecological and conservation significance. The whole<br />
<strong>island</strong> is basically a wildlife reserve now competing with increasing development pressures. The<br />
notion that the Kiritimati Island can sus<strong>ta</strong>in continued major increases in <strong>population</strong> with the<br />
current mindset with minimal impact on the environment is incorrect. While water is often held<br />
up as a key limiting factor in the <strong>island</strong>s development, the real limits lie in; (i) the inherent<br />
physical characteristics of the <strong>island</strong> and (ii) the attitudes and values of residents which<br />
determine current lifestyle patterns - economic, social and environmen<strong>ta</strong>l.<br />
The key constraints are reliance on a lifestyle that depends on the natural resource for survival,<br />
poor soils, insufficient and intermittent rainfall, minimal employment opportunities and a<br />
mindset showing little concern for conserving and managing the natural resource for the existing<br />
and future generations. All of the above continue to contribute to the exploi<strong>ta</strong>tion of the natural<br />
environment. Human habi<strong>ta</strong>tion can be sus<strong>ta</strong>ined but at a major cost. All anecdo<strong>ta</strong>l evidence<br />
indicates that the natural resource stocks of fish and, to a lesser extent, birds are exploited for<br />
subsistence and commercial purposes. Unless these trends are quickly modified, then current<br />
and future <strong>population</strong> growth will not be sus<strong>ta</strong>inable.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island (Population)<br />
36
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
In this setting, the recommended approach to the development of Kiritimati Island is a step by<br />
step and cautious approach to the future release of land. This needs to be accompanied by<br />
renewed approaches to managing in migration, respecting the <strong>island</strong>s unique environmen<strong>ta</strong>l<br />
values, urgently improving the existing poor s<strong>ta</strong>te of infrastructure, the need for changes to<br />
environmen<strong>ta</strong>l management practices and mindset, reducing squatter numbers and greater<br />
community mobilisation on environmen<strong>ta</strong>l and natural resource issues. In migration needs to<br />
reduced significantly while the Government and community <strong>ta</strong>ke stock of the impacts occurring.<br />
At a national level, what is increasingly clear is that Kiritimati Island is only part of the solution<br />
to addressing overcrowding problems and broader economic development issues in the Gilbert<br />
Group. It is definitely not the answer to all of the problems of Kiribati as often implied in<br />
national plans such as the NDS 2004-2007 and the new Kiribati Development Plan, 2008-2011.<br />
The need for a National Growth Centers Strategy is urgent.<br />
In this setting, the 222 Phase 1 plot release for residents of Kiritimati Island is best viewed as a<br />
‘release valve’ for the current overcrowded households already on Kiritimati Island seeking land.<br />
This is most relevant in villages such as Tabwakea where 80% of the approved applicants for the<br />
222 plots reside and have the highest persons per household. By 2012, the <strong>population</strong> in<br />
Kiritimati Island based on the 2000-2005 7.9% growth rate is estimated as 8,765 persons. This<br />
would require 365 new plots of which Government has already agreed to provide 231 for<br />
residents from the Gilbert Group. Land should be provided for;<br />
• the 222 plots as now agreed to be released in 2008, and<br />
• a further maximum 231 plots for residents from the Gilbert group who will be allocated<br />
land and to which Government has made a commitment. However, such release needs<br />
to be deferred until adequate infrastructure – namely, water, sani<strong>ta</strong>tion and power -<br />
is physically in place in the preferred location for these plots, New Banana.<br />
It follows that no more land should be provided for in Kiritimati Island until all the existing<br />
<strong>population</strong>, resettlement and migration issues are addressed; the water system is rehabili<strong>ta</strong>ted and<br />
improved; new environmen<strong>ta</strong>l <strong>program</strong>s to address the decline of the natural resource are put in<br />
place, rising squatter issues and the unsus<strong>ta</strong>inable impact of <strong>population</strong> growth mitigated are<br />
addressed. Planning for integrated <strong>island</strong> development in Kiritimati Island is in crisis and it<br />
would be irresponsible to continue to keep planning and releasing land in the current adverse<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island (Population)<br />
37
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
development climate of Kiritimati Island. 21 At best, the existing land commitments for Phase 1<br />
should be met and nothing more.<br />
The MLPID has struggled in its role of <strong>island</strong> planner and coordinator, especially in<br />
forward planning for village infrastructure (water supply, sani<strong>ta</strong>tion and power<br />
generation) and ensuring plot development is con<strong>ta</strong>ined to the agreed growth villages.<br />
A step by step and cautious approach to releasing land is recommended in the short to medium<br />
term because:<br />
• major overcrowding and squatter issues already exist because land supply has been<br />
constrained and in migration unchecked.<br />
• urgent measures are needed to address the major environmen<strong>ta</strong>l degradation being driven<br />
by a rising <strong>population</strong> dependent on the natural resource for survival. Government has<br />
agreed to examine options to manage in migration and action is awaited.<br />
21 The recent suspension of Air Pacific flights to Kiritimati Island in September and October, 2008, is further<br />
evidence of the inability to put in place basic forward planning procedures. .<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island (Population)<br />
38
Discussion Paper - Settlement and Resettlement Plans and Policies for Kiritimati Island<br />
• the constraints and opportunities to development including the current water supply<br />
system, the s<strong>ta</strong>te of sani<strong>ta</strong>tion, declining water quality, maximum load on the s<strong>ta</strong>nd alone<br />
power systems, and the uncer<strong>ta</strong>in s<strong>ta</strong>tus of maximum groundwater yields. All these are<br />
major limits to growth which must be acknowledged and addressed before any further<br />
resettlement.<br />
• there remains no firm commitment by Government to provide upgraded water supply,<br />
sani<strong>ta</strong>tion systems and power as land is released. As a principle, infrastructure should be<br />
provide with the plots to be released. Water supply, power and proper sani<strong>ta</strong>tion are<br />
village priorities and need to be urgently rehabili<strong>ta</strong>ted and improved for the existing<br />
<strong>population</strong>, let alone providing for any future <strong>population</strong> from natural growth on<br />
Kiritimati Island or resettlement,<br />
• the declining s<strong>ta</strong>te and ‘mining’ of the environmen<strong>ta</strong>l resources of the <strong>island</strong> which can<br />
only be resolved by leadership, a change in mindset and major community involvement,<br />
and<br />
• the absence of a ‘whole of <strong>island</strong>’ and whole of Government plan as agreed with<br />
s<strong>ta</strong>keholders, and implemented by a strengthened and realigned MLPID. Cabinet agreed<br />
to prepare this a ‘whole of <strong>island</strong>’ plan in February, 2008, and this should be in place<br />
before any further resettlement.<br />
The existing land commitments for the current Phase 1 land release should be met and<br />
nothing more. Phase 2 should be deferred until commitments for infrastructure for water,<br />
sani<strong>ta</strong>tion and power are agreed and physical works are in place.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island (Population)<br />
39
Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
RAPID SOCIAL AND POVERTY<br />
ASSESSMENT<br />
KIRITIMATI ISLAND<br />
July, 2008<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population)
Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
ABBREVIATIONS<br />
ADB <strong>Asian</strong> Development Bank<br />
AusAID Australian Agency for International Development<br />
CBO Community Based Organization<br />
DBK Development Bank of Kiribati<br />
FPL Food Poverty Line<br />
GoK Government of Kiribati<br />
HDI Human Development Index<br />
HH Household<br />
ICC Island Church Council<br />
IDEA information, dissemination, education and awareness<br />
IPSA Initial Poverty and Social Analysis<br />
JSS Junior Secondary School<br />
KLLPB Kiritimati Local Land Planning Board<br />
KIDP Kiritimati Island Development Plan<br />
KDP Kiritimati Development Plan<br />
KWASP Kiritimati Water and Sani<strong>ta</strong>tion Project<br />
KPC Kiribati Protes<strong>ta</strong>nt Church<br />
KUC Kiritimati Urban Council<br />
KWASP Kiritimati Water and Sani<strong>ta</strong>tion Project<br />
LMDK Land Management Division Kiritimati (Division of MELAD)<br />
MDG Millennium Development Goals<br />
MELAD Ministry of Environment, Lands and Agriculture Development<br />
MEYSD Ministry of Education, Youth and Sport Development<br />
MFED Ministry of Finance and Economic Development<br />
MFMRD Ministry of Fisheries and Marine Resources Development<br />
MHMS Ministry of Health and Medical Services<br />
MISA Ministry of Internal and Social Affairs<br />
MLPID Ministry of Line and Phoenix Island Development<br />
NGO Non Government Organization<br />
NPRS National Poverty Reduction Strategy<br />
NPV Net Present Value<br />
PDMCs Pacific Developing Member Countries<br />
PIR Poverty Impact Ratio<br />
PL Poverty Line<br />
RERF Revenue Equalisation Reserve Fund<br />
RCC Roman Catholic Church<br />
RRP Report and Recommendation to the President<br />
SDA Seventh Day Adventist Church<br />
SOE S<strong>ta</strong>te Owned Enterprise<br />
SPRSS Summary Poverty Reduction and Social Strategy<br />
TA Technical Assis<strong>ta</strong>nce<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
v
Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
Kiritimati Island – Location of Main Growth Villages (Ronton to Tabwalea North, and Main Camp to New Banana)<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
6
Rapid Social and Poverty Assessment 1<br />
1. Major S<strong>ta</strong>keholder Groups<br />
S<strong>ta</strong>keholder<br />
Category<br />
TA Executing<br />
Agency and<br />
Key<br />
Government<br />
Institutions<br />
Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
Table 1: Key S<strong>ta</strong>keholders in Kiritimati Island<br />
National Level Island (Kiritimati) Level<br />
Community / Village<br />
Level<br />
Ministry of Finance and<br />
Economic Development<br />
(MFED)<br />
Ministry of Line and<br />
Phoenix Island<br />
Development (MLPID)<br />
Ministry of Internal and<br />
Social Affairs (MISA)<br />
Ministry of Environment,<br />
Lands and Agriculture<br />
Development (MELAD)<br />
Ministry of Health and<br />
Medical Services (MHMS)<br />
Ministry of Fisheries and<br />
Marine Resource<br />
Development (MFMRD)<br />
Ministry of Education,<br />
Youth and Sport<br />
Development (MEYSD)<br />
MLPID Main Office<br />
- Administration<br />
- Water & Sani<strong>ta</strong>tion<br />
Development Planning<br />
Divisions<br />
- Civil & Technical<br />
Kiritimati Urban Council<br />
(KUC)<br />
- MELAD Kiritimati<br />
(Land Management<br />
Division; Wildlife<br />
Conservation)<br />
- Kiritimati Local Land<br />
Planning Board<br />
- Kiritimati Hospi<strong>ta</strong>l &<br />
Laboratory<br />
- MFMRD Kiritimati<br />
Island Councillors (8)<br />
- London (3)<br />
- Tabwakea (3)<br />
- Banana (1)<br />
- Poland (1)<br />
- Council Clerk,<br />
Social Development<br />
Officer<br />
- London Clinic<br />
- Tabwakea Clinic<br />
- Banana Clinic<br />
- Poland Clinic<br />
- MEYSD Kiritimati - Itoini Mainiku High<br />
School<br />
(Terawanbakoa)<br />
- Saint Francis High<br />
School<br />
(Terawanbakoa)<br />
- TRW Junior<br />
Secondary School<br />
(Tennessee)<br />
- Banana Primary<br />
School<br />
- Poland Primary<br />
1 This Rapid and Social Poverty Assessment builds on a range of da<strong>ta</strong> and information sources in Kiritimati<br />
Island. This includes de<strong>ta</strong>iled work under<strong>ta</strong>ken for TA KIR - 4456 ‘Water and Sani<strong>ta</strong>tion Project Design’ (ADB<br />
Growth Centers Project), Final reports, April, 2008.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population)
S<strong>ta</strong>keholder<br />
Category<br />
Government<br />
Enterprises<br />
Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
National Level Island (Kiritimati) Level<br />
- Cap<strong>ta</strong>in Cook Hotel<br />
Limited<br />
- Development Bank of<br />
Kiribati (DBK)<br />
- Bobotin Kiribati<br />
Limited<br />
Private Sector Re<strong>ta</strong>il and Wholesale<br />
- JMB Enterprises<br />
- Dojin<br />
Tourism and<br />
Accommodation<br />
- Dive Kiribati<br />
- Various 1-2 s<strong>ta</strong>r lodges<br />
and guest houses<br />
Pet Fish<br />
Churches and<br />
Community<br />
Groups<br />
Island Church Council<br />
(ICC)<br />
Roman Catholic Church<br />
(RCC)<br />
Kiribati Protes<strong>ta</strong>nt Church<br />
(KPC)<br />
Community / Village<br />
Level<br />
School<br />
- Tennessee Primary<br />
School<br />
Re<strong>ta</strong>il and Wholesale<br />
- Numerous mini and<br />
small general stores<br />
- Noel Catholic<br />
Church (London)<br />
- St Teresa’s Catholic<br />
Church (Tabwakea)<br />
- Saint Francis<br />
Catholic Church<br />
(Terawanbakoa)<br />
- Banana Catholic<br />
Church<br />
- St S<strong>ta</strong>nislaus<br />
Catholic Church<br />
(Poland)<br />
- London KPC<br />
- Tabwakea KPC<br />
- Itoini Mainiku KPC<br />
(Terawanbakoa)<br />
- Banana KPC<br />
- Poland KPC<br />
Church of God - Tabwakea Church of<br />
God<br />
Church of Christ - Tabwakea Church of<br />
Christ<br />
Seven Day Adventist - London SDA<br />
Church of Jesus Christ for<br />
Latter Day Saints<br />
(Mormon)<br />
- Tabwakea Church of<br />
Jesus Christ for<br />
Latter Day Saints<br />
Bahai Church - London Bahai<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
8
S<strong>ta</strong>keholder<br />
Category<br />
Viilage<br />
Communities<br />
Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
National Level Island (Kiritimati) Level<br />
Unimane – Te<br />
Ekonikabanei<br />
Nei Baneawa (Combined<br />
Women’s Association)<br />
Roro n ri<strong>kir</strong>ake (Youth<br />
Groups)<br />
The key s<strong>ta</strong>keholders in Kiritimati Island are briefly described bellow;<br />
* Ministry of Line and Phoenix Island Development (MLPID)<br />
Community / Village<br />
Level<br />
- Banana Bahai<br />
- Numerous Women’s<br />
Associations as part<br />
of churches<br />
- Numerous Youth<br />
Groups as part of<br />
churches<br />
- London<br />
- Tennessee<br />
- Tabwakea<br />
- Terawanbakoa<br />
- Main Camp<br />
- New Banana<br />
- Banana<br />
- Poland<br />
The MLPID (also referred to as LINNIX) is responsible for the coordination of a broad range<br />
of Government services in the Line and Phoenix Islands. 2 . Primarily focused in Kiritimati<br />
Island, these functions include: (i) infrastructure services such as power and water supply; (ii)<br />
government housing; (iii) revenue collection; (iv) surveillance of wildlife closed areas; and<br />
(v) support services for government owned companies. The management of the above<br />
services and infrastructure is mediocre, with the power, water and housing divisions and all<br />
government enterprises currently operating with subs<strong>ta</strong>ntial losses and heavily subsidised by<br />
central government from Tarawa. 3<br />
MPLID provides a potential key role in coordination and<br />
integration for <strong>island</strong> planning and development in Kiritimati Island.<br />
* Kiritimati Urban Council<br />
Administered by the Ministry of Social and Internal Affairs (MISA), the Kiritimati Urban<br />
Council (KUC) was es<strong>ta</strong>blished in April 2004 for the provision of local services within the<br />
urban villages of Kiritimati Island. The KUC consists of councillors from each of the eight<br />
urban wards (3 in London, 3 in Tabwakea, 1 in Banana and 1 in Poland), one nominated<br />
member from the Combined Women’s Association (Nei Baneawa) and one nominated<br />
member from the Unimane. 4<br />
The KUC is responsible for local by-laws, waste collection,<br />
social development (interaction with Women’s Associations and Youth Groups), distribution<br />
of the elderly pension and local business licenses. The KUC is still in its infancy in<br />
Kiritimati Island and does not have the capability or capacity to main<strong>ta</strong>in and operate systems<br />
for basic services such as domestic waste collection, water supply and sani<strong>ta</strong>tion. The KUC<br />
2<br />
The inhabited <strong>island</strong>s in the Line Islands Group include Kiritimati (Christmas), Tabuaeran (Fanning) and Teraina<br />
(Washington), whilst the only inhabited <strong>island</strong> in the Phoenix Islands Group is Canton.<br />
3<br />
Refer to institutional capacity in TA 4456-KIR Phase 2 Financial and Economic Working Paper.<br />
4<br />
Unimane in I-Kiribati culture are the ‘old men’ or ‘community wise men’ and are usually over 65 years.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
9
Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
could play an active role in community mobilization as it has es<strong>ta</strong>blished linkages with the<br />
community through councillor represen<strong>ta</strong>tion, appointment of village wardens and social<br />
development networks.<br />
* Kiritimati Local Land Planning Board<br />
The Kiritimati Local Land Planning Board (KLLPB) is comprised of government s<strong>ta</strong>ff from<br />
MLPID, MELAD and other government agencies such as Commerce and TSKL. KLLPB is<br />
<strong>ta</strong>sked with development assessment and planning for land use on Kiritimati Island, including<br />
future growth and coordination of land development.<br />
* Ministry of Environment, Lands and Agriculture Development<br />
In Kiritimati Island, there are three divisions of MELAD, namely the Land Management<br />
Division (LMDK), Wildlife Conservation Office and the Agriculture Development Division.<br />
The LMDK is responsible for the leasing of land for private households, government owned<br />
enterprises and for business, collecting rent arrears, executing government policies relating to<br />
land management such as reducing squatters, and licenses for extractive industries, such as<br />
gravel removal. The Wildlife Conservation Office is responsible for: (i) survey and<br />
monitoring of seabird <strong>population</strong>s; (ii) enforcing strict exclusion from conservation zones;<br />
(iii) control of feral cats and pigs; (iv) support for the development of tourism; and (v)<br />
provision of Conservation Education Programs. The terrestrial and aquatic ecology of<br />
Kiritimati Island is unique and globally recognised for its high conservation value and<br />
potential for economic growth from eco tourism. 5<br />
* Ministry of Health and Medical Services (MHMS)<br />
The MHMS is present in Kiritimati Island through (i) London Hospi<strong>ta</strong>l - Health Center; (ii)<br />
Health Clinics in Tabwakea, Banana and Poland villages; and (iii) administrative s<strong>ta</strong>ff and<br />
public health officers. The MHMS provides the following free services in Kiritimati Island:<br />
(i) general outpatient and inpatient care; (ii) emergency care; (iii) midwifery, maternal and<br />
child health; (iv) limited den<strong>ta</strong>l care; (v) laboratory services; (vi) ambulance services; (vii)<br />
provision of medication; (viii) medical tours to Fanning and Washington Islands; and (ix)<br />
public health education and awareness <strong>program</strong>s. The MHMS is a key s<strong>ta</strong>keholder in<br />
implementing <strong>program</strong>s to increase the health and well-being of Kiritimati Island residents,<br />
although as noted elsewhere in the TA reports, services are under resourced and stretched to<br />
capacity.<br />
* Ministry of Fisheries and Marine Resources Development (MFMRD)<br />
The Kiritimati Island Division of the Ministry of Fisheries and Marine Resources<br />
Development (formerly the Ministry of Natural Resources Development) has operated in<br />
London for more than 20 years, providing services for the management of marine resources<br />
in the lagoon, reef and open ocean areas. Like the Wildlife Conservation Office, the<br />
MFMRD is a key s<strong>ta</strong>keholder in the exiting and future management and conservation of the<br />
<strong>island</strong>’s natural resources.<br />
5<br />
Tourism activities in Kiritimati Island include fly and deep sea fishing, bird watching, snorkeling / diving and<br />
short <strong>island</strong> tours for day tourists from cruise ships.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
* Ministry of Education, Youth and Sport Development (MEYSD)<br />
In Kiritimati Island, the MEYSD manages three primary schools (Banana, Poland and<br />
Tennessee – for ages 6-11 years), one junior secondary school (Tennessee JSS – for ages 12-<br />
14 years) and two secondary / high schools (both in Terawanbakoa village – for ages 15-18<br />
years). The MEYSD play an impor<strong>ta</strong>nt role in the community mobilization and public<br />
education / awareness components of the Project, given that 39% of the <strong>population</strong> are under<br />
the age of 15 years. 6<br />
* Government Enterprises<br />
As with other parts of Kiribati, the majority of economic sectors in Kiritimati Island are<br />
dominated by s<strong>ta</strong>te owned enterprises (SOEs). The vast majority of SOEs are running at a<br />
loss, however, as a form of social safety net, they do provide a high number of jobs for the<br />
<strong>island</strong>. The largest SOE is the Cap<strong>ta</strong>in Cook Hotel, which is the main tourist provider on the<br />
<strong>island</strong> with some 50 plus s<strong>ta</strong>ff.<br />
* Private Sector<br />
The 2005 Census shows that 11% of households in the Line Islands Group are involved in<br />
private business. Most private industry in Kiritimati Island is concerned with either; (i)<br />
wholesale or re<strong>ta</strong>il sales, and (ii) tourism-related business including accommodation. At<br />
present, the private sector is being constrained by a number of factors, namely: (i) lack of<br />
access to S<strong>ta</strong>te lands; (ii) type of land tenure; (iii) lack of business ‘Know How’ and Skills;<br />
(iv) uncer<strong>ta</strong>inty of transport services; (v) quality of physical infrastructure services; (vi) lack<br />
of autonomy from Tarawa; (vii) poor information flow; (viii) community service obligations<br />
versus commercial operations; (ix) public service inefficiency; (x) access to capi<strong>ta</strong>l; and (xi)<br />
<strong>island</strong> development coordination and governance. 7<br />
Despite these constraints, the private<br />
sector continues to grow albeit slowly.<br />
* Churches and Community Groups<br />
Churches<br />
Churches and religion play a key role in the socio-cultural makeup of Kiritimati Island, as for<br />
Kiribati as a whole. The vast majority of I-Kiribati families are part of either the Roman<br />
Catholic Church (55%) or the Kiribati Protes<strong>ta</strong>nt Church (36%) (see Table 2). The church<br />
plays an impor<strong>ta</strong>nt role in the Kiritimati Island community, namely: (i) caring for spiritual,<br />
social, physical and men<strong>ta</strong>l needs; (ii) promoting healthy living through a good diet, drinking<br />
clean water and exercising; (iii) running workshops/training session on family life,<br />
counselling and health; (iv) organising events for women’s association and youth groups, and<br />
(v) cultural and sports events.<br />
6 Refer to 2005 Kiribati Census.<br />
7 Refer to Draft Kiritimati Island Development Plan (KIDP), p.89 (TA 4456-KIR Phase 1B).<br />
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Table 2: Percen<strong>ta</strong>ge of Kiribati Population by Religion<br />
Religion % of Pop'n<br />
Roman Catholic Church (RC) 55<br />
Kiribati Protes<strong>ta</strong>nt Church (KPC) 36<br />
Seventh Day Adventist Church (SDA) 2<br />
Bahai Church 2<br />
Church of Jesus Christ and the Latter Day Saints (Mormon) 3<br />
Other 1<br />
To<strong>ta</strong>l 100<br />
Source: 2005 Census<br />
Religion and belonging to a “church family” provides the community with a sense of<br />
belonging and purpose. The churches are the most prominent community group within I-<br />
Kiribati society and provide a solid platform for community mobilization and community<br />
development activities in coordination with Church Ministers and senior church members<br />
(Elders / Deacons).<br />
Unimane<br />
There are approximately 30 unimane (‘older wise men’) in Kiritimati Island. The decisionmaking<br />
powers of the Unimane Association are limited in Kiritimati Island, with traditional<br />
leadership and influence not strong given the absence of traditional village structures seen<br />
elsewhere in Kiribati (discussed later in the analysis). Instead, leadership at the community<br />
level occurs primarily through the church and its associated committees.<br />
Nei Baneawa (Women’s Associations)<br />
The Women’s Associations operate within churches in Kiritimati Island, with the Roman<br />
Catholic, KPC and SDA groups the most active. The groups meet on a regular basis to share<br />
food, discuss future <strong>program</strong> activities, work on sewing or handicraft projects and discuss<br />
family and community issues. One elected member of the women’s association represents<br />
women’s issues on the KUC.<br />
Roron-ri<strong>kir</strong>ake (Youth Groups)<br />
Like the Women’s Associations, the majority of churches in Kiritimati Island have an active<br />
youth group, with between 10 and 50 regular participants per group. Youth group leaders are<br />
often requested to represent the church or youth society at the KUC and other government<br />
meetings.<br />
Other Associations<br />
There are a number of other smaller groups, both formal and informal, that operate to<br />
represent and support various business organizations. These groups represent industries such<br />
as: (i) commercial pet fish; (ii) hotels and guesthouses; (iii) diving; (iv) commercial fishing,<br />
(v) fishing guides and (vi) in 2008, the es<strong>ta</strong>blishment of the Ro<strong>ta</strong>ry Club of Kiritimati Island.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
12
2. Population 8<br />
Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
Ministry of Line and Phoenix Island Development (MLPID), London<br />
In 2005, Kiritimati Island had a <strong>population</strong> of 5,115 persons and an annual 2000-2005 growth<br />
rate of 7.9% (8%) compared to a growth rate of 1.2% for the 1995-2000 period. The increase<br />
in 2000-2005 is the largest in the <strong>island</strong>s recent settlement history. The capi<strong>ta</strong>l South Tarawa<br />
has a land area of 15.8 km2 and nearly 44% of the nation’s <strong>population</strong>, while Kiritimati<br />
Island, the largest atoll in the world, has a land area of approximately 388 km2. The latter is<br />
nearly half the to<strong>ta</strong>l land area of Kiribati but con<strong>ta</strong>ins only 5.2% of the national <strong>population</strong>.<br />
Population density in South Tarawa is 2,558 persons per km2, with up to 15,000 people per<br />
km2 in overdeveloped islets such as Betio. Overall, Kiritimati Island <strong>population</strong> densities are<br />
low and in the order 13 persons per km2. Population for Kiritimati Island by village in 2000<br />
- 2005 is as follows:<br />
8 More de<strong>ta</strong>iled analysis on the <strong>population</strong> of Kiritimati Island and Kiribati is discussed elsewhere in the TA reports.<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
Table 3: Population by Village, Kiritimati Island, 2000-2005<br />
Village 2000 Census 2005 Census<br />
London - Tennessee 1,465 1,829<br />
Tabwakea 976 1,881<br />
Banana - Main Camp 707 1,170<br />
Poland 283 235<br />
To<strong>ta</strong>l Kiritimati Island 3,431 5,115<br />
Source: Census 2000 and 2005<br />
3. Housing and Household Size<br />
Housing in Kiritimai Island is primarily con<strong>ta</strong>ined within the five main village areas, namely,<br />
London, Tabwakea, Banana, Main Camp, New Banana and Poland. Since the late 1990’s,<br />
there has been an increasing number of both squatters and approved houses being permitted<br />
outside the designated village areas. Housing varies in quality from permanent materials to<br />
local village housing and all forms of combinations in between. Construction materials<br />
include coconut trees, thatching and locally manufactured grey blocks as well as the use of<br />
imported materials primarily masonite and corrugated iron sheeting.<br />
Seven main housing types can be identified on Kiritimati Island, namely:<br />
• Government housing for Government employees,<br />
• Government housing for Government owned companies such as Development Bank<br />
of Kiribati and Kiribati Port Authority,<br />
• Government houses to accommodate affiliated government bodies such as the Kiribati<br />
Maintenance Corporation,<br />
• housing for special projects such as for KWASP or the recently completed (2008)<br />
British funded Clean Up Kiritimati Island Project,<br />
• housing on freehold land in Tabwakea,<br />
• housing constructed as part of the approved business leases, and<br />
• squatter housing either within or outside the planned villages.<br />
Based on LMDK records, there were approximately 609 houses in Kiritimati Island<br />
beginning 2007, assuming one house per business lease, with approximately 75% of housing<br />
located in the contiguous London to Tabwakea corridor. The 100% Water and Sani<strong>ta</strong>tion<br />
Survey for Kiritimati Island (October, 2007) carried as out as part of the ADB Water and<br />
Sani<strong>ta</strong>tion Design Project counted 626 occupied buildings primarily houses, including<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
commercial and other uses. This included 250 in London, 232 in Tabwakea, 110 in Banana<br />
and Main Camp, and 44 in Poland.<br />
In 2005, household size in Kiritimati Island was 7.2 persons per household (pph) compared to<br />
a national pph of 6.3 for Kiribati. A 10% Household Survey (November, 2007) indicated that<br />
average household size on Kiritimati Island was 9.5 person per household. 9<br />
Household size<br />
by village (Census, 2005) is shown in Table 4 with Tabwakea having the highest pph. The<br />
increased household size on Kiritimati Island compared to the rest of Kiribati reflects the<br />
strictness of the land release <strong>program</strong>s and the larger national issue of not addressing in<br />
migration.<br />
Table 4: Household Size by Village, Kiritimati Island, 2005<br />
Village Name Number of % of To<strong>ta</strong>l Population Household Size<br />
Households<br />
Households<br />
London 266 37.9% 1,829 6.9<br />
Tabwakea 252 35.9% 1,881 7.5<br />
Banana 151 21.5% 1,170 7.7<br />
Poland 33 4.7% 235 7.1<br />
To<strong>ta</strong>l 702 100.0% 5,115 7.2<br />
Source: Census 2005.<br />
4. Water Supply and Sani<strong>ta</strong>tion<br />
* Water Supply<br />
The water supply s<strong>ta</strong>tistics for Kiritimati Island for 2005 show the main sources of drinking<br />
water being; (i) 84% use water from the piped reticulated system, (ii) 32% use rainwater, (iii)<br />
38% use a closed or open well and (iv) 2% use bottled water. 10<br />
Wells currently provide a<br />
source of groundwater for a number of uses, depending on the location of the village and<br />
quality of the underlying groundwater. There are, however, major issues associated with<br />
main source of po<strong>ta</strong>ble water, namely, the current reticulated water supply system. Although<br />
the system is simple in conceptual design including good use of renewable energy via<br />
windmills and solar pumps for groundwater pumping and use of head <strong>ta</strong>nks, the water system<br />
as provided by the Australian Agency for International Development (AusAID) under the<br />
Kiritimati Water and Sani<strong>ta</strong>tion Project (KWASP) suffers from poor construction s<strong>ta</strong>ndards,<br />
inadequate attention to de<strong>ta</strong>il, inadequate operations and maintenance regimes, limited<br />
monitoring and analysis of da<strong>ta</strong> as well as limited institutional capacity. Apart from Poland<br />
village, there is insufficient water from the piped systems to supply the current major<br />
<strong>population</strong> centers due to; (i) insufficient pumping capacity; (ii) major leakage from domestic<br />
reticulation systems, and possibly from the main reticulation system; and (iii) direct<br />
connections to the main pipeline from the Decca and Four Wells lenses to Tabwakea and<br />
London. Bacteriological water quality within the pump wells and water in the reticulation<br />
9 Under<strong>ta</strong>ken as part of the ADB Water and Sani<strong>ta</strong>tion Design Project (October, 2007)<br />
10 Source: 2005 Census.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
systems after chlorination varies greatly, with both E.coli and to<strong>ta</strong>l coliforms present.<br />
Irregular testing is carried out by the laboratory at the Health Center (hospi<strong>ta</strong>l) in London.<br />
Water supply storage <strong>ta</strong>nks from Four Wells located at Decca galleries which supplies water to<br />
Tabwakea, Tennessee and London<br />
* Sani<strong>ta</strong>tion<br />
Sani<strong>ta</strong>tion is a problematic and a major issue in Kiritimati Island where traditional sani<strong>ta</strong>tion<br />
measures such as beach and bush defecation remain strong and freshwater sources are<br />
limited. Current methods of sani<strong>ta</strong>tion as used on Kiritimati Island (2005 Census) indicate<br />
73% of households had flush toilets using either cistern (35%) or pour-flush (38%), 25% had<br />
pit toilets, 20% had compost toilets, and 35% used either bush or beach for defecation (see<br />
Table 5 for type of toilet used by village).<br />
Number of Toilets<br />
300<br />
250<br />
200<br />
150<br />
100<br />
Table 5: Number of Toilets Used in each Village, Kiritimati Island 2005<br />
50<br />
0<br />
Source: 2005 Census<br />
Cistern<br />
flush<br />
Pourflush<br />
London Tabw akea Banana Poland<br />
Pit Toilet Compost<br />
toilet<br />
Beach Bush<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
The analysis shows that, amongst other matters; (i) more than one type of toilet is used by<br />
households - for example, use of a cistern toilet in a Government office and the beach or bush<br />
defecation at the household level, and (ii) there are wide differences in methods of sani<strong>ta</strong>tion<br />
by villages. For example, London has a high use of cistern and pour flush toilets while<br />
Tabwakea has the highest use of the bush and beach as a toilet. Sani<strong>ta</strong>tion in Kiritimati<br />
Island is a significant consumer of water, a polluter of groundwater and the environment<br />
generally as well as a potential major risk to personal health. Poorer households in Kiritimati<br />
Island such as in Tabwakea rely almost exclusively on household well water as their main<br />
source of water. However, it is the local groundwater that will be con<strong>ta</strong>minated by sani<strong>ta</strong>tion<br />
and other activities such as household pig pens.<br />
In Kiritimati Island, the benchmark for sani<strong>ta</strong>tion systems has already been set by the longes<strong>ta</strong>blished<br />
s<strong>ta</strong>ndards applied in government housing - approximately 55% of housing in<br />
Kiritimati Island - in the villages of London, Tennessee and to a lesser extent, Banana. This<br />
also includes the Government-owned Cap<strong>ta</strong>in Cook Hotel where government employees and<br />
tourists have access to flush pedes<strong>ta</strong>l toilets connected to septic <strong>ta</strong>nk systems. 11<br />
One of the failed 130 compost toilets from the AusAID KWASP, 1999-2003<br />
3. The Policy Setting for Poverty Assessment<br />
The Government of Kiribati and the ADB have assessed poverty in Kiribati in increasing<br />
de<strong>ta</strong>il over recent years and as a result, developed policies and strategies to promote poverty<br />
reduction and social development. To provide a context for the social and poverty<br />
(hardship) 12<br />
analysis, a brief discussion on the new Kiribati Development Plan, the ADB<br />
Poverty Reduction Policy and the Kiribati Millennium Development Goals (MDG) report is<br />
provided.<br />
11<br />
See TA KIR - 4456. Water and Sani<strong>ta</strong>tion Project Design (ADB Growth Centers Project), 2008.<br />
12<br />
Note - poverty is defined differently in different parts of the Pacific Region.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
* Kiribati Development Plan (2008-2011)<br />
The recently released Kiribati Development Plan (KDP), 2008-2011, sets out the<br />
development framework for Kiribati for the 2008-2011 period. The theme of the KDP is<br />
’enhancing economic growth for sus<strong>ta</strong>inable development’ and has six key <strong>policy</strong> areas,<br />
namely; (i) human resource development, (ii) economic growth and poverty reduction, (iii)<br />
health, (iv) environment, (v) governance, and (vi) infrastructure. The Ministry of Finance and<br />
Economic Development (MFED) was responsible for preparing the new KDP which was<br />
formally released by the President in Parliament in April, 2008.<br />
To address the imbalance of social and economic development between the Gilbert Group to<br />
the west and the Line Islands to the east, the GoK announced in 2004 a strategic emphasis on<br />
promoting outer <strong>island</strong> growth centers. Kiritimati Island was designated as a main potential<br />
growth <strong>island</strong> in Kiribati, along with other potential centres. 13<br />
* ADB Poverty Reduction Policy<br />
ADB’s poverty reduction strategy es<strong>ta</strong>blishes poverty reduction as its over-arching goal. The<br />
three pillars of the ADB’s Poverty Reduction Strategies (Good Governance, Social<br />
Development and Equi<strong>ta</strong>ble, Pro-poor Growth) recognises that no single answer or specific<br />
<strong>policy</strong> will provide strategies for hardship alleviation. 14 The strategy provides that ADB enter<br />
into a partnership with each government to develop a National Poverty Reduction Strategy<br />
(NPRS) which will also support ADB’s operational strategy for the country. A Poverty<br />
Partnership was also es<strong>ta</strong>blished between the Government of Kiribati and the ADB in<br />
September 2003 and promotes a vision which is in line with the three poverty reduction<br />
pillars shown in Figure 1, namely, pro-poor economic growth, inclusive social development<br />
and good governance. 15 ADB identifies five thematic priorities which support these pillars:<br />
(a) gender equality, (b) environmen<strong>ta</strong>l sus<strong>ta</strong>inability, (c) private sector development, (d)<br />
regional cooperation, and (e) capacity development. 16<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
18<br />
The strategy as initially<br />
outlined in the National Development Strategy (2004-2007) indicated Kiritimati Island had<br />
many potential opportunities including eco-tourism, agriculture (primarily copra), fisheries<br />
and space telecommunications. The NDS also <strong>ta</strong>rgeted Kiritimati Island as accommodating<br />
an increasing <strong>island</strong> <strong>population</strong> migrating from the overpopulated <strong>island</strong>s in the Gilbert<br />
Group, particularly urban South Tarawa.<br />
13<br />
Other potential growth <strong>island</strong>s nominated by Government include Tabituea North (southern Gilbert Group) and<br />
Bu<strong>ta</strong>ri<strong>ta</strong>ri (northern Gilbert Group). .<br />
14<br />
ADB (2002) ‘Kiribati Poverty Assessment – Assessment of Hardship and Poverty’<br />
15<br />
Refer to ADB (2002) ‘Poverty Partnership between GoK and ADB’, p.2<br />
16<br />
Refer to ADB (2007) ‘Handbook on Social Analysis - A Working Document’, p.3
Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
Figure 1: ADB Poverty Reduction Strategies<br />
GOAL POVERTY REDUCTION<br />
PILLARS<br />
THEMATIC<br />
PRIORITIES<br />
Source: ADB, 2007, ‘Handbook on Social Analysis - A Working Document’, p.2<br />
* Kiribati Millennium Development Goals (MDG) Report, 2007<br />
The Kiribati Millennium Development Goal (MDG) report provides an update on progress by<br />
Kiribati as to how it is achieving the <strong>ta</strong>rgets under the 8 gaols of the MDG Declaration, as<br />
adopted at the World Summit, 2000. 17<br />
The eight MDGs are:<br />
• eradicate extreme poverty and hunger,<br />
• achieve universal primary education,<br />
• promote gender equity and empower women,<br />
• reduce child mor<strong>ta</strong>lity,<br />
• improve maternal health,<br />
Pro-poor<br />
Sus<strong>ta</strong>inable<br />
Economic Growth<br />
Private<br />
Sector<br />
Development<br />
Regional<br />
Cooperation<br />
• combat HIV - AIDS, TB, malaria and other communicable disease,<br />
• ensure environmen<strong>ta</strong>l sus<strong>ta</strong>inability, and<br />
• develop a global partnership for development.<br />
Inclusive Social<br />
Development<br />
Environmen<strong>ta</strong>l<br />
Sus<strong>ta</strong>inability<br />
17 Government of Kiribati Millennium Development Goals Report. UNDP, 2007.<br />
Gender<br />
Equality<br />
Good Governance<br />
Capacity<br />
Development<br />
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Goal number 1 specifically addresses the eradication of extreme poverty. The assessment of<br />
progress against poverty indicators indicates varied progress. The report identifies that per<br />
capi<strong>ta</strong> income in Kiribati is highest in the Line Group (in which Kiritimati Island is located)<br />
primarily due to more income generating activities being available including handicrafts,<br />
seaweed and copra cutting. The report highlights the free access to large S<strong>ta</strong>te owned lands<br />
for subsistence living as enhancing opportunities for cash incomes. The report argues that if<br />
one uses the I-Kiribati definition of poverty as “lack of access to opportunities and hardship”<br />
and <strong>ta</strong>rgets the most vulnerable people such as unemployed including youth, large families,<br />
people with limited education etc, then the peoples priorities in reducing poverty would be in<br />
areas such as:<br />
• education and training including vocational skills such as carpentry and automotive<br />
repair,<br />
• economic opportunities through subsidising copra,<br />
• es<strong>ta</strong>blishing markets for home made products,<br />
• improved services and infrastructure such as water and sani<strong>ta</strong>tion,<br />
• better price control on basic commodities,<br />
• support for the elderly especially those separated from family,<br />
• implemen<strong>ta</strong>tion of the National Population Policy, including family planning<br />
components, and<br />
• improvements in ‘town planning’ and building codes.<br />
Kiritimati Island is specifically addressed in the MDG report in regard to progress on goal 7 -<br />
‘ensure environmen<strong>ta</strong>l sus<strong>ta</strong>inability’ – where issues of unchecked urban drift, environmen<strong>ta</strong>l<br />
degradation and resource `depletion are highlighted as major challenges and opportunities to<br />
main<strong>ta</strong>ining a reasonable quality of life on Kiritimati Island.<br />
3. Poverty and Hardship in Kiribati and Kiritimati Island<br />
* Defining Poverty in Kiribati<br />
As defined in the ADB and GoK Poverty Partnership, the term poverty refers to a deprivation<br />
of essential assets and opportunities to which every human is entitled. Generally in the<br />
Pacific region, poverty of opportunity is of greater concern than income poverty. Poverty or<br />
poor, (known as te kainnano ni kainnano in I-Kiribati), can be offensive in Kiribati and<br />
causes insult when used to describe a person or group of people. Hardship, or te maiu ni<br />
kanganga, is the term commonly used and describes one who is having difficulty in<br />
providing for the family’s needs, is living on credit or regularly practices bubuti, that is,<br />
begging or asking from relatives and friends. 18<br />
18<br />
Bubuti in this context is referring to regular demands for resources, which is distinctly different from the<br />
traditional I-Kiribati practice of reciprocal sharing.<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
ADB’s most recent assessment of hardship and poverty in Kiribati found that that the level of<br />
absolute poverty in Kiribati is low. 19 In Kiribati, hardship most commonly manifests itself<br />
not through income poverty but through poverty of opportunity, for example, lack of access<br />
to basic services, land, infrastructure, employment opportunities, s<strong>ta</strong>ndards of good<br />
governance and equal opportunities across gender and age. 20 People who lack income, assets<br />
or family support were considered to be facing considerable hardship when assessed during<br />
the ADB Hardship in Kiribati study in 2005. 21<br />
The following categories of people were<br />
identified as among the most disadvan<strong>ta</strong>ged and therefore most likely to be experiencing<br />
hardship:<br />
large families with low incomes;<br />
people who are unemployed due to having left school early;<br />
people without assets and property;<br />
employed people who have visitors (long term or regular) that do not contribute to the<br />
household budget;<br />
people who are not productive or lazy, and always ask for bubuti (assis<strong>ta</strong>nce for basic<br />
needs from immediate or wider family members);<br />
those in poor health;<br />
single mothers with several children and little income;<br />
elderly people with no children (and therefore no safety net beyond the Government<br />
Pension; A$40/month);<br />
‘orphans’ (including children whose parents have died and who are separated), and<br />
children of alcoholic parents;<br />
people living in overcrowded conditions;<br />
‘homeless’ people, who do not live on their home <strong>island</strong>s and have no means to build<br />
their own homes where they live (commonly referred to as squatters, who most often<br />
s<strong>ta</strong>y in or adjacent to a church or community maneaba);<br />
alcoholics;<br />
people who are paid to cultivate bwaibwai (a local yam) and catch fish for others; and<br />
people without access to bank loans or other lines of credit. 22<br />
* Poverty Line Analysis and the Household Economy<br />
The Poverty Line as defined by the ADB 23<br />
is a calculation of the minimum income (or<br />
expenditure) required; (i) to provide an individual with a basic subsistence diet, (measured in<br />
terms of the minimum daily calorie in<strong>ta</strong>ke required for human survival, which is<br />
internationally benchmarked at 2,200 calories/day), termed the “Food Poverty Line”, and (ii)<br />
an additional allowance to meet the costs of basic non-food expenditure. Together, these two<br />
components make up the Poverty Line.<br />
Income and expenditure levels, living conditions and levels of consumption of own food<br />
production differ widely throughout Kiribati, particularly between South Tarawa and the<br />
Outer Islands. Due to the marked differences between these settings, two poverty lines were<br />
19<br />
Refer to ADB (2005) ‘Priorities of the People: Hardship in Kiribati’<br />
20<br />
Refer to ADB (2002) ‘Kiribati Poverty Assessment – Assessment of Hardship and Poverty’<br />
21<br />
The ADB Hardship in Kiribati study also included fieldwork in Kiritimati Island.<br />
22<br />
This also includes government employees who are casual s<strong>ta</strong>ff. Only permanent s<strong>ta</strong>ff can apply for credit from<br />
the Development Bank of Kiribati.<br />
23<br />
Refer to ADB (2002) ‘Kiribati Poverty Assessment - Assessment of Hardship and Poverty’, p.4<br />
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adopted for use in the poverty analysis for the recent ADB water and Sani<strong>ta</strong>tion Project<br />
design, namely, one for South Tarawa households and the other for Outer Island households.<br />
For the Outer Islands, the Food Poverty Line (FPL) 24<br />
was estimated to be A$167 per capi<strong>ta</strong><br />
per annum (pc p.a.) in 1996 prices, which equates to A$202 pc p.a. in end 2007, whilst South<br />
Tarawa was estimated to be A$600 pc p.a. in 1996 prices, which equates to A$725 pc pa.<br />
This difference reflects the much higher level of consumption of own-production food that is<br />
possible in the outer <strong>island</strong>s compared to South Tarawa. Adjusting for the estimated<br />
requirement for additional non-food basic-needs expenditure to give a minimum s<strong>ta</strong>ndard of<br />
living in each location, a Poverty Line (PL) of A$907 pc p.a. was estimated for South Tarawa<br />
and A$243 pc p.a. was estimated for the outer <strong>island</strong>s (end 2007 prices).<br />
Due to the uniqueness of Kiritimati Island, assessing it against both the Food Poverty Line<br />
and Poverty Line of South Tarawa and the outer <strong>island</strong>s is complex. For the purposes of<br />
ADB Water and Sani<strong>ta</strong>tion Project Design (ADB Growth Centres TA), it was been assumed<br />
that Kiritimati Island villages - particularly Tabwakea, Banana and Poland - are more<br />
reflective in character of outer <strong>island</strong> villages in wider Kiribati due to:<br />
large dis<strong>ta</strong>nces from markets in South Tarawa and elsewhere (i.e Fiji, Australia<br />
and USA), and as such high transport costs;<br />
relatively high prices for s<strong>ta</strong>ple food products such as rice, flour and sugar when<br />
compared with prices in South Tarawa;<br />
high levels of consumption of own-production food such as coconut products,<br />
fish, fruit and some vege<strong>ta</strong>bles; and<br />
a large proportion of the <strong>population</strong> being involved in informal employment<br />
activities such as fishing, copra cutting, bread making, preparing roof thatching,<br />
sewing, local cigarette making and handicrafts.<br />
The exception to this assumption in Kiritimati Island is the village of London. The majority<br />
of residents in London live in government housing, with one or more household members<br />
involved in formal government employment. The majority of these houses have piped water<br />
supply and septic sani<strong>ta</strong>tion systems (comprising a pedes<strong>ta</strong>l toilet with cistern or bucket flush,<br />
and septic <strong>ta</strong>nk of concrete block construction). Table 6 shows the average income for<br />
London is 37% higher (A$1,602 pc p.a.) than the reported average for Kiritimati Island<br />
(A$1,172 pc p.a.) and is more than twice the average income of households in Tabwakea<br />
(A$788 pc p.a.).<br />
24 Basic Needs Poverty and Food Poverty lines for South Tarawa and the Outer Islands were calculated using<br />
da<strong>ta</strong> from the 1996 HIES (South Tarawa, Onotoa and Bu<strong>ta</strong>ri<strong>ta</strong>ri) and a model subsistence diet (based on an adult<br />
food requirement of 2200 calories/day) provided by the Nutrition Unit of the Ministry of Health. The diet was<br />
costed separately for South Tarawa and Outer Island households to <strong>ta</strong>ke account of the varying availability of<br />
own-production food. The results and conclusions must however be treated with some caution as the 1996 HIES<br />
da<strong>ta</strong> is not considered to be very robust or reliable. The results of the 2006 HIES are available and initial<br />
analysis of income and expenditure shows reasonable correlation with the analysis presented from the 1996<br />
HIES.<br />
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Table 6: Income and Expenditure Per Capi<strong>ta</strong> per Annum by Village<br />
Average Income c<br />
Average Expenditure Net Income<br />
$1,418 $1,530 -$112<br />
South Tarawa $1,531 $1,756 -$225<br />
Outer Islands $1,324 $1,313 $11<br />
Kiritimati b<br />
$1,172 $992 $180<br />
London $1,602 $1,292 $310<br />
Tabwakea $788 $878 -$90<br />
Banana $1,131 $798 $334<br />
Poland<br />
Notes:<br />
$1,186 $834 $352<br />
a<br />
– Da<strong>ta</strong> from 2006 HIES (November 2007)<br />
b<br />
– Da<strong>ta</strong> from TA 4456-KIR 10% Household Survey, October, 2007<br />
c<br />
– Information in Table 4.1 does not include income from subsistence activity.<br />
The lowest recorded income pc p.a. was for the village of Tabwakea, which was also the only<br />
village in Kiritimati Island to show a negative net income (-A$90 pc p.a.). The figures reflect<br />
the lower level of formal employment in Tabwakea compared with London and to a lesser<br />
degree Banana and Poland villages. It is also observed that Tabwakea derives a much larger<br />
proportion of its income (and potential expenditure savings) from subsistence and informal<br />
activities. The income and expenditure da<strong>ta</strong> for Tabwakea provides an indication of the type<br />
of future private leasehold migrants that may come to Kiritimati Island, namely: (i) high<br />
levels of unemployment; (ii) greater reliance on the natural environment for ownproduction/subsistence<br />
activities (including fishing and coconut products for own<br />
consumption, on-selling and housing); and (iii) greater propensity for social ins<strong>ta</strong>bility due to<br />
increased levels of hardship. This factor needs to be considered in the resettlement<br />
process for Phase 2 (South Tarawa) and the type of criteria to be applied to ensure all<br />
socio economic groups (not just the more vulnerable) are catered for.<br />
Whilst average income is below both the Kiribati national (A$1,418) and outer <strong>island</strong>s<br />
(A$1,324) averages, net income across the majority of Kiritimati Island is much greater.<br />
Average income is also lower in Kiritimati Island which may be due to limited financial da<strong>ta</strong><br />
on subsistence activities. Subsistence activities may be shown by default in the available da<strong>ta</strong><br />
as reduced costs for food products. The high proportion of subsistence activity in the Line<br />
Islands 25<br />
when compared with South Tarawa and the Kiribati average, may account for some<br />
of the reductions in expenditure costs in Kiritimati Island (see Table 7). Table 7 also shows<br />
that a much greater proportion of the <strong>population</strong> are involved in economic activities (that is,<br />
excluding ‘unemployed’ and ‘not active’) - 52.7% in the Line Islands compared with 38.3%<br />
across the whole of Kiribati. Likewise, the ’unemployed’ is lower in the Line Islands (33%)<br />
compared to 38% for all of Kiribati.<br />
Table 7: Percen<strong>ta</strong>ge of Persons aged 15+ Years by Economic Activity<br />
Economic Activity South Tarawa Line Islands Kiribati<br />
Wages & Salaries 30.8% 21.5% 22.8%<br />
Own Business 3.5% 11.0% 4.2%<br />
Subsistence 4.1% 20.2% 11.3%<br />
Unemployed 38.4% 33.2% 38.2%<br />
Not Active 23.2% 14.1% 23.5%<br />
To<strong>ta</strong>l 100.0% 100.0% 100.0%<br />
Source: 2006 HIES, p.13<br />
25 Refer to 2006 HIES Survey for Kiritimati Island and Tabuaeran (Fanning)<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
Based on the results of the expenditure analysis from the 10% TA Household Survey for<br />
Water and Sani<strong>ta</strong>tion Project (October, 2007), 16% of the <strong>population</strong> in Kiritimati Island are<br />
below the FPL for outer <strong>island</strong>s of A$202 pc p.a. and 24% below the PL for outer <strong>island</strong>s of<br />
A$243 pc p.a. (Table 8).<br />
Table 8: Poverty Incidence in Kiribati and Kiritimati Island<br />
Food Poverty Poverty Line<br />
Line (FPL) (PL)<br />
Food Poverty Poverty Line<br />
Line (FPL) (PL)<br />
South Tarawa a 46 59 39 51<br />
Outer Islands a 65 69 39 50<br />
Kiritimati b<br />
% of Households<br />
Below<br />
Recorded Income Recorded Expenditure<br />
7 11 16 24<br />
London 0 7 3 3<br />
Tabwakea 13 17 20 33<br />
Banana 8 13 17 29<br />
Poland 0 0 75 75<br />
Notes:<br />
a<br />
– Da<strong>ta</strong> from 1996 HIES<br />
b<br />
– Da<strong>ta</strong> from TA 4456-KIR 10% Household Survey, October, 2007<br />
Encouragingly, the percen<strong>ta</strong>ge of Kiritimati Island households below the PL and FPL for both<br />
income and expenditure is less than those recorded in South Tarawa and the outer <strong>island</strong>s.<br />
This is recognition of the increased economic opportunities available in Kiritimati Island as<br />
reflected in the economic da<strong>ta</strong> which indicates a higher percen<strong>ta</strong>ge of the <strong>population</strong> in the<br />
Line Islands who are involved in private business - 11% compared with 3.5% in South<br />
Tarawa and 4.2% across all of Kiribati (see Table 7).<br />
The incidence of poverty relating to expenditure was highest in the villages of Tabwakea and<br />
Banana, with 20% and 17% respectively for FPL and 33% and 29% respectively for PL.<br />
Therefore, the poverty line analysis depicts higher levels of (economic) hardship in the<br />
villages where private leasehold and freehold land is dominant (Tabwakea and Banana). By<br />
contrast, those living in the largest concentration of Government housing, that is, London<br />
village, reflect the lowest levels of (economic) hardship.<br />
Despite the high levels of hardship visually seen in Tabwakea village, very few residents<br />
suffer from hunger or malnutrition. Residents have free and unrestricted access to the land<br />
and sea resources (such as fish and coconut products) as long as resources are harvested<br />
outside the designated protected areas on the <strong>island</strong> (although poaching is rife). As part of<br />
the AusAID KWASP design process in the 1990’s, comment was sort from residents<br />
regarding life in Kiritimati Island. 26 Residents noted that “here you can live without money -<br />
fish, coconuts and toddy” and “you are free to <strong>ta</strong>ke coconuts and make money” and “no<br />
hardship, easy living”. Balanced with access to common resources on S<strong>ta</strong>te lands is the high<br />
dependence on imported s<strong>ta</strong>ple food, such as rice, flour, sugar and tinned meats. Kiritimati<br />
Island often experiences shor<strong>ta</strong>ges of these s<strong>ta</strong>ple foods due to irregular shipping and this can<br />
raise household food expenditure appreciably. 27<br />
26<br />
Refer to Ranck (1995) Socio-cultural Factors of Impor<strong>ta</strong>nce in the Design and Maintenance of Water Supplies<br />
for Kiritimati Island<br />
27<br />
For ins<strong>ta</strong>nce, bags of rice, which usually trade for between A$20-25/bag can rise to as much as A$60-80/bag<br />
during periods of limited supply. Shipping, on average, is every 2-4 months from Tarawa.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
There are a high percen<strong>ta</strong>ge of households shown to be below the poverty line in Poland.<br />
However, this is perceived to be more of a reflection on the small number of households<br />
surveyed in October, 2007, (4) and not a reflection on the poverty or hardship levels of<br />
Poland residents. Field observations in Poland indicate that like other villages in Kiritimati<br />
Island, there are no visible signs of malnutrition or hunger. If households require additional<br />
income for a specific reason, then it is common in Poland for the men of working age to<br />
spend between 1 week and 2 months in the field cutting copra, which is in relative abundance<br />
on the southwest side of Kiritimati Island. This product is then on-sold to London (then<br />
Tarawa) and the revenue distributed to the Poland workers and re<strong>ta</strong>il / wholesale outlets in<br />
Kiritimati Island. If people are not in formal employment and don’t need money to meet<br />
specific needs, then they do not work.<br />
* Household Income and Affordability<br />
Traditional I-Kiribati culture is structured around equality and even distribution of resources<br />
through the practice of bubuti. 28<br />
As this egali<strong>ta</strong>rian framework begins to breakdown from<br />
increasing monetisation, there is an increasing inequality between different sections of the<br />
community. This is also a growing trend in Kiritimati Island, as displayed in the differences<br />
between the quality of housing in the villages of London and Tabwakea. As shown in Table<br />
6, residents in London earn on average more than two times that of the residents from<br />
Tabwakea.<br />
Figure 2 displays the Lorenz Curve for expenditure distribution, plotting (actual) cumulative<br />
expenditure against equal distribution. The Figure suggests that around 74% of households<br />
account for 50% of expenditure and that the 26% of households with the highest levels of<br />
expenditure account for the other 50% of to<strong>ta</strong>l expenditure (that is, H26 - 50%; L74 - 50%).<br />
This very closely reflects the expenditure distribution in South Tarawa, which showed 75%<br />
of households account for 50% of expenditure and that 25% of household account for the<br />
other 50% of to<strong>ta</strong>l expenditure.<br />
Cumulative Expenditure %<br />
Figure 2: Kiritimati Island Expenditure Distribution (Lorenz Curve)<br />
100%<br />
90%<br />
80%<br />
70%<br />
60%<br />
50%<br />
40%<br />
30%<br />
20%<br />
10%<br />
0%<br />
1 13 24 36 47 59 70 82 93<br />
Households %<br />
Cumulative Expenditure Equal Distribution<br />
28 Refer to ADB (2002) ‘Kiribati Poverty Assessment – Assessment of Hardship and Poverty’, p.8<br />
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* Dependency Ratio<br />
Based on the income and expenditure analysis of the 10% TA Household Survey (October,<br />
2007), the dependency ratio for Kiritimati Island is 0.75 (that is, 1 income earner for every 3<br />
dependents). The Kiribati national dependency ratio is 0.76, 29 which is mid-ranking among<br />
Pacific Developing Member Countries (PDMCs) of the ADB. As noted by the ADB, the<br />
relatively high dependency ratio in Kiribati reflects: (i) a combination of high birth rate, (ii)<br />
39% of the <strong>population</strong> being below 15 years, and (iii) approximately 1,500 working age<br />
adults (mostly males - equivalent to 7.5% of the resident male labour market) working<br />
overseas. 30<br />
* Landlessness and Overcrowding<br />
One of the most significant factors affecting hardship in Kiritimati Island is overcrowding<br />
and landlessness. Both of these factors stem from; (i) delayed land releases for private<br />
leasehold plots and (ii) restricted land supply. In June, 2005, the Government approved the<br />
process for releasing up to 600 private leasehold plots in Kiritimati Island. The first release<br />
of plots include: (i) 222 for the existing Kiritimati Islands residents; and (ii) 231 plots for<br />
residents from South Tarawa.<br />
Housing conditions in Tabwakea village<br />
As an indication of the demand for leasehold plots, 699 applications were filed with MELAD<br />
(LMDK) by the closing date (March 2007) for the 222 Kiritimati Island residents plot release.<br />
The extremely slow pace at which land is released in Kiritimati Island, 31<br />
combined with<br />
29<br />
Refer to 1996 HIES<br />
30<br />
Refer to ADB (2002) ‘Kiribati Poverty Assessment – Assessment of Hardship and Poverty’, p.10<br />
31<br />
There are a range of views at senior Government levels including MPs as to: (i) how quickly; and (ii) what type<br />
of land tenure system should be applied to Kiritimati Island. This debate has led to the land release <strong>program</strong><br />
being deferred over the last 4 years, hence its slowness.<br />
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steady migration from Tarawa, is continuing to cause overcrowding issues in London,<br />
Banana and particularly Tabwakea village. 32 The vast majority of landless families are able<br />
to reside with extended family members. However, sometimes there is insufficient space and<br />
they must then be housed in or adjacent to church maneaba .and compounds If these safety<br />
valves do not exist in the villages, or households need to earn money from cutting copra in<br />
the bush, households will then squat as illegal tenants on S<strong>ta</strong>te land. 33<br />
* Social Safety Nets<br />
As hardship becomes a more prevalent issue in I-Kiribati society, the Government of Kiribati<br />
has instituted three <strong>policy</strong> initiatives to assist, namely: (i) copra subsidy; (ii) elderly pension;<br />
and (iii) free Junior Secondary Schooling (JSS). The copra subsidy accounts for 25% of the<br />
selling price for copra (equivalent to A$0.15/kg). In 2008, there are 61 persons (30 men and<br />
31 women) receiving the elderly pension in Kiritimati Island, which is available to all who<br />
are 70 years or older and equates to A$40/month. The elderly pension is administered by the<br />
KUC on behalf of MISA. The number of JSS students <strong>ta</strong>king advan<strong>ta</strong>ge of no tuition fees in<br />
Kiritimati Island is 387. 34<br />
As noted elsewhere in this paper, I-Kiribati society is based around the concept of sharing<br />
and reciprocal relationships. The practice of sharing resources has provided an effective<br />
social security net, particularly for those with a higher chance of experiencing hardship in<br />
Kiritimati Island. These include, but are limited not to, people who are: (i) unemployed or<br />
not in permanent employment (which can affect their ability to access credit), (ii) living in<br />
overcrowded conditions, (iii) landless and/or squatting; (iv) widows, orphans and the aged,<br />
and (v) households which only have one income source, formal or informal.<br />
The S<strong>ta</strong>te owned land in Kiritimati Island, and more specifically the natural resources<br />
available from this land, is also another impor<strong>ta</strong>nt social safety net. A number of respondents<br />
from the 10% TA Household Survey in October, 2007, and other anecdo<strong>ta</strong>l evidence shows<br />
that a large percen<strong>ta</strong>ge of the <strong>population</strong> enjoy living in Kiritimati Island, when compared<br />
with either South Tarawa or their ‘home <strong>island</strong>’ in the Gilbert Islands Group. These natural<br />
resources also allow a large proportion of the <strong>population</strong> to ob<strong>ta</strong>in income from the informal<br />
sector. Table 9 reflects the wide array of informal activities under<strong>ta</strong>ken in Kiritimati Island<br />
and also the potential economic return from each. Income derived from ‘free access’ to the<br />
<strong>island</strong>’s natural resources, such as fish and coconut products, feature strongly.<br />
32<br />
Refer to ADB (2004) TA 4257-KIR Supporting Land Use Management on Kiritimati Island: Final TA Report<br />
Volume 1, p.15<br />
33<br />
As at July, 2008, there were 48 squatter households in Kiritimati Island, comprising 19 squatters in the villages<br />
and 29 squatters in the bush. Note - there is a separate TA analysis being under<strong>ta</strong>ken on squatters.<br />
34<br />
MEYSD records show 387 JSS students in 2007: 130 in Form 1, 140 in Form 2 and 117 in Form 3.<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
Family at work in the maneaba<br />
Table 9: Range of Informal Activities on Kiritimati Island which Generate Cash - Money<br />
Main Informal Activity Kiribati name Value Estimate (AUD)<br />
Baking - bread/cakes kariki 1 loaf (2 halves) - $2.00<br />
Sweets and candy kanre $0.20 per candy<br />
Block making karao buriki $1.80 per block<br />
Roof thatching raranga ato $2.50 per thatch<br />
Money lending <strong>ta</strong>ngo mwane 10% interest<br />
Cigarette making ni moko $0.30 per local cigarette<br />
Toddy timbaka<strong>ta</strong>i $1.00 per cup<br />
Cordial kaimaimai $5.00 per bottle<br />
Coconut oil karaoan te bwa $5.00 per bottle<br />
Coconut string te kora $3.00 per 20 metre<br />
Ice block making karao aiti $0.20 per ice block<br />
Hairdressing arao ira Free/contribution<br />
Sewing te itutu $2.00 per hour<br />
Fishing products (tuna jerky) te ika eg. <strong>ta</strong>ari $1.00 per cupful<br />
Handicrafts karao bwain Kiribati $5.00-$10.00 for a canoe<br />
Vege<strong>ta</strong>bles/fruit growing te ununiki $2.00 per cabbage<br />
Food ‘street’ vendors kamwarake $2.50 per plate<br />
Hiring DVD / Burn CD or DVD <strong>ta</strong>ngo birim / karaoan te CD, DVD $2.50/day; $5-10 each<br />
Boat hire <strong>ta</strong>ngoan te booti $15.00 per day<br />
Passport photos passport <strong>ta</strong>mnei $2.50 per photo<br />
Secondhand clothes kaboan kinikai $1.00-$10.00 per item<br />
Copra harvesting oro ben $0.60 per kilogram<br />
Sleeping mats kie ni matu $50.00 per single mat<br />
Source: LMDK, MELAD, July, 2008.<br />
* Non Traditional Social Structures<br />
A major difference between Kiritimati Island (and former S<strong>ta</strong>te lands the Line and Phoenix<br />
Islands in general) and the rest of the <strong>island</strong>s in Kiribati (except for Tarawa) is the absence of<br />
a strong “unimwane system” and the intricate social order surrounding the “maneaba<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
system.” The traditional meeting house in Kiribati, called the “maneaba”, is more than just a<br />
building. It is the centre of the social fabric of life on the outer <strong>island</strong>s and each family has an<br />
allocated place to sit in the maneaba that is associated with a role, defined by traditions,<br />
which outlines each family’s role under the “maneaba” and thus in the village. Central to the<br />
maneaba system is the “unimwane” (old wise men) who meet in the maneaba and discuss and<br />
make decisions on issues which affect the village on a daily basis. Old men’s decisions on<br />
rules and regulations carry a lot of weight and have often conflicted with western laws as they<br />
now exist, particularly in relation to sanctions for wrong doings in the village.<br />
On Kiritimati Island, this impor<strong>ta</strong>nt traditional system is greatly eroded and has been lost<br />
with the surge of <strong>population</strong> from other <strong>island</strong>s to these new villages. Those newcomers who<br />
arrive recognize no higher traditional authority unlike their own home <strong>island</strong>s. Families from<br />
the <strong>island</strong>s of Makin and Aabemama live next to families from the <strong>island</strong>s of Arorae and<br />
Tabiteuea within the Kiritimati Island villages. The <strong>population</strong> is heterogeneous and no<br />
overarching social structures, norms and values apply. Impor<strong>ta</strong>nt social control measures are<br />
therefore lost with urbanisation on S<strong>ta</strong>te lands on Kiritimati Island.<br />
Church groups (makoro) are fast replacing traditional authority. An impor<strong>ta</strong>nt differentiation<br />
is that these church groupings are mostly fund raising and church oriented groups which are<br />
not as effective as a social control measure. Also, participation in these groupings is<br />
volun<strong>ta</strong>ry, and one can pull out of the groupings whereas in a village setting, one is a life long<br />
member and cannot decide to pull out of the village if not happy with the decisions of the old<br />
men. The only way out is to move out of the village and move to another village, or move to<br />
S<strong>ta</strong>te lands such as in Kiritimati Island and Tabuaeran (Fanning) for Teraina (Washington)<br />
Islands to the north.<br />
This absence of higher traditional authority on Kiritimati Island has resulted in a social<br />
vacuum where each person and family is not part of a tight traditional community. They are<br />
therefore not answerable to any traditional authority as is the case elsewhere in the Gilbert<br />
Group. This breakdown of traditional social order also exists on Tarawa and is accompanied<br />
by a weaker sense of community and a stronger individual and nuclear family focus. The<br />
stronger individual aspirations are best reflected in the <strong>ta</strong>lk by some of the desire to s<strong>ta</strong>rt a<br />
small business on S<strong>ta</strong>te lands. These business aspirations are not as common in outer <strong>island</strong>s<br />
where social control and an individuals place in the community, defining what one can do<br />
and can’t do, is clearly demarcated. Conformity rather than expressing ones view are the<br />
norm on outer <strong>island</strong>s while in Kiritimati Island one is less constrained in their development<br />
aspirations for S<strong>ta</strong>te lands.<br />
* Public Health<br />
Kiribati has the fourth lowest human development index (HDI) of all the Pacific developing<br />
member countries 35 (PDMCs) at 0.515. 36<br />
Average life expec<strong>ta</strong>ncy at birth is 63.6 years,<br />
which is attributed to high infant and child mor<strong>ta</strong>lity associated with respiratory disease and<br />
diarrhoea (the second highest incidence among PDMCs after Papua New Guinea).<br />
35 Refer to ADB (2002) ‘Kiribati Poverty Assessment – Assessment of Hardship and Poverty’<br />
36 HDI is a summary composite index that measures a country's average achievements in three basic aspects of<br />
human development: (i) health (life expec<strong>ta</strong>ncy at birth), knowledge (combination of the adult literacy rate and the<br />
combined primary, secondary, and tertiary gross enrolment ratio), and a decent s<strong>ta</strong>ndard of living (GDP per<br />
capi<strong>ta</strong> (PPP US$) (Human Development Report Office of UNDP).<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
The recorded morbidity cases for Kiritimati Island (2002-2007) are listed below in Table 10.<br />
The da<strong>ta</strong> shows that on average the most common reported illnesses are (i) cold/flu - 75%;<br />
(ii) respiratory illnesses - 22%; (iii) fever - 15%; and (iv) diarrhoea - 5%. The to<strong>ta</strong>l<br />
percen<strong>ta</strong>ge of the <strong>population</strong> suffering from water-borne illness is 6.27%, based on available<br />
health da<strong>ta</strong>. Significantly, these s<strong>ta</strong>tistics only reflect the number of people who attended the<br />
village clinics/ hospi<strong>ta</strong>l and as such the actual number of people with water-borne illness<br />
(diarrhoea, dysentery and some hepatitis) is likely to be much higher, perhaps as much as 5<br />
times higher. 37<br />
Diseases related to water and sani<strong>ta</strong>tion includes: diarrhoea diseases, urinary tract infections,<br />
infectious hepatitis (hepatitis A and E viruses), typhoid, skin, ear and eye infections among<br />
others. Vector-borne diseases (for example, those transmitted through organisms such as<br />
mosquitoes or ticks from infected individuals to other persons, or from infected animals to<br />
human beings) include: diarrhoea, typhoid, cholera, dysentery, tuberculosis, anthrax,<br />
ophthalmia, intestinal worms, skin disorders, pneumonia, parasitism, malaria, and hepatitis<br />
A. 38<br />
Table 10: Morbidity for Kiritimati Island for 2002-2007<br />
Medical<br />
Condition<br />
2002 2003 2004 2005 2006 2007 a To<strong>ta</strong>l Average<br />
p.a.<br />
% of Pop'n<br />
p.a. b<br />
Diarrhoea 196 162 126 262 477 88 1,311 238.4 4.83%<br />
Dysentery 30 68 27 118 119 26 388 70.5 1.43%<br />
Pneumonia 12 38 105 47 76 114 392 71.3 1.44%<br />
Other ARI c<br />
531 1,081 987 1,453 1,279 568 5,899 1,072.5 21.72%<br />
Meningitis 1 1 0 1 0 1 4 0.7 0.01%<br />
Conjunctivitis 92 57 110 147 428 19 853 155.1 3.14%<br />
STD d<br />
1 7 6 1 4 3 22 4.0 0.08%<br />
Malnutrition 0 0 1 0 30 6 37 6.7 0.14%<br />
Acute Fever 703 1,921 517 602 470 69 4,282 778.5 15.77%<br />
Hepatitis 0 0 0 0 4 0 4 0.7 0.01%<br />
Others e<br />
1,938 3,750 3,153 4,934 3,712 2,834 20,321 3,694.7 74.83%<br />
Food poisoning 22 0 0 0 0 0 22 4.0 0.08%<br />
Scabies 12 0 0 0 0 0 12 2.2 0.04%<br />
Men<strong>ta</strong>l illness 2 0 0 0 0 0 2 0.4 0.01%<br />
Teburculosus 2 0 0 0 0 0 2 0.4 0.01%<br />
Leprosy 0 0 2 0 0 0 2 0.4 0.01%<br />
To<strong>ta</strong>l 3,542 7,085 5,034 7,565 6,599 3,728 33,553 6,101<br />
Source: Ministry of Health and Medical Services, South Tarawa, 2008<br />
Notes:<br />
a<br />
– Only January to July da<strong>ta</strong> is available for 2007.<br />
b<br />
– Percen<strong>ta</strong>ge of the <strong>population</strong> per annum is calculated by dividing the average occurrence per annum by the<br />
average <strong>population</strong> per annum for the specified period.<br />
c<br />
– ARI refers to Acute Respiratory Illness.<br />
d<br />
– STI refers to Sexually Transmitted Infections.<br />
e<br />
– Others refers to medical conditions such as colds and flu.<br />
* Women and Vulnerable Groups<br />
Women in I-Kiribati Society<br />
37 Personal Communication, Head Doctor, Kiritimati Island Hospi<strong>ta</strong>l, November 2007.<br />
38 Kundsen A.B., Sloof, R. Vector-Borne Disease Problems in Rapid Urbanization: New Approaches to Vector<br />
Control. Bulletin of the World Health Organization 1992; 70(1): 1-6.<br />
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Annex 3.c: JONES - Rapid Social and Poverty Assessment<br />
The role of women in traditional I-Kiribati culture is one of primary caregiver and household<br />
level decision maker. However, community level decision making is largely the domain of<br />
men within I-Kiribati society, which is supported by the very low number of women in<br />
politics. Women do occupy a number of the senior positions within Government and<br />
compose 51.5% of the workforce (37% in paid employment). 39<br />
Girls slightly outnumber boys<br />
within the school environment. Women are also generally reluc<strong>ta</strong>nt to speak openly when<br />
men are present, particularly in a maneaba setting.<br />
Vulnerable Groups<br />
There are some groups in Kiritimati Island that are currently experiencing hardship, as noted<br />
earlier. The most prevalent amongst this group are the unemployed and/or landless, who are<br />
largely concentrated in the villages of Tabwakea and Banana. Households which only have<br />
one income earner are also vulnerable, particularly if the “bread-winner” is unable to work<br />
because of illness or other reason. Based on the 10% TA Household Survey in October,<br />
2007, 27.6% of households (some 24 of 87 households interviewed) fit this profile.<br />
Children are also acknowledged as a vulnerable group especially with respect to access to<br />
po<strong>ta</strong>ble water, sani<strong>ta</strong>tion and non participation in schooling. Special <strong>program</strong>s, such as<br />
MEYSD-MLPID working together, could be devised so schools receive the highest possible<br />
water and sani<strong>ta</strong>tion services, such that children are not disadvan<strong>ta</strong>ged.<br />
* CBOs and NGOs<br />
With the exception of churches, there are no NGOs or other support groups in Kiritimati<br />
Island through which people in hardship can seek assis<strong>ta</strong>nce. This means that these people<br />
must rely on the extended community, government colleagues and the churches for support.<br />
There are a number of areas in which NGOs and community based organizations (CBOs)<br />
could play a significant role, such as: (i) community education; (ii) environmen<strong>ta</strong>l<br />
management and conservation; (iii) micro-enterprise development and micro-credit schemes;<br />
(iv) training and capacity building of community groups and government; and (v) tourism<br />
development.<br />
39 ADB (2002) ‘Kiribati: Monetization in an Atoll Society - Managing Economic and Social Change<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
A Framework for<br />
Volun<strong>ta</strong>ry Resettlement from<br />
South Tarawa to Kiritimati Island<br />
February, 2009<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island<br />
(Population Component)
Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
Table of Contents<br />
1. Aims of the Paper<br />
2. Policy Background to the Volun<strong>ta</strong>ry Resettlement<br />
3. Target Groups for Phase 2<br />
4. Assessment of the Phase 1 Allocation Process on Kiritimati Island<br />
5. Summary of the CASL Experience and Lessons Learned<br />
6. Recommended Framework for the Phase 2 Resettlement<br />
7. Main Functions of the Phase 2 Resettlement Committee<br />
8. Main Functions of the South Tarawa CASL<br />
9. Main Phase 2 Steps in the Volun<strong>ta</strong>ry Relocation Process<br />
10. Moving the Phase 2 Framework Forward<br />
11. Checklist of Key Activities to Implement Phase 2<br />
Annexes<br />
Annex 1 - Phase 1 Screening and Selection Criteria<br />
Annex 2 - Phase 1 Lease Agreement for Kiritimati Island (English version)<br />
Annex 3 - Draft Background Information and Selection Criteria, Phase 2<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
1. Aims of the Paper<br />
The overall goal of this paper is to provide a resource document for Government and specifically<br />
the Ministry of Environment Land and Agricultural Development (MELAD) so as to assist them<br />
in under<strong>ta</strong>king the proposed volun<strong>ta</strong>ry resettlement process of people from South Tarawa to<br />
Kiritimati Island. The specific objectives of the paper are to;<br />
(i) assess Governments Phase 1 land allocation process currently being implemented<br />
in Kiritimati Island (that is, for residents in Kiritimati Island),<br />
(ii) define the framework for the Phase 2 volun<strong>ta</strong>ry resettlement from South Tarawa<br />
to Kiritimati Island, and<br />
(iii) de<strong>ta</strong>il the key elements of this framework and how it may work in practice.<br />
As outlined in the separate TA paper on “The Review and Analysis of Settlement and<br />
Resettlement Plans and Policies for Kiritimati Island”, the term resettlement refers to the<br />
movement from one location to another and maybe volun<strong>ta</strong>ry or involun<strong>ta</strong>ry. Volun<strong>ta</strong>ry<br />
resettlement is when people or households decide via their own volition to move, such as from<br />
South Tarawa to Kiritimati Island. Involun<strong>ta</strong>ry resettlement is when people are forced to move<br />
from one settlement to another as a result of development or a natural disaster such as<br />
construction of an airport runway, protection of a public water reserve or widening of a major<br />
road. For both volun<strong>ta</strong>ry and involun<strong>ta</strong>ry settlements, Governments and other organisations may<br />
assist in the relocation process so as to mitigate any adverse impacts.<br />
2. Policy Background to the Volun<strong>ta</strong>ry Resettlement<br />
In June, 2005, the Government agreed to release up to 600 private leasehold plots in Kiritimati<br />
Island over the next 4 years. 1<br />
The initial release was to consist of 300 residential plots. Of the<br />
300 plot <strong>ta</strong>rget, some; (i) 150 plots (termed Phase 1) were to be allocated to residents already<br />
residing in Kiritimati Island and (ii) the remaining 150 plots (Phase 2) allocated to residents<br />
primarily from South Tarawa. Upon completion of the land assessment and ranking process of<br />
applicants in 2007, Cabinet amended the Kiritimati Island <strong>ta</strong>rget to 153 plots. In addition to the<br />
above plots for Kiritimati Island and South Tarawa respectively, Government added another 150<br />
plots <strong>ta</strong>rgeted at local housing. This housing was to be shared between both <strong>ta</strong>rget groups, with<br />
81 local housing plots being for South Tarawa residents in the Phase 2 release and the remaining<br />
1 This paper should be read in conjunction with the “The Review and Analysis of Settlement and Resettlement Plans<br />
and Policies for Kiritimati Island”, September, 2008.<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
69 plots for Kiritimati Island residents. Thus, the to<strong>ta</strong>l allocation for Phase 1 was 222 plots and<br />
for Phase 2 some 231 plots. The above is summarised in Table 1.<br />
Origin of<br />
Applicant<br />
Kiritimati<br />
Island<br />
(Phase 1)<br />
South<br />
Tarawa<br />
(Phase 2)<br />
Table 1: Residential Plots for Release, Kiritimati Island 2008-2009<br />
Permanent<br />
Houses<br />
153<br />
Local<br />
Houses<br />
69<br />
To<strong>ta</strong>l Plots Village<br />
Location in<br />
Kiritimati<br />
TA <strong>4878</strong> - KIR: Integrated Land and Population Program on Kiritimati Island (Population)<br />
4<br />
222 200<br />
Tabwakea<br />
22 Poland<br />
150 81 231 not<br />
determined<br />
Allocation -<br />
Release<br />
S<strong>ta</strong>tus<br />
in progress -<br />
release<br />
process<br />
advanced<br />
planning and<br />
design in<br />
progress<br />
To<strong>ta</strong>l: 303 150 453 - -<br />
It should be noted that as a result of public complaints, 2<br />
Cabinet in June, 2008, agreed that 168<br />
of the 222 plots be released as soon as possible while the remaining 54 needed further scrutiny.<br />
As at September, 2008, the Phase 1 plots were being physically released to those selected and<br />
residing in Kiritimati Island. Advance rent payments were being received and lease agreement<br />
distributed to applicants for signing.<br />
With the Phase 1 process for those residing in Kiritimati Island now in process, Government and<br />
specifically MELAD have commenced the process of de<strong>ta</strong>iled planning for the Phase 2 volun<strong>ta</strong>ry<br />
resettlement from South Tarawa to Kiritimati Island. As part of the TA <strong>4878</strong> - KIR: Integrated<br />
Land and Population Program on Kiritimati Island (Population Component), the Government<br />
has requested assis<strong>ta</strong>nce in developing the framework to apply to Phase 2 so that this process<br />
may commence as soon as possible.<br />
It must be noted that the assis<strong>ta</strong>nce as provided under the TA in developing the design of the<br />
Phase 2 volun<strong>ta</strong>ry resettlement is made in the context of the overarching TA recommendations<br />
regarding the future settlement and resettlement of Kiritimati Island. In summary, these key TA<br />
recommendations are that there should be no more settlement and resettlement after the<br />
2<br />
These objectors raised issues concerning discrepancies in the land allocation process, the criteria and the weighting<br />
as applied.
Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
existing Phase 1 until the existing planning and development issues as outlined further in<br />
this paper are urgently addressed. 3<br />
Structure Plan for Tabwakea where 200 of the 222 Phase 1 plots are located.<br />
New Banana, west of Main Camp, is the main location of the 231 plots for Phase 2.<br />
3 See de<strong>ta</strong>iled discussion on this recommendation in the TA <strong>4878</strong> paper on “The Review and Analysis of Settlement<br />
and Resettlement Plans and Policies for Kiritimati Island” (Part B).<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
The recommended approach to the settlement of Kiritimati Island is one of caution in releasing<br />
future land in line with;<br />
• managing in migration,<br />
• respecting the <strong>island</strong>s unique environmen<strong>ta</strong>l values,<br />
• urgently improving the existing poor s<strong>ta</strong>te of infrastructure, primarily water, sani<strong>ta</strong>tion<br />
and power,<br />
• the need for changes to environmen<strong>ta</strong>l management practices and mindset,<br />
• reducing squatter numbers and greater community mobilisation on environmen<strong>ta</strong>l and<br />
natural resource issues, and<br />
• reducing in migration significantly while the Government and the community <strong>ta</strong>ke stock<br />
of the major on <strong>island</strong> impacts occurring.<br />
The overriding caveat is that no more land should be released in Kiritimati Island until the<br />
existing <strong>population</strong>, resettlement and migration issues are addressed; the water and sani<strong>ta</strong>tion<br />
systems are rehabili<strong>ta</strong>ted and improved; new environmen<strong>ta</strong>l <strong>program</strong>s to address the decline of<br />
the natural resource are put in place, rising squatter issues and the unsus<strong>ta</strong>inable impact of<br />
<strong>population</strong> growth mitigated are addressed. The existing land commitments now underway for<br />
Phase 1 should be met and nothing more, with the proposed Phase 2 release to accommodate<br />
volun<strong>ta</strong>ry resettlement from South Tarawa deferred. For the TA to recommend any other<br />
position would be socially, environmen<strong>ta</strong>lly and economically irresponsible.<br />
3. Target Groups for Phase 2<br />
A review of Cabinet decisions on the settlement of Kiritimati Island indicates the following 3<br />
<strong>ta</strong>rget groups have been agreed as the priority for resettlement in Phase 2;<br />
• residents from the area known as ‘Bairiki village’ in the Teinanano Urban Council (TUC)<br />
area,<br />
• residents from area known as ‘Betio village’ in Temakin in the Betio Town Council<br />
(BTC) area, and<br />
• ex Orona Island residents (from Phoenix Islands), some of who resettled to the Solomon<br />
Islands in the 1970s and 1980’s while some resided in South Tarawa. These families<br />
were deprived of native title ownership to their family lands.<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
The above <strong>ta</strong>rget groups reflect a strong focus on the overcrowded ‘Bairiki and Betio village’<br />
areas in the BTC and TUC local government areas. These areas represent concentrations of<br />
landless people that resulted from the British colonial administration in 1954 securing long term<br />
99 year head leases over the respective islet areas. Those landowners whose lands were acquired<br />
by 99 year lease were relocated to small reserve areas in Bairiki and Betio, subsequently known<br />
as Bairiki and Betio villages. Residents in these reserves were allocated house plots under<br />
licence, with licences renewed annually by the respective village area committee. This<br />
arrangement continued until the 1970’s when administration became too complex. While the<br />
village areas have remained the same, the <strong>population</strong> and local and permanent arrangements for<br />
shelter have increased dramatically, with unaccep<strong>ta</strong>ble living conditions now being the norm.<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
Housing conditions in ‘Bairiki village’, central Bairiki ocean side - TUC area<br />
Housing conditions in ‘Betio village’ at Temakin, Betio - BTC area<br />
4. Assessment of the Phase 1 Allocation Process on Kiritimati Island<br />
With the Phase 1 release for Kiritimati Island residents well advanced with plots from<br />
September, 2008, being; (i) physically released via lease and (ii) development applications for<br />
the plots being considered by the Kiritimati Local Land Planning Board (KLLPB), MELAD has<br />
requested that a review be under<strong>ta</strong>ken on the Phase 1 allocation process. The purpose of the<br />
evaluation is to identify issues arising and lessons learned from Phase 1, especially the<br />
experience of the Committee for the Allocation of S<strong>ta</strong>te Lands (CASL), so that they may be<br />
considered as part of the Phase 2 design and implemen<strong>ta</strong>tion process.<br />
The methodology for the CASL review was to; (i) meet with the CASL collectively and where<br />
possible, CASL members individually in Kiritimati Island so as to discuss issues and concerns<br />
regarding the Phase 1 process, 4<br />
(ii) <strong>ta</strong>lk to with Kiritimati Island residents who had applied and<br />
4 The meeting with CASL was held on Wednesday 2 July, 2008, 4 pm, LMDK offices, London.<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
who were both successful and unsuccessful in their applications for S<strong>ta</strong>te lands, and (iii) discuss<br />
perceptions of the process with decision makers in Tarawa.<br />
It should be acknowledged at this point the good work of CASL in under<strong>ta</strong>king the assessment<br />
and allocation process in Kiritimati Island. The process of a adopting a more formal approach to<br />
the allocation of land was a new one for Kiritimati Island and was always going to be a<br />
challenging and difficult one for CASL and related agencies. The key reasons for this were that;<br />
(i) while the process was driven locally, the criteria was ultimately determined by Cabinet in<br />
Tarawa, and (ii) there was approximately 700 applicants and only 222 plots to be allocated.<br />
Thus, approximately two thirds of applicants would be unsuccessful as land supply was limited<br />
and demand high.<br />
The comments from CASL and residents on the Phase 1 process can be grouped under a number<br />
of common themes. These are summarised below;<br />
* Screening and Selection Criteria<br />
The screening and allocation criteria as used in Phase 1 are at<strong>ta</strong>ched as Annex 1. Note criteria<br />
one of the selection criteria did not apply in Kiritimati Island (having land leased by government<br />
or limited land in South Tarawa) as it was to be applied in the forthcoming South Tarawa Phase<br />
2 release. The criteria as used were initially developed in Kiritimati Island and subject to changes<br />
in Tarawa at the committee 5<br />
and the Cabinet level. A number of concerns arose with the<br />
criteria, with some of the most common issues as raised listed below;<br />
• there was confusion between what was screening criteria and what were selection criteria.<br />
Only the key groups and issues to be <strong>ta</strong>rgeted should have been in the selection criteria.<br />
However, criteria such as civil servants over 45 years of age and applicants being over 25<br />
years of age, married and with children, etc, should have been in the screening criteria,<br />
not selection criterion.<br />
• there were inequities in the selection criteria affecting the scoring. For example, civil<br />
servants over 45 years of age (worth 5 marks) and applicants over 25 years of age,<br />
married, etc (worth maximum 5 marks) meant a to<strong>ta</strong>l of 10 points. However, this could<br />
only be achieved if one met both criteria. If you were not a civil servant but over 25<br />
years, you could only earn maximum 5 points. As a result of this bias, the civil servant<br />
criterion was not scored in the assessment process.<br />
5 Including the Resettlement Committee that operates from time to time under MELAD.<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
• the main group to be <strong>ta</strong>rgeted in the Phase 1 process - that is, those that had been in<br />
Kiritimati Island for many years, often with children and grandchildren who had no<br />
access to land - were not elevated in the selection criteria. Thus, the selection criteria<br />
were competing equally with other ‘minor’ screening criteria such as being over 25 years<br />
of age, etc. The criteria were not prioritised as to their impor<strong>ta</strong>nce.<br />
• vulnerable groups were disadvan<strong>ta</strong>ged by being excluded from the process. For example,<br />
squatters were unable to apply if they were squatting at the time of the application.<br />
Squatters had to move from their village or bush location to a lease or freehold plot to be<br />
eligible to apply. For most squatters, squatting is a necessity and not a choice and they<br />
were penalised by being excluded.<br />
Suggestions for Phase 2:<br />
* criteria needs to be developed locally in conjunction with the affected groups. Cabinet needs to<br />
clearly unders<strong>ta</strong>nd the rationale of the criteria as developed.<br />
* there needs to be a clear distinction between what comprises the screening (initial eligibility)<br />
criteria and the selection criteria.<br />
* the allocation criteria as set should <strong>ta</strong>rget the households who are agreed as priority <strong>ta</strong>rget<br />
groups such as the landless. The criteria should not be confused with the screening criteria.<br />
* both male and female applicants should be encouraged to apply - the process shouldn’t<br />
discriminate within households and gender, as well as exclude squatters.<br />
* there should be adequate time to review and fine tune the criteria as developed. The criteria<br />
should be piloted and trialled to confirm its priority.<br />
* Scoring of the Criteria<br />
All of the screening and selection criteria were scored equal marks - that is, a maximum 5 points<br />
for each criterion. 6<br />
No one criteria was elevated over the other in the scoring, even though<br />
some criteria for both the screening and selection were more impor<strong>ta</strong>nt than others. For<br />
example, the long term residents or the children of the original settlers with no access to land,<br />
were not elevated in the scoring process. Furthermore, they were disadvan<strong>ta</strong>ged in the scoring<br />
within the criteria. For example, residents on Kiritimati Island 5 years or more were scored 2<br />
points for 5 years or less but then only 3 points for between 5 and 30 years, etc. One result was<br />
6 Criteria 1 (s<strong>ta</strong>tus of land in South Tarawa) and 6 (civil servant or not) were not scored.<br />
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that aggregate scoring on lesser impor<strong>ta</strong>nt criteria could mean elevation over the more impor<strong>ta</strong>nt<br />
selection criteria. As a result, residents having lived in Kiritimati Island only 6-8 years were<br />
allocated land over those that had been in Kiritimati Island 25 plus years.<br />
Suggestions for Phase 2:<br />
* the criteria which is considered most impor<strong>ta</strong>nt should be scored the highest. In other words,<br />
the criteria should be ranked, prioritised and scored accordingly.<br />
* the selection process should look at the scoring results of both the screening and selection<br />
criteria - applicants should score well in both, especially the selection criteria.<br />
* The Process<br />
The timeframe for the Phase 1 submission of applications and assessment by CASL took 3<br />
months, namely, 6 weeks for submission and 6 weeks for assessment. There was some<br />
community awareness on the Phase 1 process of Radio Kiritimati. Although the application form<br />
was in I-Kiribati, some residents struggled in unders<strong>ta</strong>nding the information as provided and<br />
what was required in the application process. For example, some were led to believe that<br />
children of the current residents could not apply for land, despite it being a priority objective of<br />
the assessment process. Applicants were required to at<strong>ta</strong>ch many documents to the application<br />
form such as a ‘certified’ birth certificate, police record, educational qualifications and the like.<br />
For some, this was new, arduous and for many not affordable. Because of the preoccupation of<br />
getting the process up and running including the application form, there was no appeal process<br />
outlined for residents who were not successful and wanted to object. This appeal process was<br />
only clarified after the 222 plot allocation was finished.<br />
Suggestions for Phase 2:<br />
* the application form should be trialled and pre tested with affected groups- individuals.<br />
* the length of time for completing the application form should reflect the complexity of the<br />
questions and information to be provided.<br />
* supporting information should be kept to a minimum and supplemented by interviews.<br />
* eligibility for application should be made clear e.g., individual, household or both.<br />
* there should be external monitoring of the assessment process to minimize possible appeals,<br />
objections and ensure due process is followed.<br />
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* the process should allow for objections and appeals and this should be spelt out in the initial<br />
s<strong>ta</strong>ge of the process.<br />
* the CASL approved list of applicants should be displayed as a draft before CASL and then<br />
Cabinet finally confirms the list. This will allow for any raising of issues - objections.<br />
* Allocation of Plots to Approved Applicants<br />
The process for allocating plots to approved applicants in Tabwakea (200) and Poland (22) was<br />
done in full public view on publicly advertised dates. The process was fully transparent and well<br />
received. While some applicants were not happy with the plots as randomly selected by<br />
themselves, this is the most equi<strong>ta</strong>ble way for all parties. In the earlier resettlement for Teeraina<br />
and Tabuaeran, applicants who were not happy with the plot as allocated were allowed a 2 week<br />
period to exchange the plot with another approved applicant, if such arrangement could be<br />
mutually agreed.<br />
Suggestions for Phase 2:<br />
* the process of physically allocating plots to approved applicants needs to be publicly<br />
under<strong>ta</strong>ken, with no predetermined allocation, and preferably by an independent person such as<br />
from the Kiritimati Island CASL.<br />
* applicants who wish to exchange their plot with another approved applicant should be allowed<br />
to do so within an immediate period after the allocation.<br />
* Aims, Objectives and Membership of CASL<br />
The role of CASL should be made clear within the broader institutional arrangements for the<br />
Phase 2 release, that is, that CASL is an independent body reporting to Cabinet on applicants for<br />
S<strong>ta</strong>te lands as assessed against agreed criteria. The membership of the Kiritimati Island CASL<br />
was considered by members and observers to be effective. It was purposely kept small - 4<br />
members plus LMDK as the Secre<strong>ta</strong>riat - and membership was diverse. Members were from the<br />
MLPID (CASL Secre<strong>ta</strong>ry), the Chief Councillor of the KUC, a represen<strong>ta</strong>tive from <strong>island</strong>s<br />
unimane’s association and the Chief Land Management Officer, LMDK. It was agreed that<br />
having represen<strong>ta</strong>tives of the churches on CASL would potentially muddy the selection process.<br />
For South Tarawa, Cabinet agreed in 2006 that the CASL should consist of the following<br />
members;<br />
• Secre<strong>ta</strong>ry, MELAD,<br />
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• Director of Lands, MELAD,<br />
• Secre<strong>ta</strong>ry, MISA,<br />
• Secre<strong>ta</strong>ry, Office of the President, and<br />
• a represen<strong>ta</strong>tive from MLPID.<br />
Suggestions for Phase 2:<br />
* the aims and objectives of CASL be made public including its relationship to the BTC, TUC,<br />
village committees, other steering committees or Ministries.<br />
* the CASL membership as agreed for Phase 2 should be reviewed to ensure it includes affected<br />
community groups in the BTC and TUC areas (local government and village levels) and an ex<br />
Orona represen<strong>ta</strong>tive.<br />
* Secre<strong>ta</strong>rial support should be clearly defined and supported with resources, as occurred in the<br />
Kiritimati Island Phase 1 assessment and allocation process.<br />
5. Summary of the CASL Experience and Lessons Learned<br />
In the circums<strong>ta</strong>nces, the Kiritimati Island CASL has performed well in assessing applications<br />
for S<strong>ta</strong>te land, albeit in a difficult environment where applications far exceeded the number of<br />
plots available. A review of the CASL process has identified a range of lessons learned which<br />
can be applied to the Phase 2 release for South Tarawa. Specifically, in terms of CASL and its<br />
role in Phase 1, experience indicates improvement could be made in the areas of:<br />
• clearly articulating who the <strong>ta</strong>rget groups are and unders<strong>ta</strong>nding why they are to be a<br />
priority over other groups or households, thus assisting in defining the basis on which<br />
their eligibility will be determined,<br />
• based on the above, ensuring clarity in the setting of the screening criteria and clarity in<br />
the setting of the selection criteria, including what criteria should be mandatory and<br />
what is not,<br />
• ensuring vulnerable groups, including landless households, disabled, squatters, women<br />
headed households and others, are included in the process, not excluded,<br />
• ensuring the scoring of the criteria rewards the priority groups which are to be <strong>ta</strong>rgeted<br />
for resettlement, not the reverse,<br />
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• ensuring there is an external ‘check and balance’ mechanism in the CASL, such as a<br />
represen<strong>ta</strong>tive from the Kiritimati Island CASL to scrutinise the process and ensure<br />
consistent application of the criteria as agreed, and<br />
• pre testing of the application form, including sui<strong>ta</strong>bility of the criteria and the<br />
appropriateness of the information that needs to be submitted. The option of holding<br />
interviews to scrutinise authenticity of information such as on household structure, land<br />
ownership and the family tree, education and skill levels, should be strongly considered<br />
in the process.<br />
6. Recommended Framework for the Phase 2 Resettlement<br />
The proposed Phase 2 release will be the first formal resettlement scheme to be put in place for<br />
Kiritimati Island. This resettlement presents the Government and the community with a range of<br />
additional challenges that were not experienced in Phase 1. This includes;<br />
• selection and assessment to be held in South Tarawa, with the reality that most applicants<br />
will not have been to Kiritimati Island and have no first hand knowledge of conditions,<br />
• the physical relocation of families from South Tarawa and resulting social and economic<br />
impacts such as little or no formal employment opportunities in Kiritimati Island (other<br />
than subsistence), issues of income restoration from informal activities, etc,<br />
• the impact of the new ‘transplanted’ <strong>population</strong> on the already strained capacity of<br />
services and infrastructure in Kiritimati Island,<br />
• additional stress on the bio physical environment and ‘mining’ of the <strong>island</strong>s fish and bird<br />
stocks,<br />
• the <strong>ta</strong>sk of accommodating the physical, economic and social needs of the re settlers in<br />
the short term after they disembark from the ship from South Tarawa, and<br />
• the challenge that the village lands as vacated in South Tarawa by re settlers, will be<br />
<strong>ta</strong>ken up by other family members or squatters.<br />
The conceptual approach to developing the Phase 2 framework involves the integration of a<br />
number of parameters as shown below.<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
Figure 1: Conceptual Approach to Unders<strong>ta</strong>nding Phase 2 Volun<strong>ta</strong>ry Resettlement<br />
Phase 2 Volun<strong>ta</strong>ry Resettlement - South Tarawa to Kiritimati<br />
Adequacy of<br />
institutional<br />
arrangements<br />
Legislative<br />
basis - adequacy<br />
of the S<strong>ta</strong>te<br />
Lands Act, 2001<br />
Adequacy of<br />
Cabinet <strong>policy</strong><br />
as a basis for<br />
settlement and<br />
resettlement<br />
The success or otherwise of the Phase 2 re settlement hinges around the adequacy and<br />
effectiveness of the integration of institutional, legislative, <strong>policy</strong> and implemen<strong>ta</strong>tion<br />
arrangements that need to be put in place. In the above context, it is suggested that there are 2<br />
options that can be realistically considered in developing the framework for the planning and<br />
management of Phase 2. These are;<br />
• Option 1 - use the same model as used in Phase 1. This model was essentially a process<br />
focused around the land assessment and allocation activities by CASL with support from<br />
the key institutional players, MELAD and the MLPID. Based on Cabinet <strong>policy</strong>, the<br />
CASL was basically es<strong>ta</strong>blished to deal with screening and selection criteria, land<br />
assessment and allocation issues, within the broader institutional framework of MELAD<br />
and MLPID. The process focused mainly on the assessment and allocation process - it<br />
did not adopt a wider approach to ensure infrastructure and services were in place for the<br />
plots to be allocated. Land, such a vi<strong>ta</strong>l element of I-Kiribati life, was the cornerstone of<br />
the process.<br />
• Option 2 - adopt a more integrated and proactive approach to the resettlement process,<br />
with CASL being only one of a number of major activities to be under<strong>ta</strong>ken. This<br />
approach would reflect the reality that Phase 2 involves many more potential challenges<br />
and issues than had occurred with Phase 1 which focused on residents already living in<br />
Kiritimati Island. An integrated approach for Phase 2 would involve a stronger<br />
institutional framework, provide institutional support for applicants and re settlers, plus<br />
monitor the land planning and infrastructure and services needed in Kiritimati Island to<br />
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15<br />
Effective<br />
implemen<strong>ta</strong>tion<br />
arrangements in<br />
place for Phase<br />
2 process
Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
get the 231 plots on the ground in Kiritimati Island. This approach is conceptually shown<br />
in Figure 2.<br />
If a main objectives of the Phase 2 volun<strong>ta</strong>ry relocation are to;<br />
reduce overcrowding in the Bairiki and Betio villages in South Tarawa,<br />
mitigate the adverse effects on the re settlers and their families during the<br />
resettlement process, and<br />
main<strong>ta</strong>in and improve the living s<strong>ta</strong>ndards of those being resettled,<br />
then Option 2 offers a more effective approach to addressing the social, economic and<br />
environmen<strong>ta</strong>l issues and concerns. The framework for an integrated Phase 2 volun<strong>ta</strong>ry<br />
resettlement from South Tarawa to Kiritimati Island is shown in Figure 2. The key elements of<br />
an integrated framework as shown in Figure 2 are;<br />
• Institutional arrangements - es<strong>ta</strong>blishment of an overarching Phase 2 Resettlement<br />
Committee comprising the key institutions and represen<strong>ta</strong>tives of the affected groups. This<br />
should include MELAD, MLPID, Ministry of Labour and Human Resource Development<br />
(MLHRD), Ministry of Internal and Social Affairs (MISA), BTC, TUC, Toka<strong>ta</strong>rawa,<br />
BTC/TUC village area committees and Orona Island people.<br />
Toka<strong>ta</strong>rawa maneaba sign reflecting the impor<strong>ta</strong>nce of the unimane (elders) in Tarawa<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
Figure 2: Framework for the Integrated Phase 2 Resettlement - South Tarawa to Kiritimati Island<br />
Cabinet direction<br />
on Kiritimati<br />
policies and plans<br />
and Phase 2<br />
resettlement<br />
parameters<br />
Identification of<br />
<strong>ta</strong>rget groups,<br />
needs, CASL<br />
assessment, etc<br />
Amendments to<br />
improve the<br />
applications of the<br />
S<strong>ta</strong>te Lands Act<br />
Overarching Phase 2 Resettlement Committee<br />
Represen<strong>ta</strong>tives from MELAD, MLPID, MISA, MLHRD, BTC,<br />
TUC, Toka<strong>ta</strong>rawa, BTC and TUC village and ex Orona families<br />
Institutional support for re<br />
settlers such as employment<br />
and income restoration,<br />
lease obligations<br />
Monitoring and evaluation - assess<br />
options for further settlement or<br />
resettlement based on s<strong>ta</strong>tus of<br />
social, economic and environment<br />
in Kiritimati Island<br />
Monitoring of land<br />
planning and survey<br />
for 231 planned<br />
plots<br />
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(Population Component)<br />
Monitoring of provision<br />
of infrastructure and<br />
services for 231 plots<br />
especially water & power
Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
The Phase 2 Resettlement Committee would be responsible for coordinating, integrating and<br />
monitoring the essential activities that need to be under<strong>ta</strong>ken to achieve the best outcomes for<br />
Phase 2. MELAD supported by the MLPID should <strong>ta</strong>ke the lead in the Phase 2 Resettlement<br />
Committee. It is also possible that a represen<strong>ta</strong>tive of the Office of the President could be<br />
involved in the steering committee. The rationale for the recommended membership of the<br />
Phase 2 Resettlement Committee is summarised in Table 2 while the recommend main<br />
functions of the committee are outlined in Annex 2.<br />
Table 2: Rationale for Membership of Phase 2 Resettlement Committee<br />
Ministry, Council or Group Rationale for Committee Inclusion<br />
Ministry of Environment,<br />
Lands and Agricultural<br />
Development (MELAD)<br />
Ministry of Line and Phoenix<br />
Islands Development (MLPID)<br />
Ministry of Labour and Human<br />
Resource Development<br />
(MLHRD)<br />
Ministry of Internal and Social<br />
Affairs (MISA)<br />
Responsible for land planning, survey and land<br />
administration on S<strong>ta</strong>te lands in Kiritimati Island.<br />
Secre<strong>ta</strong>riat to the CASL<br />
Responsible for overall <strong>island</strong> development and<br />
coordination on Kiritimati Island<br />
Responsible for accessing employment, income<br />
generation, job and human resource opportunities<br />
in Kiribati<br />
Responsible for overall management and<br />
supervision of local government administration<br />
and operations (TUC,BTC, KUC)<br />
Betio Town Council (BTC) Responsible for planning and administration of<br />
Betio village area<br />
Teinanano Urban Council<br />
(TUC)<br />
Responsible for planning and administration of<br />
Bairiki village area<br />
Betio Village Area Committee Responsible for land and plot dispute resolution in<br />
Betio Village Area<br />
Bairiki Village Area<br />
Committee<br />
Responsible for land and plot dispute resolution in<br />
Bairiki village area<br />
Orona Islander represen<strong>ta</strong>tive Represents collective views of Orona families<br />
Toka<strong>ta</strong>rawa represen<strong>ta</strong>tive Represents collective views of Tarawa landowners<br />
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• Policy and Implemen<strong>ta</strong>tion Activities - the Phase 2 Resettlement Committee to under<strong>ta</strong>ke<br />
a range of <strong>ta</strong>sks essential to ensuring better outcomes for all affected s<strong>ta</strong>keholders in the<br />
Phase 2 release. These would include:<br />
* Identification of the <strong>ta</strong>rget groups, their needs and demands, skill levels, household<br />
size and structure, completion of socio economic surveys, etc,<br />
* es<strong>ta</strong>blishment and operation of the South Tarawa CASL. Based on the lessons<br />
learned, this would include applying the screening and allocation criteria, assessment<br />
and scoring of criteria, and preparing a draft list of approved applicants for the Phase<br />
2 Resettlement Committee and Cabinet,<br />
* institutional support including provision of information on the application process,<br />
employment opportunities, social support (schools, churches, home <strong>island</strong><br />
associations), land tenure arrangements and obligations such as payment of rent,<br />
environmen<strong>ta</strong>l stewardship and responsibilities such as restricted access to the<br />
protected areas, etc,<br />
Provision of information on all aspects of the social, economic and environmen<strong>ta</strong>l<br />
dimensions on Kiritimati Island life, including opportunities for income<br />
restoration, should be provided to re settlers by the Phase 2 Resettlement<br />
Committee.<br />
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* monitoring of the land planning <strong>ta</strong>sks to be completed to ensure the 231 plots can be<br />
released on time in Kiritimati Island. This would include a review of the de<strong>ta</strong>iled land<br />
use plans, ensuring the appropriate lease documents are in place (see Annex 3),<br />
completion of a Strategic Plan under the S<strong>ta</strong>te Lands Act, cadastral surveying, lease<br />
diagrams and individual contracts,<br />
* monitoring of the provision of infrastructure and services to be in place before the<br />
settlers arrive such as water, power, civil works, etc. Note the Phase 1 222 plots will<br />
be released without any power or piped water supply, which is far from satisfactory<br />
given this release has been 3 years in the planning s<strong>ta</strong>ge. It is impor<strong>ta</strong>nt that the Phase<br />
2 plots are released with basic infrastructure and services in place including water.<br />
The requirements for water, power, civil works, land planning etc, are set out in the<br />
draft Kiritimati Island Land Development Program, 2008-2012.<br />
The MLPID needs to ensure forward planning is advanced and that all the Phase 2<br />
plots have local water supply. The KLLPB with support from the MLPID needs to<br />
enforce the provision of sani<strong>ta</strong>tion in New Banana village.<br />
• Legislation - the S<strong>ta</strong>te Lands Act, 2001, currently provides the framework by which S<strong>ta</strong>te<br />
lands are managed. This includes an assessment of their potential for alienation and<br />
development such has occurred in Kiritimati Island. While the S<strong>ta</strong>te Lands Act (SLA) is<br />
adequate enough in providing a broad assessment process to determine what lands should be<br />
released and how in Kiritimati Island, for example, the SLA is deficient in that it does not<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
allow leased lands to be used as collateral or security to get a loan for the development of the<br />
plot as leased. What emerges from discussion with Phase 1 settlers and prospective Phase 2<br />
re settlers is that there are sufficient settlers willing to develop their land if micro finance was<br />
available. Currently, the Bank of Kiribati and Development Bank of Kiribati do not accept<br />
leased land as security as there is no legislative provision allowing for S<strong>ta</strong>te lands to be used<br />
for such purposes. Thus, settlers who may have the capacity to repay a loan would then be<br />
able to access such monies using their lease land as collateral and security. 7<br />
Housing is usually the largest investment one makes in a lifetime. Changes to the S<strong>ta</strong>te<br />
Lands Act, 2001, are urgently needed to allow I-Kiribati to use leased land as a loan<br />
security and thus stimulate the flow on economic activity.<br />
7. Main Functions of the Phase 2 Resettlement Committee<br />
7 There are also other changes required to the S<strong>ta</strong>te Lands Act including clarification regarding the making of Land<br />
Registers, the Strategic Pan making process, clause number omissions and the like. These are being dealt with under<br />
the TA (Land Development Program Component) with the Office of the Attorney General.<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
The main functions of the overarching of the Phase 2 Resettlement Committee would be;<br />
• to develop and implement the <strong>policy</strong> setting for the operation of the Phase 2 volun<strong>ta</strong>ry<br />
relocation, including endorsement of <strong>policy</strong> through Cabinet,<br />
• to determine the main eligibility, background, screening and selection criteria for the 3<br />
priority groups for endorsement by Cabinet,<br />
• to es<strong>ta</strong>blish and oversee the operation of the Committee for the Allocation of S<strong>ta</strong>te Lands<br />
(CASL), such sub committee responsible for the screening and scrutiny of applications<br />
for the 231 plots to be recommended to the Phase 2 Steering Committee then Cabinet;<br />
• to es<strong>ta</strong>blish a small Secre<strong>ta</strong>riat in LMD to service the CASL with administration support<br />
including preparation of the application form, screening and assessment of application<br />
forms and liaising with applicants,<br />
• to provide institutional support to re settlers such as advice on employment opportunities,<br />
lease obligations, time period for relocation, accommodation options on arriving in<br />
Kiritimati Island, etc,<br />
• the allocation of successful applicants to the 231 plots in a transparent and equi<strong>ta</strong>ble<br />
manner,<br />
• the monitoring of land planning and survey for the 231 Phase 2 plots for release in<br />
Kiritimati Island,<br />
• the monitoring and provision of infrastructure, budget needs and services for the 231<br />
Phase 2 plots for release in Kiritimati Island, and<br />
• ensure urgent changes to the S<strong>ta</strong>te Lands Act especially in regard to using S<strong>ta</strong>te lands as<br />
security and collateral, are systematically followed through as soon as possible.<br />
The main role of the Phase 2 Resettlement Committee is one of coordination and ensuring a<br />
more coordinated and integrated approach to resettlement is actually carried out on the ground.<br />
The lessons learned from Phase 1, such as providing plots with no infrastructure and poor<br />
forward planning generally, must be avoided.<br />
8. Main Functions of the South Tarawa CASL<br />
The South Tarawa CASL is best seen as a sub committee to the overarching Phase 2<br />
Resettlement Committee <strong>ta</strong>sked with a specific responsibility. Its main <strong>ta</strong>sk is to assess<br />
applications as made by applicants from the 3 priority areas against the agreed screening and<br />
selection criteria and rank applicants accordingly. The CASL should have at least TUC and BTC<br />
represen<strong>ta</strong>tives and will need LMD secre<strong>ta</strong>riat resources for approximately one month to assess<br />
applications. As noted, CASL should consider use of possible applicant interviews. The main<br />
<strong>ta</strong>sks of CASL are summarised in Figure 3.<br />
Figure 3: Main Tasks of the South Tarawa CASL<br />
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Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
Under the direction of the overarching Phase 2 Resettlement Committee;<br />
Prepare the application<br />
form, pre test and finalise<br />
Evaluate and assess<br />
applications against<br />
criteria as agreed by<br />
Cabinet<br />
Scrutinise applications and<br />
rank in terms of priority for<br />
each of the 3 areas<br />
Recommend priority lists of<br />
preferred to the Phase 2<br />
Resettlement Committee<br />
and Cabinet<br />
Oversee physical allocation<br />
of plot numbers to approved<br />
applicants – that is, match<br />
plots to re settlers<br />
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LMD<br />
Secre<strong>ta</strong>riat to<br />
CASL
Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
9. Main Phase 2 Steps in the Volun<strong>ta</strong>ry Relocation Process<br />
The Phase 2 process can be disaggregated into a number of major steps, as well as main activities<br />
and <strong>ta</strong>sks to be completed within each step. All these would form the basis of the Phase 2<br />
process.<br />
Step 1 - Timeframe: 2-3 months<br />
• confirm with Cabinet the key parameters of the Phase 2 process such as key groups to be<br />
<strong>ta</strong>rgeted, plot <strong>ta</strong>rget, the need for the Phase 2 Resettlement Committee, its membership<br />
and functions, and reconfirmation that the Phase 2 volun<strong>ta</strong>ry relocation will be<br />
under<strong>ta</strong>ken by the families themselves with no financial assis<strong>ta</strong>nce for fares and transport<br />
provided.<br />
• formally es<strong>ta</strong>blish the overarching Phase 2 Resettlement Committee - aims, objectives,<br />
membership, core <strong>ta</strong>sk and activities, represen<strong>ta</strong>tion of affected groups, clear plan of<br />
activities and timeframe for the Phase 2 process<br />
• agree priority groups, develop screening and selection criteria, rank and allocate scoring<br />
according to priority<br />
• MLPID and MELAD monitor progress on land planning, infrastructure and service<br />
provision for the 231 plots to be released in Kiritimati Island<br />
• determine community education and awareness activities on the Phase 2 process<br />
Step 2 - Timeframe: 3- 4 months<br />
• es<strong>ta</strong>blish CASL, aims, objectives, key <strong>ta</strong>sks and timeframe<br />
• confirm screening and selection criteria, rank and allocate scoring according to priority<br />
• develop and pre-test the application form<br />
• determine mode of eligibility such as application form and/or interview<br />
• call for applications from eligible individuals-households - interview if necessary<br />
• community education and awareness activities on application process<br />
• MLPID and MELAD monitor progress on land planning, infrastructure and service<br />
provision for 231 plots to be released in Kiritimati Island<br />
Step 3 - Timeframe; 2-3 months<br />
• completion of CASL assessment and ranking<br />
• submission to Cabinet and approval of draft list<br />
• exhibition of draft list, criteria by which assessed and any comments<br />
• approval of final applicants<br />
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• consideration of any objections<br />
• MLPID and MELAD monitor progress on land planning, infrastructure and service<br />
provision for the 231 plots to be released in Kiritimati Island<br />
Step 4 - Timeframe; 2-3 months<br />
• allocate approved applicants to physical layout of plots - transparent process<br />
• assess needs of approved applicants including employment, schooling, health, other<br />
services - identify skill levels, any business aspirations, etc<br />
• brief re settlers on Kiritimati Island employment opportunities, land tenure, lease<br />
repayments, lease conditions, care and responsibilities to the environment and S<strong>ta</strong>te<br />
Lands, availability of infrastructure and services on the land to be released, provisions of<br />
the new draft S<strong>ta</strong>te Lands Act, etc<br />
• confirm timing of physical resettlement to Kiritimati Island - when, how and who is to<br />
pay<br />
• MLPID to identify support to be provided on arrival in Kiritimati Island - what support<br />
and how long<br />
• MLPID and MELAD monitor progress on land planning (survey and lease contracts),<br />
infrastructure and service provision for the 231 plots to be released in Kiritimati Island<br />
Step 5 - Timeframe; 2- 4 months<br />
• physical relocation of approved applicants to Kiritimati Island<br />
• provision of support mechanisms for re settlers on arrival in Kiritimati Island<br />
• advice and support on income restoration and employment opportunities<br />
• occupation by re settlers on allocated land with infrastructures and services<br />
Step 6 - Timeframe; 1 month<br />
• monitoring and evaluation of the Phase 2 process - lessons learned and implications<br />
• disseminate results and implications.<br />
The key steps in the Phase 2 process are summarised in Figure 4.<br />
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Figure 4: Summary of Key Steps in the Phase 2 Volun<strong>ta</strong>ry Resettlement Process<br />
Liaise with key<br />
s<strong>ta</strong>keholders<br />
CASL Operation and<br />
Es<strong>ta</strong>blishment – finalise,<br />
criteria, application forms,<br />
assessment process, etc<br />
Step 4 - Physical<br />
Allocation of plots numbers<br />
to approved applicants,<br />
completed land survey, KI<br />
infrastructure complete, etc<br />
Step 1 - Develop and Confirm key<br />
elements of the Phase 2 Policy<br />
Setting - e.g. committee, <strong>ta</strong>sks,<br />
membership, plot numbers, priority<br />
groups, timing, CASL, etc<br />
Step 2 – Key Tasks<br />
Step 3 - CASL and Phase 2<br />
Committee recommendation on 231<br />
applicants; confirmation by Cabinet<br />
Phase 2 Monitoring and Evaluation<br />
process - apply lessons learned<br />
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Phase 2 Committee -<br />
awareness, progress on<br />
land development in KI,<br />
needs support for re settlers<br />
Step 5 – Physical relocation<br />
and Support to re settlers from<br />
South Tarawa to Kiritimati<br />
Island; MLPID provides on<br />
<strong>island</strong> support <strong>program</strong>mes, etc
Annex 3.d: JONES: Framework for Managing Volun<strong>ta</strong>ry Resettlement from South Tarawa to Kiritimati Island<br />
10. Moving the Phase 2 Framework Forward<br />
The framework as developed in this discussion paper has been agreed in principle by MELAD<br />
and now needs to be <strong>ta</strong>ken forward to implemen<strong>ta</strong>tion. During September, 2008, 8<br />
potential key<br />
s<strong>ta</strong>keholders in South Tarawa involved in the process have been briefed and suggestions and<br />
comments sought on the proposed framework as now outlined. Meetings were held with senior<br />
s<strong>ta</strong>ff in a range of s<strong>ta</strong>keholders including MELAD, MISA, MFED, the BTC (Clerk and Lord<br />
Mayor), TUC as well as discussions with residents of the two affected villages, namely, Bairiki<br />
and Betio villages.<br />
A draft Cabinet paper was prepared with MELAD senior s<strong>ta</strong>ff outlining progress on; (i) the<br />
Phase 1 land development issues in Kiritimati Island and (ii) key parameters that now need to be<br />
reconfirmed, confirmed or amended by Cabinet so as to allow the Phase 2 process to formally<br />
commence.<br />
The parameters nominated for endorsement by Cabinet included;<br />
• “that there will 231 plots to be shared between 3 priority groups, such mix of plots to be<br />
determined on a needs basis by Cabinet.<br />
• the priority groups for the 231 plots are those already as agreed by Cabinet, namely,<br />
those people living in the Bairiki village (TUC), the Betio village (BTC) and ex Orona<br />
settlers living in Solomon Islands. 9<br />
• that a Phase 2 Resettlement Steering Committee be es<strong>ta</strong>blished and chaired by MELAD<br />
and include senior represen<strong>ta</strong>tives of the MLPID, BTC, TUC, Toka<strong>ta</strong>rawa, MISA,<br />
MLHRD and an ex Orona represen<strong>ta</strong>tive.<br />
• that the <strong>ta</strong>sks of the Phase 2 Resettlement Committee be cross sector and include: (i)<br />
determination of selection and screening criteria for the 3 groups for endorsement by<br />
Cabinet, (ii) setting up of a Committee for the Allocation of S<strong>ta</strong>te Lands (CASL) to do the<br />
screening and recommendation of applicants for the 231 plots to the Phase 2<br />
Resettlement Steering Committee and then Cabinet; (iii) institutional support to re<br />
settlers such as advice on employment opportunities, lease obligations, accommodation<br />
options on arriving in KI, etc, (iv) monitoring of land planning and survey for the 231<br />
plots, and (v) monitoring and provision of infrastructure, budget needs and services for<br />
the 231 plots.<br />
• confirmation that Phase 2 resettlement is a volun<strong>ta</strong>ry relocation and Government will not<br />
be providing financial assis<strong>ta</strong>nce for fares and associated travel expenses, etc.”<br />
8 TA assis<strong>ta</strong>nce was provided from September 9 th to September 30 th 2008<br />
9 During discussions with s<strong>ta</strong>keholders, the Bonriki village people, whose village lands have been <strong>ta</strong>ken for the<br />
Bonriki runway development and water reserves and are now in a small area to the south west of the runway, were<br />
suggested as another priority group for possible consideration.<br />
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The 231 plots need to be allocated between the 3 <strong>ta</strong>rget groups, such as on a pro ra<strong>ta</strong> <strong>population</strong><br />
basis between those living in Betio Village, Bairiki village and estimate of ex Orona people on<br />
South Tarawa. Residents from Betio village followed by Bairiki village and ex Orona residents<br />
should dominate the distribution of plots to be made available.<br />
In addition to the above and development of the framework, the TA provided assis<strong>ta</strong>nce in<br />
developing and finalising the lease agreement to be used between the Government and lessees on<br />
land now being allocated under Phase 1 allocation. The English version of the lease agreement<br />
as finalised with officers of LMD Bairiki and LMD Kiritimati is given as Annex 3. This lease<br />
document is now being used in Kiritimati Island as of 23 September, 2008, for land as allocated<br />
under Phase 1. It should be used as a basis for lands to be allocated in Phase 2. The TA also<br />
compiled with LMD officers a first draft of background information required and potential<br />
selection criteria to be further developed for use in Phase 2 (see Annex 4).<br />
Notwiths<strong>ta</strong>nding the above de<strong>ta</strong>il, the overarching TA recommendation on the resettlement and<br />
Phase 2 land development is as follows;<br />
That there be no resettlement process commenced for the volun<strong>ta</strong>ry relocation of people<br />
from South Tarawa to Kiritimati Island until such time as commitments for water,<br />
sani<strong>ta</strong>tion, power infrastructure and other social support services are agreed, projects<br />
under<strong>ta</strong>ken and physical works are in place. People should not be relocated without the<br />
necessary infrastructure and services in place to accommodate their needs.<br />
11. Checklist of Key Activities to Implement Phase 2<br />
Based on the framework as developed, a checklist to assist MELAD, the MLPID and the Phase<br />
2 Steering Committee in achieving an integrated process for the Phase 2 resettlement is outlined<br />
below. If concerns exist over the adequacy of available human resources to implement the<br />
process, then capacity building and TA support should be requested so as to adequately plan and<br />
manage the essential <strong>ta</strong>sks at hand. Designated MELAD officers coordinating the Phase 2<br />
process should also use the ADB book “Guide to Resettlement” which will provide valuable<br />
resource information.<br />
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A major challenge for the Phase 2 Resettlement Committee and the MLPID is to ensure the<br />
‘receiving environment’ in Kiritimati Island is to a satisfactory s<strong>ta</strong>ndard in terms of water supply,<br />
electricity, village layout, land survey and land administration.<br />
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Checklist of the Activities for the 2008-2009 Phase 2 Volun<strong>ta</strong>ry Resettlement from South<br />
Tarawa to Kiritimati<br />
Parameters addressed include:<br />
* Institutional Framework<br />
* Institutional Support for Re-Settlers<br />
* Target Groups for Volun<strong>ta</strong>ry Resettlement<br />
* Committee for the Allocation of S<strong>ta</strong>te Lands (CASL<br />
* Screening and Allocation Criteria<br />
* Application Forms<br />
* Land Allocation<br />
* Consul<strong>ta</strong>tion Process<br />
* Land Planning Support<br />
* Infrastructure and Services Development Support<br />
* Monitoring and Evaluation<br />
Phase 2 Parameter Yes No<br />
Institutional Framework<br />
* Has a time schedule, with <strong>ta</strong>rgets, actions, milestones and<br />
participatory strategy been agreed?<br />
* Does a budget need to be allocated to assist in the volun<strong>ta</strong>ry<br />
resettlement such as for operations and travelling assis<strong>ta</strong>nce for<br />
the re settlers?<br />
* Has an overarching inter-Ministry and local Council Steering<br />
Committee been es<strong>ta</strong>blished?<br />
* Has a coordinator been appointed in MELAD and a<br />
coordinator appointed in MLPID in Kiritimati Island to<br />
coordinate and oversee the process and steps involved?<br />
* Has the relationship between the Steering Committee and the<br />
specific <strong>ta</strong>sks of the CASL been made clear?<br />
* Does their need to be any capacity building and TA support<br />
so as to adequately plan and manage these <strong>ta</strong>sks?<br />
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Institutional Support for Re-Settlers<br />
* Will the successful applicants complete socio economic<br />
surveys so as to assist in determining and unders<strong>ta</strong>nding their<br />
needs, who the vulnerable groups are, possible criteria, etc?<br />
* Will the applicants be briefed on employment and income<br />
opportunities in Kiritimati Island?<br />
* Will the applicants be briefed on responsibilities in<br />
Kiritimati Island such as lease repayments, lease conditions,<br />
care and responsibilities to the environment and S<strong>ta</strong>te Lands,<br />
s<strong>ta</strong>tus and availability of infrastructure and services for the<br />
land to be released, provisions of the new draft S<strong>ta</strong>te Lands<br />
Act, etc?<br />
* Who is responsible for leading this <strong>ta</strong>sk?<br />
* Which maneabas will the re settlers s<strong>ta</strong>y in when they arrive<br />
in Kiritimati Island?<br />
* Will the re settlers be provided with any subsistence<br />
allowance upon arrival and for the first few days?<br />
* Will there be any financial relocation support for the ex<br />
settlers from Orona Island now in the Solomon Islands?<br />
* If there is assis<strong>ta</strong>nce, how will this migration be managed?<br />
Phase 2 Parameter Yes No<br />
Target Groups for Volun<strong>ta</strong>ry Resettlement<br />
* Have the <strong>ta</strong>rget groups been reconfirmed such as the people<br />
from the Betio village, Bairiki village and ex Orona Island<br />
residents?<br />
* Has the quo<strong>ta</strong> of 231 households and plots been<br />
reconfirmed?<br />
* What will be the mix of <strong>ta</strong>rget groups to comprise the 231<br />
plots? (for example, x% from the Betio village, x % from the<br />
Bairiki village and x% ex Orona Island residents)<br />
* What is the rationale for determining the mix of <strong>ta</strong>rget<br />
groups such as <strong>population</strong> share - TUC versus BTC, size of<br />
Betio Village versus Bairiki Village?<br />
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Committee for the Allocation of S<strong>ta</strong>te Lands (CASL)<br />
* Is the membership for the Committee inclusive and cover all<br />
key affected groups, not just Government?<br />
* Has the membership of the Committee been agreed?<br />
* Are the aims and objectives for the Committee clear and<br />
reflect the main <strong>ta</strong>sks to be done in a specific timeframe?<br />
* Who will be the Secre<strong>ta</strong>riat of the CASL? LMD?<br />
* What ’check and balance’ mechanism exists to review the<br />
work of CASL including consistent applications of the<br />
criteria?<br />
Screening and Allocation Criteria<br />
* Is the eligibility criteria as to who can apply clear?<br />
* Is the screening and allocation criteria realistic?<br />
* Are the screening and allocation criteria differentiated?<br />
* Does the screening and allocation criteria include a reference<br />
to skill levels and the need to encompass range and mix of<br />
applicants?<br />
* Does the allocation criteria reflect the priority groups to be<br />
selected?<br />
* Is the scoring of the allocation criteria reflective of the<br />
priority groups to be <strong>ta</strong>rgeted in the allocation criteria?<br />
Phase 2 Parameter Yes No<br />
Application Forms<br />
* Has the application form been pre tested and piloted?<br />
* Is adequate information provided including con<strong>ta</strong>ct for<br />
Ministries and key people for queries by applicants?<br />
* Is the application form clear on process and key dates?<br />
* Is the application form clear on need for supporting info?<br />
Land Allocation<br />
* Has a transparent process been agreed to by which plots will<br />
be allocated to agreed applicants in full public view?<br />
* Will the land be released in s<strong>ta</strong>ges so as to minimise impact<br />
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of people arriving and settling in Kiritimati Island?<br />
* Is their a time limit by which the land has to be <strong>ta</strong>ken up?<br />
* What is the process for paying rent prior to occupation?<br />
* Are applicants aware of the need to get planning permission<br />
from the KLLPB before any development works?<br />
Consul<strong>ta</strong>tion Process<br />
* Has consul<strong>ta</strong>tion been held with potential applicants?<br />
* Is the draft list of applicants to be publicly advertised so as to<br />
gauge any objection or gaps in da<strong>ta</strong> and assessment?<br />
* What is the process for objections and appeals?<br />
* What action has been agreed to ensure that when people<br />
move, plots in the villages are not <strong>ta</strong>ken up by other people?<br />
Land Planning Support<br />
* What is the progress on the land survey for the 231 plots?<br />
* Do all surveyed plots have concrete beacons?<br />
* Have the lease cadastral plans between completed?<br />
* Are the lease contracts prepared, based on the lease<br />
document as used in Phase 1 (Annex 2)<br />
* What is the s<strong>ta</strong>tus of amendments to the S<strong>ta</strong>te Lands Act?<br />
Phase 2 Parameter Yes No<br />
Infrastructure and Services Development Support<br />
* What is the progress on implementing the Kiritimati Island<br />
Land Development Plan for the 231 plots?<br />
* Is forward planning including budget support in place for<br />
water supply and power by the MLPID?<br />
* Will the plots be allocated with water, power, etc?<br />
* If the plots will not be allocated with water, power and<br />
options for sani<strong>ta</strong>tion, when can re settlers expect basic<br />
infrastructure to be provided?<br />
Monitoring and Evaluation<br />
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* Has a core set of monitoring indicators been agreed?<br />
* Has an evaluation and ‘lessons learned’ from Phase 2 been<br />
documented for consideration in any future resettlements?<br />
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Annex 1 – Phase 1 Screening and Selection Criteria<br />
1. Screening Criteria for Residential Leases<br />
1. Does the applicant have a criminal record?<br />
2. Does the applicant hold any freehold land in the line and Phoenix Islands or Government lease or<br />
sublease (or has the applicant surrendered existing lease)?<br />
3. Does the applicant have any outs<strong>ta</strong>nding payment to Government?<br />
4. Is the applicant a squatter?<br />
Results of the Screening<br />
Eligibility to apply……………………..<br />
Officer doing the Screening ……………………<br />
Screening checked by :……………………………<br />
2. Selection Criteria for Residential Leases<br />
1. The applicant has land leased by Government on South Tarawa and Betio and there is evidence<br />
that the applicant has limited access to land because of this (…)<br />
2. The applicant is 25 years of age, married and has children (…….)<br />
3. The applicant has certified skills that can be used in the new environment including but no limited<br />
to carpentry, plumbing electrical etc. (……)<br />
4. Ability to pay rent on the leased land (……..)<br />
5. If on Kiritimati, the applicant must have been on Kiritimati for 5 years with preference given to<br />
those who have s<strong>ta</strong>yed longer (…….)<br />
6. Civil Servants who are 45 and above can apply (…….)<br />
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Annex 2 - Phase 1 Lease Agreement for Kiritimati Island (English version)<br />
GOVERNMENT OF KIRIBATI<br />
LEASE AGREEMENT OVER STATE LANDS<br />
Name of Lessor (LANDLORD) Government of the Republic of Kiribati<br />
Address Director of Lands P.O.Box 7, Bairiki, Tarawa<br />
Name of Lessee (Tenant)<br />
Address<br />
Name & Number of Land<br />
(Demised Land)<br />
Village & Island<br />
Area of Demised Land<br />
Agreed rent for Land<br />
Rent per acre (subject to Rent Review<br />
Ordinance CAP.<br />
90)<br />
Term of Lease<br />
25 years commencing from:<br />
Executed this ……………….Day of …………………………… 2008<br />
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RECITAL and INTERPRETATION<br />
1. This lease is provided by the Government of the Republic of Kiribati, pursuant to the S<strong>ta</strong>te<br />
Lands Act 2001 (the Act), which came into force from the first day of January 2002.<br />
2. For the purpose of this lease the Government of the Republic of Kiribati shall be known as<br />
the LANDLORD, and represented by the Director of Lands within the Ministry of<br />
Environment, Lands and Agricultural Development.<br />
3. The TENANT, whose name(s) appear(s) above in the agreement, wishes to lease the<br />
property that is specified in this contract for a period specified above. The TENANT<br />
volun<strong>ta</strong>rily and freely accept(s) the following conditions of the lease and the applicable law<br />
and regulations concerning the lease of Government property (S<strong>ta</strong>te Land), which form part<br />
of the present agreement.<br />
4. The LANDLORD agrees to lease the property to the TENANT for the permitted use for<br />
the specific term subject to the terms and conditions of this agreement.<br />
5. A reference to legislation or to a provision of the legislation includes a modification, reenactment<br />
of or substitution for it and a regulation or s<strong>ta</strong>tutory instrument issued under it;<br />
6. Where a reference is made to any body or authority that reference, if the body or authority<br />
has ceased to exist, shall be the body or authority as then serves subs<strong>ta</strong>ntially the same<br />
objects as that body or authority;<br />
7. Where the day or last day for doing anything or on which an entitlement is due to arise is<br />
not a business day that day or last day will be the immediately following Business Day;<br />
8. Every covenant by the TENANT includes a covenant by the TENANT to ensure<br />
compliance with the covenant by each of the TENANT's employees, agents, servants or<br />
invitees;<br />
8. A reference to a TENANT may include one or more persons, such names as shown in the<br />
agreement such as a husband and wife,<br />
10. At the termination of the ren<strong>ta</strong>l period or anticipated termination, the property shall revert<br />
exclusively to the Director of Lands.<br />
CONDITIONS of the LEASE:<br />
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11. The rent shall be paid in advance on an annual basis. The payment shall be due on the 1 st<br />
day of the12th month during the lease term, or if it is not a working day, then on the next day<br />
thereafter. As at the date of execution hereof it is acknowledged that the rent shall be paid on<br />
an annual basis, the first of such agreed rent has been paid in advance and the next payment<br />
shall be made on ………………… in the amount of ………………….<br />
12.Notwiths<strong>ta</strong>nding clause 11, where the TENANT is of the view they are constrained in<br />
paying the rent due on an annual basis, the LANDLORD may agree that the rent be paid<br />
fortnightly, monthly or six monthly in advance. If it is to be paid monthly, the rent shall be<br />
st<br />
due on the 1 day of every month during the lease term, or if it is not a working day then on<br />
the next day thereafter. If it is to be paid six monthly, the rent shall be due on the 1 st<br />
day of<br />
the six month during the lease term, or if it is not a working day then on the next day<br />
thereafter. As at the date of execution hereof, it is acknowledged that the rent shall be paid<br />
(specify fortnightly, monthly, six monthly or annually) ………………… , the first of such<br />
agreed rent has been paid in advance and the next payment shall be made on<br />
………………… in the amount of ………….<br />
13. Subject to clause11 or 12 above, the rent hereby agreed to be paid shall be first<br />
reviewed on the ………….. day of ………………………. 20………. and thereafter at the<br />
interval of 5 years; and may be reassessed at such rate as may be reasonable having regard to<br />
the economic circums<strong>ta</strong>nces prevailing at the time of such review. The rent as reassessed and<br />
given by notice by the LANDLORD to the TENANT shall become due and payable from<br />
the next day upon which rent becomes due and payable following the review date.<br />
14. Where the TENANT is constrained in paying the rent on the due date as specified in<br />
clause 11 or 12, the TENANT may request the LANDLORD in writing to defer the date on<br />
which the rent shall be paid. Where the LANDLORD considers the request to be reasonable,<br />
the LANDLORD shall advise the TENANT in writing of any such arrangement, including<br />
deferred rent to be paid, with such date for the rent to be paid to be no more than a maximum<br />
of 3 months after the due date specified in clause 11 or 12. In exceptional circums<strong>ta</strong>nces, a<br />
longer period may apply but only with the written consent of the Minster.<br />
15. The TENANT agrees that the property shall be used and developed for the authorized<br />
use only, such use and development, including construction of facilities on the property,<br />
being in accordance with approvals ob<strong>ta</strong>ined from the Kiritimati Local Land Planning Board<br />
(KLLPB)<br />
16. In the case of a lease for which the authorized use is non-residential, any occupation of<br />
the property for residential purposes must be a supplemen<strong>ta</strong>ry and inciden<strong>ta</strong>l to the<br />
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authorized use. For any supplemen<strong>ta</strong>ry use inciden<strong>ta</strong>l to the authorized use, approval shall be<br />
ob<strong>ta</strong>ined in writing from the Director of Lands and the KLLPB prior to the occupation of the<br />
land.<br />
17. The TENANT agrees that the only persons entitled to reside on the property are the<br />
TENANT, and the family of the TENANT as defined in the Act 2001, and such other<br />
dependants of the TENANT as the Minister or Court may allow under the Act.<br />
18. The TENANT shall not transfer, assign, or sublet or part with possession of the land, or<br />
any portion of the land or buildings thereon, the subject of the lease, without first ob<strong>ta</strong>ining<br />
written consent of the LANDLORD<br />
19. The TENANT shall not cut down or destroy any trees or other crops growing on the<br />
demised land or on any other location on the <strong>island</strong> without the written consent of the<br />
LANDLORD and shall be liable for any compensation payable to the LANDLORD for such<br />
cutting down or destruction<br />
20. During the term of this lease the TENANT shall be entitled to the exclusive use of the<br />
demised land and shall pay all rates and <strong>ta</strong>xes which may be payable in respect of the<br />
demised land<br />
21. At all times during the term of the Agreement the TENANT shall main<strong>ta</strong>in and keep in<br />
proper order the land and any permanent improvements thereon (fair wear and tear and<br />
damage by fire excepted). At the termination of the lease the TENANT shall deliver up<br />
possession of the land and permanent improvements to the LANDLORD in such a s<strong>ta</strong>te and<br />
conditions as shall be consistent with this lease conditions and may <strong>ta</strong>ke from the land any<br />
removable improvements owned by the TENANT. The TENANT shall be liable to pay<br />
compensation to the LANDLORD for any damages caused.<br />
22. If the rent or any part thereof shall remain unpaid for a period exceeding thirty days after<br />
the date the rent is due, the LANDLORD may re-enter and repossess the land in part or<br />
whole. If the TENANT shall be in breach of any other condition of this lease and shall fail to<br />
remedy the breach within thirty days of being so required by the LANDLORD by notice in<br />
writing, the LANDLORD may re-enter and repossess the land but without prejudice to any<br />
claim by the LANDLORD arising from the breach of any condition con<strong>ta</strong>ined herein. Non<br />
compliance with any conditions of the lease permits the LANDLORD, by notice in writing<br />
to the TENANT, to terminate the lease.<br />
23. The TENANT shall not do or permit or suffer to be done on the land or in the buildings<br />
on the land anything in contravention of any law or any s<strong>ta</strong>tutory or other provisions or<br />
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regulations now or hereafter in force. If the TENANT is in contravention of any law or any<br />
s<strong>ta</strong>tutory or other provisions or regulations in force, the LANDLORD, by notice in writing to<br />
the TENANT, may terminate the lease.<br />
24. Upon expiration of this Agreement, the LANDLORD may grant to the TENANT a<br />
further lease of the property for a period not exceeding 25 years and any further period as<br />
may be agreed to any time in writing prior to the termination of the existing Agreement. The<br />
conditions necessary to the LANDLORD’s obligation to consider the request, none of which<br />
conditions may be varied or waived except on the option of the LANDLORD, are the<br />
following:<br />
a. The TENANT's request shall be made in writing;<br />
b. The TENANT's request shall be made no later than three months before the<br />
expiration of the term of the lease;<br />
c. There is at the time of the request no breach by or on behalf of the TENANT of any<br />
of the terms and conditions of the lease;<br />
d. The LANDLORD is reasonably satisfied with the TENANT's proposed continued<br />
use of the property and the lease, and<br />
e. The LANDLORD is reasonably satisfied that the use and development of the<br />
property are in accordance with approvals as ob<strong>ta</strong>ined from the KLLPB.<br />
25. The words LANDLORD and TENANT shall include their successors in title.<br />
26. In the event of any inconsistency in the interpre<strong>ta</strong>tion of this agreement, the English<br />
version shall prevail.<br />
DESCRIPTION OF the demised LAND<br />
Part of land …………………. situated at ……………… and known as …………… as shown on<br />
the at<strong>ta</strong>ched diagram.<br />
IN WITNESS HEREOF, we the undersigned hereby agree to the terms and conditions set out<br />
herein.<br />
Dated this ………………. day of ……………………………… 20…..<br />
LANDLORD …………………………… Witness………………………………….<br />
Print name …………………………… Print name………………………………<br />
TENANT ………………………………….. Witness………………………………….<br />
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Print name …………………………………. Print name ………………………………<br />
All rent required to be paid under this lease, prior to the signing of this lease, have been paid by<br />
proof to my satisfaction in the amount of $.................... on …………….. I am satisfied that the<br />
terms and conditions of this lease are not manifestly to the disadvan<strong>ta</strong>ge of either party;<br />
I approve this lease,<br />
……………… …………………………………………<br />
Honorable Te<strong>ta</strong>bo Nakara, Minister for Environment, Lands and Agricultural Development<br />
Date …………………………………….<br />
Lease Registered Number …………………………<br />
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Annex 3 - Draft Background Information and Selection Criteria, Phase 2<br />
1. Basic Requirements for Eligibility to Apply<br />
For example, (i) applicant must be a resident of Bairiki village, Betio village, or South<br />
Tarawa (if ex Orona Island resident), (ii) have been in the current place of residence for x<br />
years, (iii) must be at least x years of age, (iv) must be committed to paying land rent in<br />
advance and met the lease conditions.<br />
2. Background Information Required<br />
* location - priority group<br />
* applicants name<br />
* home <strong>island</strong> - birthplace<br />
* name of household head<br />
* family name within household (if not household head)<br />
* age - meets age criteria (e.g.20 -25 years)<br />
* mari<strong>ta</strong>l s<strong>ta</strong>tus of applicant - married, single, divorced, widowed, etc<br />
* number in family<br />
* number of families in household<br />
* number in household (if more than 1 family)<br />
* number of family/household members in formal employment<br />
* number of family/household members in informal employment<br />
* relationship to original landowners in Betio, Bairiki, Orona<br />
* number of children in family/household in school<br />
* criminal activity - police record<br />
* outs<strong>ta</strong>nding payments to Government<br />
2. Potential Selection Criteria<br />
*original landowner, or child of original landowner from Betio or Bairiki living in village<br />
area<br />
* number of years applicant – family - household, has been living in the current location of<br />
Betio village, Bairiki village and in South Tarawa (if from Orona Island)<br />
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* land s<strong>ta</strong>tus; the household and families are land less - have limited land or no access to<br />
family lands <strong>ta</strong>ken under a head lease in Bairiki, Betio, South Tarawa (or no land on South<br />
Tarawa if ex Orona)<br />
* woman headed households (mix with male headed household who apply)<br />
* size and number of family/household who are applying<br />
* size and number of family/household who are applying relative to current plot size<br />
* skills and formal qualifications (that is, opportunities for employment and income<br />
generation - mix with non qualified and non skill base)<br />
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Annex 4: NAYLOR Health Services and Health Needs on Kiritimati Island<br />
HEALTH SERVICES AND HEALTH NEEDS ON<br />
KIRITIMATI ISLAND<br />
Ross Naylor<br />
Health Economist<br />
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Annex 4: NAYLOR Health Services and Health Needs on Kiritimati Island<br />
Contents<br />
Executive Summary 3<br />
1. Introduction 6<br />
2. Terms Of Reference 6<br />
3. Location and Population Of Kiribati and the Line Islands 6<br />
4. Access by Plane and Ship 8<br />
5. Communications 8<br />
6. The Health of the Population of Kiribati and the Line Islands 8<br />
7. Health Services in the Line Islands 10<br />
8. Services Based at the Kiritimati Hospi<strong>ta</strong>l 12<br />
9. Public Health Services 16<br />
10. A Summary of the Most Pressing Health Needs in the Line Islands 19<br />
11. Current S<strong>ta</strong>ffing Levels and Vacancies 19<br />
12. Financial Resources Applied to Health in the Line Islands 21<br />
13. Resource Requirements in Health to meet Current Needs 23<br />
14. Future Resource Requirements as Populations Expands 28<br />
15. Key Recommendations 31<br />
References 32<br />
Page<br />
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Annex 4: NAYLOR Health Services and Health Needs on Kiritimati Island<br />
Executive Summary<br />
This is a report on the health s<strong>ta</strong>tus and health services of the people of the Line Islands, which<br />
are in the eastern part of Kiribati in the Pacific Ocean. The Line Islands are a long dis<strong>ta</strong>nce from<br />
the main centre of Kiribati, Tarawa, and are very difficult to access with only one flight per week<br />
from Hawaii and an irregular shipping service from Tarawa. The Line Islands consist of three<br />
<strong>island</strong>s, with an estimated <strong>population</strong> of 8809 people (2005). The health services consist of a<br />
small hospi<strong>ta</strong>l on the main <strong>island</strong>, Kiritimati, 3 health centres and 5 dispensaries, with a to<strong>ta</strong>l of<br />
22 s<strong>ta</strong>ff, including 3 doctors. The <strong>population</strong> of the Line Islands has risen dramatically in recent<br />
years, and had a 40.4% growth between 2000 and 2005, mainly due to high levels of internal<br />
migration from Tarawa and a high birth rate. The to<strong>ta</strong>l <strong>population</strong> of Kiribati in 2005 was<br />
92,553, with a large concentration of people living in South Tarawa in very crowded conditions.<br />
Kiribati has low life expec<strong>ta</strong>ncy and comparatively high child and maternal mor<strong>ta</strong>lity rates, and<br />
high rates of infectious diseases. This pattern of health issues also prevails in the Line Islands,<br />
and is exacerbated by the high <strong>population</strong> growth rates, under resourced health services and<br />
inadequate water and sani<strong>ta</strong>tion infrastructure and support, and due to its remoteness, difficulty<br />
in referring and evacuating patients needing specialised medical and nursing support.<br />
Some factors affecting health in the Line Islands are not the primary responsibility of the<br />
Ministry of Health and Medical Services (e.g. water and sani<strong>ta</strong>tion infrastructure, transport and<br />
communications, housing availability, land tenure, internal migration rates, food availability)<br />
however there are some actions the MHMS can <strong>ta</strong>ke to improve the situation.<br />
A first step would be to fill the key vacant positions in the s<strong>ta</strong>ff es<strong>ta</strong>blishment of the Line Islands<br />
to boost the effort in addressing the main health issues. Some key positions to be filled have been<br />
identified in this report after discussions with a range of MHMS departments in Tarawa. The cost<br />
of filling these positions and providing the resources needed for the s<strong>ta</strong>ff to under<strong>ta</strong>ke the extra<br />
effort to <strong>ta</strong>ckle the considerable health issues is estimated to be $A 433,629 on top of an<br />
estimated current operational budget of $737,269<br />
A further step would be to add to the s<strong>ta</strong>ff es<strong>ta</strong>blishment some more key s<strong>ta</strong>ff and supporting<br />
resources to <strong>ta</strong>ckle the health issues in more depth. It is estimated these new key positions and<br />
support resources will add $193, 813 to the operational budget.<br />
To help ensure that the current and extra s<strong>ta</strong>ffing and resources are utilised more effectively, it is<br />
recommended that the MHMS create 2 management positions to manage the Line Islands health<br />
services as a more cohesive, flexible and integrated health service than the current situation<br />
where departments in Tarawa try to manage their s<strong>ta</strong>ffing outposts so far away, and with such<br />
poor communications and transport links.<br />
Overall, these positions and extra resourcing costs will add very significantly to the Line <strong>island</strong>s<br />
operational health budget, and raise it to $1,403,091 (a 90.31% increase). However, once these<br />
positions are in place, the support resources are provided, and the management is operating more<br />
effectively, the Line Islands health services will be in a much better position to <strong>ta</strong>ckle the<br />
considerable health issues of the current <strong>population</strong> of close to 10,000 people.<br />
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The boosting of the health services will need to be accompanied by an improved boat service<br />
between Kiritimati Island, where most of the health services (including the hospi<strong>ta</strong>l) are based<br />
and Washington and Fanning Islands. The service is almost non-existent at the moment with<br />
much reliance placed on visiting yachts and fishing boats. It is recommended that the MHMS<br />
work with the Government of Kiribati to request financial and logistics assis<strong>ta</strong>nce to support a<br />
regular and reliable boat service which can be utilised by health s<strong>ta</strong>ff and patients.<br />
Extra s<strong>ta</strong>ffing and resources cannot be added without supplying more s<strong>ta</strong>ff and health services<br />
accommodation at the main hospi<strong>ta</strong>l. The building is inadequate with little available room. It will<br />
be impor<strong>ta</strong>nt to fast-track new buildings so as not to delay the additions of s<strong>ta</strong>ff and services. It is<br />
recommended that buildings be imported to Kiritimati in s<strong>ta</strong>ged modules by ship and that these<br />
modules progressively added to make up the new building infrastructure of the expanded<br />
hospi<strong>ta</strong>l and community health services centre, rather than spending years building a<br />
conventional hospi<strong>ta</strong>l and health centre from concrete blocks and concrete base. With some<br />
research, good quality por<strong>ta</strong>ble buildings should be ob<strong>ta</strong>inable with only the linking walkways<br />
constructed on site. Hospi<strong>ta</strong>l and health services buildings and support services are expensive<br />
however, and it is recommended that the Government discuss the possible financing of a s<strong>ta</strong>ged<br />
modular development with an external donor.<br />
The health services will also need to grow to cope with future <strong>population</strong> growth and it is<br />
estimated that the operational budget in 2015 will need to be about $1,969,940 and $2,765,795<br />
in 2020 (at 2009 dollars ). This builds on the recalculated base for 2009 of $1,403,091 discussed<br />
earlier.<br />
To achieve these <strong>ta</strong>rgets will require a significant increase in funding in the Line Islands from a<br />
very tight national health budget. However, if it is assumed that the national health budget rises<br />
over this period by an average 5% per annum, these Line Islands increases can be achieved with<br />
much less impact on the national health budget than initially thought. For example, to achieve<br />
the Line Islands <strong>ta</strong>rget of $1,969,983 by 2015 will require an annual increase in the Line Islands<br />
health budget of 17.8% per annum. However, this would mean only a small change in growth<br />
rate of the remaining Kiribati health budget from 5% to about 4%.<br />
The MHMS can pursue a high <strong>ta</strong>rget rate of budget growth (13.74% per annum) or a very high<br />
<strong>ta</strong>rget rate of 17.8% (17.8%) the latter being the most desirable, as it <strong>ta</strong>kes account of necessary<br />
budget increases to boost health s<strong>ta</strong>tus, but also keeps pace with forecast <strong>population</strong> growth.<br />
Even the very high rate will have only a slight effect on overall MHMS budget growth rates, as<br />
the Line Islands budget is only a small percen<strong>ta</strong>ge of the overall budget.<br />
However, whichever <strong>ta</strong>rget rate is chosen (including lower or greater annual rates) the limiting<br />
factors will be s<strong>ta</strong>ff availability, s<strong>ta</strong>ff accommodation and training, the ability of the MHMS to<br />
effectively plan and manage the growth in s<strong>ta</strong>ff and health <strong>program</strong>s and the external assis<strong>ta</strong>nce<br />
available to provide boat transport and expanded hospi<strong>ta</strong>l and community health accommodation.<br />
It may be appropriate for the MHMS therefore to boost the budget of the Line Islands modestly<br />
for 2010 (say 6-8%) then higher for 2011 (say 10-12%) and review how it is able to manage such<br />
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budget growth. Much will depend on overall budget availability for the whole of the MHMS. If<br />
there are increases of around 5% or more for the overall health budget, then the MHMS could<br />
boost the Line Islands budget by 13-17% in 2012 and beyond. Without these significant budget<br />
increases and the improved and stronger health <strong>program</strong>s which should result if managed<br />
effectively, there will not be a significant improvement in the health of the Line Islands<br />
<strong>population</strong>, and the health s<strong>ta</strong>tus of the <strong>population</strong> could even fall below the very low levels<br />
being experienced currently.<br />
However, because of possible revenue limi<strong>ta</strong>tions of the Government of Kiribati, it is also<br />
recommended that MHMS discuss the possible assis<strong>ta</strong>nce of an external donor (multilateral,<br />
bilateral or NGOs) to support the Line Islands operational components of the health services in<br />
community and environmen<strong>ta</strong>l health services.<br />
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1. Introduction<br />
Annex 4: NAYLOR Health Services and Health Needs on Kiritimati Island<br />
This document is a report on the s<strong>ta</strong>te of health of the <strong>population</strong> and the health services of the<br />
Line Islands of Kiribati, and is part of the Integrated Land and Population Development<br />
Program on Kiritimati Island: Population Component ADB Technical Assis<strong>ta</strong>nce (<strong>4878</strong> – KIR).<br />
The consul<strong>ta</strong>nt visited South Tarawa in Kiribati in March 2009 and met with a number of health<br />
officials and external agencies. A range of health da<strong>ta</strong> and background information was made<br />
available. The consul<strong>ta</strong>nt was unable to visit the Line Islands at this time.<br />
2. Terms of Reference for Health Economist<br />
i) review MOH da<strong>ta</strong> on the existing health facility on Kiritimati Island and assess<br />
the adequacy of existing health and family planning services;<br />
ii) review and analyse the logistics and procurement of medicines for Kiritimati;<br />
iii) identify and estimate the amount of all government resources allocated to health<br />
and family planning services on Kiritimati Island;<br />
iv) prepare and cost a set of scenarios for health service delivery on Kiritimati to<br />
provide adequate health and family planning services under various <strong>population</strong><br />
growth projections;<br />
v) provide <strong>policy</strong> guidance for the optimal level of services and type of facilities<br />
required to provide adequate and sus<strong>ta</strong>inable health and family planning services<br />
on Kiritimati Island.<br />
3. Location and Population of Kiribati and the Line Islands<br />
Kiribati spans a large part of the central Pacific on the Equator. With a to<strong>ta</strong>l land mass of only<br />
810.5 square km, spread over an ocean area of 5 million square km, it consists of three groups of<br />
33 coral atolls, the Gilbert Islands in the west, the Phoenix Islands centrally and the Line Islands<br />
in the east, and one isolated volcanic <strong>island</strong>, Banaba. The Line Islands are approximately 2000<br />
kms from the main commercial and <strong>population</strong> centre of South Tarawa in the Gilbert Island<br />
Group. The Line Islands are made up of three <strong>island</strong>s, Kiritimati (Christmas Island) Tabuaeran<br />
(Fanning Island) and Teeraina (Washington Island). Tarawa is about 1800 km north of Suva,<br />
Fiji. The <strong>population</strong> of Kiribati is mainly in the Gilbert Islands, with South Tarawa having the<br />
highest concentration of <strong>population</strong>.<br />
Table One: Population by Island Group, 2005 Census<br />
Island Group Population 2005<br />
South Tarawa (urban) 40,311<br />
Other <strong>island</strong>s 43,372<br />
To<strong>ta</strong>l Gilbert Group 83,683<br />
Phoenix Group 41<br />
Line Islands 8,809<br />
To<strong>ta</strong>l Population 92,533<br />
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Figure 1 – Map of Kiribati<br />
Annex 4: NAYLOR Health Services and Health Needs on Kiritimati Island<br />
Source : Kiribati 2005 Census, Analytical Report, SPC Jan 2007<br />
Between 2000 and 2005 the overall <strong>population</strong> growth rate of Kiribati was 1.8 per cent per<br />
annum. The Gilbert Group grew at a rate of 1.4 per cent while the Line Islands grew at a very<br />
rapid rate of 6.7 per cent per annum. At this rate the Line Islands would double in <strong>population</strong><br />
within about 10 -11 years.<br />
The Line Islands had a <strong>population</strong> of 8809 people in 2005, with Kiritimati Island having 58.07 %<br />
of the <strong>population</strong> (5115 people). The Line Islands had an overall growth rate over the 5 years<br />
2000-2005 of 40.4%.<br />
Table 2: Population of the Line Islands Kiribati 2005<br />
Island Popln.<br />
from 2000<br />
Census<br />
Popln.<br />
from<br />
2005<br />
Census<br />
Traditional<br />
Name<br />
English Name<br />
Kiritimati Christmas 3431 5115 49.1%<br />
Tabuaeran Fanning 1757 2539 44.5%<br />
Teeraina Washington 1087 1155 6.3%<br />
To<strong>ta</strong>ls 6275 8809 40.4%<br />
Source : Kiribati 2005 Census, Analytical Report, SPC Jan 2007<br />
Popln.<br />
Growth Rate 2000-<br />
2005<br />
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4. Access By Plane and Ship<br />
Annex 4: NAYLOR Health Services and Health Needs on Kiritimati Island<br />
There is regular shipping access to South Tarawa from other ports in the Pacific. Air Pacific flies<br />
from Nadi in Fiji twice per week. There is no direct flight linkage to Kiritimati Island from<br />
Tarawa. Access to the Line Islands is difficult with only one flight per week from Honolulu. This<br />
flight is used by s<strong>ta</strong>ff from the MHMS head office in South Tarawa for supervisory visits. For a<br />
few days on Kiritimati Island the process <strong>ta</strong>kes about 3 weeks, and is very expensive. For<br />
example, if leaving Tarawa on a Tuesday flight (flights are twice per week, Tuesdays and<br />
Thursdays) the s<strong>ta</strong>ff member has to s<strong>ta</strong>y in Fiji till the Sunday flight to Hawaii (ob<strong>ta</strong>ining a US<br />
entry visa in Fiji) then s<strong>ta</strong>ys 2 more nights till the flight to Kiritimati.<br />
This plane service is also used to evacuate emergency patients or patients who may benefit from<br />
more specialised acute care to Honolulu where they may be treated or sent on to Fiji by<br />
commercial flights.<br />
Travel by ship from South Tarawa <strong>ta</strong>kes about 1-2 weeks, but this journey to Kiritimati Island<br />
may be only every one to six months.<br />
5. Communications<br />
Communication between Kiritimati and Tarawa is by telephone, email and facsimile. There is<br />
also HF long dis<strong>ta</strong>nce radio con<strong>ta</strong>ct. Washington and Fanning Island s<strong>ta</strong>ff are in con<strong>ta</strong>ct with<br />
Kiritimati by HF radio. A new HF radio is needed at Kiritimati. Mail <strong>ta</strong>kes two weeks to/from<br />
Kiritimati.<br />
6. The Health of the Population of Kiribati and the Line <strong>island</strong>s<br />
Kiribati has high rates of infectious diseases, including acute respiratory infections, diarrhoeal<br />
diseases, eye diseases and other communicable diseases. This reflects crowded living conditions<br />
and poor water and sani<strong>ta</strong>tion, particularly on South Tarawa.<br />
Table 3 - Leading Causes of Morbidity Kiribati 2005<br />
Leading Causes of Morbidity Number Rate per 100,000<br />
Population<br />
Acute respiratory infections 102,148 110,391<br />
Diarrhoeal diseases 22,647 24,475<br />
Eye diseases 10,247 11,074<br />
Skin diseases 795 859<br />
Communicable diseases 694 750<br />
Non-communicable diseases 450 486<br />
Nutrition and related diseases 318 344<br />
Injury and Poisoning 87 94<br />
Source : Country Health Information Profiles Kiribati WHO 2006<br />
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Diseases of the circulatory system (includes heart disease and strokes) infectious and parasitic<br />
diseases and respiratory diseases are the main causes of mor<strong>ta</strong>lity in Kiribati with a high rate of<br />
death resulting from perina<strong>ta</strong>l (around birth) conditions. Kiribati still has a lower life expec<strong>ta</strong>ncy<br />
than most other Pacific <strong>island</strong> countries (58.9 for males and 63.1 for females in 2005). 1 Kiribati<br />
also has a relatively high infant mor<strong>ta</strong>lity rate of 52 deaths per 1000 live births. 2<br />
Table 4 – Leading Causes of Mor<strong>ta</strong>lity Kiribati 2006<br />
Leading Causes of Mor<strong>ta</strong>lity Number Rate per<br />
100,000<br />
<strong>population</strong><br />
Ill Defined conditions 127 137<br />
Diseases of the circulatory system 84 91<br />
Infectious and parasitic system 70 76<br />
Conditions originating in the<br />
perina<strong>ta</strong>l<br />
63 68<br />
Diseases of the respiratory<br />
system<br />
62 67<br />
Diseases of the digestive system 55 59<br />
Endocrine, nutritional and 49 53<br />
me<strong>ta</strong>bolic<br />
External causes 35 38<br />
Neoplasms 28 30<br />
Diseases of the blood and<br />
blood forming organs<br />
9 10<br />
Source : Country Health Information Profiles Kiribati WHO 2006<br />
In relation to specific conditions, Kiribati has high rates of:<br />
• tuberculosis<br />
• a range of infectious diseases - diarrhoeal, eyes, respiratory, skin<br />
• sexually transmitted diseases (STIs) with some incidence of HIV/AIDS ( 25 people have<br />
died from HIV/AIDs since 1991). 3<br />
• infant mor<strong>ta</strong>lity (52 per 1000 live births in 2005 – was gradually declining until 2000 but<br />
increased between the 2000 and 2005 censuses.<br />
• diabetes (25% of the adult <strong>population</strong> have diabetes ) 4<br />
• other diseases related to poor or inappropriate nutrition (anaemia in women, vi<strong>ta</strong>min A<br />
deficiency in children)<br />
The introduction of vaccination <strong>program</strong>s has helped reduce the incidence of a number of<br />
diseases amongst children. However, continuing improvements depend on the ongoing<br />
sus<strong>ta</strong>inability of the vaccination <strong>program</strong>, including the more isolated <strong>island</strong>s.<br />
1 Source: Country Health Information Profiles Kiribati WHO 2006, page 145.<br />
2 Source : Kiribati 2005 Census, Analytical Report, SPC Jan 2007, page 22<br />
3 Source : Country Health Information Profiles Kiribati WHO 2006 page 147<br />
4 Source : Country Health Information Profiles Kiribati WHO 2006 page 147<br />
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Table 5: Morbidity, Line Islands, Kiribati 2006<br />
Disease Christmas Fanning Washington To<strong>ta</strong>l Rate/ 100,000<br />
Diarrhoea 759 495 141 1,395 15,836<br />
Dysentery (with blood) 290 202 92 584 6,630<br />
Pneumonia 120 68 30 218 2,475<br />
Other ARI 1,883 1,611 429 3,923 44,534<br />
Meningitis 13 2 2 17 193<br />
Conjunctivitis 805 546 77 1428 16,211<br />
STI 33 0 1 34 386<br />
Malnutrition 31 16 5 52 590<br />
Acute Fever Syndrome ( no<br />
rash) 914 568 5 1,487 16,880<br />
Others 7,678 3,004 1,654 12,336 140,039<br />
Chicken pox 8 0 0 8 91<br />
Hypertension 5 17 0 22 250<br />
Diabetes 4 13 0 17 193<br />
Men<strong>ta</strong>l Illness 0 1 0 1 11<br />
To<strong>ta</strong>ls 12,543 6,543 2,436 21,522 244,318<br />
Source : Health Centre and Dispensary Morbidity Da<strong>ta</strong> 2005-6, MHMS, Kiribati<br />
These da<strong>ta</strong> indicate very high rates of diarrhoea, dysentery, pneumonia, other respiratory<br />
infections and conjunctivitis. Of concern also is the incidence of meningitis, STIs and emerging<br />
lifestyle diseases, such as hypertension and diabetes. All of these diseases can be reduced in<br />
incidence by improved housing conditions, water and sani<strong>ta</strong>tion and hygiene levels, as well as<br />
earlier diagnosis and treatment, and exposure to health promotion and education.<br />
In 2007, there were 195 births and 60 deaths recorded in the Line Islands. 5<br />
7. Health Services in the Line Islands<br />
7.1 An Outline of the Health Services<br />
The health services of the Line Islands are based around the provision of curative, support and<br />
preven<strong>ta</strong>tive services at the Kiritimati Hospi<strong>ta</strong>l and mainly curative services at the 3 health<br />
centres and 5 dispensaries provided for communities on the 3 <strong>island</strong>s.<br />
5<br />
Source : MHMS Kiribati, Monthly Consolidated S<strong>ta</strong>tistical Report 2007 (Note : no causes of death given in this<br />
report).<br />
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7.2 The Kiritimati Island Hospi<strong>ta</strong>l<br />
Annex 4: NAYLOR Health Services and Health Needs on Kiritimati Island<br />
The building is old, dating back to the 1970’s, it is believed. It is cramped, especially the small<br />
wards, making it difficult to move and care for patients and provide appropriate patient<br />
surveillance by the nurses.<br />
Figure 2: Layout of the Kiritimati Hospi<strong>ta</strong>l<br />
Storeroom<br />
and toilets<br />
Wards – 7 beds<br />
Senior Nursing<br />
Office<br />
Den<strong>ta</strong>l<br />
Nursing S<strong>ta</strong>tion<br />
Waiting Area<br />
Dressing S<strong>ta</strong>tion<br />
Source : Various health s<strong>ta</strong>ff - MHMS Tarawa<br />
Delivery room<br />
Diagram not to<br />
Scale<br />
Radiology<br />
Laboratory<br />
Operating Theatre<br />
Table 6: Kiritimati Hospi<strong>ta</strong>l – Reported Inpatient Bed Days and Admissions<br />
Month Bed Days Patients Admitted Average s<strong>ta</strong>y (days)<br />
January 125 34 3.68<br />
February * * *<br />
March * * *<br />
April 123 37 3.32<br />
May 75 33 2.27<br />
June 86 29 2.97<br />
July 64 20 3.20<br />
August * * *<br />
September * * *<br />
October 105 22 4.77<br />
November * * *<br />
December 66 22 3.00<br />
To<strong>ta</strong>l (7 months) 644 197 3.27<br />
Av for 7 months 92 28 3.29<br />
Potential Days ( 7 months) 1,490<br />
Occupancy Rate 43.2%<br />
Source: MHMS S<strong>ta</strong>tistics Dept 2009.<br />
Note: * = No report available for that month. To<strong>ta</strong>ls and averages are based on 7 months only.<br />
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An analysis of the bed day and patients admitted reporting (Table 6) indicates an average<br />
inpatient occupancy rate of only 43.2%. It is impor<strong>ta</strong>nt to note that this is based on only the<br />
seven months for which da<strong>ta</strong> were available. Moreover, it does not <strong>ta</strong>ke into account the use of<br />
the nearby maneaba as an alternative to using the small wards. This is a sensible alternative for<br />
patients where more intensive observation is not required, and where families can visit and<br />
support the patient more comfor<strong>ta</strong>bly. The occupancy rate would probably be higher if there was<br />
a more open ward configuration. The average length of s<strong>ta</strong>y per patient is quite low at 3.29 days,<br />
possibly also indicating patients moving to the manaeba, after initial treatment.<br />
7.3 The Health Clinics<br />
Each of the <strong>island</strong>s has a health centre (the one on Kiritimati also being the main hospi<strong>ta</strong>l in<br />
London) with three dispensaries in each of the other main villages on Kiritimati, two<br />
dispensaries on Fanning and none on Washington.<br />
Table 7: Health Centres and Dispensaries in the Line Islands<br />
Island Health<br />
Centres<br />
Dispensaries<br />
Traditional<br />
Name<br />
English Name<br />
Kiritimati Christmas 1: London 3: Banana,<br />
Poland, Tabakea<br />
Tabuaenan Fanning 1 Paelau 2: Napari,<br />
Kimarimari<br />
Teeraina Washington 1<br />
To<strong>ta</strong>ls 3 5<br />
Source : MHMS Kiribati , Health Centre and Dispensary Morbidity Da<strong>ta</strong> 2005-6<br />
The clinics and dispensaries mainly offer curative nurse-based services, with some midwifery in<br />
the health centres. The doctors are based at the hospi<strong>ta</strong>l with infrequent visits to the health<br />
centres, especially those on Washington and Fanning Islands. There are no midwives currently<br />
on Washington and Fanning <strong>island</strong>s.<br />
8. Services Based at the Kiritimati Hospi<strong>ta</strong>l<br />
8.1 Medical, Surgical and other Specialist Services<br />
There is one general surgeon, an anaesthetist and a general medical officer. These doctors can<br />
conduct deliveries also, but are not able to under<strong>ta</strong>ke deliveries with complications. These<br />
patients need to be evacuated to Honolulu, but only on the scheduled once per week flight. This,<br />
of course, compromises the care of the mother and child at the time of an impending birth. There<br />
is a need for three more doctors - in obstetrics and gynaecology, medicine and paediatrics (the<br />
infant mor<strong>ta</strong>lity rate is high, due to high levels of infectious diseases). The previous doctor on<br />
Kiritimati, who has now retired, was a paediatrician and referred patients to Tarawa, but now<br />
these referrals have stopped. Medical s<strong>ta</strong>ff requiring leave are replaced by doctors from Tarawa.<br />
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There are 7 beds, an operating theatre and a delivery room. There is radio and telephone con<strong>ta</strong>ct<br />
with the hospi<strong>ta</strong>l.<br />
There is no specialist obstetrics at Kiritimati. Normal deliveries are under<strong>ta</strong>ken however by the<br />
doctors and the midwives. Non-normal cases are referred to Hawaii or on to Fiji. Gynaecology<br />
cases are referred to Tarawa (patients come by ship). There are two midwives on Kiritimati.<br />
General nurses are s<strong>ta</strong>tioned on the other <strong>island</strong>s (no midwives currently). They refer patients to<br />
Kiritimati if too complex for them to deliver / treat, which is problematic because of the absence<br />
of regular transport. A por<strong>ta</strong>ble ultrasound is used on Kiritimati to assist with monitoring the<br />
progress of the pregnancy. According to the head of the Obstetrics and Gynaecology Department<br />
at Tarawa, ideally, there should be two obstetricians on Kiritimati. Over the 5 year period, 2003-<br />
2007, there were 936 births recorded for the Line Islands, an average of 187 per year or 3.6<br />
births per week. 6<br />
There have only been 3 or 4 medical trips to Washington and Fanning Islands in the last 3 years<br />
on the Government landing barge (this has been unreliable). Visiting yachts are utilised to<br />
transport patients on occasions.<br />
In recent years, USA based specialists have occasionally visited Kiritimati Island, via the air link<br />
from Honolulu. These doctors are sourced through USA based volunteer organizations or as<br />
individuals visiting as tourist fishermen or sailors on yachts. The USA based Pacific Island<br />
Medical Aid (PIMA) has supported the hospi<strong>ta</strong>l with pharmaceuticals, medical supplies and<br />
improved communications. It has also provided specialists in cardiology and ophthalmology, and<br />
visits twice per year. PIMA has also been discussing the possibility of outreach medical visits to<br />
Fanning and Washington Islands by the provision of a light plane and pilot. A request has been<br />
made to PIMA to also provide specialist visits in paediatrics, obstetrics and gynaecology and<br />
internal medicine. A request has also been made to the Royal Australian College of Surgeons to<br />
provide for a visiting ophthalmologist, as eye diseases are quite prevalent.<br />
8.2 Den<strong>ta</strong>l Services<br />
On Kiritimati Island there is an ex-patriot dentist and a den<strong>ta</strong>l assis<strong>ta</strong>nt. The dentist is there as a<br />
result of her husband teaching on the <strong>island</strong>. There is also the possibility of another dentist (a<br />
Kiribati citizen) arriving on the <strong>island</strong> in the near future due to a new graduate in dentistry<br />
becoming available next year and allowing a more experienced dentist to relocate to Kiritimati.<br />
The current plan is for four permanent s<strong>ta</strong>ff – a den<strong>ta</strong>l officer, a den<strong>ta</strong>l technician, a den<strong>ta</strong>l<br />
therapist and a den<strong>ta</strong>l assis<strong>ta</strong>nt. The current den<strong>ta</strong>l surgery is inadequate – a small room in the<br />
hospi<strong>ta</strong>l. The Senior Den<strong>ta</strong>l officer at Tarawa has suggested a surgery 4/5 times the size of the<br />
current facility is needed. (?.)<br />
The dentist at Kiritimati makes a visit to Washington and Fanning Islands once per year. Most<br />
den<strong>ta</strong>l work in the Line Islands involves extractions and fillings with little or no time for<br />
preven<strong>ta</strong>tive public health work. There is generally poor den<strong>ta</strong>l hygiene with few people<br />
6 Source : MHMS Kiribati, Monthly Consolidated S<strong>ta</strong>tistical Report 2007<br />
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regularly cleaning their teeth. There are visits to the schools but these are generally clinical.<br />
These visits have been operating for two years. Toothbrushes are made available to the children<br />
and a tube of toothpaste for the class to share. The die<strong>ta</strong>ry habits of people in the Line Islands are<br />
changing with more sweets, soft drinks and foods con<strong>ta</strong>ining sugar being consumed.<br />
8.3 Nursing<br />
There is an overall shor<strong>ta</strong>ge of nurses in Kiribati. This means it is difficult to bring s<strong>ta</strong>ff over<br />
from the Line Islands for updating workshops, as there are no backup s<strong>ta</strong>ff to replace them. As a<br />
result, replacements are <strong>ta</strong>ken from the wards of the main hospi<strong>ta</strong>l, and consequently the<br />
remaining s<strong>ta</strong>ff have to work overtime. Because of a shor<strong>ta</strong>ge of funds, overtime payments are<br />
not always possible, so extra leave time is <strong>ta</strong>ken in lieu of payment, making the shor<strong>ta</strong>ge<br />
situation more difficult. It is difficult to get married nurses to move to the Line Islands if the<br />
husband has a job in Tarawa.<br />
There is little ongoing con<strong>ta</strong>ct with nurses in the Line Islands. There is a Principal Nursing<br />
Officer based at Kiritimati, who has a supervisory and guidance role with nursing s<strong>ta</strong>ff in the 3<br />
<strong>island</strong>s.<br />
8.4 Pharmacy and Medical Supplies<br />
There is no pharmacy on Kiritimati, although pharmaceuticals are supplied to the hospi<strong>ta</strong>l and<br />
the health clinics. There are plans for 3 s<strong>ta</strong>ff (a pharmacist, a technician and an assis<strong>ta</strong>nt) and that<br />
Kiritimati will be a distribution centre for the Line Islands health clinics. In the building plans,<br />
there is a need for an office, storeroom and a cold room and room for refrigerators. Relevant<br />
office and pharmacy equipment would be required.<br />
Pharmaceuticals and medical supplies are supplied from Tarawa by ship, using an imprest type<br />
system (as is used for the outer <strong>island</strong>s). A buffer amount is added in to cater for irregular<br />
shipping. Urgent supplies are ordered by phone to go on the ship or flown from Honolulu.<br />
Supplies to the clinics on Fanning and Washington Islands are irregular and rely on a local barge<br />
(small ship with a ramp) or private yachts or fishing boats. Drugs are supplied to Tarawa from<br />
Australia, New Zealand, Fiji and the Netherlands.<br />
8.4.1 Vaccines<br />
The supply of essential vaccines is from the pharmacy in South Tarawa, which in turn is supplied<br />
from either Hawaii or Fiji. The vaccines are transported to Kiritimati Island Hospi<strong>ta</strong>l by<br />
government ships which leave intermittently from monthly to every 6 months. The ships with the<br />
vaccines are fitted with a MHMS refrigerator, with an accompanying technician to monitor the<br />
cold chain. It is intended that this technician trains s<strong>ta</strong>ff on the cold chain after arrival at<br />
Kiritimati Island. At the time of writing, 4 new fridges were to be sent to the Line Islands for<br />
renewal / replacement. Also, at the time of writing there were no vaccines available on<br />
Kiritimati. As a result, the vaccination rate has been very low. A recent delivery of vaccines by<br />
air was spoiled by poor compliance with the need to keep them at very low temperatures in<br />
transit and in storage.<br />
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8.5 Laboratory<br />
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There is a laboratory at the Kiritimati Hospi<strong>ta</strong>l with 3 s<strong>ta</strong>ff, a technician, an assis<strong>ta</strong>nt technician<br />
and a laboratory assis<strong>ta</strong>nt. Most essential tests can be carried out there, including aspects of<br />
microbiology, haematology, blood bank serology and basic biochemistry, including food and<br />
water quality analysis. The reliability of laboratory supplies is an issue however, as they are<br />
dependant on shipping arrivals. Communications regarding laboratory results is by telephone<br />
generally. Facsimile tends to be unreliable as does email. There is a need to upgrade the<br />
biochemistry section with more equipment (around $50,000 cost). S<strong>ta</strong>ffing levels are regarded as<br />
adequate. The physical space is small but adequate for current demand, although there is a need<br />
to expand the area to cater for blood donors. If further testing is required, specimens are sent on<br />
to the public or private laboratories in Fiji, and s<strong>ta</strong>ff are trained for IATA air cargo requirements<br />
for carrying pathology specimens. Results from Fiji are relayed by phone or mail.<br />
Dengue fever is an issue at Kiritimati and USA donors supply rapid test kits for testing dengue in<br />
patients. However, there is a need for laboratory s<strong>ta</strong>ff to be trained in testing for major outbreaks<br />
of infectious diseases. Water quality is also a major issue and the laboratory needs to be able to<br />
under<strong>ta</strong>ke more comprehensive water quality testing. Currently, water in the main reservoir at<br />
Kiritimati is tested twice per month (sometimes more often).<br />
8.6 Radiology<br />
Currently, there is no radiology service on Kiritimati. A building has been completed (waiting on<br />
lead lining) and there is an X-ray machine and a por<strong>ta</strong>ble ultrasound. There is no cardiogram. An<br />
assessment visit is about to be under<strong>ta</strong>ken, with the view that a s<strong>ta</strong>ff member will be sent to<br />
commence the service. This s<strong>ta</strong>ff member is currently undergoing training to use the X ray and<br />
ultrasound. There is no equipment maintenance contract (there is none for the equipment in<br />
Tarawa either).<br />
8.7 Physiotherapy<br />
There is no physiotherapy service on Kiritimati. There are plans for a building and a<br />
physiotherapist and an assis<strong>ta</strong>nt. There is a need for physiotherapy for inpatients, outpatients and<br />
in the community. Services include rehabili<strong>ta</strong>tion from sport and work accidents, post operative<br />
care and mobilisation during and after inpatient care, spinal care, post caesarean care, and care of<br />
fractures and delayed milestones in children. Services are also needed for physically disabled<br />
persons in the community. Wheelchairs are needed and there is ongoing trauma from car<br />
accidents and falling from coconut trees. Referrals from Kiritimati last year included a<br />
quadriplegic as a result of falling from a tree and a policemen suffering injury from a car<br />
accident.<br />
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8.8 Ambulance<br />
Annex 4: NAYLOR Health Services and Health Needs on Kiritimati Island<br />
The current ambulance is actually a truck-type vehicle, very unsui<strong>ta</strong>ble for the purpose.<br />
However, this is to be replaced by a purpose built ambulance in the near future. There are 2<br />
ambulance drivers in Kiritimati, each on duty for 12 hour shift.<br />
8.9 Biomedical Engineering<br />
There is no biomedical engineering service at Kiritimati or contracts to repair equipment. The<br />
s<strong>ta</strong>ff at Tarawa have suggested that one or two s<strong>ta</strong>ff based at Kiritimati would be very useful.<br />
Parts are seldom sent from Tarawa. There is no inventory of equipment at Kiritimati.<br />
9. Public Health Services<br />
There are 3 major components of public health based at Tarawa – child survival, infectious<br />
diseases and non-communicable diseases. However, there is little represen<strong>ta</strong>tion of these in the<br />
Line Islands, except through the small number of medical, nursing and ancillary s<strong>ta</strong>ff there. As<br />
mentioned elsewhere, most health work is clinical with little time for preven<strong>ta</strong>tive activities.<br />
Water and sani<strong>ta</strong>tion are probably the biggest public health issues on Kiritimati Island, made<br />
more difficult by a lack of co-ordinated planning of public services there. Infrastructure<br />
development there is primarily the responsibility of the Department of Works and Energy. The<br />
water supply is in reasonable condition at the moment, with reticulated water to all villages on<br />
the <strong>island</strong> from a reservoir where the water is quality tested by the laboratory at the hospi<strong>ta</strong>l.<br />
However, the reticulation system fails from time to time. The sani<strong>ta</strong>tion situation is considered to<br />
be poor, leading to a high prevalence of infectious diseases. There are significant social and<br />
environmen<strong>ta</strong>l issues emerging also, such as poor quality and unregulated housing, forest<br />
burning (to gather honey) an increase in crime and social problems, and pressure on flora and<br />
fauna through hunting birds, overfishing the lagoon and increased firewood gathering.<br />
A new child survival strategy is currently being developed with support from UNICEF and<br />
WHO, including the funding of a continuing care nurse. There is a slow reduction in child<br />
mor<strong>ta</strong>lity in Kiribati, with the <strong>ta</strong>rget to achieve a rate of less than 30 deaths at ages 12-49 months<br />
per 100,000 live births.<br />
9.1 Health Promotion<br />
There is only one s<strong>ta</strong>ff member on Kiritimati Island, a senior Health Promotion Officer. S<strong>ta</strong>ff in<br />
Tarawa have suggested an Assis<strong>ta</strong>nt Health Promotion Officer is now needed. Major priorities<br />
for health promotion in the Line Islands are water and sani<strong>ta</strong>tion management. There are<br />
increases in tuberculosis and leprosy and these are receiving attention from the Health Promotion<br />
Officer. The Health Promotion officer supports the community nurses in their work through joint<br />
activities and s<strong>ta</strong>ff group meetings to agree on joint approaches (doctors, nurses, health<br />
promotion, environmen<strong>ta</strong>l health). They work in the community with the Island Council, church<br />
groups, youth groups etc. Awareness-raising occurs through radio <strong>program</strong>s, community<br />
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meetings, home gardening activities, school visits etc. However, all this is a considerable <strong>ta</strong>sk for<br />
one health promotion officer.<br />
Health promotion materials are requested from donors and/or sent from Tarawa. There is a<br />
computer and printer, but little other equipment. It was suggested a new projector and video<br />
player would be useful, as they have a good stock of videos /CDs. Reports are sent from<br />
Kiritimati but tend to go straight to the filing system, without Tarawa based Health Promotion<br />
s<strong>ta</strong>ff accessing them.<br />
Fanning and Washington Islands are visited once or twice per year (each <strong>island</strong> is about a one<br />
day boat trip away). There is no MHMS boat, and use is made of visiting yachts willing to<br />
transport s<strong>ta</strong>ff. .<br />
An old building, a few hundred metres from the hospi<strong>ta</strong>l, is used to house the health promotion<br />
and environmen<strong>ta</strong>l health s<strong>ta</strong>ff. More functional offices adjacent to the hospi<strong>ta</strong>l need to be<br />
included in future building plans.<br />
9.2 Nutrition<br />
There are no nutrition s<strong>ta</strong>ff in the Line Islands, and currently there is no s<strong>ta</strong>ff allocation for<br />
nutrition s<strong>ta</strong>ff there. Two s<strong>ta</strong>ff are needed, according to the Nutrition Department. There are two<br />
qualified graduates available but no positions. The last visit to Kiritimati Island from Tarawa<br />
based nutrition s<strong>ta</strong>ff was 4 or 5 years ago. Visits are impeded by the lack of s<strong>ta</strong>ff for the current<br />
workload at Tarawa. The main activity of the four nutrition s<strong>ta</strong>ff in Tarawa is increasing public<br />
awareness of good/poor nutrition by training the community nurses and health promotion s<strong>ta</strong>ff<br />
who visit community groups. This includes encouragement of breast feeding and associated<br />
infant feeding practices and efforts to reduce the incidence of lifestyle diseases such as diabetes<br />
and hypertension. These approaches would be valuable in the Line Islands.<br />
The supply of fish in the Line Islands is good, with most families having access to fresh fish on a<br />
regular basis. Fish poisoning is not a significant health issue in the Line Islands at the moment<br />
(only one case last year). Vege<strong>ta</strong>bles are difficult to grow on Kiritimati Island and therefore are<br />
not readily available. However, they can be grown with more success on Fanning and<br />
Washington Islands where the soil is more fertile. However, until recently there has been no<br />
regular way to transport vege<strong>ta</strong>bles to Kiritimati Island. This may change with the advent of a<br />
more regular barge service. There is a small market on Kiritimati where food items are sold. The<br />
Government is endeavouring to improve the production of livestock on Kiritimati also. More<br />
bread, rice and soft drinks are being added to the normal diet, bringing about greater rates of<br />
obesity, diabetes and diabetes related disease and poor den<strong>ta</strong>l health.<br />
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9.3 Environmen<strong>ta</strong>l Health<br />
Annex 4: NAYLOR Health Services and Health Needs on Kiritimati Island<br />
This department has responsibilities involving water supply, sani<strong>ta</strong>tion, vector control,<br />
quarantine and food safety. Waste management is the responsibility of the Ministry of<br />
Environment. There is one Assis<strong>ta</strong>nt Health Inspector on Kiritimati Island. The MHMS has<br />
requested a senior Health Inspector and a Health Aid position be added.<br />
There is no reticulated sewerage system. The Government provides septic systems only for its<br />
s<strong>ta</strong>ff. Water sealed toilets can be ins<strong>ta</strong>lled also, but families have to purchase the cement<br />
themselves. The moulds for the water sealed toilets are provided by the Environmen<strong>ta</strong>l Health<br />
Dept of the MHMS. Otherwise local residents utilise the bush or the beach for sani<strong>ta</strong>tion. The<br />
2005 Census indicated that on Kiritimati Island, 73% of people had flush toilets, 25% had pit<br />
toilets, 20% had compost toilets and 35% used the bush or beach for defecation. 7<br />
Note this<br />
indicates that some households still use the bush or beach, even though they supposedly are<br />
provided with a toilet.<br />
There is a reticulated water system over much of the <strong>island</strong>, except in the new settlements.<br />
However, it is unreliable and dependant on regular rainfall. Water is also retrieved from wells.<br />
The Department is not very active in vector control in the Line Islands despite the presence of<br />
dengue fever and filariasis (which is very prevalent). Their activities mainly involve larvae<br />
monitoring and encouragement of cleaning in and around houses and villages. However, these<br />
activities are limited, as a result of s<strong>ta</strong>ff shor<strong>ta</strong>ges.<br />
Food safety work is under<strong>ta</strong>ken on Kiritimati Island through the inspection of shops, bakeries<br />
and schools. Despite this, some packaged food supplied to the Line Islands has exceeded expiry<br />
dates. The Department under<strong>ta</strong>kes a limited quarantine service, only when foreign vessels arrive.<br />
The office space is small and shared with the Health Promotion Department. At the moment, the<br />
Department has little or no equipment present on the <strong>island</strong>. There is a need for more s<strong>ta</strong>ff space<br />
and a storeroom, and s<strong>ta</strong>ff have requested a computer and printer.<br />
There is very little monitoring of Environmen<strong>ta</strong>l Health activities under<strong>ta</strong>ken from the<br />
Head office at South Tarawa, and supervisory visits are infrequent (about once per four years).<br />
There is a move to engage the Environmen<strong>ta</strong>l Health Department to work more with the local<br />
Council on Kiritimati Island. There has been little collaboration to date. The council has been<br />
es<strong>ta</strong>blished for about three years. Washington and Fanning Islands have separate councils.<br />
7 Source: Cited in Jones,’ Rapid Social and Poverty Analysis, Kiritimati Island’, page 16, June-July 2008.<br />
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10. A Summary of the Most Pressing Health Needs in the Line Islands<br />
The <strong>population</strong> of the Line Islands experiences a range of diseases and conditions, typical of<br />
those in poor, overcrowded and under-serviced countries in the Asia-Pacific region. The most<br />
pressing needs, however in the Line Islands are:<br />
• To address the high level of infectious diseases, including ARI, diarrhoeal diseases, eye<br />
and skin diseases<br />
• To increase the child vaccination rate significantly<br />
• To reduce the incidence of nutrition related diseases, including malnutrition in children<br />
and emerging lifestyle diseases in adults<br />
• To reduce the levels of maternal and child mor<strong>ta</strong>lity through improved obstetric and<br />
midwifery availability.<br />
• To provide regular transport to and from Washington and Fanning Islands for medical<br />
and nursing visits, medical supplies and patient referrals.<br />
Not all these diseases and conditions can be addressed fully by the MHMS. They also arise from<br />
levels of personal and community hygiene, which can only partly be addressed by improved<br />
health education and promotion. Some conditions are prevalent due to the unreliable and<br />
sometimes poor condition of the water and the limited safe sani<strong>ta</strong>tion available. These are also<br />
infrastructure matters, largely outside the responsibility of the MHMS. Overcrowded housing is<br />
not directly a health responsibility either. The provision of regular and reliable inter-<strong>island</strong><br />
transport, so impor<strong>ta</strong>nt for timely evacuation of patients and regular visits of medical and nursing<br />
s<strong>ta</strong>ff and the regular supply of drugs and vaccines is also not a responsibility of MHMS. All<br />
these infrastructure and planning matters have a very significant effect on health outcomes in the<br />
Line Islands<br />
This is why the health situation of the Line Islands needs to be addressed jointly by a<br />
number of Ministries. However, within the MHMS, some actions can be <strong>ta</strong>ken to improve the<br />
health situation and these are discussed in Section 13 below.<br />
11. Current S<strong>ta</strong>ffing Levels and Vacancies<br />
Table 8 shows filled and vacant s<strong>ta</strong>ffing positions for the Line Islands as recorded in the official<br />
MHMS budget for 2009.<br />
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Table 8: S<strong>ta</strong>ffing Levels for Health Services in the Line Islands, 2009<br />
Position Filled Not Filled To<strong>ta</strong>l Positions<br />
Medical Consul<strong>ta</strong>nt 8<br />
3<br />
1 4<br />
Principal Nursing Officer 1 0 1<br />
MA 3 1 4<br />
Senior Nursing Officer 0 1 1<br />
Nursing Officer 8 2 10<br />
Health Education Officer 1 0 1<br />
Assis<strong>ta</strong>nt Health 9<br />
Inspector 1<br />
0 1<br />
Den<strong>ta</strong>l Therapist 0 1 1<br />
Laboratory Technician 1 0 1<br />
Assis<strong>ta</strong>nt laboratory Technician 1 0 1<br />
X-Ray Assis<strong>ta</strong>nt 0 3 3<br />
Dispensary Assis<strong>ta</strong>nt 0 3 3<br />
Ambulance Officer 2 0 2<br />
Laboratory Aide 1 0 1<br />
Orderly 0 4 4<br />
Cleaner 0 3 3<br />
To<strong>ta</strong>ls 22 19 41<br />
Source : Budget documents, Accounting Office. MHMS Kiribati 2009<br />
Table 9: Additional S<strong>ta</strong>ffing Priorities as Suggested by MHMS s<strong>ta</strong>ff Interviewed<br />
Based on Meetings with senior s<strong>ta</strong>ff and Department Heads MHMS Kiribati March 2009<br />
Department / Function Current Actual S<strong>ta</strong>ffing Additional Workforce Needed<br />
Medical 3 doctors -<br />
One surgeon<br />
One anaesthetist<br />
One general doctor<br />
Obstetrician /<br />
Gynaecologist<br />
Paediatrician<br />
Internal medicine<br />
Midwives Only 2 based at Kiritimati One for Fanning<br />
One for Washington<br />
Nurses 8 to cover all facilities on 3 Needs not suggested – but nominally 5<br />
<strong>island</strong>s<br />
more s<strong>ta</strong>ff<br />
Den<strong>ta</strong>l Only an ex-pat dentist with an Dentist<br />
assis<strong>ta</strong>nt – not a long term Den<strong>ta</strong>l Therapist<br />
proposition<br />
Den<strong>ta</strong>l technician<br />
Pharmacy Nil Pharmacist<br />
Pharmacy technician<br />
Pharmacy assis<strong>ta</strong>nt<br />
Radiology Nil Radiology technician<br />
Physiotherapy Nil Physiotherapist<br />
An Assis<strong>ta</strong>nt<br />
Ambulance 2 s<strong>ta</strong>ff Ambulance officer<br />
Biomedical s<strong>ta</strong>ff Nil One technician<br />
Health promotion One Health Education officer Assis<strong>ta</strong>nt Health Promotion Officer<br />
Nutrition Nil Two nutrition s<strong>ta</strong>ff<br />
Environmen<strong>ta</strong>l Health Assis<strong>ta</strong>nt Health Inspector Senior Health Inspector<br />
Health Aid Worker<br />
8<br />
Note : Records indicated only one position filled, but respondents confirmed 3 positions had been filled (as at<br />
March 2009).<br />
9<br />
Note : Records indicated the position was vacant, but respondents said it was filled (as at March 2009).<br />
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Table 8 shows that there are 41 positions in to<strong>ta</strong>l, of which 19 (46.3%) are not filled. Given these<br />
vacant posts are already in the budget documents, it would be best to fill them first before<br />
attempting to fill any additional positions (see Table 9). However, there are likely to be both<br />
financial and workforce constraints in filling even existing positions.<br />
S<strong>ta</strong>ff at the MHMS at Tarawa have suggested s<strong>ta</strong>ff recruiting priorities, as given in the discussion<br />
above and summarised in the Table 9.<br />
12. Financial Resources Applied to Health in the Line Islands<br />
The to<strong>ta</strong>l 2009 operational expenditure budget for the provision of health services in the Line and<br />
Phoenix Group is $490,559. This, in effect, can be regarded as the budget for the Line Islands<br />
since there is virtually no health service provision in the Phoenix Islands. The budget breakdown<br />
is given below. The finance s<strong>ta</strong>ff at MHMS indicated that there is seldom any variation to the<br />
budget and that, under normal circums<strong>ta</strong>nces, the budgeted figure is likely to be the actual figure.<br />
Table 10: Operational Expenditure Budget MHMS Health Services in the Line Islands,<br />
2009<br />
Expenditure Item Amount (AUD)<br />
Kiribati Provident Fund 7,754<br />
Salaries 103,386<br />
Housing allowance 8,496<br />
Allowances 69,013<br />
Overtime 13,013<br />
Temporary assis<strong>ta</strong>nce 3,127<br />
Leave grants / passage 31,595<br />
Transport to work 13,000<br />
Internal travel and transport 17,300<br />
External travel 5,000<br />
Direct purchases local 25,240<br />
Purchases services local 12,000<br />
Local referral 85,625<br />
Hire of plant and vehicle and equipment 34,630<br />
Telecom charges 21,380<br />
Electricity and gas 28,000<br />
Water charges 12,000<br />
To<strong>ta</strong>l Budgeted Expenditure 490,559<br />
Source : MHMS Kiribati Budget Documents 2009<br />
Some costs that have not been apportioned to the Line Islands health budget should be included<br />
to ascer<strong>ta</strong>in the to<strong>ta</strong>l cost of operating health services there. These include pharmaceuticals and<br />
medical supplies, overseas den<strong>ta</strong>l supplies, overseas curative services, relocation expenses, local<br />
training, motor vehicle costs and building repairs and maintenance.<br />
The apportionment of these costs is shown in Table 11.<br />
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Table 11 Apportionment of Central Costs of MHMS to Line Islands Health Expenditure<br />
Estimates<br />
Item To<strong>ta</strong>l for all Basis for Apportionment Amount (A$)<br />
Kiribati<br />
Apportioned<br />
Pharmaceutical and Medical 1,888,000 7% of to<strong>ta</strong>l actual supplies over a 132,160<br />
Supplies Purchased Overseas<br />
5 month period for Line Islands<br />
Other Supplies Purchased<br />
Overseas<br />
408,484 9.5 % - <strong>population</strong> proportion 38,806<br />
Cleaning 12,626 4.3% - ratio of already identified 543<br />
Line Island costs to to<strong>ta</strong>l costs<br />
Overseas Services 618,206 9.5 % - <strong>population</strong> proportion 58,730<br />
Relocation expenses 24,000 6.4% - proportion of to<strong>ta</strong>l s<strong>ta</strong>ff 1,536<br />
Local Training 157,080 6.4% - proportion of to<strong>ta</strong>l s<strong>ta</strong>ff 10,053<br />
Motor vehicle expenses 108,533 4.3% - ratio of already identified<br />
Line Island costs to to<strong>ta</strong>l costs<br />
4,667<br />
Building Repairs and<br />
5,000 4.3% - ratio of already identified 215<br />
Maintenance<br />
Line Island costs to to<strong>ta</strong>l costs<br />
To<strong>ta</strong>l 3,221,929 7.66 % 246,710<br />
The to<strong>ta</strong>l budgeted expenditure for the Line Islands for 2009 including these costs is estimated in<br />
estimated in Table 12.<br />
Table 12: To<strong>ta</strong>l Budgeted Estimated Health Expenditure for MHMS in the Line Islands<br />
2009<br />
Expenditure Item Amount (Aust$)<br />
Kiribati Provident Fund 7,754<br />
Salaries 103,386<br />
Housing allowance 8,496<br />
Allowances 69,013<br />
Overtime 13,013<br />
Temporary assis<strong>ta</strong>nce 3,127<br />
Leave grants / passage 31,595<br />
Transport to work 13,000<br />
Internal travel and transport 17,300<br />
External travel 5,000<br />
Direct purchases local 25,240<br />
Purchases services local 12,000<br />
Local referral 85,625<br />
Hire of plant and vehicle and equipment 34,630<br />
Telecom charges 21,380<br />
Electricity and gas 28,000<br />
Water charges 12,000<br />
Pharmaceutical and Medical Supplies Purchased<br />
Overseas<br />
132,160<br />
Other Supplies Purchased Overseas 38,806<br />
Cleaning 543<br />
Overseas Services 58,730<br />
Relocation expenses 1,536<br />
Local Training 10,053<br />
Motor vehicle expenses 4,667<br />
Building Repairs and Maintenance 215<br />
To<strong>ta</strong>l 737,269<br />
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13. Resource Requirements in Health to Meet Current Needs<br />
Given that the current to<strong>ta</strong>l estimated operational health budget is $737,269, what extra costs are<br />
required to meet current health needs? This is difficult to ascer<strong>ta</strong>in, but one approach is to add in<br />
the extra costs of resources recognised by s<strong>ta</strong>ff and the consul<strong>ta</strong>nt, as required immediately to<br />
meet current health demand at the current <strong>population</strong> levels. This estimate can then be factored<br />
up by estimated changes in the <strong>population</strong> over the next few years.<br />
1. Fill most of the current approved s<strong>ta</strong>ff vacancies<br />
The first step would be to boost the s<strong>ta</strong>ffing which is already approved and in the budget, but<br />
where there are current vacancies. Within the current approved es<strong>ta</strong>blishment of positions<br />
(see Table 8 above) the following s<strong>ta</strong>ff can be added:<br />
• 1 medical consul<strong>ta</strong>nt (an obstetrician and gynaecologist)<br />
• 1 senior nursing officer<br />
• 2 nursing officers<br />
• 1 den<strong>ta</strong>l therapist<br />
• 1 x-ray technician and one x-ray assis<strong>ta</strong>nt (3 current vacancies could be used)<br />
• 1 pharmacist and 1 technician (3 current vacancies could be used)<br />
• 1 orderly (there are none officially at the moment)<br />
• 1 cleaner (there are none officially at the moment)<br />
The filling of these positions would impact on:<br />
• Improved maternal and infant care through having an obstetrician and gynaecologist<br />
available.<br />
• Improved child care through an improved vaccination <strong>program</strong> – a pharmacist looking<br />
after the cold chain, and extra nurses to carry out the vaccinations.<br />
• Improved treatments generally by better drug use due to the presence of a pharmacist,<br />
and improved stocking of drugs.<br />
• Improved patient care through the provision of more nurses.<br />
• Reduced infection by a cleaner hospi<strong>ta</strong>l<br />
Accompanying these s<strong>ta</strong>ff additions would be some extra expenditure in pharmaceuticals and<br />
medical supplies, which even though they are not part of the recognised expenditure budget of<br />
the Line Islands, will need to be <strong>ta</strong>ken into account.<br />
Three other impor<strong>ta</strong>nt costs which will need to be added as part of this first step would be:<br />
• Extra referrals of obstetrics and gynaecology patients (the presence of an obstetrics and<br />
gynaecology doctor will mean more activity in this area including referrals to Hawaii or<br />
Fiji).<br />
• Extra costs of more visits to Washington and Fanning Islands by medical and nursing<br />
s<strong>ta</strong>ff – the number of visits is inadequate at the moment.<br />
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• Extra costs in referring some of the visited patients back to the hospi<strong>ta</strong>l on Kiritimati<br />
Island.<br />
• The normal s<strong>ta</strong>ff on-costs such as housing, travelling allowances etc.<br />
Table 13: Estimate of Extra Costs of Filling Most Current S<strong>ta</strong>ff Vacancies<br />
Item Amount (A$)<br />
Obstetrician / Gynaecologist 14,989<br />
Senior Nursing Officer 9,230<br />
Two Nursing Officers 15,496<br />
Den<strong>ta</strong>l Therapist 9,464<br />
X-Ray Technician 9,464<br />
X- Ray Assis<strong>ta</strong>nt 7,748<br />
Pharmacist 11,570<br />
Pharmacy Technician 9,464<br />
Orderly 5,000<br />
Cleaner 4,000<br />
To<strong>ta</strong>l Estimated Base Salary costs 10<br />
96,425<br />
S<strong>ta</strong>ff On-costs (1.38) – includes housing allowance, overtime,<br />
transport to work, Provident Fund, leave passage grants – based<br />
on 2009 Budget.<br />
133,066<br />
Increase in Pharmaceutical and Medical Supplies (Based on 7<br />
more key decision-making s<strong>ta</strong>ff to current 15 ) = 7/15 of current<br />
allocation<br />
61,674<br />
Increase in overseas purchases (7/15) 38,806<br />
Local referral costs (1/3) increase based on increase of doctors<br />
from 3 to 4 (this includes referrals within Line Islands and to<br />
Tarawa)<br />
28,542<br />
Telecom charges ( 20%) 4,276<br />
Electricity and gas (20%) 5,600<br />
Water charges ( 20%) 2,400<br />
Cleaning ( 500% due to full time cleaner) 2,715<br />
Relocation expenses (500%) – due to vacancies being filled 7,680<br />
Local training (100%) 10,053<br />
Increased Visits to Washington and Fanning Islands (4 per year,<br />
instead of 1) – also 3 s<strong>ta</strong>ff instead of 1<br />
22,392<br />
New Pharmacy overhead costs ( nominal figure) 20,000<br />
To<strong>ta</strong>l Increased Operating Budget 433,629<br />
These estimates indicate that Step 1, involving principally filling most of the current vacancies,<br />
therefore increasing the need for more pharmaceutical, medical and other supplies, and also<br />
bringing about more obstetrics and gynaecology referrals, more visits to Washington and<br />
Fanning Islands, and more internal referrals, would cost an extra $433,629 on top of the current<br />
estimated expenditure of $737,269. This would be a 58.8% increase in the current to<strong>ta</strong>l health<br />
operational budget for the Line Islands, and bring it to a to<strong>ta</strong>l of $1,170,898.<br />
10 Note – these are estimates only, based on salary rates paid to current s<strong>ta</strong>ff, whose positions may not directly<br />
comparable. Unfortunately, costs of vacant positions were not listed in the budget documents made available to the<br />
consul<strong>ta</strong>nt.<br />
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2. Seek approval for extra positions to be created and filled, which would have a further direct<br />
impact on improving maternal and infant mor<strong>ta</strong>lity and a reduction in infectious<br />
diseases.<br />
Approval would be needed for additional positions not yet in the budget, but suggested by s<strong>ta</strong>ff<br />
(see Table 9 above). These are:<br />
• Two midwives – one each for Washington and Fanning Islands<br />
• One Health Promotion Officer (suggested by s<strong>ta</strong>ff and the consul<strong>ta</strong>nt to boost the Health<br />
Promotion effort further).<br />
• A Senior Health Inspector for Environmen<strong>ta</strong>l Health<br />
• A Water and Sani<strong>ta</strong>tion Officer (suggested by the consul<strong>ta</strong>nt to boost improved water and<br />
sani<strong>ta</strong>tion practices in the Communities).<br />
• Two Nutrition s<strong>ta</strong>ff<br />
The implemen<strong>ta</strong>tion of Step 2 will require further expenditures to ensure s<strong>ta</strong>ff and <strong>program</strong>s are<br />
effective. These costs are:<br />
• Health promotion materials for use by the Health Promotion s<strong>ta</strong>ff, the Nutrition s<strong>ta</strong>ff and<br />
the Environmen<strong>ta</strong>l Health s<strong>ta</strong>ff (water and sani<strong>ta</strong>tion education and promotion).<br />
• Extra s<strong>ta</strong>ff transport and per diem costs, including regular visits to communities on<br />
Kiritimati and Washington and Fanning Islands<br />
• Costs associated with holding regular Community meetings – catering, maneaba costs etc<br />
• Sani<strong>ta</strong>tion materials - cement, moulds etc<br />
• Costs associated with small projects e.g. home gardening costs – seeds, garden tools,<br />
fertiliser etc<br />
• Computers, printers etc to cover work requirements of new s<strong>ta</strong>ff<br />
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Table 14 Costs of Adding More Key S<strong>ta</strong>ff Positions to the S<strong>ta</strong>ff Es<strong>ta</strong>blishment of the Line<br />
Islands Health Services<br />
Item Amount<br />
(A$)<br />
Two midwives – Fanning and Washington 18,460<br />
Health Promotion Officer 9,464<br />
Senior Health Inspector 9,464<br />
Water and Sani<strong>ta</strong>tion Officer 9,464<br />
Nutritionist 9,464<br />
Nutrition Assis<strong>ta</strong>nt 7,748<br />
To<strong>ta</strong>l Estimated Base Salary costs 11<br />
64,064<br />
S<strong>ta</strong>ff On-costs (1.38) 88,408<br />
Extra Health Promotion materials (double current budget) 8,021<br />
Extra health Promotion community activities (double current budget) 3,320<br />
Extra s<strong>ta</strong>ff transport and per diem costs for these s<strong>ta</strong>ff to ensure<br />
regular visits to villages and other <strong>island</strong>s<br />
5,000<br />
Sani<strong>ta</strong>tion materials, cement, moulds etc 5,000<br />
Small community project costs – home gardening etc 5,000<br />
Computers, printers and supplies to cover work requirements of new<br />
s<strong>ta</strong>ff<br />
15,000<br />
To<strong>ta</strong>l Increased Operating Budget 193,813<br />
Step 2, significantly upgrading midwifery, nutrition, water and sani<strong>ta</strong>tion education and health<br />
promotion community activities, will increase the annual operational budget by an estimated<br />
$193,813.<br />
Overall, Steps 1 and 2 will cost an estimated extra $627,442 in annual operational<br />
costs (an 85.1% increase over the current budget) but should bring significant<br />
improvements in the provision of health services in the Line Islands, and should<br />
bring about some improvements in the health s<strong>ta</strong>tus of the <strong>population</strong> over the next<br />
few years.<br />
3. The Need to Strengthen Management in the Line Islands<br />
It should be emphasised, however, that the MHMS will need to consider the management<br />
implications of such a significant increase in the operational budget, the resul<strong>ta</strong>nt increase in<br />
s<strong>ta</strong>ff from 22 to 40 personnel, and the increase in the scope and depth of health <strong>program</strong>s to be<br />
offered. In order to improve management effectiveness, the MHMS may need to consider the<br />
Line Islands health services as a specific management unit within the MHMS, with its own Chief<br />
Executive Officer and with stronger administration / accounting support. This could possibly be<br />
achieved by the creation of two new posts (CEO and Administrator/Accoun<strong>ta</strong>nt) with specific<br />
11<br />
Note – these are estimates only, based on salary rates paid to current s<strong>ta</strong>ff, whose positions may not directly<br />
comparable.<br />
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terms of reference and a higher degree of autonomy in managing both health <strong>program</strong>s and the<br />
budget.<br />
The creation of these two extra positions would add a further $38,380 to the recurrent budget, as<br />
indicated below.<br />
Table 15: The Estimated Cost of Adding Chief Executive Officer and Administrator/<br />
Accoun<strong>ta</strong>nt Positions to the Line Islands Health Services<br />
Item Amount ($A)<br />
Chief Executive Officer 14,000<br />
Administrator / Accoun<strong>ta</strong>nt 9,464<br />
To<strong>ta</strong>l Base Salary Costs 23,464<br />
S<strong>ta</strong>ff on-costs (1.38) 32,380<br />
Computers, printers etc 6,000<br />
To<strong>ta</strong>l Estimated Annual Costs 38,380<br />
This would bring the estimated increase in the operational budget of the Line<br />
Islands to $665,822, with a to<strong>ta</strong>l estimated annual budget of $1,403,091 in to<strong>ta</strong>l, an<br />
increase of 90.31%<br />
4 The Need for Temporary S<strong>ta</strong>ff Accommodation – Which Could Become Permanent<br />
There will be a need for a much larger hospi<strong>ta</strong>l and a community health services centre given the<br />
need to expand services over the next few years.<br />
The time <strong>ta</strong>ken to construct an expanded hospi<strong>ta</strong>l and community health service may be some<br />
years, if the traditional approach to construction is used. This will cause severe delays in the<br />
provision of urgently needed services of the type outlined above. Therefore, it is most impor<strong>ta</strong>nt<br />
that temporary accommodation needs to be arranged before and concurrent with the expanded<br />
s<strong>ta</strong>ff appointments, as the growth in the operational budget allows. Modern, well designed and<br />
built temporary buildings are readily available from Australia, New Zealand or the USA and<br />
could be delivered to Kiritimati by ship.<br />
With some research, it may be possible for the temporary buildings to become the new<br />
permanent expanded hospi<strong>ta</strong>l and community health services centre, without having to consider<br />
the normal longer term structures usually built from cement blocks with concrete floors. With<br />
new architectural and building approaches and technologies, a whole hospi<strong>ta</strong>l and health centre<br />
could be shipped to Kiritimati Island in modular units, with each module delivered in line with<br />
steadily expanded services and s<strong>ta</strong>ffing over the next few years.<br />
External donor support could be sought to finance the design, purchase, transport and<br />
commissioning of the new buildings.<br />
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5. The Need for a Regular Boat Service To / From The Other Islands.<br />
Given one of the limiting factors is availability of transport to/from Washington and Fanning<br />
Islands, consideration should be given to the provision of a boat and crew for the<br />
health services there. This may be beyond the current capacity of the MHMS to provide such a<br />
service, so the MHMS should be encouraged to seek external assis<strong>ta</strong>nce from aid organizations<br />
or NGOs to provide this service over the next few years, until there are sufficient local<br />
operational and capi<strong>ta</strong>l funds available. Donors from USA have been active in recent years in the<br />
Line Islands, and could possibly be approached to provide such a service (this could be a<br />
possibility as there is current discussion of the provision of a volunteer air service – a boat<br />
service could be looked at as a more feasible, possibly lower cost option which the Government<br />
could eventually <strong>ta</strong>ke over).<br />
14. Future Resource Requirements as Populations Expands<br />
The <strong>population</strong> of the Line Islands in 2005 was 8809, with a 40.4% increase from 2000.<br />
Assuming the same average annual <strong>population</strong> increase to 2009, this would yield a <strong>population</strong><br />
estimate of 9,894 in 2009 and 12,367 in 2010. The analysis above suggests that the current<br />
operational health budget in 2009 should be in the order of $1,403,091. Using this as a basis,<br />
what should the operational budget be (in 2009 dollars) in 2015 and 2020?<br />
The <strong>ta</strong>ble below would indicate an operational budget for 2015 of $1,969,940 and for 2020 a<br />
budget of $2,765,795.<br />
Table 16: Budget Requirements in Accordance With Population Estimates for the Line<br />
Islands Using 2000-2005 Population Growth Rates<br />
Year Population<br />
Estimate<br />
Basis for Population<br />
Estimate<br />
2000 6,275 2000 Census<br />
2005 8,809 2005 Census<br />
2009 9,894 Increase 2000-2005<br />
(40.4%)<br />
2010 12,367 Increase 2000-2005<br />
(40.4%)<br />
2015 17,742 Increase 2000-2005<br />
(40.4%)<br />
2020 24,910 Increase 2000-2005<br />
(40.4%)<br />
Actual Line Islands<br />
Operational Budget<br />
737,269 1,403,091<br />
Estimated Line Islands<br />
Operational Budget<br />
Required<br />
1,516,461<br />
1,969,940<br />
2,765,795<br />
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14.1 The Process of Expanding the Line Islands Health Services Operational Budget to meet<br />
Current and Future Needs<br />
The increases in operational budgets in the Line Islands to meet the above projections would be a<br />
mammoth <strong>ta</strong>sk, given the revenue limi<strong>ta</strong>tions of the Kiribati economy. Just to achieve the<br />
estimated 2009 budget of $1,403,091 suggested in this analysis to sus<strong>ta</strong>in or improve the current<br />
health s<strong>ta</strong>tus of the Line Islands <strong>population</strong>, would require a 90.31% increase immediately. Even<br />
if the funds could be reallocated within the MHMS immediately, there would not be the planning<br />
and management capacity to mobilise these funds quickly into new s<strong>ta</strong>ff positions or effective<br />
<strong>program</strong>s so far away in the Line Islands. In addition, there would not be the s<strong>ta</strong>ff or<br />
accommodation available to under<strong>ta</strong>ke such changes rapidly. It is suggested therefore that the<br />
MHMS aim to meet and mobilise the 2009 estimated budget of $1,403,091 over a process of<br />
more realistic annual increases in the next 5 years, using an annual rate of increase in the budget<br />
of 13.74%.<br />
Table 17 Projected Increases 2009-2014 to Meet Suggested 2009 Line Islands Budget<br />
Year Operational Budget Level<br />
Percent<br />
(A$)<br />
Increase<br />
2009 737,269<br />
2010 838,529 13.74<br />
2011 953,697 13.74<br />
2012 1,084,683 13.74<br />
2013 1,233,659 13.74<br />
2014 1,403,097 13.74<br />
This process at least achieves the first aim, of getting the Line Islands budget up to a level which<br />
can effect a significant impact on health s<strong>ta</strong>tus. The situation could be reviewed again at a later<br />
date when <strong>population</strong> levels are monitored. In the case where <strong>population</strong> rate of increase slows<br />
down below the 2000-2005 rates, then the sort of increase suggested in Table 16 may not be<br />
needed.<br />
What is the impact of these budget increases on the to<strong>ta</strong>l health budget? The actual impact on<br />
the overall health budget may be quite small, as the <strong>ta</strong>ble below demonstrates. The annual 13.74<br />
% increase needed to bring the Line Islands budget up to $1,403, 097 in 5 years, would mean<br />
only a slight drop in the increase of the overall health budget, if it rose at an average of 5% per<br />
annum. Instead of a 5% increase for example, the overall health budget would grow by 4.35% to<br />
4.54%, which is not a significant reduction in overall growth. This means that the 13.74% annual<br />
increase in the Line Islands budget suggested for the next 5 years may only have a minimal<br />
effect on the rate of increase of the overall national health budget. This is both politically and<br />
managerially sensible.<br />
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Table 18: Impact of Budget Increases in the Line Islands on Overall Health Budget<br />
Year Operational<br />
Budget Level<br />
(A$)<br />
For Line Islands<br />
Percent Increase<br />
To Achieve<br />
2009 Suggested<br />
Budget in 5 years<br />
Overall MHMS<br />
Budget with a<br />
5% annual<br />
increase<br />
Budget Available<br />
to Remainder of<br />
Health Sector<br />
2009 737,269 14,606,798 13,869,529<br />
2010 838,529 13.74 15,337,138 14,498,609 4.54<br />
2011 953,697 13.74 16,103,995 15,150,298 4.49<br />
2012 1,084,683 13.74 16,909,195 15,824,512 4.45<br />
2013 1,233,659 13.74 17,754,654 16,520,995 4.40<br />
2014 1,403,097 13.74 18,642,387 17,239,290 4.35<br />
Percent<br />
Increase in<br />
Remainder of<br />
Health Sector<br />
The more ambitious budget <strong>ta</strong>rget for 2015, i.e. the estimated boosted 2009 budget of<br />
$1,403,091, indexed up for forecast <strong>population</strong> increases to 2015, would mean an annual<br />
increase of 17.80% in the Line Islands Budget. Even this would still allow a 3.74% to 4.32%<br />
increase in the overall MHMS budget, still a small reduction on a 5% increase overall (see Table<br />
19).<br />
Table 19 Impact of Budget Increases in the Line Islands on Overall Health Budget When<br />
the More Ambitious 2015 Line Islands Budget Target is Used<br />
Year Operational<br />
Budget Level<br />
(A$)<br />
For Line Islands<br />
Percent Increase<br />
To Achieve<br />
2015 Target<br />
Budget<br />
Overall MHMS<br />
Budget with a<br />
5% annual<br />
increase<br />
Budget Available<br />
to Remainder of<br />
Health Sector<br />
2009 737,269 14606,798 13,869,529<br />
2010 868,491 17.80 15,337,138 14,468,647 4.32<br />
2011 1,023,069 17.80 16,103,995 15,080,926 4.23<br />
2012 1,205,159 17.80 16,909,195 15,704,036 4.13<br />
2013 1,419,658 17.80 17,754,654 16,334,997 4.02<br />
2014 1,672,334 17.80 18,642,387 16,970,053 3.89<br />
2015 1,969,983 17.80 19,574,506 17,604,524 3.74<br />
Percent<br />
Increase in<br />
Remainder of<br />
Health Sector<br />
Tables 18 and 19 indicate that it is theoretically possible to make fairly rapid increases in the<br />
Line Islands Health budget, with a much smaller impact on the overall MHMS health budget.<br />
This is because in 2009, the Line Islands health budget is only 5.05% of the to<strong>ta</strong>l health budget.<br />
Even with 17.80% annual increases in the Line Islands budget, with 5% increases in the overall<br />
health budget, the Line Islands budget in 2015 would only be 10.06% of the to<strong>ta</strong>l (which fits well<br />
with the Line Islands percen<strong>ta</strong>ge of <strong>population</strong>, currently 9.52%, and growing).<br />
The MHMS can pursue a high <strong>ta</strong>rget rate of budget growth (13.74% per annum) or a very high<br />
<strong>ta</strong>rget rate of 17.80% (17.80%) the latter being the most desirable, as it <strong>ta</strong>kes account of<br />
necessary budget increases to boost health s<strong>ta</strong>tus, but also keeps pace with forecast <strong>population</strong><br />
growth. Even the very high rate will have only a slight effect on overall MHMS budget growth<br />
rates, as the Line Islands budget is only a small percen<strong>ta</strong>ge of the overall budget.<br />
However, whichever <strong>ta</strong>rget rate is chosen (including lower or greater annual rates) the limiting<br />
factors will be s<strong>ta</strong>ff availability, s<strong>ta</strong>ff accommodation and training, the ability of the MHMS to<br />
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effectively plan and manage the growth in s<strong>ta</strong>ff and health <strong>program</strong>s and the external assis<strong>ta</strong>nce<br />
available to provide boat transport and expanded hospi<strong>ta</strong>l and community health accommodation.<br />
It may be appropriate for the MHMS therefore to boost the budget of the Line Islands modestly<br />
for 2010 (say 6-8%) then higher for 2011 (say 10-12%) and review how it is able to manage such<br />
budget growth. Much will depend on overall budget availability for the whole of the MHMS. If<br />
there are increases of around 5% or more for the overall health budget, then the MHMS could<br />
boost the Line Islands budget by 13-17% in 2012 and beyond. Without these significant budget<br />
increases and the improved and stronger health <strong>program</strong>s which should result, if managed<br />
effectively, there will not be a significant improvement in the health of the Line Islands<br />
<strong>population</strong>, and the health s<strong>ta</strong>tus of the <strong>population</strong> could even fall below the very low levels<br />
being experienced currently.<br />
However, because of possible revenue limi<strong>ta</strong>tions of the Government of Kiribati, it is also<br />
recommended that MHMS discuss the possible assis<strong>ta</strong>nce of an external donor (multilateral,<br />
bilateral or NGOs) to support the Line Islands operational components of the health services in<br />
community and environmen<strong>ta</strong>l health services.<br />
15. Key Recommendations<br />
1. It is recommended as a first step to improving the health services in the Line Islands, the<br />
MHMS fill key vacant positions in the s<strong>ta</strong>ff es<strong>ta</strong>blishment. Some key positions to be filled<br />
have been identified in this report after discussions with a range of MHMS departments in<br />
Tarawa. The cost of filling these positions and providing the resources needed for the s<strong>ta</strong>ff to<br />
under<strong>ta</strong>ke the extra effort to <strong>ta</strong>ckle the considerable health issues is estimated to be $A<br />
433,629 on top of an estimated current operational budget of $737,269<br />
2. It is recommended that when financial resources allow, the MHMS add to the s<strong>ta</strong>ff<br />
es<strong>ta</strong>blishment some more key s<strong>ta</strong>ff and supporting resources to <strong>ta</strong>ckle the health issues in<br />
more depth. It is estimated these new key positions and support resources will add $193,813<br />
to the operational budget.<br />
3. To help ensure that the current and extra s<strong>ta</strong>ffing and resources are utilised more effectively,<br />
it is recommended that the MHMS create 2 management positions to manage the Line<br />
Islands health services as a more cohesive, flexible and integrated health service than the<br />
current situation where departments in Tarawa try to manage their s<strong>ta</strong>ffing outposts so far<br />
away, and with such poor communications and transport links.<br />
4. It is recommended that the MHMS work with the Government of Kiribati to request financial<br />
and logistics assis<strong>ta</strong>nce to support a regular and reliable boat service which can be utilised by<br />
health s<strong>ta</strong>ff and patients.<br />
5. It is recommended that buildings be imported to Kiritimati in s<strong>ta</strong>ged modules by ship and<br />
that these modules progressively are added to make up the new building infrastructure of the<br />
expanded hospi<strong>ta</strong>l and community health services centre. There is no time to wait the years<br />
normally required to build a conventional hospi<strong>ta</strong>l and health centre from concrete blocks<br />
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and concrete base. With some research, good quality por<strong>ta</strong>ble buildings should be ob<strong>ta</strong>inable<br />
with only the linking walkways constructed on site.<br />
6. Hospi<strong>ta</strong>l and health services buildings and support services are expensive however, and it is<br />
recommended that the Government discuss the possible financing of a s<strong>ta</strong>ged modular<br />
development with an external donor.<br />
7. It is recommended the MHMS in the longer term pursues a <strong>ta</strong>rget rate of budget growth for<br />
the Line Islands health services between the high rate (13.74% per annum) or a very high rate<br />
of 17.80% per annum, the latter being the most desirable, as it <strong>ta</strong>kes account of necessary<br />
budget increases to boost health s<strong>ta</strong>tus, but also keeps pace with forecast <strong>population</strong> growth.<br />
Even the very high rate will have only a slight effect on overall MHMS budget growth rates,<br />
as the Line Islands budget is only a small percen<strong>ta</strong>ge of the overall budget.<br />
8. However, in the short term, it is recommended the MHMS boosts the budget of the Line<br />
Islands modestly for 2010 (say 6-8%) then higher for 2011 (say 10-12%) and review how it<br />
is able to manage such budget growth. Much will depend on overall budget availability for<br />
the whole of the MHMS. If there are increases of around 5% or more for the overall health<br />
budget, then the MHMS could boost the Line Islands budget by 13-17% in 2012 and beyond.<br />
9. Because of possible revenue limi<strong>ta</strong>tions of the Government of Kiribati, it is recommended<br />
that MHMS discuss the possible assis<strong>ta</strong>nce of an external donor (multilateral, bilateral or<br />
NGOs) to support the Line Islands operational components of the health services in<br />
community and environmen<strong>ta</strong>l health services.<br />
References<br />
Kiribati 2005 Census, Analytical Report, SPC Jan 2007<br />
Country Health Information Profiles Kiribati WHO 2006<br />
Health Center and Dispensary Morbidity Da<strong>ta</strong> 2005-6, MHMS, Kiribati<br />
Monthly Consolidated S<strong>ta</strong>tistical Report 2007, MHMS Kiribati<br />
Jones, P. Rapid Social and Poverty Analysis, Kiritimati Island (supporting document for ADB<br />
TA <strong>4878</strong> – KIR).<br />
Budget documents, Accounting Office. MHMS Kiribati 2009<br />
Meetings with senior s<strong>ta</strong>ff and Department Heads MHMS Kiribati March 2009<br />
MHMS Strategic Plan 2008-2011<br />
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Annex 5: M Baaro Extension Activities<br />
Work Done by the National Facili<strong>ta</strong>tor during TA Extension<br />
Makuri<strong>ta</strong> Baaro<br />
National Facili<strong>ta</strong>tor<br />
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Background<br />
Work on the extended TA for the Population Policy Implemen<strong>ta</strong>tion Strategy (PPIS) did not<br />
begin until late August 2009 as necessary approvals to go ahead with the work, the scope for<br />
which was agreed with the Team Leader, Dr Chris McMurray, was not received until about this<br />
time. There was also unavoidable delays on the ground as the National Facili<strong>ta</strong>tor was asked by<br />
Government at about this time to lead a Commission of Enquiry into one of the worst ever<br />
maritime accidents in Kiribati which resulted in the death of 30 people.<br />
Consequently, there was not much time to do the work required under the TOR for the TA<br />
extension before the end of the extension period, 30 September. There was however subs<strong>ta</strong>ntial<br />
progress on the PPIS once work commenced and these are reported in the following paragraphs.<br />
The period of work also coincided with the dates when Parliament met. The positive side was<br />
that all Permanent Secre<strong>ta</strong>ries were on <strong>island</strong> for the consul<strong>ta</strong>tions and follow-up meetings. The<br />
downside was that the planned visit to Kiritimati did not materialise as the Minister, the<br />
Permanent Secre<strong>ta</strong>ry as well as other senior s<strong>ta</strong>ff of the Ministry of Line and Phoenix were in<br />
Tarawa for the meeting of Parliament.<br />
Approval by Cabinet<br />
One of the major successes was the approval by Cabinet of the PPIS in early August, 2009. This<br />
resulted primarily from the visit of Dr C McMurray in early July and subsequent follow-up work<br />
by the National Facili<strong>ta</strong>tor in further discussing the PPIS with both the Secre<strong>ta</strong>ry to Cabinet (SC)<br />
and the President and then actually preparing a Cabinet Paper for their consideration. It became<br />
apparent that following the submission of the final Draft PPIS to the Secre<strong>ta</strong>ry’s meeting in the<br />
first quarter of 2009, the draft was not submitted to Cabinet which was the expected next step.<br />
This was a direct result of uncer<strong>ta</strong>inties on the level of support from ADB for the next phase on<br />
the implemen<strong>ta</strong>tion of the strategy and in particular the proposed provision of bridging/seed<br />
resources to begin the ball rolling on implemen<strong>ta</strong>tion. In light of these uncer<strong>ta</strong>inties, a<br />
submission to Cabinet was put on hold to await further advice on the extent of this support rather<br />
than provide inconclusive information to Cabinet. The visit by Dr C McMurray provided this<br />
required information and the needed clarification.<br />
The Meetings with S<strong>ta</strong>keholders<br />
In the meeting with s<strong>ta</strong>keholders, both within Government, with NGOs and Faith Based<br />
Organisations, it became apparent that there had been subs<strong>ta</strong>ntial changes to key personnel with<br />
impor<strong>ta</strong>nt roles in the implemen<strong>ta</strong>tion of the Strategy.<br />
A Change of the Guards<br />
Five Permanent Secre<strong>ta</strong>ries in key Ministries have changed; in the Office of the President, the<br />
Ministry of Line and Phoenix Island Development, the Ministry of Finance and Economic<br />
Planning, the Ministry of Education, and the Ministry of Labour and Human Resource<br />
Development. All three heads of missions, Australia, New Zealand and Taiwan were new. The<br />
chairmanship of the Kiribati National Council of Churches had ro<strong>ta</strong>ted from the Kiribati<br />
Protes<strong>ta</strong>nt Church Moderator, Reverend Toom Toakai with whom the Team worked in 2008, to<br />
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the Head of the Catholic Church, His Lordship Bishop Paul Mea who did not attend any of the<br />
consul<strong>ta</strong>tion meetings held in 2008 (he sent a represen<strong>ta</strong>tive.)<br />
So quite a number of those familiar with the Strategy had retired or moved on. Those remaining<br />
have not seen the final version of what was approved by Cabinet in August 2009. In addition,<br />
almost a year had passed between the extensive s<strong>ta</strong>keholder consul<strong>ta</strong>tions held last year to<br />
develop a Draft PPIS and the final approval of the PPIS and a lot has happened in Kiribati since<br />
then.<br />
There was therefore an impor<strong>ta</strong>nt need to backtrack and reverse the process of consul<strong>ta</strong>tion to<br />
report back to all those consulted what the end product of the process was and what was finally<br />
approved by Cabinet and what role each s<strong>ta</strong>keholder has in the process of implemen<strong>ta</strong>tion.<br />
Because of the many changes in key personnel, it was also impor<strong>ta</strong>nt to further explain the<br />
background and genesis of the PPIS; the extensive consul<strong>ta</strong>tion process under<strong>ta</strong>ken in 2008 to<br />
develop the PPIS and the approval processes it has gone through, and more impor<strong>ta</strong>ntly, what the<br />
PPIS is all about. This was the focus of the work done in the time available for the TA extension.<br />
Strong Support<br />
From these follow-up meetings, it was apparent that what has not changed is the strong support<br />
for the Strategy and the sense of urgency for its implemen<strong>ta</strong>tion; that the time to act collectively<br />
is now.<br />
It is therefore imperative that work on implemen<strong>ta</strong>tion of the Strategy commences in January<br />
2010 and that all parties are alerted as to what to expect and their roles in the implemen<strong>ta</strong>tion. It<br />
is also impor<strong>ta</strong>nt that all groundwork including resourcing the implemen<strong>ta</strong>tion of the strategy be<br />
tied up well before then. This is an area that the National Facili<strong>ta</strong>tor will continue to work on<br />
with the Office of The President well after the completion of the extension period.<br />
Resourcing the Strategy<br />
Discussions to date with key donors on the PPIS have been very positive. There is strong support<br />
for the extensive consul<strong>ta</strong>tions and the participatory process under<strong>ta</strong>ken for the development of<br />
the PPIS. There is also very strong support for the integrated and whole of government and<br />
whole of nation approach <strong>ta</strong>ken to <strong>population</strong> issues developed through the TA.<br />
While no commitment has been made as yet by donors on funding the position of Population and<br />
Development Coordinator, and the associated <strong>program</strong>me budget for implementing the Strategy,<br />
work is in progress in association with this issue as this report is written.<br />
Kiritimati – the need for special focus<br />
As highlighted in the recommendations of the TA, special attention is to be given to Kiritimati.<br />
As it is mostly s<strong>ta</strong>te owned land with no long history of settlement, Kiritimati lacks es<strong>ta</strong>blished<br />
structures and practices to absorb settlers. It therefore requires special efforts and careful<br />
management to ensure sus<strong>ta</strong>inable development.<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development Program on<br />
Kiritimati Island (Population Policy Component)<br />
3
Annex 5: M Baaro Extension Activities<br />
As reported during Mr Brotoisworo’s visit, work is underway in developing an integrated “whole<br />
of <strong>island</strong>” plan for Kiritimati. Recommendations from the Land Management component of this<br />
TA for Kiritimati are slowly being implemented.<br />
Administration and development for Kiritimati has always posed major challenges for<br />
Government. The Ministry on Kiritimati is not a functional Ministry but more of a coordinating<br />
and administrative one with all other Ministries main<strong>ta</strong>ining a Division on Kiritimati. Freedom of<br />
movement for the people is assured under the Constitution so movement of people from the<br />
Gilbert group to Kiritimati cannot be cur<strong>ta</strong>iled. Ship fares to Kiritimati have however recently<br />
been raised to discourage travel to Kiritimati. The dis<strong>ta</strong>nces involved from the capi<strong>ta</strong>l has been<br />
and continue to be a major problem for administration and development.<br />
The Office of the President is currently awaiting proposals from the Ministry of Line and<br />
Phoenix Islands Development on the forging of stronger linkages with Tarawa and pushing for a<br />
more coordinated approach to development on the <strong>island</strong>. A paper on this will be presented to<br />
Cabinet shortly proposing OB to be the “eyes, ears and more impor<strong>ta</strong>ntly, the pushing arms” for<br />
the Ministry of Line and Phoenix Island Development on Tarawa.<br />
Where to next?<br />
The TA has successfully set the parameters for national action which all s<strong>ta</strong>keholders relate to<br />
through the extensive consul<strong>ta</strong>tions conducted. The real challenge is in implemen<strong>ta</strong>tion. The TA<br />
recommends mechanisms for implemen<strong>ta</strong>tion, the first being the Population and Development<br />
Coordinator (PDC). It requires commitment, energy, passion and a willingness to work together<br />
as well as strong leadership, human relations, facili<strong>ta</strong>tion and coordinating skills by the PDC. It<br />
is impor<strong>ta</strong>nt to get the right person for the position as this is the make or break of the strategy.<br />
The TA recommends a Task Force of 15-20 represen<strong>ta</strong>tives of Government, NGOs and Faith<br />
Based Organisations, each representing their own areas. While much depends on the PDC,<br />
selection of members of the Task Force is impor<strong>ta</strong>nt too to get the level of commitment, the<br />
passion and the drive to energize <strong>population</strong> <strong>program</strong>mes.<br />
From the consul<strong>ta</strong>tions, there is an emerging thinking that the Task Force idea is a very good one<br />
but that a more effective coordinating mechanism is perhaps in smaller Action Groups for each<br />
of the six focal areas (5 if the health related focal areas are combined) involving actual<br />
practitioners who know their areas, the people they work with and for and can actually run with<br />
implemen<strong>ta</strong>tion on the ground.<br />
A similar level of commitment required from those involved in the implemen<strong>ta</strong>tion mechanisms<br />
is also required from development partners and donors including ADB. A strategy such as this<br />
requires dedicated effort and resources over the short, medium and long term and approaches are<br />
being made to development partners for partnership on the implemen<strong>ta</strong>tion of this strategy. ADB<br />
as the original partner and the co-architect for the strategy could <strong>ta</strong>ke the lead in demonstrating<br />
this commitment by providing additional resources to support the implemen<strong>ta</strong>tion of the strategy.<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development Program on<br />
Kiritimati Island (Population Policy Component)<br />
4
Annex 5: M Baaro Extension Activities<br />
ACTIVITY REPORT<br />
DATE SERVICES<br />
February 14 2009 Comments on draft Population Policy Implemen<strong>ta</strong>tion Strategy (PPIS)<br />
March 2009 Preparation of <strong>program</strong>me for Dr McMurray’s visit<br />
July 1 2009 Preparation of Programme for Dr McMurray’s final visit in early July<br />
and briefing meeting with Secre<strong>ta</strong>ry to the Cabinet prior to visit.<br />
July 3 2009 Preparation of briefing for Dr Chris and accompanied Dr Chris to<br />
official calls<br />
July 6 2009 Discussions with Dr Chris on TOR and scope of work for extension of<br />
TA<br />
July 23 rd , 24 th , and Meetings with President and Secre<strong>ta</strong>ry to Cabinet and preparation of<br />
28 th<br />
August 20 th , 26 th and<br />
28 th , 2009<br />
September 3 rd and<br />
4 th<br />
September 7 th , 8 th an<br />
9 th , 2009<br />
Cabinet paper on PPIS for final approval<br />
Preparations for and individual meetings with new Secre<strong>ta</strong>ries and<br />
senior s<strong>ta</strong>ff in key s<strong>ta</strong>keholder Ministries to brief them on the approved<br />
PPIS and next steps, (Finance, Education, Line and Phoenix Island<br />
Development; Labour and Human Resource Development Ministries.)<br />
Preparations for and meetings with Secre<strong>ta</strong>ry for Health and Medical<br />
services and senior s<strong>ta</strong>ff on PPIS implemen<strong>ta</strong>tion<br />
Preparations for and meetings with key NGOs on PPIS and their role in<br />
implemen<strong>ta</strong>tion (KANGO, [national parent NGO], Preschool Teachers<br />
Association, Teacher’s Union, Kiribati Family Health Association<br />
[KFHA]<br />
Preparation of <strong>program</strong>me for Mr Edy Brotoisworo, accompanied to<br />
September 11 th , 14 th<br />
and 16 th , 2009 official calls and preparation of outcomes document from meetings<br />
September 17 th , 18 th ,<br />
and 22 nd Meetings with Head of Churches and senior s<strong>ta</strong>ff on PPIS and their role<br />
, 2009 in implemen<strong>ta</strong>tion<br />
24 th , 25 th and 28 th Meetings with Office of Te Beretitenti senior s<strong>ta</strong>ff on coordination<br />
arrangements and budget for PPIS<br />
26 th and 29 th Preparations for and Meetings with Heads of Diplomatic Missions for<br />
funding of PPIS *<br />
30 th Preparations with OB for Workshops with focal groups<br />
*The meeting with the Australian High Commissioner was held on 7 October 2009 and the<br />
meeting with the New Zealand High Commissioner will be held on 10 October as he is out of the<br />
country and returns to Kiribati on 9 October.<br />
ADB TA <strong>4878</strong> - Kir: Republic of Kiribati: Integrated Land and Population Development Program on<br />
Kiritimati Island (Population Policy Component)<br />
5