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Global Health Watch 1 in one file

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The wider health cxontext | D4<br />

Box D4.2 Education and women’s health<br />

Educated women are less likely to have their daughters subjected to female<br />

genital cutt<strong>in</strong>g, and educated girls are less likely to undergo it, studies<br />

suggest. In Ivory Coast 55% of women with no education had underg<strong>one</strong><br />

it, while the prevalence was 24% among those with a primary education or<br />

more (WHO 1998).<br />

The <strong>in</strong>creased earn<strong>in</strong>g capacity and social stand<strong>in</strong>g, later age of marriage,<br />

and access to <strong>in</strong>formation and health services that come along with<br />

education may help women resist domestic violence. Women with some<br />

formal school<strong>in</strong>g are more likely to leave abusive relationships than women<br />

with no school<strong>in</strong>g (Herz and Sperl<strong>in</strong>g 2004). Controll<strong>in</strong>g for other <strong>in</strong>fluences,<br />

education does deter violence. Studies <strong>in</strong> India show that women’s<br />

education can affect the probability of be<strong>in</strong>g beaten; hav<strong>in</strong>g had school<strong>in</strong>g<br />

can result <strong>in</strong> better physical outcomes (Sen 1999, Jejeebhoy 1998).<br />

PROGRESA (Programa Nacional de Educación, Salud y Alimentación) has<br />

educated Mexican women on health and nutrition issues, provided new<br />

spaces <strong>in</strong> which to communicate with other women, educated girls to improve<br />

their position <strong>in</strong> the future, and <strong>in</strong>creased self-confidence and selfesteem.<br />

It began <strong>in</strong> 1997 as a countrywide effort to fight extreme poverty<br />

<strong>in</strong> rural areas. With a budget of US$ 500 million, it provides m<strong>one</strong>tary assistance,<br />

nutritional supplements, educational grants and a basic health<br />

package to poor families. One of its <strong>in</strong>novations is to provide m<strong>one</strong>y directly<br />

to women.<br />

deworm<strong>in</strong>g, micronutrient supplementation, latr<strong>in</strong>es and clean water, and<br />

health education resulted <strong>in</strong> a 20% <strong>in</strong>crease <strong>in</strong> school attendance <strong>in</strong> Burk<strong>in</strong>a<br />

Faso, as well as significant improvements <strong>in</strong> pupil health (UNESCO 2004).<br />

Is universal education atta<strong>in</strong>able?<br />

The MDGs set two targets for education: gender parity <strong>in</strong> primary and secondary<br />

enrolments, preferably by 2005, and universal completion of primary<br />

education by 2015. Although they are described as the most atta<strong>in</strong>able of the<br />

MDGs, the world is not on track to achieve either.<br />

Gender parity 2005 will earn a particularly shameful place <strong>in</strong> history as the<br />

year when the world missed the first of all the MDG targets: a large majority of<br />

countries will not achieve gender parity <strong>in</strong> primary and secondary education <strong>in</strong><br />

242

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