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The Girl-Child and Government Service Provision.pdf - Tanzania ...

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irth certificates. School-age siblings of the children interviewedshowed 2.5 as the average. <strong>The</strong> number ofimmunised children in the family varied from one to seven,with two to three being the most common. <strong>The</strong>se wererecorded in higher frequency than the total number ofschool-age children to account for infants. Patterns of male<strong>and</strong> female immunisation indicate a greater gap betweenthe immunisation of the first <strong>and</strong> second females (21per cent) in comparison to first <strong>and</strong> second males (6per cent).<strong>Child</strong>ren were not as aware of visits from the local authorityas their parents (4 per cent compared to 13 per cent).<strong>The</strong>ir views of equal access to education were marginallystronger than those of their parents (93 per cent comparedto 91 per cent). <strong>The</strong>y had a clearer underst<strong>and</strong>ingthat education is a right (18 per cent compared to 11per cent) but less underst<strong>and</strong>ing that access to health careis also a right (13 per cent compared to 23 per cent). <strong>Child</strong>renwere generally unaware of any local group responsiblefor child protection, with only 3 per cent indicating knowledge<strong>and</strong> 100 per cent saying that such a group was notvisible in the community.<strong>Child</strong>ren felt that health services could be better accessedby girls if there were more qualified doctors available <strong>and</strong>enough medical support (17 per cent). Other factors identifiedincluded increased availability of school materials <strong>and</strong>/or uniforms (15 per cent), an increased number of staffedhealth-care centres (12 per cent) <strong>and</strong> free health care <strong>and</strong>schooling attendance (10 per cent).With regard to the provision of extra services not currentlyavailable, children felt that they should have healthcare (27 per cent), education (20 per cent) <strong>and</strong> children’sclubs (16 per cent).<strong>Child</strong>ren identified 32 occupations that both males <strong>and</strong> femalescan perform. Categories with 10 per cent or moreof respondents’ answers were teacher (22 per cent) <strong>and</strong>medical doctor (18 per cent). <strong>The</strong>re was less support fromchildren for roles identified by adults, such as communechief, policeman <strong>and</strong> government minister. <strong>Child</strong>ren weremore optimistic than their parents about their opportunitiesto achieve these occupations (85 per cent comparedto 75 per cent). <strong>Child</strong>ren think that girls can contribute tothe future of the country in 29 identified ways. Those with10 per cent or more support from children are education(38 per cent), health (16 per cent), culture <strong>and</strong> arts (11per cent), national defense (10 per cent) <strong>and</strong> country leadership(10 per cent).<strong>Service</strong>s needed by girls that the government could provideto assist their development affirmed the need forhealth (44 per cent) <strong>and</strong> education (37 per cent). Vocationaltraining (33 per cent) <strong>and</strong> employment (10 per cent)were also noted. However, the service that was most oftenmentioned (by 55 per cent) was access to clean water. Thiswas also supported by parents, but as their fourth priority.It is common for children to be sent to the water collectionpoint <strong>and</strong> to ferry it back to the family.Interviews withgovernment serviceprovidersFive government service providers in the areas of health,education <strong>and</strong> child protection were interviewed in thethree locations of the survey (for the five questions, see theAppendix). Responses showed that government serviceproviders are aware of some needs of children with regardto accessing health care, education <strong>and</strong> protection but arefrustrated by lack of facilities <strong>and</strong>/or budget to respond.Location AHealth<strong>The</strong> deputy health director indicated that a long-runningprogramme to treat gastro-intestinal infection <strong>and</strong> VitaminA deficiency in an area with a population of 17,747 hadtreated children in the area for 15 years. He had no statisticson children receiving health care in general, but hestated that it is free of charge. He observed that parentalattitudes play a role in excluding girls from the centre, <strong>and</strong>that once a girl is past puberty she seldom goes to thehealth centre due to shyness. Other factors noted are thelong distances to the health centre. His suggestions for increasingservices were to provide outreach activities in thecommunity on immunisation, HIV/AIDS awareness-raising,sanitation <strong>and</strong> reproductive health, with medical staff travellingto communities once a month. <strong>The</strong> barrier he facesin providing necessary services is the lack of response fromgovernment to budget requests. He also lacks the expertiseto attract donors to support such ventures.<strong>The</strong> <strong>Girl</strong>-<strong>Child</strong> <strong>and</strong> <strong>Government</strong> <strong>Service</strong> <strong>Provision</strong> 19

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