This report anticipates the rapidly approaching day when the majority of the world’s children will grow up in urban areas. It observes that many of these places are marked by pronounced inequality in power and resources that in turn lead to disparity in children’s survival and development.
The report adds to the growing base of evidence and analysis of inequity and the need for strategies to reach excluded children and families wherever they live. It builds on work, by UNICEF and many partners, to show that the children who are most deprived, vulnerable and difficult to reach are to be found not only in remote rural parts but also in the very urban centres that are home to commercial, political and cultural elites.
1. THE STATE OF THE WORLD’S CHILDREN 2012
executive summary
Children in
an Urban World
2. THE STATE OF THE WORLD’S CHILDREN 2012
Children in an Urban World
EXECUTIVE SUMMARY
Key recommendations
Increasing numbers of children are growing up in urban areas. They must be afforded the amenities
and opportunities they need to realize their rights and potential. Urgent action must be taken to:
1. etter understand the scale and nature of poverty and exclusion affecting children in urban areas.
B
2. Identify and remove the barriers to inclusion.
3. nsure that urban planning, infrastructure development, service delivery and broader efforts to
E
reduce poverty and inequality meet the particular needs and priorities of children.
4. romote partnership between all levels of government and the urban poor – especially children
P
and young people.
5. ool the resources and energies of international, national, municipal and community actors in
P
support of efforts to ensure that marginalized and impoverished children enjoy their full rights.
These actions are not goals but means to an end: fairer, more nurturing cities and societies for all
people – starting with children.
4. Executive Summary
in informal settlements and slums by 2020. The difficulties from poverty and inequality. In addition to poor and margin-
the poor face are exacerbated by such factors as illegality, alized children in slums, children living and working on the
limited voice in decision-making and lack of secure tenure streets, those who have been trafficked and those engaged in
and legal protection. Exclusion due to poverty is often rein- child labour deserve special attention and targeted solutions.
forced by discrimination on the grounds of gender, ethnicity,
race or disability. A focus on equity demands that priority be given to the
most disadvantaged children, wherever they live. Children’s
Not all of the urban poor live in slums, and not every inhab- rights cannot be fulfilled and protected unless municipal and
itant of a slum is poor. Nevertheless, slums are an expression national governments, donors and international organizations
of, and a practical response to, deprivation and exclusion. look beyond the broad averages of development statistics and
Denied proper housing and security of tenure by inequitable address the poverty and inequality that characterize the lives
economic and social policies and regulations governing land of so many children in cities throughout the world.
use and management, impoverished people resort to renting
or erecting illegal and often makeshift dwellings.
Overcrowding and unsanitary conditions facilitate the trans- What is ‘urban’?
mission of disease – notably pneumonia and diarrhoea, the
two leading killers of children younger than 5 worldwide. The definition of ‘urban’ varies from country to country and,
Outbreaks of measles, tuberculosis and other vaccine-prevent- with periodic reclassification, can also vary within the same
able diseases are also more frequent in these areas, where country over time. This makes direct comparisons difficult.
population density is high and immunization levels are low. An urban area can be defined by one or more of the follow-
ing: administrative criteria or political boundaries (the area
within the jurisdiction of a municipality or town committee, for
In addition to other perils, people living in slums frequently
example), a threshold population size (where the minimum for
face the threat of eviction and maltreatment, including from an urban settlement is typically in the region of 2,000 people,
authorities intent on ‘cleaning up’ the area. Evictions cause although this varies globally between 200 and 50,000), popula-
major upheaval and can destroy long-established economic tion density, economic function (where a significant majority
and social systems and support networks. Care must be of the population is not primarily engaged in agriculture,
taken to minimize the extent to which the reality and fear of or where there is surplus employment), or the presence of
displacement disrupt children’s lives. such urban characteristics as paved streets, electric light-
ing or sewerage. In 2010, 3.5 billion people lived in areas
classified as urban.
Children and adolescents are among the most vulnerable
members of any community and will disproportionately suffer
Almost half of the world’s children live in urban areas
World population (0–19 years old)
27% 30% 33% 36% 40% 43%
1955 1965 1975 1985 1995 2005
Rural Urban
Source: United Nations, Department of Economic and Social Affairs (UNDESA), Population Division.
2 THE STATE OF THE WORLD’S CHILDREN 2012
6. Executive Summary
Nearly 8 million children died in 2010 before reaching the
Wealth increases the odds of survival for children
age of 5 – most from pneumonia, diarrhoea or birth compli- under the age of 5 in urban areas
cations. In urban areas, high concentrations of poverty Under-five mortality rate (per 1,000 live births) in urban areas in selected
combine with inadequate services to drive up child mortality. countries (right end of bar indicates average under-five mortality for the poor-
est quintile of the population; left end indicates that for the wealthiest quintile)
Lower levels of immunization lead to more frequent Richest 20% Poorest 20%
outbreaks of vaccine-preventable diseases in communities
Cambodia
that are already more vulnerable owing to high population
density and a continuous influx of new infectious agents. Nepal
Global vaccine coverage is improving but remains low in Honduras
slums and informal settlements.
Egypt
India
More than 350,000 women died in pregnancy and childbirth
in 2008, and every year many more sustain injuries that can Dominican Republic
turn into lifelong, ostracizing disabilities. Many such deaths Indonesia
and injuries can be averted if expectant mothers receive care
Bangladesh
from skilled professionals with adequate equipment and
supplies, and if they have access to emergency obstetric care. Pakistan
Urban settings provide proximity to maternity and emer- Haiti
gency services – but access, use and quality are, again, lower Senegal
in poorer quarters.
Rwanda
Hunger and undernutrition wear an increasingly urban face. Guinea
The number of the poor and undernourished is increasing Uganda
faster in urban than in rural areas. Even the apparently well
Niger
fed – those who receive sufficient calories to fuel their daily
Benin
activities – can suffer the ‘hidden hunger’ of micronutrient
malnutrition: deficiencies of such essentials as vitamin A,
iron or zinc from fruits, vegetables, fish or meat. Without 0 20 40 60 80 100 120 140 160 180 200
Under-five mortality rate
these micronutrients, children are at increased risk of death,
blindness, stunting and lower IQ. Poor nutrition contributes Source: WHO estimates and DHS, 2005–2007 Countries were selected based on
.
availability of data.
to more than a third of under-five deaths globally.
Every year, polluted indoor air is responsible for almost
2 million deaths among children under 5 years of age. The Recent data suggest that new infections with the human
use of hazardous cooking fuels in badly ventilated spaces immunodeficiency virus (HIV) are decreasing amid improve-
– common in low-income settings – is among the factors ments in access to services preventing transmission of the
contributing to the problem. City life also exposes children virus from mother to child during pregnancy, labour, deliv-
to high levels of outdoor air pollution. ery or breastfeeding. About one fourth as many cases of
HIV infection among children are believed to have occurred
In addition to spewing toxic exhaust fumes, vehicular traffic in 2010 as in 2005. Despite this progress, about 1,000
also represents a physical threat to children – one heightened babies a day were infected through mother-to-child trans-
by a lack of safe play spaces, sidewalks and crossings. The mission in 2010. A further 2,600 people aged 15–24 were
World Health Organization (WHO) estimates that road traf- infected per day that year, mainly as a result of unprotected
fic injuries account for 1.3 million deaths annually worldwide. sex or unsafe injection practices. HIV prevalence remains
These injuries are the leading single cause of death among generally higher in urban areas.
people aged 15–29, and the second for those aged 5–14.
4 THE STATE OF THE WORLD’S CHILDREN 2012
11. Executive Summary
Uniting for children Greater disaggregation of urban data must be accompanied
by solid research and evaluation of interventions intended
in an urban world to advance children’s rights to survival, health, develop-
ment, sanitation, education and protection in urban areas.
Hundreds of millions of children and young people strug-
gle to subsist in the same cities where political, cultural and To be effective, information must be disseminated widely
commercial elites live in comfort. Too many spend their child- and analysed to expose causality and to enable effective
hoods working rather than going to school, and living under responses to inequality and exclusion. And more must be
threat of eviction or on the street, where they are at risk done to understand how poverty and exclusion evolve and
of violence and exploitation. Too often, urban environments affect children in urban environments – and why these
are not designed with children in mind – nor are children deprivations persist from generation to generation.
and adolescents invited to participate in shaping them.
2. Use the improved understanding of exclusion to identify
Nearly half of all children already live in urban settings. As and remove the barriers to inclusion that prevent margin-
their number increases, the following urgent action is required alized children and their families from using services and
to promote their development and secure their rights. enjoying such core elements of citizenship as legal protec-
tion and security of housing tenure.
1. Improve understanding of the scale and nature of urban
poverty and exclusion affecting children. Discrimination, income poverty, direct and indirect costs,
poor transportation and lack of official documents are
The tools of data collection must be honed to more precisely among the factors precluding access to available urban
reflect disparities in children’s situations and to help deter- services. Coverage can be enhanced through more equi-
mine which children and families are most marginalized. table policies, such as abolishing user fees, setting up
The Millennium Development Goals
The eight Millennium Development Goals (MDGs) cover a spectrum improve substantially without concerted action to eradicate
of issues, including poverty and hunger, education, child survival poverty and hunger (MDG 1); achieve universal primary education
and maternal health, gender equality, HIV/AIDS and the need to (MDG 2); promote gender equality and empower women (MDG 3);
build a global partnership for development. Progress towards reduce child mortality (MDG 4); improve maternal health (MDG 5);
achieving the goals is measured against 21 specific targets. combat HIV/AIDS (MDG 6); or create a global partnership for
development (MDG 8).
MDG 7 contains the commitment to ensure environmental stability.
One of its urban facets, Target 11, aims to have achieved a signifi- Evidence suggests that national approaches to slums are moving
cant improvement in the lives of at least 100 million slum dwellers away from negative policies such as neglect, forced eviction or
by 2020. This is also known as the ‘Cities without Slums’ initia- involuntary resettlement towards more positive approaches such
tive. In addition to environmental concerns and a specific focus on as community engagement, slum upgrading and rights-based poli-
urban slums, MDG 7 also contains a commitment to halve, by 2015, cies. Nevertheless, the number of slum dwellers worldwide has
the proportion of people without sustainable access to safe drink- increased by 60 million since Target 11 was established in 2000.
ing water and basic sanitation.
Slums are the physical manifestation of the urbanization of poverty.
Although one of the targets of MDG 7 is dedicated specifically to Growing numbers of urban dwellers are poor, and inequality in the
slum dwellers, the goals should be seen as a continuum of devel- urban sphere shows no signs of abating. Future international targets
opment priorities. The lives of people in the world’s slums cannot will have to take into account the expanding scale of the problem.
Children in an urban world 9
14. Executive Summary
An urban world
This graphic depicts countries and territories with urban
populations exceeding 100,000. Circles are scaled in
proportion to urban population size. Where space allows,
numbers within circles show urban population (in millions)
and urban percentage of the country’s population.
Sweden Finland
Norway 7.9
Estonia
Denmark Latvia
Iceland
Lithuania
Netherlands
13.8 Belarus
Ireland
United 83% Germany Poland
7.2
Canada Kingdom 23.3
27.4 49.4 Belgium 60.8 61%
10.4 Ukraine
81% 80% 97% 74% Czech 31.3
Republic
7.7
Slovakia 69%
Luxembourg
France Austria Hungary Romania Republic of
United States
Switzerland 12.3 Moldova
53.5 Slovenia
57%
Serbia
of America
Croatia
85% Bulgaria
Bosnia and
Italy Herzegovina The former
Turkey
255.4 Spain 41.4
Yugoslav
Montenegro Republic of
Macedonia
Albania 50.7
Georgia
Azerbaijan
35.7 68%
82% 77%
Greece
70% Armenia
Malta
Cyprus Syrian Arab Iraq
Portugal Republic
Lebanon
11.4
21.0
Tunisia Occupied
Palestinian Territory 56% 66%
Morocco Algeria 7.1
Mexico 18.6 23.6 Israel Jordan
Bahamas 58% 66% Libya Egypt Kuwait
88.3
Niger
35.2 Bahrain
78% Cuba Mauritania
Chad 43% Saudi Arabia
Qatar
8.5 United Arab
22.5
Mali Emirates
Guatemala Belize Senegal 82%
Haiti Dominican Cape Verde
7.1 Republic
Honduras
Burkina Sudan Yemen Oman
Gambia
El Salvador
Jamaica
Faso Nigeria 17.5 Eritrea 7.6
Nicaragua Guinea-Bissau Guinea 40% Djibouti
Barbados
Ghana
78.9 Ethiopia
Venezuela Trinidad and Tobago Sierra Leone Somalia
Costa Rica 12.6 13.8
Panama
(Bolivarian
Republic of)
Côte
Liberia d’Ivoire
51%
50% Central 17%
Guyana African
27.1 Suriname 10.0
Republic
Colombia 93% 51%
Togo Benin Cameroon
Uganda
Kenya
34.8 11.4
Rwanda
9.0
58%
75% Burundi
Equatorial Guinea
Sao Tome and Principe Gabon United Republic
Ecuador
9.7
Brazil Congo
Democratic
Republic
of Tanzania
11.8
26%
168.7
of the Congo
23.2
Peru Malawi Comoros
35%
22.4
77%
Bolivia
87% Angola
11.2 Mozambique Mauritius
Zambia
(Plurinational 59% 9.0 Madagascar
State of)
Botswana Zimbabwe
Paraguay Namibia Swaziland
South Lesotho
Africa
Chile
15.2 30.9
Uruguay
89% 62%
Argentina
37.3
92%
Source: United Nations, Department of Economic and Social Affairs (UNDESA), Population Division special updated estimates of urban population as of October 2011, consistent with World
Population Prospects: The 2010 revision and World Urbanization Prospects: The 2009 revision. Graphic presentation of data based on The Guardian, 27 July 2007.
This map is stylized and based on an approximate scale. It does not reflect a position by UNICEF on the legal status of any country or territory or the delimitation of any frontiers.
12 THE STATE OF THE WORLD’S CHILDREN 2012
15. Executive Summary
Above 75% urban
Between 50% and 75% urban
Between 25% and 50% urban
Russian Mongolia
Federation
Below 25% urban
104.6
73%
China
Kazakhstan
9.4 629.8 Democratic People’s
Urban population in millions Republic of Korea
Kyrgyzstan 14.7
Uzbekistan
47%
60%
10.0
36% Tajikistan
Republic
Turkmenistan
Afghanistan Percentage urban of Korea Japan
7.1
40.0 84.6
Iran Pakistan 83% Canton
(Islamic 67%
14.5
Republic of) 62.3
52.3 36%
71%
Bhutan
Nepal
Bangladesh
41.7
India 28%
Myanmar
Lao People’s
Democratic
Republic Viet Nam
26.7
367.5
16.1
34% 30%
Thailand
Philippines
23.5 45.6
30% 34%
Cambodia 49%
Malaysia
20.5
Brunei Darussalam
72%
Singapore
Sri Lanka
Maldives
Timor-Leste
Indonesia
106.2 Papua New Guinea
44% Solomon Islands
Fiji
Australia
19.8
89%
New Zealand
Notes: Because of the cession in July 2011 of the Republic of South Sudan by the Republic of the Sudan, and its subsequent admission to the United Nations on 14 July 2011, data for the
Sudan and South Sudan as separate States are not yet available. Data presented are for the Sudan pre-cession.
Data for China do not include Hong Kong and Macao, Special Administrative Regions of China. Hong Kong became a Special Administrative Region (SAR) of China as of 1 July 1997; Macao
became a SAR of China as of 20 December 1999.
Data for France do not include French Guiana, Guadeloupe, Martinique, Mayotte and Reunion.
Data for the Netherlands do not include the Netherlands Antilles.
Data for the United States of America do not include Puerto Rico and United States Virgin Islands.