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THE STATE OF THE WORLD’S CHILDREN 2011




Adolescence
An Age of Opportunity
© United Nations Children’s Fund (UNICEF)                           United Nations Children’s Fund
February 2011                                                       3 United Nations Plaza
                                                                    New York, NY 10017, USA
Permission to reproduce any part of this publication is required.   Email: pubdoc@unicef.org
Please contact:                                                     Website: www.unicef.org
Division of Communication, UNICEF
3 United Nations Plaza, New York, NY 10017, USA                     Cover photo
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Permission will be freely granted to educational or
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to pay a small fee.

Commentaries represent the personal views
of the authors and do not necessarily reflect
positions of the United Nations Children’s Fund.

The essays presented here are a selection of those
received in mid-2010; the full series is available on
the UNICEF website at <www.unicef.org/sowc2011>

For any corrigenda found subsequent to printing, please visit
our website at <www.unicef.org/publications>

For any data updates subsequent to printing, please visit
<www.childinfo.org>

ISBN: 978-92-806-4555-2
Sales no.: E.11.XX.1
THE STATE OF THE
WORLD’S CHILDREN
2011
Acknowledgements
     This report was produced with the invaluable guidance and contributions of many individuals, both inside and outside
     of UNICEF. Important contributions for country panels were received from the following UNICEF field offices:
     Côte d’Ivoire, Ethiopia, Haiti, India, Jordan, Mexico, Philippines, Ukraine and the US Fund for UNICEF. Input was
     also received from UNICEF regional offices and the World Health Organization’s Adolescent Health and Development
     Team. Special thanks also to UNICEF’s Adolescent Development and Participation Unit for their contributions,
     guidance and support. And thanks to adolescents from around the world who contributed quotations and other
     submissions for the print report and the website.

     The State of the World’s Children 2011 invited adult and adolescent contributors from a variety of stakeholder
     groups to give their perspectives on the distinct challenges adolescents face today in protection, education, health and
     participation. Our gratitude is extended to the contributors presented in this report: His Excellency Mr. Anote Tong,
     President of the Republic of Kiribati; Her Royal Highness Princess Mathilde of Belgium; Her Highness Sheikha Mozah
     bint Nasser Al Missned; Emmanuel Adebayor; Saeda Almatari; Regynnah Awino; Meenakshi Dunga; Lara Dutta; Maria
     Eitel; Brenda Garcia; Urs Gasser; Nyaradzayi Gumbonzvanda; Colin Maclay; Cian McLeod; Paolo Najera; John Palfrey;
     Aown Shahzad; and Maria Sharapova. These essays represent a selection of the full series of Perspectives available at
     <www.unicef.org/sowc2011>.

     Special thanks also to Ayman Abulaban; Gloria Adutwum; Rita Azar; Gerrit Beger; Tina Bille; Soha Bsat Boustani;
     Marissa Buckanoff; Abubakar Dungus; Abdel Rahman Ghandour; Omar Gharzeddine; Shazia Hassan; Carmen Higa;
     Donna Hoerder; Aristide Horugavye; Oksana Leshchenko; Isabelle Marneffe; Francesca Montini; Jussi Ojutkangas;
     and Arturo Romboli for their assistance with the Perspectives essay series and Technology panels. Special thanks also
     to Meena Cabral de Mello of WHO’s Adolescent Health and Development Team for her assistance with the panel on
     adolescent mental health.

     EDITORIAL AND RESEARCH                                         STATISTICAL TABLES
     David Anthony, Editor; Chris Brazier, Principal Writer;        Tessa Wardlaw, Associate Director, Statistics and
     Maritza Ascencios; Marilia Di Noia; Hirut Gebre-               Monitoring Section, Division of Policy and Practice;
     Egziabher; Anna Grojec; Carol Holmes; Tina Johnson;            Priscilla Akwara; David Brown; Danielle Burke;
     Robert Lehrman; Céline Little; Charlotte Maitre;               Xiaodong Cai; Claudia Cappa; Liliana Carvajal;
     Meedan Mekonnen; Kristin Moehlmann; Baishalee                  Archana Dwivedi; Anne Genereaux; Rouslan Karimov;
     Nayak; Arati Rao; Anne Santiago; Shobana Shankar;              Rolf Luyendijk; Nyein Nyein Lwin; Colleen Murray;
     Julia Szczuka; Jordan Tamagni; Judith Yemane                   Holly Newby; Elizabeth Hom-Phathanothai;
                                                                    Khin Wityee Oo; Danzhen You
     PRODUCTION AND DISTRIBUTION
     Jaclyn Tierney, Production Officer; Edward Ying, Jr.;
                                                                    PROGRAMME, AND POLICY AND
     Germain Ake; Fanuel Endalew; Eki Kairupan; Farid               COMMUNICATION GUIDANCE
     Rashid; Elias Salem
                                                                    UNICEF Programme Division, Division of Policy and
                                                                    Practice, Division of Communication, and Innocenti
     TRANSLATION                                                    Research Centre, with particular thanks to Saad Houry,
     French edition: Marc Chalamet                                  Deputy Executive Director; Hilde Frafjord Johnson,
     Spanish edition: Carlos Perellón                               Deputy Executive Director; Nicholas Alipui, Director,
                                                                    Programme Division; Richard Morgan, Director, Division
     MEDIA AND OUTREACH                                             of Policy and Practice; Khaled Mansour, Director,
     Christopher de Bono; Kathryn Donovan; Erica Falkenstein;       Division of Communication; Maniza Zaman, Deputy
     Janine Kandel; Céline Little; Lorna O’Hanlon                   Director, Programme Division; Dan Rohrmann, Deputy
                                                                    Director, Programme Division; Susan Bissell, Associate
     INTERNET BROADCAST AND IMAGE SECTION                           Director, Programme Division; Rina Gill, Associate
                                                                    Director, Division of Policy and Practice; Wivina
     Stephen Cassidy; Matthew Cortellesi; Keith Musselman;
                                                                    Belmonte, Deputy Director, Division of Communication;
     Ellen Tolmie; Tanya Turkovich
                                                                    Catherine Langevin-Falcon; Naseem Awl; Paula
                                                                    Claycomb; Beatrice Duncan; Vidar Ekehaug; Maria
     DESIGN AND PRE-PRESS PRODUCTION                                Cristina Gallegos; Victor Karunan; and Mima Perisic.
     Prographics, Inc.
                                                                    PRINTING
                                                                    Hatteras Press



ii   THE STATE OF THE WORLD’S CHILDREN 2011
Foreword
Last year, a young woman electrified a United Nations                                  cause of death for teenage girls; the pressures that keep
consultation on climate change in Bonn, simply by asking                               70 million adolescents out of school; exploitation, violent
the delegates, “How old will you be in 2050?”                                          conflict and the worst kind of abuse at the hands of adults.

The audience applauded. The next day, hundreds of                                      It also examines the dangers posed by emerging trends
delegates wore T-shirts emblazoned with that question –                                like climate change, whose intensifying effects in many
including the Chair, who admitted that in 2050 he would                                developing countries already undermine so many adoles-
be 110, and not likely to see the results of our failure to                            cents’ well-being, and by labour trends, which reveal a
act. The young woman’s message was clear: The kind of                                  profound lack of employment opportunities for young
world she will live in someday relies both on those who                                people, especially those in poor countries.
inherit it and on those who bequeath it to them.
                                                                                       Adolescence is not only a time of vulnerability, it is also an
The State of the World’s Children 2011 echoes and builds on                            age of opportunity. This is especially true when it comes to
this fundamental insight. Today, 1.2 billion adolescents stand                         adolescent girls. We know that the more education a girl
at the challenging crossroads between childhood and the adult                          receives, the more likely she is to postpone marriage and
world. Nine out of ten of these young people live in the de-                           motherhood – and the more likely it is that her children
veloping world and face especially profound challenges, from                           will be healthier and better educated. By giving all young
obtaining an education to simply staying alive – challenges                            people the tools they need to improve their own lives, and
that are even more magnified for girls and young women.                                by engaging them in efforts to improve their communities,
                                                                                       we are investing in the strength of their societies.
In the global effort to save children’s lives, we hear too little
about adolescence. Given the magnitude of the threats to                               Through a wealth of concrete examples, The State of
children under the age of five, it makes sense to focus invest-                        the World’s Children 2011 makes clear that sustainable
ment there – and that attention has produced stunning suc-                             progress is possible. It also draws on recent research to
cess. In the last 20 years, the number of children under five                          show that we can achieve that progress more quickly and
dying every day from preventable causes has been cut by one                            cost-effectively by focusing first on the poorest children
third, from 34,000 in 1990 to around 22,000 in 2009.                                   in the hardest-to-reach places. Such a focus on equity will
                                                                                       help all children, including adolescents.
Yet consider this: In Brazil, decreases in infant mortality be-
tween 1998 and 2008 added up to over 26,000 children’s                                 How can we delay? Right now, in Africa, a teenager weighs
lives saved – but in that same decade, 81,000 Brazilian                                the sacrifices she must make to stay in the classroom. An-
adolescents, 15–19 years old, were murdered. Surely, we do                             other desperately tries to avoid the armed groups that may
not want to save children in their first decade of life only to                        force him to join. In South Asia, a pregnant young woman
lose them in the second.                                                               waits, terrified, for the day when she will give birth alone.

This report catalogues, in heart-wrenching detail, the array                           The young woman who asked the question in Bonn, along
of dangers adolescents face: the injuries that kill 400,000 of                         with millions of others, waits not only for an answer, but
them each year; early pregnancy and childbirth, a primary                              for greater action. By all of us.
                         © UNICEF/NYHQ2010-0697/Markisz




                                                          Anthony Lake
                                                          Executive Director, UNICEF


                                                                                                                                            FOREWORD    iii
CONTENTS
     Acknowledgements ..............................................................................ii          Panels
                                                                                                                COUNTRY
     Foreword
     Anthony Lake, Executive Director, UNICEF .......................................iii                        Haiti: Building back better together with young people .................. 5

                                                                                                                Jordan: Ensuring productive work for youth .................................. 13


     1        The Emerging Generation ....................................vi                                    India: Risks and opportunities for the world’s
                                                                                                                largest national cohort of adolescents ............................................ 23

     The complexities of defining adolescence .........................................8                        Ethiopia: Gender, poverty and the challenge for adolescents ...... 35
     Adolescents and adolescence in the international arena ...............12
                                                                                                                Mexico: Protecting unaccompanied migrant adolescents............. 39

                                                                                                                Ukraine: Establishing a protective environment


     2
                                                                                                                for vulnerable children ...................................................................... 44
              Realizing the Rights of Adolescents ...........16
                                                                                                                The Philippines: Strengthening the participation
                                                                                                                rights of adolescents ......................................................................... 48
     Health in adolescence ....................................................................... 19
     Survival and general health risks..................................................... 19                  United States: The Campus Initiative – Advocating
                                                                                                                for children’s rights at colleges and universities ............................ 73
     Nutritional status ............................................................................... 21
     Sexual and reproductive health matters ......................................... 22                        Côte d’Ivoire: Violent conflict and the vulnerability
                                                                                                                of adolescents .................................................................................... 77
     HIV and AIDS ..................................................................................... 24
     Adolescent-friendly health services ................................................. 26
                                                                                                                TECHNOLOGY
     Education in adolescence ................................................................. 26
     Gender and protection in adolescence............................................ 31                        Digital natives and the three divides to bridge,
                                                                                                                by John Palfrey, Urs Gasser, Colin Maclay and Gerrit Beger........ 14
     Violence and abuse ........................................................................... 31
     Adolescent marriage ......................................................................... 33           Young people, mobile phones and the rights of adolescents,
                                                                                                                by Graham Brown ............................................................................. 36
     Female genital mutilation/cutting .................................................... 33
     Child labour ........................................................................................ 33   Digital safety for young people: Gathering
                                                                                                                information, creating new models and understanding
     Initiatives on gender and protection................................................ 34
                                                                                                                existing efforts, by John Palfrey, Urs Gasser,



     3
                                                                                                                Colin Maclay and Gerrit Beger ......................................................... 50

              Global Challenges for Adolescents ............. 40                                                Map Kibera and Regynnah’s empowerment,
                                                                                                                by Regynnah Awino and the Map Kibera ....................................... 70
     Climate change and the environment ............................................. 42
     Poverty, unemployment and globalization ..................................... 45                           FOCUS ON
     Juvenile crime and violence ............................................................. 52
                                                                                                                Early and late adolescence ................................................................. 6
     Conflict and emergency settings ..................................................... 57
                                                                                                                Demographic trends for adolescents: Ten key facts ...................... 20




     4
                                                                                                                Adolescent mental health: An urgent challenge
                                                                                                                for investigation and investment ..................................................... 27
              Investing in Adolescents ..................................... 60
                                                                                                                Inequality in childhood and adolescence in rich countries –
     Improve data collection and analysis .............................................. 63                     Innocenti Report Card 9: The children left behind ......................... 30

     Invest in education and training ...................................................... 64                 Migration and children: A cause for urgent attention.................... 56
     Institutionalize mechanisms for youth participation ...................... 68
                                                                                                                Preparing adolescents for adulthood and citizenship .................... 66
     A supportive environment ................................................................ 71
     Addressing poverty and inequity ..................................................... 72                   Working together for adolescent girls: The United Nations
                                                                                                                Adolescent Girls Task Force ............................................................. 75
     Working together for adolescents.................................................... 75



iv   THE STATE OF THE WORLD’S CHILDREN 2011
THE STATE OF THE WORLD’S CHILDREN 2011

Adolescence: An Age of Opportunity
Essays                                                                                                   2.3 Anaemia is a significant risk for adolescent girls (15–19)
                                                                                                             in sub-Saharan Africa and South Asia ...................................... 21
PERSPECTIvES
                                                                                                         2.4 Underweight is a major risk for adolescent girls (15–19)
Her Royal Highness Princess Mathilde of Belgium,
                                                                                                             in sub-Saharan Africa and South Asia ...................................... 21
Adult responsibility: Listen to adolescents’ voices .......................... 9

Nyaradzayi Gumbonzvanda, Facing the challenge:                                                           2.5 Young males in late adolescence (15–19) are more
Reproductive health for HIV-positive adolescents.......................... 28                                likely to engage in higher risk sex than females of the
                                                                                                             same age group .......................................................................... 24
Maria Sharapova, Chernobyl 25 years later:
Remembering adolescents in disaster ............................................ 38                      2.6 Young women in late adolescence (15–19) are more likely to
                                                                                                             seek an HIV test and receive their results than young men
President Anote Tong of the Republic of Kiribati,                                                            of the same age group ............................................................... 25
The effects of climate change in Kiribati:
A tangible threat to adolescents ...................................................... 47
                                                                                                         2.7 Marriage by age of first union in selected
Emmanuel Adebayor, Advocacy through sports:                                                                  countries with available disaggregated data............................ 34
Stopping the spread of HIV among young people......................... 54
                                                                                                         3.1 Word cloud illustrating key international youth
Her Highness Sheikha Mozah bint Nasser Al Missned,                                                           forums on climate change.......................................................... 45
Releasing the potential of adolescents: Education
reform in the Middle East and North Africa region ....................... 58
                                                                                                         3.2 Global trends in youth unemployment ..................................... 46
Lara Dutta, Doing our part: Mass media’s responsibility
to adolescents .................................................................................... 69   References.................................................................................. 78
Maria Eitel, Adolescent girls: The best investment
you can make ..................................................................................... 74    Statistical Tables ............................................................... 81
                                                                                                         Under-five mortality rankings........................................................... 87
ADOLESCENT vOICES
                                                                                                         Table 1. Basic indicators ................................................................... 88
Paolo Najera, 17, Costa Rica, Keeping the flame alive:                                                   Table 2. Nutrition ............................................................................... 92
Indigenous adolescents’ right to education and health services ... 11
                                                                                                         Table 3. Health ................................................................................... 96
Meenakshi Dunga, 16, India, Act responsibly:                                                             Table 4. HIV/AIDS ............................................................................. 100
Nurse our planet back to health ....................................................... 32
                                                                                                         Table 5. Education ........................................................................... 104
Brenda Garcia, 17, Mexico, Reclaim Tijuana:                                                              Table 6. Demographic indicators ................................................... 108
Put an end to drug-related violence ................................................ 53
                                                                                                         Table 7. Economic indicators.......................................................... 112
Cian McLeod, 17, Ireland, Striving for equity:                                                           Table 8. Women ............................................................................... 116
A look at marginalized adolescents in Zambia ............................... 57
                                                                                                         Table 9. Child protection ................................................................. 120
Saeda Almatari, 16, Jordan/United States,                                                                Table 10. The rate of progress........................................................ 126
Unrealistic media images: A danger to adolescent girls ............... 65
                                                                                                         Table 11. Adolescents...................................................................... 130
Syed Aown Shahzad, 16, Pakistan, From victims to activists:                                              Table 12. Equity................................................................................ 134
Children and the effects of climate change in Pakistan ................. 76



Figures

2.1 Adolescent population (10–19 years) by region, 2009 ............. 20


2.2 Trends in the adolescent population, 1950–2050 ..................... 20




                                                                                                                                                                                                CONTENTS          v
A keener focus on the development
and human rights of adolescents
would both enhance and accelerate
the fight against poverty, inequality
and gender discrimination. Hawa,
12 (at left), recently re-enrolled in
school following the intervention of
the National Network of Mothers’
Associations for Girls, which advocates
for girls’ education, Cameroon.




CHAPTER 1



The Emerging
Generation
THE STATE OF THE WORLD’S CHILDREN 2011
GLOBAL CHALLENGES FOR ADOLESCENTS   1
CHALLENGES AND
    Adolescence is an age of opportunity for children, and a pivotal time for us to
    build on their development in the first decade of life, to help them navigate risks
    and vulnerabilities, and to set them on the path to fulfilling their potential.
    The world is home to 1.2 billion individuals aged 10–19         In this context, the conventional wisdom might dictate that
    years.1 These adolescents have lived most or all of their       most resources be devoted to children and young people in
    lives under the Millennium Declaration, the unprecedented       the first decade of their lives. After all, that is when they
    global compact that since 2000 has sought a better world        are most vulnerable to death, disease and undernutrition;
    for all.                                                        when the effects of unsafe water and poor sanitation pose
                                                                    the greatest threat to their lives; and when the absence of
    Many of their number have benefited from the gains in           education, protection and care can have the most pernicious
    child survival, education, access to safe water, and other      lifetime implications.
    areas of development that stand as concrete successes of
    the drive to meet the Millennium Development Goals, the         In contrast, adolescents are generally stronger and
    human development targets at the core of the Declaration.       healthier than younger children; most have already ben-
    But now they have arrived at a pivot-                                            efited from basic education; and many
    al moment in their lives – just as the                                           are among the hardest and, potentially,
    world as a whole is facing a critical
                                               “I want to participate in             most costly to reach with essential
    moment in this new millennium.              developing my country                services and protection. It hardly seems
                                                                                     judicious, in these fiscally straitened
    In just three years, confidence in          and promoting human                  times, to focus greater attention on
    the world economy has plummeted.            rights for people all                them.
    Unemployment has risen sharply, and
    real household incomes have fallen or       over the world.”                      Such reasoning, though seemingly
    stagnated. At the time of writing, in                                             sound in theory, is flawed for several
                                                 Amira, 17, Egypt
    late 2010, the global economic out-                                               reasons, all stemming from one critical
    look remains highly uncertain, and                                                notion: Lasting change in the lives of
    the possibility of a prolonged economic malaise, with nega-     children and young people, a critical underlying motiva-
    tive implications for social and economic progress in many      tion of the Millennium Declaration, can only be achieved
    countries, developing and industrialized alike, still looms.    and sustained by complementing investment in the
                                                                    first decade of life with greater attention and resources
    This economic turmoil and uncertainty have raised the           applied to the second.
    spectre of fiscal austerity, particularly in some industrial-
    ized economies, resulting in a more stringent approach to       The imperative of investing in adolescence
    social spending and overseas development assistance. In         The arguments for investing in adolescence are fivefold.
    developing countries, too, public finances have tightened,      The first is that it is right in principle under existing human
    and social spending, including investments in child-related     rights treaties including the Convention on the Rights of the
    areas, has come under greater scrutiny.                         Child, which applies to around 80 per cent of adolescents,


2   THE STATE OF THE WORLD’S CHILDREN 2011
OPPORTUNITIES
and the Convention on the Elimination of All Forms of           most marginalized households and communities – fail to
Discrimination against Women, which applies to all adoles-      complete their studies or else finish with insufficient skills,
cent females.                                                   especially in those high-level competencies increasingly
                                                                required by the modern globalized economy.
Second, investing in adolescence is the most effective
way to consolidate the historic global gains achieved in        This skills deficit is contributing to bleak youth employ-
early and middle childhood since 1990. The 33 per cent          ment trends. The global economic crisis has produced a
reduction in the global under-five mortality rate, the near-
elimination of gender gaps in primary school enrolment
in several developing regions and the considerable gains
achieved in improving access to primary schooling, safe
water and critical medicines such as routine immuniza-
tions and antiretroviral drugs – all are testament to the
tremendous recent progress achieved for children in early
and middle childhood.2

But the paucity of attention and resources devoted to ado-
lescents is threatening to limit the impact of these efforts
in the second decade of an individual’s life. Evidence from
around the world shows just how precarious that decade
can be: 81,000 Brazilian adolescents, 15–19 years old, were
murdered between 1998 and 2008.3 Global net attendance
for secondary school is roughly one third lower than for
primary school.4 Worldwide, one third of all new HIV cases
involve young people aged 15–24.5 And in the developing
world, excluding China, 1 in every 3 girls gets married
before the age of 18.6 When confronted with these facts, it
is hard to avoid the question: Are our efforts in support of
children’s rights and well-being limited by a lack of support
for adolescents?

Third, investing in adolescents can accelerate the fight
against poverty, inequity and gender discrimination.
Adolescence is the pivotal decade when poverty and ineq-
uity often pass to the next generation as poor adolescent
girls give birth to impoverished children. This is particu-     A stronger focus on the second decade of life is imperative to meeting international
larly true among adolescents with low levels of education.      commitments to children and creating a more peaceful, tolerant and equitable world.
                                                                Young students in a secondary school that promotes gender equality, diversity, a culture
Almost half the world’s adolescents of the appropriate age
                                                                of peace and respect for human rights; improves social and study skills and self-esteem
do not attend secondary school.7 And when they do attend,       among students; and encourages the participation of parents and other community
many of them – particularly those from the poorest and          members, Colombia.



                                                                                                                   THE EMERGING GENERATION                 3
large cohort of unemployed youth, which in 2009 stood                                         The poorest adolescent girls are also those most likely
    at around 81 million worldwide.8 For those who are                                            to be married early, with rates of child marriage roughly
    employed, decent work is scarce: In 2010, young people                                        three times higher than among their peers from the rich-
    aged 15–24 formed around one quarter of the world’s                                           est quintile of households. Girls who marry early are also
    working poor.9 In a recent survey of international com-                                       most at risk of being caught up in the negative cycle of
    panies operating in developing countries, more than 20                                        premature childbearing, high rates of maternal mortality
    per cent considered the inadequate education of workers to                                    and morbidity and high levels of child undernutrition.
    be a significant obstacle to higher levels of corporate invest-                               And there is firm evidence to suggest that undernutrition
    ment and faster economic growth.10                                                            is among the foremost factors that undermine early child-
                                                                                                  hood development.12
    The intergenerational transmission of poverty is most appar-
    ent among adolescent girls. Educational disadvantage and                                      Adopting a life-cycle approach to child development, with
    gender discrimination are potent factors that force them into                                 greater attention given to the care, empowerment and pro-
    lives of exclusion and penury, child marriage and domestic                                    tection of adolescents, girls in particular, is the soundest
    violence. Around one third of girls in the developing world,                                  way to break the intergenerational transmission of poverty.
    excluding China, are married before age 18; in a few coun-                                    Time and again, evidence shows that educated girls are less
    tries, almost 30 per cent of girls under 15 are also married.11                               likely to marry early, less likely to get pregnant as teenag-
                                                                                                  ers, more likely to have correct and comprehensive knowl-
                                                                                                  edge of HIV and AIDS and more likely to have healthy
                                                                                                  children when they eventually become mothers. When it is
                                                                                                  of good quality and relevant to children’s lives, education
                                                                                                  empowers like nothing else, giving adolescents, both female
                                                                                                  and male, the knowledge, skills and confidence to meet the
                                                                                                  global challenges of our times.

                                                                                                  The urgent need to confront these challenges is the fourth
                                                                                                  reason for investing in adolescence. Rich and poor alike,
                                                                                                  adolescents will have to deal with the intergenerational
                                                                                                  implications of the current economic turmoil, including the
                                                                                                  structural unemployment that may persist in its wake. They
                                                                                                  will have to contend with climate change and environmen-
                                                                                                  tal degradation, explosive urbanization and migration,
                                                                                                  ageing societies and the rising cost of health care, the HIV
                                                                                                  and AIDS pandemic, and humanitarian crises of increasing
                                                                                                  number, frequency and severity.

                                                                                                  Far more so than adults, adolescents are disproportionately
                                                                                                  represented in countries where these critical challenges are
                                                                                                  likely to be most pressing: those with the lowest incomes,
                                                                                                  the highest levels of political instability and the fastest rates
                                                                                                  of urban growth; those most exposed to civil strife and nat-
                                                                                                  ural disasters and most vulnerable to the ravages of climate
                                                                                                  change. The adolesecents of these countries will need to
                                                                                                  be equipped with the skills and capacities to address such
                                                                                                  challenges as they arise throughout the century.

    The well-being and the active participation of adolescents are fundamental to the
    effectiveness of a life-cycle approach that can break the intergenerational transmission
                                                                                                  The fifth and final argument for investing in adolescence
    of poverty, exclusion and discrimination. A girl asks a question at a special assembly held   relates to the way adolescents are portrayed. This quintile
    at the Young Women’s Leadership School of East Harlem, New York City, USA.                    of the global populace is commonly referred to as the ‘next


4   THE STATE OF THE WORLD’S CHILDREN 2011
COUNTRY: HAITI


 Building back better together with young people

                                  On 12 January 2010, the central region of Haiti was         cultural preservation, education and food and water
                                  devastated by the strongest earthquake the country          security. It prioritizes the needs of pregnant women as
                                  had experienced in more than 200 years. Over 220,000        well as children’s education and health.
                                  people were killed, 300,000 were injured and 1.6
                                  million were displaced and forced to seek shelter in        A particularly notable aspect of the rebuilding process
                                  spontaneous settlements. Children, who make up              so far has been the significant role played by young
                                  nearly half the country’s total population, have suf-       people. Youth groups were critical as responders in
                                  fered acutely in the earthquake’s aftermath. UNICEF         search and rescue, first aid and essential goods trans-
                                  estimates that half of those displaced are children, and    port immediately following the earthquake. Since then,
                                  500,000 children are considered extremely vulnerable        they have been important community-based helpers,
                                  and require child protection services.                      imparting health information and building infrastructure.
 Stanley carries his 2-year-old
                                                                                              The Ecoclubes group, with chapters in the Dominican
 cousin, Marie Love, near         Almost a quarter (23 per cent) of Haiti’s population is     Republic and Haiti, has been using Pan American
 their family’s makeshift         between the ages of 10 and 19, and their situation was      Health Organization/World Health Organization materi-
 tent shelter in the Piste        extremely difficult even before the earthquake. As the      als to provide information on malaria prevention to low-
 Aviation neighbourhood           poorest nation in the Western Hemisphere, Haiti lagged      literacy communities. The Water and Youth Movement
                                  well behind the rest of Latin America and the Caribbean     initiated a campaign to raise $65,000 to train and equip
 of Port-au-Prince, Haiti.
                                  in many indicators, and even behind other least devel-      six poor communities with water pumps.
                                  oped countries throughout the world. For example, net
“A notable                        secondary school attendance in 2005–2009 stood at           In addition, UNICEF, Plan International and their part-
                                  just 20 per cent (18 per cent for boys and 21 per cent      ners facilitated the voices of 1,000 children in the Post
 aspect of
                                  for girls), compared to around 70 per cent for the region   Disaster Needs Assessment (PDNA) process. Child-
 the rebuilding                   as a whole and roughly 28 per cent for the world’s least    friendly focus group discussions were held throughout
                                  developed countries. Adolescent marriage and preg-          nine of the country’s departments. Adolescents and
 process so far
                                  nancy rates are substantially higher than in other coun-    youth who took part raised issues of gender, disability,
 has been the                     tries in the region. Among 20- to 24-year-old women         vulnerability, access to services, disaster risk reduction,
                                  surveyed in 2005–2006, nearly one third had married         and participation in decision-making and accountability
 significant role
                                  by age 18 and 48 per cent by age 20; 30 per cent gave       mechanisms for the PDNA.
 played by young                  birth for the first time before the age of 20.
                                                                                              Through partnerships that include young people,
 people.”
                                  These poor education, health and protection outcomes        programmes have been initiated to vaccinate children,
                                  are a direct result of lack of access to services and       facilitate their return to school, raise awareness of
                                  basic necessities such as water and food due to pov-        HIV and AIDS, encourage holistic community develop-
                                  erty, political instability, violence and gender-based      ment and promote sanitation. However, these and
                                  discrimination. Natural disasters have been a recurring     future efforts will require continued financial and
                                  challenge, but the recent earthquake destroyed infra-       moral commitment to overcome the host of challenges
                                  structure and lives on an unprecedented scale.              still to be tackled. One of these is meeting the press-
                                                                                              ing needs of the most disadvantaged, such as those
                                  The Government has developed an Action Plan for             who lost limbs in the earthquake.
                                  National Recovery and Development of Haiti, with
                                  the goal of addressing both short-term and long-term        Going forward, it will be critical to listen and respond
                                  needs. Working with international partners, who             to the voices of Haiti’s young people of all ages, in order
                                  pledged US$5.3 billion in the first 18 months following     to meet their needs, enable them to make the transition
                                  the earthquake and nearly $10 billion over the next         to adulthood in such turbulent times – regardless of
                                  three years, the Government is committed to rebuilding      their poverty status, urban or rural location, gender or
                                  the country to be better than its pre-earthquake state.     ability – and rebuild a stronger, more equitable Haiti.
                                  The plan focuses on all aspects of redevelopment,
                                  from physical infrastructure and institution-building to    See References, page 78.




                                                                                                                         THE EMERGING GENERATION            5
FOCUS ON

    Early and late adolescence


                                                                                     with the full support of nurturing adults at home, at school and in the com-
                                         Rim Un Jong, 10, sits in a
                                                                                     munity. Given the social taboos often surrounding puberty, it is particularly
                                         fourth-grade mathematics class
                                                                                     important to give early adolescents all the information they need to protect
                                         at Jongpyong Primary School                 themselves against HIV, other sexually transmitted infections, early preg-
                                         in the eastern province of                  nancy, sexual violence and exploitation. For too many children, such knowl-
                                         South Hamgyong, Democratic                  edge becomes available too late, if at all, when the course of their lives has
                                         People’s Republic of Korea.                 already been affected and their development and well-being undermined.

                                                                                     Late adolescence (15–19 years)

                                                                                     Late adolescence encompasses the latter part of the teenage years, broadly
                                                                                     between the ages of 15 and 19. The major physical changes have usually
                                                                                     occurred by now, although the body is still developing. The brain contin-
                                                                                     ues to develop and reorganize itself, and the capacity for analytical and
                                                                                     reflective thought is greatly enhanced. Peer-group opinions still tend to be
    The manifest gulf in experience that separates younger and older adoles-         important at the outset, but their hold diminishes as adolescents gain more
    cents makes it useful to consider this second decade of life as two parts:       clarity and confidence in their own identity and opinions.
    early adolescence (10–14 years) and late adolescence (15–19 years).
                                                                                     Risk-taking – a common feature of early to middle adolescence, as individu-
    Early adolescence (10–14 years)                                                  als experiment with ‘adult behaviour’ – declines during late adolescence, as
                                                                                     the ability to evaluate risk and make conscious decisions develops. Never-
    Early adolescence might be broadly considered to stretch between the ages        theless, cigarette smoking and experimentation with drugs and alcohol are
    of 10 and 14. It is at this stage that physical changes generally commence,      often embraced in the earlier risk-taking phase and then carried through into
    usually beginning with a growth spurt and soon followed by the develop-          later adolescence and beyond into adulthood. For example, it is estimated
    ment of the sex organs and secondary sexual characteristics. These external      that 1 in 5 adolescents aged 13–15 smokes, and around half of those who
    changes are often very obvious and can be a source of anxiety as well            begin smoking in adolescence continue to do so for at least 15 years. The
    as excitement or pride for the individual whose body is undergoing               flip side of the explosive brain development that occurs during adolescence
    the transformation.                                                              is that it can be seriously and permanently impaired by the excessive use of
                                                                                     drugs and alcohol.
    The internal changes in the individual, although less evident, are equally
    profound. Recent neuroscientific research indicates that in these early          Girls in late adolescence tend to be at greater risk than boys of negative
    adolescent years the brain undergoes a spectacular burst of electrical and       health outcomes, including depression, and these risks are often magnified
    physiological development. The number of brain cells can almost double in        by gender-based discrimination and abuse. Girls are particularly prone to
    the course of a year, while neural networks are radically reorganized, with a    eating disorders such as anorexia and bulimia; this vulnerability derives in
    consequent impact on emotional, physical and mental ability.                     part from profound anxieties over body image that are fuelled by cultural and
                                                                                     media stereotypes of feminine beauty.
    The more advanced physical and sexual development of girls – who enter
    puberty on average 12–18 months earlier than boys – is mirrored by similar       These risks notwithstanding, late adolescence is a time of opportunity,
    trends in brain development. The frontal lobe, the part of the brain that        idealism and promise. It is in these years that adolescents make their way
    governs reasoning and decision-making, starts to develop during early            into the world of work or further education, settle on their own identity and
    adolescence. Because this development starts later and takes longer in           world view and start to engage actively in shaping the world around them.
    boys, their tendency to act impulsively and to be uncritical in their thinking
    lasts longer than in girls. This phenomenon contributes to the widespread        See References, page 78.
    perception that girls mature much earlier than boys.

    It is during early adolescence that girls and boys become more keenly aware
    of their gender than they were as younger children, and they may make
    adjustments to their behaviour or appearance in order to fit in with perceived
    norms. They may fall victim to, or participate in, bullying, and they may also
    feel confused about their own personal and sexual identity.

    Early adolescence should be a time when children have a safe and clear
    space to come to terms with this cognitive, emotional, sexual and psycho-
    logical transformation – unencumbered by engagement in adult roles and


6   THE STATE OF THE WORLD’S CHILDREN 2011
generation’ of adults, the ‘future generation’ or simply ‘the     development, addressing inequity in adolescence is equally
future’. But adolescents are also firmly part of the present –    important and challenging.
living, working, contributing to households, communities,
societies and economies.                                          It is in this phase of life, the second decade, that inequi-
                                                                  ties often appear most glaringly. Disadvantage prevents the
No less than young children do they deserve protection            poorest and most marginalized adolescents from furthering
and care, essential commodities and services, opportuni-          their education with secondary schooling, and it exposes
ties and support, as well as recognition                                              them, girls in particular, to such protec-
of their existence and worth. Indeed,                                                 tion abuses as child marriage, early sex,
in some contexts – particularly with          “Children should not                    violence and domestic labour – thus
regard to child protection risks such                                                 curtailing their potential to reach their
as child marriage, commercial sexual           feel afraid or in danger               full capacity.
exploitation and children in conflict
                                               at home or in school.”
with the law – adolescents, out of all                                                 If denied their rights to quality educa-
children, may have the greatest needs.          Victor, 11, Mexico                     tion, health care, protection and par-
Yet these are precisely the areas where                                                ticipation, adolescents are very likely
investment and assistance for children                                                 to remain or become impoverished,
are often most lacking and where the least attention is paid,     excluded and disempowered – increasing, in turn, the risk
in some cases as a result of political, cultural and societal     that their children will also be denied their rights.
sensitivities. Given the strong link between protection,
education and child survival, it is clear that investing in       For these reasons, and in support of the second International
adolescents, and particularly adolescent girls, is imperative     Year of Youth, which began on 12 August 2010, UNICEF
to addressing violence, abuse and exploitation of children        has dedicated the 2011 edition of its flagship report
and women in earnest.                                             The State of the World’s Children to adolescents and
                                                                  adolescence.
These facts point to an undeniable truth: Both now and in
the coming decades, the fight against poverty, inequality and     The report begins with a brief discussion of the concept
gender discrimination will be incomplete, and its effective-      of adolescence and explains why a stronger focus on the
ness compromised, without a stronger focus on adolescent          second decade of life is imperative to meeting international
development and participation.                                    commitments to children and creating a more peaceful,
                                                                  tolerant and equitable world. It then explores the historical
This truth is known and accepted by many. In the push to          context of adolescence, underscoring the growing interna-
meet the Millennium Development Goals and other aspects           tional recognition of its relative social importance.
of the Millennium Declaration, however, there is a risk
that the needs of adolescents are not being given sufficient      The second chapter presents an in-depth appraisal of the
consideration. And their voices, though heard, are rarely         global state of adolescents, exploring where they live and the
heeded.                                                           particular challenges they face in survival and health, educa-
                                                                  tion, protection and equality.
Adolescents have long demanded that we keep the promise
made in the 2000 Millennium Declaration to create a world         The third chapter assesses the risks to their present and
of tolerance, security, peace and equity – a world fit for chil-  future well-being posed by emerging trends in economics
dren, adolescents, young people – indeed for all of us.           and employment, by climate change, demographic shifts,
                                                                  juvenile crime and violence, and threats to peace and
In recent months, UNICEF has begun to refocus its work            security.
towards achieving the Goals by redoubling its efforts in
pursuit of equity for children, giving priority to those          In its final chapter, The State of the World’s Children
most disadvantaged within countries and communities.              2011 explores ways of empowering adolescents and
While much of the initial drive of the refocus has centred        young people, preparing them for adulthood and citizen-
on promoting greater equity in young child survival and           ship and investing in their well-being, holistic develop-


                                                                                                      THE EMERGING GENERATION      7
ment and active participation. Disaggregated data from           alcohol consumption. A related idea is that of the ‘age of
    international household surveys, supplemented where              majority’: the legal age at which an individual is recog-
    appropriate by national sources, provide a rich vein of          nized by a nation as an adult and is expected to meet all
    hitherto little-used information on adolescents – mostly         responsibilities attendant upon that status. Below the age
    those in late adolescence (15–19 years) – that constitutes       of majority, an individual is still considered a ‘minor’. In
    a central feature of the report. The voices of adolescents       many countries, the age of majority is 18, which has the
    offering their own perspectives on the state of their world      virtue of being consonant with the upper threshold of the
    permeate the entire report.                                      age range for children under Article 1 of the Convention
                                                                     on the Rights of the Child.

    The complexities of defining adolescence                         In other countries, this threshold varies widely. One of the
    Adolescence is difficult to define in precise terms, for sev-    lowest national ages of majority is applied to girls in Iran,
    eral reasons. First, it is widely acknowledged that each indi-   who reach this threashold at just 9 years old, compared
    vidual experiences this period differently depending on her      with 15 for Iranian boys.15 For those countries with ages
    or his physical, emotional and cognitive maturation as well      of majority below 18, the Committee on the Rights of the
    as other contingencies. Reference to the onset of puberty,       Child, the monitoring body for the Convention, encourages
    which might be seen as a clear line of demarcation between       States parties to review this threshold and to increase the
    childhood and adolescence, cannot resolve the difficulty of      level of protection for all children under 18.
    definition.
                                                                     The age of majority is not, however, the only complicat-
    Puberty occurs at significantly different points for girls       ing factor in defining adolescence with regard to different
    and boys, as well as for different individuals of the same       national jurisdictions, as it often bears no relation to the
    sex. Girls begin puberty on average 12–18 months earlier
    than boys; the median age of girls’ first period is 12 years,
    while boys’ first ejaculation generally occurs around age
    13. Girls, however, can experience the menarche as early
    as 8 years old. Evidence shows, moreover, that puberty is
    beginning earlier than ever before – the age of puberty for
    both girls and boys has declined by fully three years over
    the past two centuries, largely due to higher standards of
    health and nutrition.13

    This means that girls in particular, but also some boys,
    are reaching puberty and experiencing some of the key
    physiological and psychological changes associated with
    adolescence before they are considered adolescents by the
    United Nations (defined as individuals 10–19 years old).
    By the same token, it is not uncommon for boys to enter
    puberty at the age of 14 or even 15, by which point they
    will have been effectively treated as adolescents within a
    school year group for at least two years, associating with
    boys and girls who are much bigger physically and more
    developed sexually.14

    The second factor that complicates any definition of
    adolescence is the wide variation in national laws setting
    minimum age thresholds for participation in activities
                                                                     Adolescence is a pivotal decade in an individual’s life that requires special attention and
    considered the preserve of adults, including voting, mar-        protection. A 12-year-old girl collects water. Since a tap was installed at the doorstep of
    riage, military participation, property ownership and            her family’s house, she says that she has more time to do her homework, Pakistan.



8   THE STATE OF THE WORLD’S CHILDREN 2011
PERSPECTIVE

Adult responsibility:
Listen to adolescents’ voices

                          In the 20 years since the Convention on the Rights of          Adolescents do not consider themselves as ‘future
                          the Child entered into force, the global community has         adults’; they want to be taken seriously now. Article 13
                          pledged to safeguard children’s rights in education,           of the Convention stipulates that children are free to
                          health, participation and protection. These rights entail      express their ideas and opinions, through any channel
                          moral and legal obligations. Governments the world             of their choice. Exercising this right not only cultivates
                          over are held accountable through the Committee on             self-confidence but also helps prepare them for the
                          the Rights of the Child for the welfare of their children.     active role of citizen.

                          Considerable progress has been made across the world           Equally important, education encourages children to
                          in reducing mortality, improving access to basic health        communicate and make their voices heard. Parents,
by Her Royal Highness
                          care and ensuring schooling for children during their          friends and family members play an essential part in
Princess Mathilde of
                          first decade of life. These accomplishments have paved         stimulating adolescents’ educational growth, as learn-
Belgium, Honorary Chair   the way for promising strides in adolescence. We have          ing extends beyond the classroom. A parent’s role as
of UNICEF Belgium and     seen increased secondary school enrolment, albeit from         mentor should not be underestimated; it deserves more
UNICEF and UNAIDS         a low base; a decline in early marriage and female gen-        support and appreciation.
Special Representative    ital mutilation/cutting; and an increase in knowledge
                          of HIV transmission. Thanks to global and local efforts        I am heartened to hear young peoples’ responses to
for Children and AIDS
                          to raise awareness, encourage dialogue and build               UNICEF Belgium’s What Do You Think? project. This
                          policy, adolescents are better protected from abuse and        effort sheds light on marginalized children: those who
                          exploitation. Still, for millions of adolescents, daily life   are disabled, live in institutions and hospitals, and
                          remains a struggle.                                            suffer from poverty. I discovered during my visits with
“Adolescents                                                                             these children that their stories are not, as one might
                          A happy upbringing – with opportunities to learn, play         expect, expressions of despair. On the contrary, many
 do not consider          and feel safe – is still a distant prospect for many.          articulate extraordinary hope for the future and eager-
 themselves as            Instead, millions of teenagers face hazardous employ-          ness to participate in the shaping of their world.
                          ment, early pregnancy and participation in armed
 ‘future adults’;         conflict. Burdened with adult roles and deprived of their      Listening to adolescents is the only way we will
 they want to be          rights as children, adolescents are exposed to protec-         understand what they expect from us. This is a critical
                          tion abuses. Denying this age group their childhood            time in a person’s growth. Let us pay close attention
 taken seriously          heightens their risk of exploitation in labour, social         to the particular needs and concerns of adolescents.
 now.”                    isolation associated with early marriage, and mortality        Let us create opportunities for them to participate in
                          or morbidity for adolescent girls from pregnancy- and          society. Let us allow them freedom and opportunity to
                          childbirth-related complications. The enormous chal-           mature into healthy adults. As the 2015 deadline for
                          lenge of protecting adolescents at this vital time in          the Millennium Development Goals draws near, every
                          their lives should not be underestimated – and adults          effort must be made to ensure the equal well-being of
                          have a crucial part to play in meeting it.                     children worldwide. Their hopes and dreams are still
                                                                                         very much alive. It is up to us to enable adolescents
                          Adolescents currently make up 18 per cent of the               to reach their full potential. Let us work together with
                          world’s population, but they receive far less attention        them to make life a positive adventure.
                          on the world stage than their numbers merit. Parents,
                          family members and local communities bear a respon-            Her Royal Highness Princess Mathilde of Belgium is
                          sibility to promote and protect adolescent development.        especially committed to children affected by and living
                          Implementing laws and pursuing concrete objectives             with HIV. In her roles as Honorary Chair of UNICEF
                          such as the Millennium Development Goals are impor-            Belgium and UNICEF and UNAIDS Special Representative
                          tant ways of building momentum towards investment              for Children and AIDS, HRH Princess Mathilde has
                          in adolescents. But if we really want these initiatives to     undertaken field trips to Africa and Asia to promote the
                          be effective, we must invite young people to be part of        well-being of vulnerable people and generate awareness
                          the solution and ensure their voices are heard.                of children’s rights.




                                                                                                                    THE EMERGING GENERATION           9
age at which individuals are legally able to perform cer-                                  The third difficulty in defining adolescence is that, irre-
     tain tasks that might be associated with adulthood. This                                   spective of the legal thresholds demarcating childhood
     ‘age of licence’ may vary from activity to activity, and                                   and adolescence from adulthood, many adolescents and
     there is certainly no internationally applicable standard.                                 young children across the world are engaged in adult
     In the United States, for example, where the age of major-                                 activities such as labour, marriage, primary caregiving
     ity is 18, adolescents can legally drive a car at 16 in most                               and conflict; assuming these roles, in effect, robs them of
     states. In contrast, young US adults are generally unable                                  their childhood and adolescence. In practice, the legal age
     to purchase alcoholic drinks until they are 21.16                                          of marriage is widely disregarded, normally to allow men
                                                                                                to marry girls who are still minors. In many countries and
     The age at which marriage is first possible may also diverge                               communities, child marriage (defined by UNICEF as mar-
     significantly from the age of majority. In many countries, a                               riage or union before age 18), adolescent motherhood,
     distinction is drawn between the age at which anyone may                                   violence, abuse and exploitation can in effect deprive girls
     legally marry and an earlier age at which it is only possible                              especially, but also boys, of any adolescence at all. Child
     to marry with parental or court permission. This is the case,                              marriage in particular is associated with high levels of
     for example, in Brazil, Chile, Croatia, New Zealand and                                    violence, social marginalization and exclusion from pro-
     Spain, where the marriageable age is normally 18 but can                                   tection services and education. A similar situation occurs
     be reduced, with parental or court permission, to 16. Many                                 with child labour, in which an estimated 150 million chil-
     other nations have set a different marriageable age for males                              dren aged 5–14 are engaged.18
     and females, normally allowing girls to marry at a younger
     age than boys. In the world’s two most populous countries,                                 Weak national birth registration complicates efforts to
     for example, the marriageable age for men is higher than                                   enforce minimum age thresholds; just 51 per cent of chil-
     that for women – 22 for men and 20 for women in China,                                     dren in the developing world (excluding China) were reg-
     and 21 for men and 18 for women in India. In other coun-                                   istered at birth for the period 2000–2009.19 Without such
     tries, such as Indonesia, minors are no longer bound by the                                registration, which is a right under the Convention on the
     age of majority once they get married.17                                                   Rights of the Child, it is almost impossible to fully protect




     Young people can be instrumental in addressing pressing issues and sharing their recommendations with the global community. On 6 July 2009, youth delegates discuss
     global issues during a working group session at the J8 Summit in Rome, Italy.



10   THE STATE OF THE WORLD’S CHILDREN 2011
ADOLESCENT VOICES

 Keeping the flame alive:
 Indigenous adolescents’ right to education and health services

                          When I look at the prospects my Térraba people face,       elsewhere. I feel sad that they have been denied their
                          my heart sinks for our dying land and drying river.        right to education and to achieve their full potential.
                          While I do not know much of the world, I know what
                          is right and wrong, and I know this harsh reality is not   Skin tone matters in Costa Rica. If equity existed
                          their fault. The flame of resistance passed on from my     here, girls in my village would have the same oppor-
                          great-grandfather to my grandfather, to my father and      tunities as the girls from other regions of the country
                          to me, symbolizes our desire to keep our community         – like better access to technology and secondary
                          alive. My hope is that our indigenous culture and          school. They would be equipped to promote and
                          language will endure.                                      protect our culture.
 by Paolo Najera, 17,
 Indigenous Térraba,      The problem is, my brothers are afraid to live as          I hope for a time when people will be truly interested
                          Térraba Indians. Outside pressures, like teasing,          in listening to and providing for indigenous people, a
 Costa Rica
                          discrimination and disregard for our basic rights have     time when I would not be one of the few indigenous
                          nearly brought our centuries-old struggle for survival     youth to write an essay such as this one, hoping that
                          to its breaking point. In addition, the country’s eight    it be read and understood. With real equity we would
“We just ask for          indigenous communities,* including mine, have not          have permanent health centres in indigenous territo-
 respect for our          been given adequate schools or proper health centres,      ries, and our secondary education would include les-
                          nor has the integrity of our land been respected.          sons in our own culture and language as part of the
 basic human rights                                                                  core curriculum. In spite of being pushed to forget
 – the respect that       We want our lifestyle to be protected and our territory    our language and to be ashamed of our way of
                          not to be invaded by industrial companies that destroy     life, we hold on to our dreams and our will to be
 every human being        the harmony we have preserved – harmony paid for           indigenous Térraba.
 deserves in this         with the bloodshed our people have suffered. This,
                          however, does not mean we want to be excluded              Paolo Najera was recently forced to leave school
 world.”                  from the world. We just ask for respect for our basic      because of the effects of the economic crisis on his com-
                          human rights – the respect that every human being          munity and family. Paolo’s aim is to work in development
                          deserves in this world. We ask to be seen and              in order to improve life for indigenous communities, such
                          listened to.                                               as his own, in Costa Rica.

                          Thanks to my beloved Térraba school, I am proud to
                          be one of the first and few of my indigenous group to           *Costa Rica has eight officially recognized
                          attain higher education and attend university in my             indigenous peoples – the Bribris, Cabécares,
                          country. The education system in Costa Rica is insuf-           Brunkas, Ngobe or Guaymi, Huetares,
                          ficient, and it is worse still for indigenous communi-          Chorotegas, Malekus and Teribes or Térrabas
                          ties. Inequality is pervasive in the classroom, and the         – about half of whom live in 24 indigenous
                          system seeks to preserve neither our identity nor our           territories. They make up an indigenous
                          existence as Indians. I see the Government’s lack of            population of 63,876 (1.7 per cent of the
                          investment in indigenous culture reflected in teachers          country’s total population). The Térraba,
                          giving lessons using outdated materials or teaching             descendants of Teribes from the Atlantic
                          under a tree. I think the Government does not see               coast of Panama forced by missionaries
                          the assets education can bring to our country, nor the          to migrate to Costa Rica in the late 17th
                          benefit of investing in education for indigenous youth.         century, are the second-smallest of these
                                                                                          groups, with a population of 621 according
                          In order to provide quality education, our teachers             to the national census of 2000. Their territory
                          must be provided with proper classrooms and new                 is located in the Boruca-Terre reserve, in the
                          textbooks. If only the children in my village could             canton of Buenos Aires, in the southern part
                          access the world through a computer as do children              of Costa Rica.




                                                                                                               THE EMERGING GENERATION           11
the rights of adolescents or to prosecute cases of unlawful     Such precepts were first expressed in the international
     premature entry into adult roles such as marriage, labour       arena in the first half of the 20th century, through trea-
     and military service, when the exact age of the child or        ties that sought to protect children from exploitative and
     adolescent plaintiff cannot be determined.                      harmful labour. The first conventions drawn up by the
                                                                     International Labour Organization after the First World
     Adolescents and adolescence in the                              War had the goal of protecting child labourers, most
     international arena                                             of whom were over the age of 10. These included the
     Although there is no internationally accepted definition        International Labour Office (ILO) Convention No. 6,
     of adolescence, the United Nations defines adolescents          Night Work of Young Persons (Industry) Convention of
     as individuals aged 10–19: in effect, those in the second       1919, and ILO Convention No. 10, the Minimum Age
     decade of their lives.20 This is the definition that applies    (Agriculture) Convention of 1921. The first convention
     to much of the analysis and policy advocacy presented in        cited here stipulated 16 as the age limit for work in speci-
     this report. While the term ‘adolescents’ is not mentioned      fied hazardous industrial settings, while the second placed
     in international conventions, declarations or treaties, all     clear limits on children’s participation in public and pri-
     adolescents have rights under the Universal Declaration of      vate work settings. Most other international legislation
     Human Rights and other major human rights covenants             introduced between the world wars did not, however,
     and treaties. Most of them are also covered under the           explicitly specify rights for children or adolescents as
     Convention on the Rights of the Child, and adolescent girls     distinct from those of adults.
     are also protected under the Convention on the Elimination
     of All Forms of Discrimination against Women (CEDAW),           After the Second World War, the burgeoning movement
     the Beijing Platform for Action, and regional instruments       for children’s rights focused its attention on gaining special
     such as the Protocol to the African Charter on Human and        recognition for children and adolescents within the newly
     People’s Rights on the Rights of Women in Africa.               formed United Nations. This was achieved in 1959 with the
                                                                     Declaration of the Rights of the Child, which was signifi-
     Defining adolescence as the second decade of an individu-       cant in establishing legal provisions to safeguard children’s
     al’s life makes it possible to collect age-based data for the   well-being rather than presuming that this could simply be
     purpose of analysing this transitional period. Today, it is     met under the general principles of the major human rights
     widely acknowledged that adolescence is a phase separate        instruments. Children’s welfare, rather than their political,
     from both early childhood and adulthood, a period that          economic, civic and social rights, was the principal motiva-
     requires special attention and protection. This was not the     tion behind the push for the Declaration.
     case for most of human history.
                                                                     Two decades later, the UN declared 1979 to be the
     Widespread acceptance of the importance of adolescence          International Year of the Child, and this was swiftly fol-
     is relatively recent. Indeed, many societies and communi-       lowed by the first International Youth Year, in 1985. These
     ties still barely demarcate the line between childhood and      initiatives raised the profile of global efforts to promote
     adulthood. Adolescents, and often even younger children,        and protect the interests of children and young people. At
     are expected to work, pay their own way and even bear           the same time, advocates for children were busy drawing
     arms. In this sense, they are regarded as smaller, less-        up an overarching human rights treaty for children by
     developed adults.                                               which all States parties would be bound. The Convention
                                                                     on the Rights of the Child, a decade in the drafting, was
     In other societies, however, the transition from childhood      finally adopted by the United Nations General Assembly
     to adulthood has been, or still is, marked by some rite of      on 20 November 1989.
     passage, acknowledging the moment when the individual
     is expected to assume the independence, responsibilities,       The treaty fulfilled all those hopes with its comprehensive-
     expectations and privileges attached to full adulthood.         ness and far-sightedness. The rights of all young children
     Integral to the notion of a rite of passage is the sense that   and adolescents under age 18 were expressed in such a
     childhood is a separate space and time from the rest of         way as to not only protect their welfare but also give them
     human life, one that needs to be treated with special care      a central place as rights holders, providing an ethical basis
     and consideration.                                              for their active participation in all aspects of their lives.


12   THE STATE OF THE WORLD’S CHILDREN 2011
COUNTRY: JORDAN


 Ensuring productive work for youth

                                  Jordan is a lower-middle-income country with an          For instance, the National Social and Economic
                                  average gross national income per capita in 2009         Development Plan for 2004–2006 aimed at reduc-
                                  of US$3,740. Owing to the country’s limited natural      ing poverty and unemployment. Section I of the plan
                                  resources, its economy is dominated by commerce          emphasized the need to address human resource
                                  and services, which account for more than 70 per         development, including public education, higher educa-
                                  cent of gross domestic product (GDP) and more than       tion, vocational and technical training and youth care.
 Adolescents attend a             75 per cent of jobs. Over the past decade, the country   Its successor, the National Agenda for 2006–2015,
 computer-skills training         has enjoyed unprecedented growth, with real GDP          focuses on reforming institutional frameworks. The
 session at a social centre for   growth averaging 6.4 per cent yearly between 2003        Government has also strengthened collaborative
 youth in Amman, Jordan.          and 2007. This has been accompanied by improve-          efforts with partner and donor agencies. One example
                                  ments in social development indicators, particularly     is the development of an Internet-based labour market
                                  health and education.                                    information system with the support of the Canadian
“Almost 60                                                                                 International Development Agency. Managed by the
                                  Nevertheless, Jordan still faces some key challenges.    National Centre for Human Resources Development,
 per cent of the
                                  There is significant income disparity: Almost 14 per     the project links employers with job seekers and also
 job seekers in                   cent of the population lives below the poverty line,     has a professional career-counselling component.
                                  and between 1995 and 2007 the lowest 40 per cent
 Jordan are below
                                  of income earners earned less than a fifth (18 per       Partner agencies have also taken steps to increase
 the age of 25.”                  cent) of the total income in the country. There are      employment opportunities among young people. For
                                  also high rates of unemployment, particularly among      instance, Mustaqbali (‘My Future’ in Arabic) was
                                  the young. While Jordan’s overall unemployment rate      launched jointly by UNICEF and Save the Children
                                  is 15 per cent, the rate among young people is almost    in 2009 to increase opportunities for adolescents
                                  32 per cent. Nearly 70 per cent of the population is     between the ages of 15 and 19 to learn and develop
                                  under the age of 30, and adolescents accounted for       skills that will ultimately enable them to improve
                                  almost 22 per cent of the total population in 2009.      their livelihoods and household economic security. It
                                  With an annual growth rate of 3.3 per cent between       delivers an integrated package of career exploration
                                  2000 and 2009, Jordan’s population is one of the         and preparedness activities to adolescents at vari-
                                  fastest growing in the world.                            ous youth and women’s centres, and also includes
                                                                                           a community awareness component specifically for
                                  According to a 2005 study by the European Training       parents of adolescents, as well as sensitization ses-
                                  Foundation, almost 60 per cent of the job seekers in     sions with private sector employers. The project has
                                  Jordan are below the age of 25. The main causes          been implemented in a number of regions, as well as
                                  of youth unemployment are lack of career guidance        at the Jerash camp for Palestinian refugees (known
                                  counselling, lack of opportunities to find satisfying    locally as the Gaza camp), and has reached more
                                  work following graduation, the difficulty of obtaining   than 250 adolescents, half of them girls. Currently,
                                  jobs compatible with qualifications, the mismatch        discussions are ongoing with various stakeholders,
                                  between the skills of graduates and the needs of         including the Government, to scale up the programme
                                  employers, social and cultural obstacles to the full     at a national level.
                                  integration of women into the labour market and the
                                  wider international economic situation. The risk of      Addressing unemployment and poverty remains a
                                  being unemployed is greater for women, despite their     critical concern for Jordan. A key part of any solution
                                  higher educational achievements. Currently, less than    to this problem will be increasing the participation of
                                  12 per cent of women participate in the economic         women in the labour market. Preparing young people
                                  sector, putting Jordan close to the bottom of the list   for employment and creating opportunities in the
                                  of Arab countries in female economic participation.      public and private sectors will have both economic
                                                                                           and social returns.
                                  The Government of Jordan has engaged in a number
                                  of policy initiatives to address these challenges.       See References, page 78.




                                                                                                                      THE EMERGING GENERATION        13
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“The State of the World’s Children 2011: Adolescence – An Age of Opportunity” (UNICEF) 2011

  • 1. THE STATE OF THE WORLD’S CHILDREN 2011 Adolescence An Age of Opportunity
  • 2. © United Nations Children’s Fund (UNICEF) United Nations Children’s Fund February 2011 3 United Nations Plaza New York, NY 10017, USA Permission to reproduce any part of this publication is required. Email: pubdoc@unicef.org Please contact: Website: www.unicef.org Division of Communication, UNICEF 3 United Nations Plaza, New York, NY 10017, USA Cover photo Tel: (+1-212) 326-7434 © UNICEF/NYHQ2006-1326/Versiani Email: nyhqdoc.permit@unicef.org Permission will be freely granted to educational or non-profit organizations. Others will be requested to pay a small fee. Commentaries represent the personal views of the authors and do not necessarily reflect positions of the United Nations Children’s Fund. The essays presented here are a selection of those received in mid-2010; the full series is available on the UNICEF website at <www.unicef.org/sowc2011> For any corrigenda found subsequent to printing, please visit our website at <www.unicef.org/publications> For any data updates subsequent to printing, please visit <www.childinfo.org> ISBN: 978-92-806-4555-2 Sales no.: E.11.XX.1
  • 3. THE STATE OF THE WORLD’S CHILDREN 2011
  • 4. Acknowledgements This report was produced with the invaluable guidance and contributions of many individuals, both inside and outside of UNICEF. Important contributions for country panels were received from the following UNICEF field offices: Côte d’Ivoire, Ethiopia, Haiti, India, Jordan, Mexico, Philippines, Ukraine and the US Fund for UNICEF. Input was also received from UNICEF regional offices and the World Health Organization’s Adolescent Health and Development Team. Special thanks also to UNICEF’s Adolescent Development and Participation Unit for their contributions, guidance and support. And thanks to adolescents from around the world who contributed quotations and other submissions for the print report and the website. The State of the World’s Children 2011 invited adult and adolescent contributors from a variety of stakeholder groups to give their perspectives on the distinct challenges adolescents face today in protection, education, health and participation. Our gratitude is extended to the contributors presented in this report: His Excellency Mr. Anote Tong, President of the Republic of Kiribati; Her Royal Highness Princess Mathilde of Belgium; Her Highness Sheikha Mozah bint Nasser Al Missned; Emmanuel Adebayor; Saeda Almatari; Regynnah Awino; Meenakshi Dunga; Lara Dutta; Maria Eitel; Brenda Garcia; Urs Gasser; Nyaradzayi Gumbonzvanda; Colin Maclay; Cian McLeod; Paolo Najera; John Palfrey; Aown Shahzad; and Maria Sharapova. These essays represent a selection of the full series of Perspectives available at <www.unicef.org/sowc2011>. Special thanks also to Ayman Abulaban; Gloria Adutwum; Rita Azar; Gerrit Beger; Tina Bille; Soha Bsat Boustani; Marissa Buckanoff; Abubakar Dungus; Abdel Rahman Ghandour; Omar Gharzeddine; Shazia Hassan; Carmen Higa; Donna Hoerder; Aristide Horugavye; Oksana Leshchenko; Isabelle Marneffe; Francesca Montini; Jussi Ojutkangas; and Arturo Romboli for their assistance with the Perspectives essay series and Technology panels. Special thanks also to Meena Cabral de Mello of WHO’s Adolescent Health and Development Team for her assistance with the panel on adolescent mental health. EDITORIAL AND RESEARCH STATISTICAL TABLES David Anthony, Editor; Chris Brazier, Principal Writer; Tessa Wardlaw, Associate Director, Statistics and Maritza Ascencios; Marilia Di Noia; Hirut Gebre- Monitoring Section, Division of Policy and Practice; Egziabher; Anna Grojec; Carol Holmes; Tina Johnson; Priscilla Akwara; David Brown; Danielle Burke; Robert Lehrman; Céline Little; Charlotte Maitre; Xiaodong Cai; Claudia Cappa; Liliana Carvajal; Meedan Mekonnen; Kristin Moehlmann; Baishalee Archana Dwivedi; Anne Genereaux; Rouslan Karimov; Nayak; Arati Rao; Anne Santiago; Shobana Shankar; Rolf Luyendijk; Nyein Nyein Lwin; Colleen Murray; Julia Szczuka; Jordan Tamagni; Judith Yemane Holly Newby; Elizabeth Hom-Phathanothai; Khin Wityee Oo; Danzhen You PRODUCTION AND DISTRIBUTION Jaclyn Tierney, Production Officer; Edward Ying, Jr.; PROGRAMME, AND POLICY AND Germain Ake; Fanuel Endalew; Eki Kairupan; Farid COMMUNICATION GUIDANCE Rashid; Elias Salem UNICEF Programme Division, Division of Policy and Practice, Division of Communication, and Innocenti TRANSLATION Research Centre, with particular thanks to Saad Houry, French edition: Marc Chalamet Deputy Executive Director; Hilde Frafjord Johnson, Spanish edition: Carlos Perellón Deputy Executive Director; Nicholas Alipui, Director, Programme Division; Richard Morgan, Director, Division MEDIA AND OUTREACH of Policy and Practice; Khaled Mansour, Director, Christopher de Bono; Kathryn Donovan; Erica Falkenstein; Division of Communication; Maniza Zaman, Deputy Janine Kandel; Céline Little; Lorna O’Hanlon Director, Programme Division; Dan Rohrmann, Deputy Director, Programme Division; Susan Bissell, Associate INTERNET BROADCAST AND IMAGE SECTION Director, Programme Division; Rina Gill, Associate Director, Division of Policy and Practice; Wivina Stephen Cassidy; Matthew Cortellesi; Keith Musselman; Belmonte, Deputy Director, Division of Communication; Ellen Tolmie; Tanya Turkovich Catherine Langevin-Falcon; Naseem Awl; Paula Claycomb; Beatrice Duncan; Vidar Ekehaug; Maria DESIGN AND PRE-PRESS PRODUCTION Cristina Gallegos; Victor Karunan; and Mima Perisic. Prographics, Inc. PRINTING Hatteras Press ii THE STATE OF THE WORLD’S CHILDREN 2011
  • 5. Foreword Last year, a young woman electrified a United Nations cause of death for teenage girls; the pressures that keep consultation on climate change in Bonn, simply by asking 70 million adolescents out of school; exploitation, violent the delegates, “How old will you be in 2050?” conflict and the worst kind of abuse at the hands of adults. The audience applauded. The next day, hundreds of It also examines the dangers posed by emerging trends delegates wore T-shirts emblazoned with that question – like climate change, whose intensifying effects in many including the Chair, who admitted that in 2050 he would developing countries already undermine so many adoles- be 110, and not likely to see the results of our failure to cents’ well-being, and by labour trends, which reveal a act. The young woman’s message was clear: The kind of profound lack of employment opportunities for young world she will live in someday relies both on those who people, especially those in poor countries. inherit it and on those who bequeath it to them. Adolescence is not only a time of vulnerability, it is also an The State of the World’s Children 2011 echoes and builds on age of opportunity. This is especially true when it comes to this fundamental insight. Today, 1.2 billion adolescents stand adolescent girls. We know that the more education a girl at the challenging crossroads between childhood and the adult receives, the more likely she is to postpone marriage and world. Nine out of ten of these young people live in the de- motherhood – and the more likely it is that her children veloping world and face especially profound challenges, from will be healthier and better educated. By giving all young obtaining an education to simply staying alive – challenges people the tools they need to improve their own lives, and that are even more magnified for girls and young women. by engaging them in efforts to improve their communities, we are investing in the strength of their societies. In the global effort to save children’s lives, we hear too little about adolescence. Given the magnitude of the threats to Through a wealth of concrete examples, The State of children under the age of five, it makes sense to focus invest- the World’s Children 2011 makes clear that sustainable ment there – and that attention has produced stunning suc- progress is possible. It also draws on recent research to cess. In the last 20 years, the number of children under five show that we can achieve that progress more quickly and dying every day from preventable causes has been cut by one cost-effectively by focusing first on the poorest children third, from 34,000 in 1990 to around 22,000 in 2009. in the hardest-to-reach places. Such a focus on equity will help all children, including adolescents. Yet consider this: In Brazil, decreases in infant mortality be- tween 1998 and 2008 added up to over 26,000 children’s How can we delay? Right now, in Africa, a teenager weighs lives saved – but in that same decade, 81,000 Brazilian the sacrifices she must make to stay in the classroom. An- adolescents, 15–19 years old, were murdered. Surely, we do other desperately tries to avoid the armed groups that may not want to save children in their first decade of life only to force him to join. In South Asia, a pregnant young woman lose them in the second. waits, terrified, for the day when she will give birth alone. This report catalogues, in heart-wrenching detail, the array The young woman who asked the question in Bonn, along of dangers adolescents face: the injuries that kill 400,000 of with millions of others, waits not only for an answer, but them each year; early pregnancy and childbirth, a primary for greater action. By all of us. © UNICEF/NYHQ2010-0697/Markisz Anthony Lake Executive Director, UNICEF FOREWORD iii
  • 6. CONTENTS Acknowledgements ..............................................................................ii Panels COUNTRY Foreword Anthony Lake, Executive Director, UNICEF .......................................iii Haiti: Building back better together with young people .................. 5 Jordan: Ensuring productive work for youth .................................. 13 1 The Emerging Generation ....................................vi India: Risks and opportunities for the world’s largest national cohort of adolescents ............................................ 23 The complexities of defining adolescence .........................................8 Ethiopia: Gender, poverty and the challenge for adolescents ...... 35 Adolescents and adolescence in the international arena ...............12 Mexico: Protecting unaccompanied migrant adolescents............. 39 Ukraine: Establishing a protective environment 2 for vulnerable children ...................................................................... 44 Realizing the Rights of Adolescents ...........16 The Philippines: Strengthening the participation rights of adolescents ......................................................................... 48 Health in adolescence ....................................................................... 19 Survival and general health risks..................................................... 19 United States: The Campus Initiative – Advocating for children’s rights at colleges and universities ............................ 73 Nutritional status ............................................................................... 21 Sexual and reproductive health matters ......................................... 22 Côte d’Ivoire: Violent conflict and the vulnerability of adolescents .................................................................................... 77 HIV and AIDS ..................................................................................... 24 Adolescent-friendly health services ................................................. 26 TECHNOLOGY Education in adolescence ................................................................. 26 Gender and protection in adolescence............................................ 31 Digital natives and the three divides to bridge, by John Palfrey, Urs Gasser, Colin Maclay and Gerrit Beger........ 14 Violence and abuse ........................................................................... 31 Adolescent marriage ......................................................................... 33 Young people, mobile phones and the rights of adolescents, by Graham Brown ............................................................................. 36 Female genital mutilation/cutting .................................................... 33 Child labour ........................................................................................ 33 Digital safety for young people: Gathering information, creating new models and understanding Initiatives on gender and protection................................................ 34 existing efforts, by John Palfrey, Urs Gasser, 3 Colin Maclay and Gerrit Beger ......................................................... 50 Global Challenges for Adolescents ............. 40 Map Kibera and Regynnah’s empowerment, by Regynnah Awino and the Map Kibera ....................................... 70 Climate change and the environment ............................................. 42 Poverty, unemployment and globalization ..................................... 45 FOCUS ON Juvenile crime and violence ............................................................. 52 Early and late adolescence ................................................................. 6 Conflict and emergency settings ..................................................... 57 Demographic trends for adolescents: Ten key facts ...................... 20 4 Adolescent mental health: An urgent challenge for investigation and investment ..................................................... 27 Investing in Adolescents ..................................... 60 Inequality in childhood and adolescence in rich countries – Improve data collection and analysis .............................................. 63 Innocenti Report Card 9: The children left behind ......................... 30 Invest in education and training ...................................................... 64 Migration and children: A cause for urgent attention.................... 56 Institutionalize mechanisms for youth participation ...................... 68 Preparing adolescents for adulthood and citizenship .................... 66 A supportive environment ................................................................ 71 Addressing poverty and inequity ..................................................... 72 Working together for adolescent girls: The United Nations Adolescent Girls Task Force ............................................................. 75 Working together for adolescents.................................................... 75 iv THE STATE OF THE WORLD’S CHILDREN 2011
  • 7. THE STATE OF THE WORLD’S CHILDREN 2011 Adolescence: An Age of Opportunity Essays 2.3 Anaemia is a significant risk for adolescent girls (15–19) in sub-Saharan Africa and South Asia ...................................... 21 PERSPECTIvES 2.4 Underweight is a major risk for adolescent girls (15–19) Her Royal Highness Princess Mathilde of Belgium, in sub-Saharan Africa and South Asia ...................................... 21 Adult responsibility: Listen to adolescents’ voices .......................... 9 Nyaradzayi Gumbonzvanda, Facing the challenge: 2.5 Young males in late adolescence (15–19) are more Reproductive health for HIV-positive adolescents.......................... 28 likely to engage in higher risk sex than females of the same age group .......................................................................... 24 Maria Sharapova, Chernobyl 25 years later: Remembering adolescents in disaster ............................................ 38 2.6 Young women in late adolescence (15–19) are more likely to seek an HIV test and receive their results than young men President Anote Tong of the Republic of Kiribati, of the same age group ............................................................... 25 The effects of climate change in Kiribati: A tangible threat to adolescents ...................................................... 47 2.7 Marriage by age of first union in selected Emmanuel Adebayor, Advocacy through sports: countries with available disaggregated data............................ 34 Stopping the spread of HIV among young people......................... 54 3.1 Word cloud illustrating key international youth Her Highness Sheikha Mozah bint Nasser Al Missned, forums on climate change.......................................................... 45 Releasing the potential of adolescents: Education reform in the Middle East and North Africa region ....................... 58 3.2 Global trends in youth unemployment ..................................... 46 Lara Dutta, Doing our part: Mass media’s responsibility to adolescents .................................................................................... 69 References.................................................................................. 78 Maria Eitel, Adolescent girls: The best investment you can make ..................................................................................... 74 Statistical Tables ............................................................... 81 Under-five mortality rankings........................................................... 87 ADOLESCENT vOICES Table 1. Basic indicators ................................................................... 88 Paolo Najera, 17, Costa Rica, Keeping the flame alive: Table 2. Nutrition ............................................................................... 92 Indigenous adolescents’ right to education and health services ... 11 Table 3. Health ................................................................................... 96 Meenakshi Dunga, 16, India, Act responsibly: Table 4. HIV/AIDS ............................................................................. 100 Nurse our planet back to health ....................................................... 32 Table 5. Education ........................................................................... 104 Brenda Garcia, 17, Mexico, Reclaim Tijuana: Table 6. Demographic indicators ................................................... 108 Put an end to drug-related violence ................................................ 53 Table 7. Economic indicators.......................................................... 112 Cian McLeod, 17, Ireland, Striving for equity: Table 8. Women ............................................................................... 116 A look at marginalized adolescents in Zambia ............................... 57 Table 9. Child protection ................................................................. 120 Saeda Almatari, 16, Jordan/United States, Table 10. The rate of progress........................................................ 126 Unrealistic media images: A danger to adolescent girls ............... 65 Table 11. Adolescents...................................................................... 130 Syed Aown Shahzad, 16, Pakistan, From victims to activists: Table 12. Equity................................................................................ 134 Children and the effects of climate change in Pakistan ................. 76 Figures 2.1 Adolescent population (10–19 years) by region, 2009 ............. 20 2.2 Trends in the adolescent population, 1950–2050 ..................... 20 CONTENTS v
  • 8. A keener focus on the development and human rights of adolescents would both enhance and accelerate the fight against poverty, inequality and gender discrimination. Hawa, 12 (at left), recently re-enrolled in school following the intervention of the National Network of Mothers’ Associations for Girls, which advocates for girls’ education, Cameroon. CHAPTER 1 The Emerging Generation THE STATE OF THE WORLD’S CHILDREN 2011
  • 9. GLOBAL CHALLENGES FOR ADOLESCENTS 1
  • 10. CHALLENGES AND Adolescence is an age of opportunity for children, and a pivotal time for us to build on their development in the first decade of life, to help them navigate risks and vulnerabilities, and to set them on the path to fulfilling their potential. The world is home to 1.2 billion individuals aged 10–19 In this context, the conventional wisdom might dictate that years.1 These adolescents have lived most or all of their most resources be devoted to children and young people in lives under the Millennium Declaration, the unprecedented the first decade of their lives. After all, that is when they global compact that since 2000 has sought a better world are most vulnerable to death, disease and undernutrition; for all. when the effects of unsafe water and poor sanitation pose the greatest threat to their lives; and when the absence of Many of their number have benefited from the gains in education, protection and care can have the most pernicious child survival, education, access to safe water, and other lifetime implications. areas of development that stand as concrete successes of the drive to meet the Millennium Development Goals, the In contrast, adolescents are generally stronger and human development targets at the core of the Declaration. healthier than younger children; most have already ben- But now they have arrived at a pivot- efited from basic education; and many al moment in their lives – just as the are among the hardest and, potentially, world as a whole is facing a critical “I want to participate in most costly to reach with essential moment in this new millennium. developing my country services and protection. It hardly seems judicious, in these fiscally straitened In just three years, confidence in and promoting human times, to focus greater attention on the world economy has plummeted. rights for people all them. Unemployment has risen sharply, and real household incomes have fallen or over the world.” Such reasoning, though seemingly stagnated. At the time of writing, in sound in theory, is flawed for several Amira, 17, Egypt late 2010, the global economic out- reasons, all stemming from one critical look remains highly uncertain, and notion: Lasting change in the lives of the possibility of a prolonged economic malaise, with nega- children and young people, a critical underlying motiva- tive implications for social and economic progress in many tion of the Millennium Declaration, can only be achieved countries, developing and industrialized alike, still looms. and sustained by complementing investment in the first decade of life with greater attention and resources This economic turmoil and uncertainty have raised the applied to the second. spectre of fiscal austerity, particularly in some industrial- ized economies, resulting in a more stringent approach to The imperative of investing in adolescence social spending and overseas development assistance. In The arguments for investing in adolescence are fivefold. developing countries, too, public finances have tightened, The first is that it is right in principle under existing human and social spending, including investments in child-related rights treaties including the Convention on the Rights of the areas, has come under greater scrutiny. Child, which applies to around 80 per cent of adolescents, 2 THE STATE OF THE WORLD’S CHILDREN 2011
  • 11. OPPORTUNITIES and the Convention on the Elimination of All Forms of most marginalized households and communities – fail to Discrimination against Women, which applies to all adoles- complete their studies or else finish with insufficient skills, cent females. especially in those high-level competencies increasingly required by the modern globalized economy. Second, investing in adolescence is the most effective way to consolidate the historic global gains achieved in This skills deficit is contributing to bleak youth employ- early and middle childhood since 1990. The 33 per cent ment trends. The global economic crisis has produced a reduction in the global under-five mortality rate, the near- elimination of gender gaps in primary school enrolment in several developing regions and the considerable gains achieved in improving access to primary schooling, safe water and critical medicines such as routine immuniza- tions and antiretroviral drugs – all are testament to the tremendous recent progress achieved for children in early and middle childhood.2 But the paucity of attention and resources devoted to ado- lescents is threatening to limit the impact of these efforts in the second decade of an individual’s life. Evidence from around the world shows just how precarious that decade can be: 81,000 Brazilian adolescents, 15–19 years old, were murdered between 1998 and 2008.3 Global net attendance for secondary school is roughly one third lower than for primary school.4 Worldwide, one third of all new HIV cases involve young people aged 15–24.5 And in the developing world, excluding China, 1 in every 3 girls gets married before the age of 18.6 When confronted with these facts, it is hard to avoid the question: Are our efforts in support of children’s rights and well-being limited by a lack of support for adolescents? Third, investing in adolescents can accelerate the fight against poverty, inequity and gender discrimination. Adolescence is the pivotal decade when poverty and ineq- uity often pass to the next generation as poor adolescent girls give birth to impoverished children. This is particu- A stronger focus on the second decade of life is imperative to meeting international larly true among adolescents with low levels of education. commitments to children and creating a more peaceful, tolerant and equitable world. Young students in a secondary school that promotes gender equality, diversity, a culture Almost half the world’s adolescents of the appropriate age of peace and respect for human rights; improves social and study skills and self-esteem do not attend secondary school.7 And when they do attend, among students; and encourages the participation of parents and other community many of them – particularly those from the poorest and members, Colombia. THE EMERGING GENERATION 3
  • 12. large cohort of unemployed youth, which in 2009 stood The poorest adolescent girls are also those most likely at around 81 million worldwide.8 For those who are to be married early, with rates of child marriage roughly employed, decent work is scarce: In 2010, young people three times higher than among their peers from the rich- aged 15–24 formed around one quarter of the world’s est quintile of households. Girls who marry early are also working poor.9 In a recent survey of international com- most at risk of being caught up in the negative cycle of panies operating in developing countries, more than 20 premature childbearing, high rates of maternal mortality per cent considered the inadequate education of workers to and morbidity and high levels of child undernutrition. be a significant obstacle to higher levels of corporate invest- And there is firm evidence to suggest that undernutrition ment and faster economic growth.10 is among the foremost factors that undermine early child- hood development.12 The intergenerational transmission of poverty is most appar- ent among adolescent girls. Educational disadvantage and Adopting a life-cycle approach to child development, with gender discrimination are potent factors that force them into greater attention given to the care, empowerment and pro- lives of exclusion and penury, child marriage and domestic tection of adolescents, girls in particular, is the soundest violence. Around one third of girls in the developing world, way to break the intergenerational transmission of poverty. excluding China, are married before age 18; in a few coun- Time and again, evidence shows that educated girls are less tries, almost 30 per cent of girls under 15 are also married.11 likely to marry early, less likely to get pregnant as teenag- ers, more likely to have correct and comprehensive knowl- edge of HIV and AIDS and more likely to have healthy children when they eventually become mothers. When it is of good quality and relevant to children’s lives, education empowers like nothing else, giving adolescents, both female and male, the knowledge, skills and confidence to meet the global challenges of our times. The urgent need to confront these challenges is the fourth reason for investing in adolescence. Rich and poor alike, adolescents will have to deal with the intergenerational implications of the current economic turmoil, including the structural unemployment that may persist in its wake. They will have to contend with climate change and environmen- tal degradation, explosive urbanization and migration, ageing societies and the rising cost of health care, the HIV and AIDS pandemic, and humanitarian crises of increasing number, frequency and severity. Far more so than adults, adolescents are disproportionately represented in countries where these critical challenges are likely to be most pressing: those with the lowest incomes, the highest levels of political instability and the fastest rates of urban growth; those most exposed to civil strife and nat- ural disasters and most vulnerable to the ravages of climate change. The adolesecents of these countries will need to be equipped with the skills and capacities to address such challenges as they arise throughout the century. The well-being and the active participation of adolescents are fundamental to the effectiveness of a life-cycle approach that can break the intergenerational transmission The fifth and final argument for investing in adolescence of poverty, exclusion and discrimination. A girl asks a question at a special assembly held relates to the way adolescents are portrayed. This quintile at the Young Women’s Leadership School of East Harlem, New York City, USA. of the global populace is commonly referred to as the ‘next 4 THE STATE OF THE WORLD’S CHILDREN 2011
  • 13. COUNTRY: HAITI Building back better together with young people On 12 January 2010, the central region of Haiti was cultural preservation, education and food and water devastated by the strongest earthquake the country security. It prioritizes the needs of pregnant women as had experienced in more than 200 years. Over 220,000 well as children’s education and health. people were killed, 300,000 were injured and 1.6 million were displaced and forced to seek shelter in A particularly notable aspect of the rebuilding process spontaneous settlements. Children, who make up so far has been the significant role played by young nearly half the country’s total population, have suf- people. Youth groups were critical as responders in fered acutely in the earthquake’s aftermath. UNICEF search and rescue, first aid and essential goods trans- estimates that half of those displaced are children, and port immediately following the earthquake. Since then, 500,000 children are considered extremely vulnerable they have been important community-based helpers, and require child protection services. imparting health information and building infrastructure. Stanley carries his 2-year-old The Ecoclubes group, with chapters in the Dominican cousin, Marie Love, near Almost a quarter (23 per cent) of Haiti’s population is Republic and Haiti, has been using Pan American their family’s makeshift between the ages of 10 and 19, and their situation was Health Organization/World Health Organization materi- tent shelter in the Piste extremely difficult even before the earthquake. As the als to provide information on malaria prevention to low- Aviation neighbourhood poorest nation in the Western Hemisphere, Haiti lagged literacy communities. The Water and Youth Movement well behind the rest of Latin America and the Caribbean initiated a campaign to raise $65,000 to train and equip of Port-au-Prince, Haiti. in many indicators, and even behind other least devel- six poor communities with water pumps. oped countries throughout the world. For example, net “A notable secondary school attendance in 2005–2009 stood at In addition, UNICEF, Plan International and their part- just 20 per cent (18 per cent for boys and 21 per cent ners facilitated the voices of 1,000 children in the Post aspect of for girls), compared to around 70 per cent for the region Disaster Needs Assessment (PDNA) process. Child- the rebuilding as a whole and roughly 28 per cent for the world’s least friendly focus group discussions were held throughout developed countries. Adolescent marriage and preg- nine of the country’s departments. Adolescents and process so far nancy rates are substantially higher than in other coun- youth who took part raised issues of gender, disability, has been the tries in the region. Among 20- to 24-year-old women vulnerability, access to services, disaster risk reduction, surveyed in 2005–2006, nearly one third had married and participation in decision-making and accountability significant role by age 18 and 48 per cent by age 20; 30 per cent gave mechanisms for the PDNA. played by young birth for the first time before the age of 20. Through partnerships that include young people, people.” These poor education, health and protection outcomes programmes have been initiated to vaccinate children, are a direct result of lack of access to services and facilitate their return to school, raise awareness of basic necessities such as water and food due to pov- HIV and AIDS, encourage holistic community develop- erty, political instability, violence and gender-based ment and promote sanitation. However, these and discrimination. Natural disasters have been a recurring future efforts will require continued financial and challenge, but the recent earthquake destroyed infra- moral commitment to overcome the host of challenges structure and lives on an unprecedented scale. still to be tackled. One of these is meeting the press- ing needs of the most disadvantaged, such as those The Government has developed an Action Plan for who lost limbs in the earthquake. National Recovery and Development of Haiti, with the goal of addressing both short-term and long-term Going forward, it will be critical to listen and respond needs. Working with international partners, who to the voices of Haiti’s young people of all ages, in order pledged US$5.3 billion in the first 18 months following to meet their needs, enable them to make the transition the earthquake and nearly $10 billion over the next to adulthood in such turbulent times – regardless of three years, the Government is committed to rebuilding their poverty status, urban or rural location, gender or the country to be better than its pre-earthquake state. ability – and rebuild a stronger, more equitable Haiti. The plan focuses on all aspects of redevelopment, from physical infrastructure and institution-building to See References, page 78. THE EMERGING GENERATION 5
  • 14. FOCUS ON Early and late adolescence with the full support of nurturing adults at home, at school and in the com- Rim Un Jong, 10, sits in a munity. Given the social taboos often surrounding puberty, it is particularly fourth-grade mathematics class important to give early adolescents all the information they need to protect at Jongpyong Primary School themselves against HIV, other sexually transmitted infections, early preg- in the eastern province of nancy, sexual violence and exploitation. For too many children, such knowl- South Hamgyong, Democratic edge becomes available too late, if at all, when the course of their lives has People’s Republic of Korea. already been affected and their development and well-being undermined. Late adolescence (15–19 years) Late adolescence encompasses the latter part of the teenage years, broadly between the ages of 15 and 19. The major physical changes have usually occurred by now, although the body is still developing. The brain contin- ues to develop and reorganize itself, and the capacity for analytical and reflective thought is greatly enhanced. Peer-group opinions still tend to be The manifest gulf in experience that separates younger and older adoles- important at the outset, but their hold diminishes as adolescents gain more cents makes it useful to consider this second decade of life as two parts: clarity and confidence in their own identity and opinions. early adolescence (10–14 years) and late adolescence (15–19 years). Risk-taking – a common feature of early to middle adolescence, as individu- Early adolescence (10–14 years) als experiment with ‘adult behaviour’ – declines during late adolescence, as the ability to evaluate risk and make conscious decisions develops. Never- Early adolescence might be broadly considered to stretch between the ages theless, cigarette smoking and experimentation with drugs and alcohol are of 10 and 14. It is at this stage that physical changes generally commence, often embraced in the earlier risk-taking phase and then carried through into usually beginning with a growth spurt and soon followed by the develop- later adolescence and beyond into adulthood. For example, it is estimated ment of the sex organs and secondary sexual characteristics. These external that 1 in 5 adolescents aged 13–15 smokes, and around half of those who changes are often very obvious and can be a source of anxiety as well begin smoking in adolescence continue to do so for at least 15 years. The as excitement or pride for the individual whose body is undergoing flip side of the explosive brain development that occurs during adolescence the transformation. is that it can be seriously and permanently impaired by the excessive use of drugs and alcohol. The internal changes in the individual, although less evident, are equally profound. Recent neuroscientific research indicates that in these early Girls in late adolescence tend to be at greater risk than boys of negative adolescent years the brain undergoes a spectacular burst of electrical and health outcomes, including depression, and these risks are often magnified physiological development. The number of brain cells can almost double in by gender-based discrimination and abuse. Girls are particularly prone to the course of a year, while neural networks are radically reorganized, with a eating disorders such as anorexia and bulimia; this vulnerability derives in consequent impact on emotional, physical and mental ability. part from profound anxieties over body image that are fuelled by cultural and media stereotypes of feminine beauty. The more advanced physical and sexual development of girls – who enter puberty on average 12–18 months earlier than boys – is mirrored by similar These risks notwithstanding, late adolescence is a time of opportunity, trends in brain development. The frontal lobe, the part of the brain that idealism and promise. It is in these years that adolescents make their way governs reasoning and decision-making, starts to develop during early into the world of work or further education, settle on their own identity and adolescence. Because this development starts later and takes longer in world view and start to engage actively in shaping the world around them. boys, their tendency to act impulsively and to be uncritical in their thinking lasts longer than in girls. This phenomenon contributes to the widespread See References, page 78. perception that girls mature much earlier than boys. It is during early adolescence that girls and boys become more keenly aware of their gender than they were as younger children, and they may make adjustments to their behaviour or appearance in order to fit in with perceived norms. They may fall victim to, or participate in, bullying, and they may also feel confused about their own personal and sexual identity. Early adolescence should be a time when children have a safe and clear space to come to terms with this cognitive, emotional, sexual and psycho- logical transformation – unencumbered by engagement in adult roles and 6 THE STATE OF THE WORLD’S CHILDREN 2011
  • 15. generation’ of adults, the ‘future generation’ or simply ‘the development, addressing inequity in adolescence is equally future’. But adolescents are also firmly part of the present – important and challenging. living, working, contributing to households, communities, societies and economies. It is in this phase of life, the second decade, that inequi- ties often appear most glaringly. Disadvantage prevents the No less than young children do they deserve protection poorest and most marginalized adolescents from furthering and care, essential commodities and services, opportuni- their education with secondary schooling, and it exposes ties and support, as well as recognition them, girls in particular, to such protec- of their existence and worth. Indeed, tion abuses as child marriage, early sex, in some contexts – particularly with “Children should not violence and domestic labour – thus regard to child protection risks such curtailing their potential to reach their as child marriage, commercial sexual feel afraid or in danger full capacity. exploitation and children in conflict at home or in school.” with the law – adolescents, out of all If denied their rights to quality educa- children, may have the greatest needs. Victor, 11, Mexico tion, health care, protection and par- Yet these are precisely the areas where ticipation, adolescents are very likely investment and assistance for children to remain or become impoverished, are often most lacking and where the least attention is paid, excluded and disempowered – increasing, in turn, the risk in some cases as a result of political, cultural and societal that their children will also be denied their rights. sensitivities. Given the strong link between protection, education and child survival, it is clear that investing in For these reasons, and in support of the second International adolescents, and particularly adolescent girls, is imperative Year of Youth, which began on 12 August 2010, UNICEF to addressing violence, abuse and exploitation of children has dedicated the 2011 edition of its flagship report and women in earnest. The State of the World’s Children to adolescents and adolescence. These facts point to an undeniable truth: Both now and in the coming decades, the fight against poverty, inequality and The report begins with a brief discussion of the concept gender discrimination will be incomplete, and its effective- of adolescence and explains why a stronger focus on the ness compromised, without a stronger focus on adolescent second decade of life is imperative to meeting international development and participation. commitments to children and creating a more peaceful, tolerant and equitable world. It then explores the historical This truth is known and accepted by many. In the push to context of adolescence, underscoring the growing interna- meet the Millennium Development Goals and other aspects tional recognition of its relative social importance. of the Millennium Declaration, however, there is a risk that the needs of adolescents are not being given sufficient The second chapter presents an in-depth appraisal of the consideration. And their voices, though heard, are rarely global state of adolescents, exploring where they live and the heeded. particular challenges they face in survival and health, educa- tion, protection and equality. Adolescents have long demanded that we keep the promise made in the 2000 Millennium Declaration to create a world The third chapter assesses the risks to their present and of tolerance, security, peace and equity – a world fit for chil- future well-being posed by emerging trends in economics dren, adolescents, young people – indeed for all of us. and employment, by climate change, demographic shifts, juvenile crime and violence, and threats to peace and In recent months, UNICEF has begun to refocus its work security. towards achieving the Goals by redoubling its efforts in pursuit of equity for children, giving priority to those In its final chapter, The State of the World’s Children most disadvantaged within countries and communities. 2011 explores ways of empowering adolescents and While much of the initial drive of the refocus has centred young people, preparing them for adulthood and citizen- on promoting greater equity in young child survival and ship and investing in their well-being, holistic develop- THE EMERGING GENERATION 7
  • 16. ment and active participation. Disaggregated data from alcohol consumption. A related idea is that of the ‘age of international household surveys, supplemented where majority’: the legal age at which an individual is recog- appropriate by national sources, provide a rich vein of nized by a nation as an adult and is expected to meet all hitherto little-used information on adolescents – mostly responsibilities attendant upon that status. Below the age those in late adolescence (15–19 years) – that constitutes of majority, an individual is still considered a ‘minor’. In a central feature of the report. The voices of adolescents many countries, the age of majority is 18, which has the offering their own perspectives on the state of their world virtue of being consonant with the upper threshold of the permeate the entire report. age range for children under Article 1 of the Convention on the Rights of the Child. The complexities of defining adolescence In other countries, this threshold varies widely. One of the Adolescence is difficult to define in precise terms, for sev- lowest national ages of majority is applied to girls in Iran, eral reasons. First, it is widely acknowledged that each indi- who reach this threashold at just 9 years old, compared vidual experiences this period differently depending on her with 15 for Iranian boys.15 For those countries with ages or his physical, emotional and cognitive maturation as well of majority below 18, the Committee on the Rights of the as other contingencies. Reference to the onset of puberty, Child, the monitoring body for the Convention, encourages which might be seen as a clear line of demarcation between States parties to review this threshold and to increase the childhood and adolescence, cannot resolve the difficulty of level of protection for all children under 18. definition. The age of majority is not, however, the only complicat- Puberty occurs at significantly different points for girls ing factor in defining adolescence with regard to different and boys, as well as for different individuals of the same national jurisdictions, as it often bears no relation to the sex. Girls begin puberty on average 12–18 months earlier than boys; the median age of girls’ first period is 12 years, while boys’ first ejaculation generally occurs around age 13. Girls, however, can experience the menarche as early as 8 years old. Evidence shows, moreover, that puberty is beginning earlier than ever before – the age of puberty for both girls and boys has declined by fully three years over the past two centuries, largely due to higher standards of health and nutrition.13 This means that girls in particular, but also some boys, are reaching puberty and experiencing some of the key physiological and psychological changes associated with adolescence before they are considered adolescents by the United Nations (defined as individuals 10–19 years old). By the same token, it is not uncommon for boys to enter puberty at the age of 14 or even 15, by which point they will have been effectively treated as adolescents within a school year group for at least two years, associating with boys and girls who are much bigger physically and more developed sexually.14 The second factor that complicates any definition of adolescence is the wide variation in national laws setting minimum age thresholds for participation in activities Adolescence is a pivotal decade in an individual’s life that requires special attention and considered the preserve of adults, including voting, mar- protection. A 12-year-old girl collects water. Since a tap was installed at the doorstep of riage, military participation, property ownership and her family’s house, she says that she has more time to do her homework, Pakistan. 8 THE STATE OF THE WORLD’S CHILDREN 2011
  • 17. PERSPECTIVE Adult responsibility: Listen to adolescents’ voices In the 20 years since the Convention on the Rights of Adolescents do not consider themselves as ‘future the Child entered into force, the global community has adults’; they want to be taken seriously now. Article 13 pledged to safeguard children’s rights in education, of the Convention stipulates that children are free to health, participation and protection. These rights entail express their ideas and opinions, through any channel moral and legal obligations. Governments the world of their choice. Exercising this right not only cultivates over are held accountable through the Committee on self-confidence but also helps prepare them for the the Rights of the Child for the welfare of their children. active role of citizen. Considerable progress has been made across the world Equally important, education encourages children to in reducing mortality, improving access to basic health communicate and make their voices heard. Parents, by Her Royal Highness care and ensuring schooling for children during their friends and family members play an essential part in Princess Mathilde of first decade of life. These accomplishments have paved stimulating adolescents’ educational growth, as learn- Belgium, Honorary Chair the way for promising strides in adolescence. We have ing extends beyond the classroom. A parent’s role as of UNICEF Belgium and seen increased secondary school enrolment, albeit from mentor should not be underestimated; it deserves more UNICEF and UNAIDS a low base; a decline in early marriage and female gen- support and appreciation. Special Representative ital mutilation/cutting; and an increase in knowledge of HIV transmission. Thanks to global and local efforts I am heartened to hear young peoples’ responses to for Children and AIDS to raise awareness, encourage dialogue and build UNICEF Belgium’s What Do You Think? project. This policy, adolescents are better protected from abuse and effort sheds light on marginalized children: those who exploitation. Still, for millions of adolescents, daily life are disabled, live in institutions and hospitals, and remains a struggle. suffer from poverty. I discovered during my visits with “Adolescents these children that their stories are not, as one might A happy upbringing – with opportunities to learn, play expect, expressions of despair. On the contrary, many do not consider and feel safe – is still a distant prospect for many. articulate extraordinary hope for the future and eager- themselves as Instead, millions of teenagers face hazardous employ- ness to participate in the shaping of their world. ment, early pregnancy and participation in armed ‘future adults’; conflict. Burdened with adult roles and deprived of their Listening to adolescents is the only way we will they want to be rights as children, adolescents are exposed to protec- understand what they expect from us. This is a critical tion abuses. Denying this age group their childhood time in a person’s growth. Let us pay close attention taken seriously heightens their risk of exploitation in labour, social to the particular needs and concerns of adolescents. now.” isolation associated with early marriage, and mortality Let us create opportunities for them to participate in or morbidity for adolescent girls from pregnancy- and society. Let us allow them freedom and opportunity to childbirth-related complications. The enormous chal- mature into healthy adults. As the 2015 deadline for lenge of protecting adolescents at this vital time in the Millennium Development Goals draws near, every their lives should not be underestimated – and adults effort must be made to ensure the equal well-being of have a crucial part to play in meeting it. children worldwide. Their hopes and dreams are still very much alive. It is up to us to enable adolescents Adolescents currently make up 18 per cent of the to reach their full potential. Let us work together with world’s population, but they receive far less attention them to make life a positive adventure. on the world stage than their numbers merit. Parents, family members and local communities bear a respon- Her Royal Highness Princess Mathilde of Belgium is sibility to promote and protect adolescent development. especially committed to children affected by and living Implementing laws and pursuing concrete objectives with HIV. In her roles as Honorary Chair of UNICEF such as the Millennium Development Goals are impor- Belgium and UNICEF and UNAIDS Special Representative tant ways of building momentum towards investment for Children and AIDS, HRH Princess Mathilde has in adolescents. But if we really want these initiatives to undertaken field trips to Africa and Asia to promote the be effective, we must invite young people to be part of well-being of vulnerable people and generate awareness the solution and ensure their voices are heard. of children’s rights. THE EMERGING GENERATION 9
  • 18. age at which individuals are legally able to perform cer- The third difficulty in defining adolescence is that, irre- tain tasks that might be associated with adulthood. This spective of the legal thresholds demarcating childhood ‘age of licence’ may vary from activity to activity, and and adolescence from adulthood, many adolescents and there is certainly no internationally applicable standard. young children across the world are engaged in adult In the United States, for example, where the age of major- activities such as labour, marriage, primary caregiving ity is 18, adolescents can legally drive a car at 16 in most and conflict; assuming these roles, in effect, robs them of states. In contrast, young US adults are generally unable their childhood and adolescence. In practice, the legal age to purchase alcoholic drinks until they are 21.16 of marriage is widely disregarded, normally to allow men to marry girls who are still minors. In many countries and The age at which marriage is first possible may also diverge communities, child marriage (defined by UNICEF as mar- significantly from the age of majority. In many countries, a riage or union before age 18), adolescent motherhood, distinction is drawn between the age at which anyone may violence, abuse and exploitation can in effect deprive girls legally marry and an earlier age at which it is only possible especially, but also boys, of any adolescence at all. Child to marry with parental or court permission. This is the case, marriage in particular is associated with high levels of for example, in Brazil, Chile, Croatia, New Zealand and violence, social marginalization and exclusion from pro- Spain, where the marriageable age is normally 18 but can tection services and education. A similar situation occurs be reduced, with parental or court permission, to 16. Many with child labour, in which an estimated 150 million chil- other nations have set a different marriageable age for males dren aged 5–14 are engaged.18 and females, normally allowing girls to marry at a younger age than boys. In the world’s two most populous countries, Weak national birth registration complicates efforts to for example, the marriageable age for men is higher than enforce minimum age thresholds; just 51 per cent of chil- that for women – 22 for men and 20 for women in China, dren in the developing world (excluding China) were reg- and 21 for men and 18 for women in India. In other coun- istered at birth for the period 2000–2009.19 Without such tries, such as Indonesia, minors are no longer bound by the registration, which is a right under the Convention on the age of majority once they get married.17 Rights of the Child, it is almost impossible to fully protect Young people can be instrumental in addressing pressing issues and sharing their recommendations with the global community. On 6 July 2009, youth delegates discuss global issues during a working group session at the J8 Summit in Rome, Italy. 10 THE STATE OF THE WORLD’S CHILDREN 2011
  • 19. ADOLESCENT VOICES Keeping the flame alive: Indigenous adolescents’ right to education and health services When I look at the prospects my Térraba people face, elsewhere. I feel sad that they have been denied their my heart sinks for our dying land and drying river. right to education and to achieve their full potential. While I do not know much of the world, I know what is right and wrong, and I know this harsh reality is not Skin tone matters in Costa Rica. If equity existed their fault. The flame of resistance passed on from my here, girls in my village would have the same oppor- great-grandfather to my grandfather, to my father and tunities as the girls from other regions of the country to me, symbolizes our desire to keep our community – like better access to technology and secondary alive. My hope is that our indigenous culture and school. They would be equipped to promote and language will endure. protect our culture. by Paolo Najera, 17, Indigenous Térraba, The problem is, my brothers are afraid to live as I hope for a time when people will be truly interested Térraba Indians. Outside pressures, like teasing, in listening to and providing for indigenous people, a Costa Rica discrimination and disregard for our basic rights have time when I would not be one of the few indigenous nearly brought our centuries-old struggle for survival youth to write an essay such as this one, hoping that to its breaking point. In addition, the country’s eight it be read and understood. With real equity we would “We just ask for indigenous communities,* including mine, have not have permanent health centres in indigenous territo- respect for our been given adequate schools or proper health centres, ries, and our secondary education would include les- nor has the integrity of our land been respected. sons in our own culture and language as part of the basic human rights core curriculum. In spite of being pushed to forget – the respect that We want our lifestyle to be protected and our territory our language and to be ashamed of our way of not to be invaded by industrial companies that destroy life, we hold on to our dreams and our will to be every human being the harmony we have preserved – harmony paid for indigenous Térraba. deserves in this with the bloodshed our people have suffered. This, however, does not mean we want to be excluded Paolo Najera was recently forced to leave school world.” from the world. We just ask for respect for our basic because of the effects of the economic crisis on his com- human rights – the respect that every human being munity and family. Paolo’s aim is to work in development deserves in this world. We ask to be seen and in order to improve life for indigenous communities, such listened to. as his own, in Costa Rica. Thanks to my beloved Térraba school, I am proud to be one of the first and few of my indigenous group to *Costa Rica has eight officially recognized attain higher education and attend university in my indigenous peoples – the Bribris, Cabécares, country. The education system in Costa Rica is insuf- Brunkas, Ngobe or Guaymi, Huetares, ficient, and it is worse still for indigenous communi- Chorotegas, Malekus and Teribes or Térrabas ties. Inequality is pervasive in the classroom, and the – about half of whom live in 24 indigenous system seeks to preserve neither our identity nor our territories. They make up an indigenous existence as Indians. I see the Government’s lack of population of 63,876 (1.7 per cent of the investment in indigenous culture reflected in teachers country’s total population). The Térraba, giving lessons using outdated materials or teaching descendants of Teribes from the Atlantic under a tree. I think the Government does not see coast of Panama forced by missionaries the assets education can bring to our country, nor the to migrate to Costa Rica in the late 17th benefit of investing in education for indigenous youth. century, are the second-smallest of these groups, with a population of 621 according In order to provide quality education, our teachers to the national census of 2000. Their territory must be provided with proper classrooms and new is located in the Boruca-Terre reserve, in the textbooks. If only the children in my village could canton of Buenos Aires, in the southern part access the world through a computer as do children of Costa Rica. THE EMERGING GENERATION 11
  • 20. the rights of adolescents or to prosecute cases of unlawful Such precepts were first expressed in the international premature entry into adult roles such as marriage, labour arena in the first half of the 20th century, through trea- and military service, when the exact age of the child or ties that sought to protect children from exploitative and adolescent plaintiff cannot be determined. harmful labour. The first conventions drawn up by the International Labour Organization after the First World Adolescents and adolescence in the War had the goal of protecting child labourers, most international arena of whom were over the age of 10. These included the Although there is no internationally accepted definition International Labour Office (ILO) Convention No. 6, of adolescence, the United Nations defines adolescents Night Work of Young Persons (Industry) Convention of as individuals aged 10–19: in effect, those in the second 1919, and ILO Convention No. 10, the Minimum Age decade of their lives.20 This is the definition that applies (Agriculture) Convention of 1921. The first convention to much of the analysis and policy advocacy presented in cited here stipulated 16 as the age limit for work in speci- this report. While the term ‘adolescents’ is not mentioned fied hazardous industrial settings, while the second placed in international conventions, declarations or treaties, all clear limits on children’s participation in public and pri- adolescents have rights under the Universal Declaration of vate work settings. Most other international legislation Human Rights and other major human rights covenants introduced between the world wars did not, however, and treaties. Most of them are also covered under the explicitly specify rights for children or adolescents as Convention on the Rights of the Child, and adolescent girls distinct from those of adults. are also protected under the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW), After the Second World War, the burgeoning movement the Beijing Platform for Action, and regional instruments for children’s rights focused its attention on gaining special such as the Protocol to the African Charter on Human and recognition for children and adolescents within the newly People’s Rights on the Rights of Women in Africa. formed United Nations. This was achieved in 1959 with the Declaration of the Rights of the Child, which was signifi- Defining adolescence as the second decade of an individu- cant in establishing legal provisions to safeguard children’s al’s life makes it possible to collect age-based data for the well-being rather than presuming that this could simply be purpose of analysing this transitional period. Today, it is met under the general principles of the major human rights widely acknowledged that adolescence is a phase separate instruments. Children’s welfare, rather than their political, from both early childhood and adulthood, a period that economic, civic and social rights, was the principal motiva- requires special attention and protection. This was not the tion behind the push for the Declaration. case for most of human history. Two decades later, the UN declared 1979 to be the Widespread acceptance of the importance of adolescence International Year of the Child, and this was swiftly fol- is relatively recent. Indeed, many societies and communi- lowed by the first International Youth Year, in 1985. These ties still barely demarcate the line between childhood and initiatives raised the profile of global efforts to promote adulthood. Adolescents, and often even younger children, and protect the interests of children and young people. At are expected to work, pay their own way and even bear the same time, advocates for children were busy drawing arms. In this sense, they are regarded as smaller, less- up an overarching human rights treaty for children by developed adults. which all States parties would be bound. The Convention on the Rights of the Child, a decade in the drafting, was In other societies, however, the transition from childhood finally adopted by the United Nations General Assembly to adulthood has been, or still is, marked by some rite of on 20 November 1989. passage, acknowledging the moment when the individual is expected to assume the independence, responsibilities, The treaty fulfilled all those hopes with its comprehensive- expectations and privileges attached to full adulthood. ness and far-sightedness. The rights of all young children Integral to the notion of a rite of passage is the sense that and adolescents under age 18 were expressed in such a childhood is a separate space and time from the rest of way as to not only protect their welfare but also give them human life, one that needs to be treated with special care a central place as rights holders, providing an ethical basis and consideration. for their active participation in all aspects of their lives. 12 THE STATE OF THE WORLD’S CHILDREN 2011
  • 21. COUNTRY: JORDAN Ensuring productive work for youth Jordan is a lower-middle-income country with an For instance, the National Social and Economic average gross national income per capita in 2009 Development Plan for 2004–2006 aimed at reduc- of US$3,740. Owing to the country’s limited natural ing poverty and unemployment. Section I of the plan resources, its economy is dominated by commerce emphasized the need to address human resource and services, which account for more than 70 per development, including public education, higher educa- cent of gross domestic product (GDP) and more than tion, vocational and technical training and youth care. Adolescents attend a 75 per cent of jobs. Over the past decade, the country Its successor, the National Agenda for 2006–2015, computer-skills training has enjoyed unprecedented growth, with real GDP focuses on reforming institutional frameworks. The session at a social centre for growth averaging 6.4 per cent yearly between 2003 Government has also strengthened collaborative youth in Amman, Jordan. and 2007. This has been accompanied by improve- efforts with partner and donor agencies. One example ments in social development indicators, particularly is the development of an Internet-based labour market health and education. information system with the support of the Canadian “Almost 60 International Development Agency. Managed by the Nevertheless, Jordan still faces some key challenges. National Centre for Human Resources Development, per cent of the There is significant income disparity: Almost 14 per the project links employers with job seekers and also job seekers in cent of the population lives below the poverty line, has a professional career-counselling component. and between 1995 and 2007 the lowest 40 per cent Jordan are below of income earners earned less than a fifth (18 per Partner agencies have also taken steps to increase the age of 25.” cent) of the total income in the country. There are employment opportunities among young people. For also high rates of unemployment, particularly among instance, Mustaqbali (‘My Future’ in Arabic) was the young. While Jordan’s overall unemployment rate launched jointly by UNICEF and Save the Children is 15 per cent, the rate among young people is almost in 2009 to increase opportunities for adolescents 32 per cent. Nearly 70 per cent of the population is between the ages of 15 and 19 to learn and develop under the age of 30, and adolescents accounted for skills that will ultimately enable them to improve almost 22 per cent of the total population in 2009. their livelihoods and household economic security. It With an annual growth rate of 3.3 per cent between delivers an integrated package of career exploration 2000 and 2009, Jordan’s population is one of the and preparedness activities to adolescents at vari- fastest growing in the world. ous youth and women’s centres, and also includes a community awareness component specifically for According to a 2005 study by the European Training parents of adolescents, as well as sensitization ses- Foundation, almost 60 per cent of the job seekers in sions with private sector employers. The project has Jordan are below the age of 25. The main causes been implemented in a number of regions, as well as of youth unemployment are lack of career guidance at the Jerash camp for Palestinian refugees (known counselling, lack of opportunities to find satisfying locally as the Gaza camp), and has reached more work following graduation, the difficulty of obtaining than 250 adolescents, half of them girls. Currently, jobs compatible with qualifications, the mismatch discussions are ongoing with various stakeholders, between the skills of graduates and the needs of including the Government, to scale up the programme employers, social and cultural obstacles to the full at a national level. integration of women into the labour market and the wider international economic situation. The risk of Addressing unemployment and poverty remains a being unemployed is greater for women, despite their critical concern for Jordan. A key part of any solution higher educational achievements. Currently, less than to this problem will be increasing the participation of 12 per cent of women participate in the economic women in the labour market. Preparing young people sector, putting Jordan close to the bottom of the list for employment and creating opportunities in the of Arab countries in female economic participation. public and private sectors will have both economic and social returns. The Government of Jordan has engaged in a number of policy initiatives to address these challenges. See References, page 78. THE EMERGING GENERATION 13