The long road to achieve the MDGs
Pamir Gautam, Prerna Bomzan
  Rural Reconstruction Nepal (RRN)
Aimed at  improving the quality of human life worldwide, the Millennium Development Goals  (MDGs) contained in the Millennium Declaration; however, fall short of addressing  the structural problems of poverty, hunger, illiteracy, disease, environmental  destruction and development effectiveness. Moreover, the goals are not  inclusive of critical issues of human rights and justice, which are essential  for poverty eradication and sustainable development. Hence, the MDGs represent  the very minimum standards that must be achieved for the world’s citizens[1].
  Nepal  being one of the UN-defined least developed countries (LDCs) is characterized  by poverty as well as vulnerability, not only on socio-economic terms but, also  acute geographical and environmental constraints. It is a landlocked mountain  country susceptible to frequent glacial lake outbursts and earthquakes, with  the increasing climate change catastrophe further subjecting it to erratic  precipitation as well as heat and cold spells. Nonetheless, against this  background, Nepal has made significant progress towards the MDGs.
  The  overall population living below the national poverty line decreased from 42% in  1996 to 25.4% in 2011. Similarly, there has been a decrement in the country’s  Gini coefficient of inequality from 0.45 in 2008 to 0.32 in 2011. However, when  measured at $2 per day  poverty line, 77.6%  of the Nepalese population lives below this threshold[2].  Moreover, reduction of poverty has been uneven and inequalities continue to  remain a challenge on Nepal’s development path.
  Increased spending on the  health sector has seen great strides and hence, Nepal is likely to achieve the  goals related to health by 2015. In September 2010, Nepal received the  MDGs Award for outstanding national leadership, commitment and progress towards  achieving MDG 5 on improving maternal health. However, maternal health care is  inadequate and maternal mortality still remains unacceptably high. Even the  progress made is disproportionately concentrated away from the disadvantaged:  92% of the wealthiest Nepali women receive antenatal care from a skilled  provider, while only 33% of the poorest do; and only a dismal 11% of the  poorest women receive delivery services from skilled birth attendants compared  to over four fifths of the wealthiest women (82%)[3]. 
  A  boost to the education budget also has helped in making remarkable improvement on  MDG 2. The Net Enrolment Rate (NER) at primary levels is 95.1% and the  corresponding gender parity is 0.99. However, the overall survival rate to grade  five and grade eight is 82.8% and 67.5% respectively[4].  Despite having made progress in enrollment rate, the quality of education  imparted is still questionable. In 2011, only 46% of students from public  schools passed the SLC (tenth grade national exam) compared to 90% from private  schools[5].
  Nepal’s MDGs’ Progress Status at a Glance
| Indicators | 
 Earliest  | 
 Latest  | 
 2015  | 
| 
 Percentage of Poor (National Poverty line)  | 
 42 (1990)  | 
 25.4 (2010)  | 
 21  | 
| 
 Underweight children under five years of age  | 
 57 (1990)  | 
 31 (2011)[6]  | 
 29  | 
| 
 Net Enrollment Rate in primary education[7]  | 
 64 (90)  | 
 93.7 (2010)  | 
 100  | 
| 
 Ratio of girls and boys in primary education  | 
 0.56 (1990)  | 
 0.99 (2011)  | 
 1.00  | 
| 
 Under-5 mortality rate (per 1,000 live births)[8]  | 
 141 (1990)  | 
 48 (2011)  | 
 45  | 
| 
 Infant mortality rate (per 1,000 live births)[9]  | 
 97 (1990)  | 
 39 (2011)  | 
 41  | 
| 
 Maternal mortality ratio (per 100,000 live births)[10]  | 
 850 (1990)  | 
 229 (2010)  | 
 213  | 
| 
 Skilled birth attendance (%)[11]  | 
 7.4 (1991)  | 
 28.8 (2010)  | 
 60  | 
| 
 Forest cover (% land area)  | 
 33.7 (1990)  | 
 25.4 (2010)  | 
 -  | 
| 
 Safe drinking water (% population)[12]  | 
 76 (1990)  | 
 89 (2010)  | 
 -  | 
| 
 Basic sanitation (% population)[13]  | 
 10 (1990)  | 
 31 (2010)  | 
 -  | 
  Despite considerable progress, there are glaring gaps as Nepal’s development trend  is characterized by an increase in food insecurity and hunger, unemployment and  underemployment, gender-based discrimination and violence, rich-poor divide, foreign  aid dependency, political instability and rampant corruption.
  Employment  provides the only sustainable means of poverty reduction but achieving decent employment  is a formidable challenge for Nepal. The Nepal Labour Force Survey 2008 states that  the  largely informal agriculture  sector employs 74% of the currently employed labor force aged 15 and above. As  much as 70% of those with main jobs outside agriculture also fall in the  informal sector. Comparing all age groups, unemployment is highest among the  youth. Forty-six percent of Nepal’s youth labor force in the 20-24 age group is  underutilized. Both, rural and urban unemployment among youth have increased;  the latter almost doubled from 7.6% to 13% in the last ten years. At the same  time, the employment-to-population ratio has declined and the underemployment  ratio has increased. Only 16% are employed in the service sector while 10% in  the secondary sector. 
  In fact, the progress achieved in reducing poverty in  Nepal is the result of high remittance inflow as around 56% of Nepali  households receive remittances. Including students, estimates for the  total number of Nepalese living outside Nepal range from 3 to 5 million. This  would imply that between one third and one half of the population aged between  15 and 34 years are currently outside the country[14].
  Little  progress has been made on improving neonatal mortality with 38.8% of under-five  children in Nepal being underweight. An unacceptable number of peoples  particularly children still die each year in Nepal from diarrheal diseases.  Access to health services in rural areas is significantly worse than in urban  areas due to lack of facilities and high levels of absenteeism among health  workers. Even though Nepal has made progress in ensuring safe drinking water  for 89% of its population, 69% of the population still lacks the facility of  improved sanitation[15].
  The  persistence of poverty in Nepal is due to lack of political will and vision of  the State to address the structural causes of the problem. Poverty originates  in unequal command over both economic and political resources within society  and the unjust nature of a social order which has created and perpetuates these  inequities[16]. These  inequities in turn are creating an atmosphere of deprivation and human  insecurity in Nepal. Moreover, the neo-liberal international aid architecture  which undermines people-centred development only adds to the creation and  perpetuation of poverty and inequity in the country. The fiscal year 2011/12 shows  that the per capita debt burden has expanded by over 21 % to almost USD 238.
  Gender  Justice, a Far Cry
  Nepal has ratified the CEDAW, thereby legally binding  itself to put the CEDAW provisions into practice. Further, the Gender Equality  Act 2006; the National Women’s Commission Act 2007; the Human Trafficking and  Transportation (Control) Act 2007; the Domestic Violence (Crime and Punishment  Act) 2009 and the 5-year strategic plan of the National Women’s Commission  (2009-2014) have all been put in place. However, little or no implementation of  these legal provisions remains a major challenge.
  Apart  from continuing efforts to invest in legal, economic, political and social  institutions for ending gender discrimination, gender-based violence and  empowering women, they still suffer from economic, social, and cultural  discrimination. Though women's contribution to agricultural production is above  60%, the total land holding is only 8%. Over 70% women workers are confined to  self- employed, unpaid and low wage informal activities whereas 12% of women  are in the civil service and 1.76 % is in the judicial service[17].  In 2009, of total female government employees, 78% were in non-gazetted  categories, 16% were in classless categories, and only 6% were in gazetted  positions. Non-gazetted officers are basically support staff with no  decision-making power. Even women’s representation at the officer level  (Gazetted Class II and III) has decreased from 6.2% in 2000 to 5.7% in 2009[18].  Similarly, wide gender gap in tertiary education and employment persists.  Although, overall literacy rate (for population aged 5 years and above) has  increased from 54.1% in 2001 to 65.9% in 2011, male literacy rate is 75.1%  compared to female literacy rate of 57.4%[19].  Maintaining accountability and capacity in state mechanisms to translate gender-responsive polices and  legislations into action is still a major challenge. The  progress achieved in Nepal in ending gender discrimination and empowering women  has been measured only in terms of  improvements in primary and secondary education, and reduction in maternal  mortality rates[20].
  Food  Insecurity and Climate Change
  Over a third of Nepal's 75 districts  suffer from high food insecurity with chronic food insecurity affecting up to  80 % of the population in heavily-affected areas such as the western Terai. With a Global  Hunger Index (GHI) of 20.3,the severity of hunger in Nepal  is alarming. Nepal has been put in a position of serious persistent hunger  based on data which shows 16 % of the population to be undernourished, about  half of the children under-five are stunted, and 38.8 % of under-five children  to be underweight[21].  A Nepali in an average spends 59 % of his/her income on food. Research  undertaken during the 2008–2009 food price crisis showed that the poorest rural  families were spending 78 % of their income on food making them highly vulnerable  to food price volatility[22].  As the current food distribution mechanism is not sufficient enough to protect  the poor people from unprecedented rise in food prices, the government must  invest in developing effective food distribution strategies.
  Nepal  is a country critically vulnerable to climate change because of its unique  topography and fragile mountain ecosystem. Of 16 countries listed globally as  being at ‘extreme risks from climate change over the next 30 years’, Nepal  ranks fourth. Despite being the least Green House Gas emitting country, Nepal  has been paying an exorbitantly high price for the unrestrained consumerism in  the developed countries[23].  Increase in landslides, glacial lake outbursts and consequent recurrence of  floods, erratic precipitation, and heat stress are already impacting  agricultural production and food security in the country. Agriculture is the mainstay  of the Nepalese economy as 65 % of the population is engaged in agriculture. The  harmful effects of climate change are therefore, depriving majority of the  Nepalese population of their livelihoods, condemning them to perpetual poverty  and human insecurity. Thus, the adverse impact of climate change threaten the  overarching goals of reducing poverty and enhancing economic well-being and  could reverse much of the investment made to achieve the MDGs in Nepal. Under  these circumstances, it is necessary for the government to prioritise cost  effective, sustainable strategies for adapting to climate change as well as to  make a firm political stand to developed countries for drastic emission cuts, adequate  adaptation funds and technology transfers without intellectual property  barriers.
  Inadequate  and Lop-Sided Social Protection
  The social security system  is governed by the Labour Act 1992 and its supplementary Labour Rules;  applicable only to the permanent job holders of the formal sector. Provisions  are inadequate and limited to Provident Fund, Gratuity, Sick Leaves, Maternity  Leaves and other minor compensation and benefits. Pension is enjoyed only by  government employees in the civil service, police and army including those in  some parts of the public sector. The informal sector comprising 96 % of the  population is completely unprotected and vulnerable sans any form of social  security arrangement. Therefore, the poorest, marginalised and excluded  populations face constant threat to their lives and livelihoods.
  The draft  Social Security Act endorsed in 2012 in still in limbo. It has identified six  core social security schemes - unemployment, disability, maternity, medical,  dependent and old-age benefits. The delay in enforcing the Act will not only  deprive workers in the formal sector of the targeted benefits but more  importantly, it will be an issue of injustice as they have been contributing 1%  of their monthly salary as social security tax since the last three years or  so. Only in the last fiscal year 2011/2012, 742.46  million Nepalese  Rupees was collected which however is unaccounted for due to absence of a  proper accountability mechanism in place.
  Persistent Political Crisis
  Nepal has  experienced drastic political turmoil and consequent changes in its 22-year old  history of democracy, achieved by the first people’s movement in 1990. After  only six years of democratic taste, the Maoist conflict with the State broke  out in 1996, which rocked the country for a decade. The year 2005 saw the royal  coup; the then constitutional monarch Gyanendra taking the executive powers  directly in his hands. And, interestingly, by a unique coming together of  democratic forces and the Maoists, the second people’s movement overthrew the  monarchy in 2006, and Nepal was declared a republic.
  With the signing  of the Comprehensive Peace Agreement in 2006 that formally ended the decade  long civil war, came the fresh hope that the political change would usher in a  new era of socio-economic advance, polity stability and a sustainable peace in  the country. It was expected that the elected Constituent Assembly of 2007 will  promulgate a people-centred constitution that would dismantle the historical  legacy of exclusionary and discriminatory policies in the functioning of the  State mechanism. However, the political parties have  continued to embroil in vested personal feuds and rivalries lacking political  vision and political will towards building the nation. Since 2002, there have  been no local elected representatives at the municipalities, village and  district levels, to this day. Having missed five consecutive deadlines  to promulgate the new constitution, the Constituent  Assembly was dissolved on 27 May 2012, leaving the country in a political  paralysis with a caretaker government and no consensus way forward in sight. The  ongoing political volatility certainly impacts the government’s ability and  responsibility to address development needs in the country, as the gap between  public priorities and the political discourse remains wide. There is increasing  feeling of insecurity and resentment among the general population who is coming  to feel that the victories of the people’s movements have been discredited by their  failure to bring transformative change in the country.
  Evidence in  Nepal suggests that the root causes of the conflict include not only the  severity of poverty and inequality but also the sense of entrenchment - that  opportunities are limited or non-existent for the poor to climb out of poverty.  Therefore, addressing constraints on the inclusiveness of development is  critical in order to make a real difference in the lives of ordinary Nepalis  and reduce the risks of instability. Systemic changes in the development  approach must be undertaken to adequately address the needs and priorities of  the excluded and marginalized sections of the society. A stable political  structure upon which well-informed policies, institutions and mechanisms can  function over time is a major determinant for people’s empowerment and  strengthening Nepal’s peace and fragile democracy.
Notes:
[1] LDC Watch, No MDGs without LDCs (Kathmandu: LDC Watch International Secretariat 2011).
[2] UNDP Human Development Report 2011, Sustainability and Equity: A Better Future for All, New York: UNDP, 2011.
[3] United Nations Country Team Nepal, United Nations Development Assistance Framework for Nepal 2013-2017: 2012 (United Nations: United Nations, 2012).
[4] Department of Education, Flash I Report 2068 (2011-012), Kathmandu: Ministry of Education, 2011.
[5] United Nations Country Team Nepal, Nepal: A Country Analysis with a Human Face (United Nations: United Nations 2011).
[6] 42% and 14 % under 5 children are stunted and wasted respectively. Central Bureau of Statistics, Government of Nepal, 2011.
[7] Government of Nepal and United Nations Country Team of Nepal, Nepal Millennium Development Goals Progress Report 2010, (Kathmandu: GoN and UN, 2010).
[8]United Nations Inter-agency Group for Child Mortality Estimation, Levels and Trends in Child Mortality Report 2012, UNICEF 2012.
[9] Ibid.
[10] Government of Nepal and United Nations Country Team of Nepal, Nepal Millennium Development Goals Progress Report 2010, (Kathmandu: GoN and UN, 2010).
[11] Ibid.
[12] UNICEF and World Health Organization, Progress on Drinking Water and Sanitation: 2012 Update (New York: UNICEF and World Health Organization, 2012).
[13] Ibid.
[14] United Nations Resident and Humanitarian Coordinator’s Office, Nepal Peace and Development Strategy 2010-2015: A contribution to development planning from Nepal’s international development partners (Kathmandu: United Nations Resident and Humanitarian Coordinator’s Office, 2011).
[15] UNICEF and World Health Organization, Progress on Drinking Water and Sanitation: 2012 Update (New York: UNICEF and World Health Organization, 2012).
[16] Rehman Sobhan, “Agents into Principals: Democratizing Development in South Asia,” in Arguments for a Better World: Essays in Honour of Amartya Sen Vol. 2, ed. Kaushik Basu and Ravi Kanbur (Oxford: Oxford University Press, 2006), 542-43.
[17] National Women’s Commission, Nepal’s Implementation Status of the Convention on the Elimination of All Forms of Discrimination against Women (Kathmandu: National Women’s Commission, 2011).
[18] Government of Nepal, United Nations Country Team of Nepal, Nepal Millennium Development Goals Progress Report 2010, (Kathmandu: GoN and UN, 2010).
[19] Central Bureau of Statistics, Government of Nepal 2012.
[20] United Nations Country Team Nepal, Promoting the rights of women and excluded for sustained peace and inclusive development (United Nations: United Nations, 2011).
[21] International Food Policy Research Institute (IFPRI), Welthungerhilfe and Concern Worldwide, The Global Hunger Index 2012: The Challenge of Hunger: Ensuring Sustainable Food Security Under Land, Water and Energy Stresses, IFPRI, Welthungerhilfe and Concern Worldwide, 2012.
[22] Oxfam International, Improving Food Security for Vulnerable Communities in Nepal (Oxfam GB, 2011)
[23] Rural Reconstruction Nepal, Defending Sustainable Development Agenda in Nepal: Civil Society Concerns, Briefing Paper 10 (Kathmandu: RRN, 2012).


