Right
to Development and Human Development:
Concepts and Status in Bangladesh
Abul Barkat*
This is an excerpt from human Rights in Bangladesh 2002, published by ASK.
The subject of this article is complex, but its purpose is straightforward:
Argue right to development to empower the excluded - poor and deprived as a
necessary precondition for sustainable human development, whereby 'human development'
is a freedom-mediated process. Human Development is about inclusion of the excluded
in the process of development (but not adverse inclusion). Arguments in all
possible cases- are substantiated either by empirical evidences or by logical
inferences. The argument of right to development as a freedom-mediated process
is based strongly on the current deplorable status of the distressed and deprived
persons within the politico-economic criminalized structure in Bangladesh. These
distressed and deprived persons can be featured as: a person without a face;
a subjugated identity; a lost identity; a redundance; an appendage; a person
born to eat last and least; a person born to live on left overs; a person born
to be uneducated; a person first to be fired and last to be hired; a person
to be born and brought-up in an adverse environment; a person who is 'less than
equal'. A real attitudinal change is warranted; traditionally fixed mind set
needs to be changed; whole 'ethics' needs to be revisited- to create an enabling
environment for the inclusion of the excluded, and for the empowerment of the
poor and deprived.
The attempt in this article would be to extend these views and put those in
a framework, which would be beneficial to all of us trying both to understand
the rights-based approach to human development and to transform human deprivation
into human development in Bangladesh. While the canvas is huge in depth and
breadth, the chapter will conclude with some suggestions for operationalization
of the concept in the context of Bangladesh.
Human Development - a Freedom Mediated Process
Human development is equivalent to ensuring opportunities for a full life to
people, especially to those who are excluded- the poor, women, and deprived.
Human development is a process of expanding the real freedoms that people enjoy
(Sen, 1999). Thus, human development inherently assumes "integration"
and beyond just "wealth"; requires removal of all sources of un-freedom;
necessitates pro-active participation (not tokenism) of un-empowered in the
process of substantive empowerment. It is important to note at this point that
the discourse on empowerment is a complex one involving many dimensions of individual
and social rights. Empowerment should not be reduced to legal rights or economic
bargaining power only, because it has personal and cultural dimensions.
Human development and Poverty (alleviation and/or reduction) are interrelated.
Poverty is a multidimensional phenomena and accordingly there are a wide variety
of approaches to its definition and measurement. Economists and policy analysts
are more prone to focus on money-metric measures of poverty, based on the assumption
that a person's material standard of living largely determines their well-being.
The poor are then defined or identified as those with a material standard of
living as measured by income or expenditure below a certain level- the so-called
poverty line.1 Practical problems, largely associated with the difficulty of
accurately quantifying income or expenditure, have recently led economists to
the exploration of alternative, non-monetary proxies for household welfare.
Most pronounced amongst these is the use of household asset indexes; i.e. an
aggregate measure of the access to and ownership of specified articles of household
attributes.2
It is widely recognised that poverty measures based on household income or expenditure
reflect a static concept, offering only a limited picture of household well
being. In case of what might be considered transitory shocks to income, households
may reduce the consumption of food or household expenditure on clothing or other
items in order to preserve their asset holdings, such as land, housing or durables.
If, however, shocks permanently affect welfare, house-holds may run down their
holdings of assets such as durables, jewellery, livestock or land. Agarwal (1991),
examining the welfare impact of famine in Bangladesh, concludes that focusing
exclusively on either asset ownership or food expenditure/ nutritional levels/
household expenditure may give a misleading picture of well-being. Vulnerability
and livelihood strategy approaches to poverty assessment are seen as offering
a more dynamic conception of poverty 3. They focus on the households' ability
to cope with shocks to living standards by incorporating measures of investments
in human capital (health and education), physical investments (housing, equipment
and land), social capital and claims on other assets (such as friendships and
kinship networks), stores (food, money or valuables such as jewellery), as well
as labour.
Recognition that monetary measures are not all encompassing and fail to capture
other important aspects of individual well-being, such as community resources,
social relations, culture, personal security and the natural environment, have
resulted in the development of a set of complementary indicators which aim to
capture human capabilities 4. Capability poverty focuses on an individual's
capacity to live a healthy life, free of avoidable morbidity, having adequate
nourishment, being informed and knowledgeable, being capable of reproduction,
enjoying personal security, and being able to participate freely and actively
in society. Material resources at some level are generally necessary for some
of these activities, but they are not sufficient. Measures that focus on capability
poverty thus incorporate access to public services, assets and employment, as
well as money-metric measures which reflect the ability to 'purchase' food,
clothing and shelter. Capability poverty can be measured directly in terms of
capabilities themselves; for example, the percentage of children who are underweight,
or, indirectly, in terms of access to opportunities, or the means of capabilities,
such as access to a trained health professional at birth and access to education
and other public services. These measures of capability poverty are available
in MDG (box below for details see Annex I).
| The Millennium Development Goals |
| Eradicate extreme poverty and hunger Achieve universal primary education Promote gender equality and empower women Reduce child mortality Improve maternal health Combat HIV/AIDS, malaria and other diseases Ensure environmental sustainability Develop a global partnership for development |
Baulch (1996) has usefully described the progressive broadening of what is thought to constitute poverty in terms of a 'pyramid of poverty concepts'. Each concept represents a dimension of well-being, and each conceptualisation constitutes a different combination of dimensions, with the combinations getting broader and more complex (see Figure below). The traditional 'economic' conception of poverty ideally focuses on line three of Baulch's pyramid; i.e. private consumption combined with common property resources and the consumption of state-provided commodities. However, as discussed below, difficulties of measuring consumption of state-provided commodities and access to common property resources often results in a focus on private consumption alone. At the other end of the spectrum, Sen (1999) sees freedom, autonomy and dignity as central and other concepts are relegated to a secondary level of importance. It should be noted that the more complex the conceptualisation of poverty, the more difficult it is to operationalise. Thus, although Sen's approach is useful in understanding the attributes of welfare, it is difficult to quantify or capture.
A Pyramid of Poverty Concepts
Can not supply here. See the book.
Source: Baulch, 1996
Note: PC = private consumption; CPR = common property resources; SPC = state
provided commodities
Alternative conceptualisations of poverty is a burgeoning array of methodological
approaches towards its assessment (McGee and Brock, 2001). These include ethnographic
investigations using classical anthropological methods (Scott, 1985; McGee,
1998), participatory poverty assessments (Norton et al., 2001), longitudinal
village studies (Jayaraman and Lanjouw, 1998), and conventional household surveys
5. The relative merits of alternative conceptions and methodological approaches
largely depend upon the purpose of the analysis of poverty and exclusion.
The issue of poverty needs to be viewed in relation to deprivation: Poor people
are caught into the deprivation trap (depicted below), and true human development
requires breaking that trap by empowering the excluded poor and deprived. Focusing
on human freedom contrasts with narrower views of development, such as identifying
development with the growth of gross national product, or with the rise in personal
incomes, or with industrialization, or with technological advance, or with modernization.
Growth of GNP or of individual incomes can be important as means to expanding
the freedoms enjoyed by the members of the society. But freedoms depend also
on other determinants, such as social and economic arrangements as well as political
and civil rights. The examples are facilities for education and health care,
the liberty to participate in public discussion and scrutiny. Similarly, industrialization
or technological progress or social modernization can substantially contribute
to expanding human freedom, but freedom depends on other influences as well.
If freedom is what development advances, then there is a major argument for
concentrating on that overarching objective, rather than on some particular
means, or some specially chosen list of instruments. Viewing development in
terms of expanding substantive freedoms directs attention to the ends that make
development important, rather than merely to some of the means that, inter alia,
play a prominent part in the process (Sen, 1999)
Deprivation Trap
Can not supply here. See the book.
Human development is about people, about expanding their choices to lead lives
they value. Economic growth, increased international trade and investment, technological
advance- all are very important. But they are means, not ends. Whether they
contribute to human development will depend on whether they expand people's
choices, whether they help create an environment for people to develop their
full potential and lead productive, creative lives (Human Development Report
2002, UNDP). Therefore, the fundamental to enlarging human choices is building
human capabilities: the range of things that people can do or be. The most basic
capabilities for human development are leading a long and healthy life, being
educated, having access to the resources needed for a decent standard of living
and being able to participate in the life of one's community. Assuring people's
dignity also requires that they be free and able to participate in the formation
and stewardship of the rules and institutions that govern them. A poor person
who cannot afford to send his/her children to school, but must send them to
work in the fields or engage in household work, is lacking in human development.
89
Thus, true human development is freedom-mediated, which requires the removal
of major sources of un-freedom: poverty as well as tyranny, poor economic opportunities
as well as systematic social deprivation, neglect of public facilities as well
as intolerance or over activity of repressive states. Despite unprecedented
increases in overall opulence, the contemporary world denies elementary rights
to freedom to a vast number, perhaps even the majority of people. Sometimes
the lack of substantive freedoms relates directly to economic poverty, which
robs people of the freedom to satisfy hunger, or to achieve sufficient nutrition,
or to obtain remedies for treatable illness, or the opportunity to be adequately
clothed or sheltered, or to enjoy clean water or sanitary facilities. In other
cases, the un-freedom links closely to the lack of public facilities and social
care, such as the absence of epidemiological programmes, or of organized arrangements
for health care or educational facilities, or of effective institutions for
the maintenance of local peace and order.
Actually, what people can positively achieve is influenced by economic opportunities,
political liberties, social powers, and the enabling conditions of good health,
basic education, and the encouragement and nourishment of initiatives. The institutional
arrangements for these opportunities are also influenced by the exercise of
people's freedoms, through the liberty to participate in social choice and in
the making of public decisions that accelerate the progress of these opportunities.
Realization of these interconnections is important to put 'people'- the excluded
distressed and deprived- in the centre of development.
Basically, there are five distinct types of freedom. These include (1) political
freedoms, (2) economic facilities, (3) social opportunities, (4) transparency
guarantees, and (5) protective security. Each of these distinct types of rights
and opportunities helps to advance the general capability of a person. They
may also serve to complement each other and produce synergy (Figure below).
All these five types of freedom are linked with one another, and in-integrity
produces synergy. Political freedoms in the form of free speech and elections
help to promote economic security. Social opportunities- in the form of education
and health facilities facilitate economic participation. Economic facilities-
in the form of opportunities for participation in trade and production, and
access to public resources (e.g, khas land)- can help to generate personal abundance
as well as public resources for social facilities. Ensuring free play of all
these five types of freedom, in a most visible way, must be viewed as a natural
precondition for empowerment.
Mutually Reinforcing Capabilities
Can not supply here. See the book.
From the justiciable rights-based empowerment perspective, the of persistence
and endemic deprivation and the prevention of severe destitution, which emanate
from lack of substantive freedom. Here, as stated above, freedom implies all
five broad types of instrumental freedoms. Political freedoms refer to the opportunities
for the people to determine governing bodies and principles of governance, to
criticize authorities, to have the right to penalize for undemocratic governance,
to have freedom of expression and an uncensored press. The intensity of economic
needs adds to, rather than subtracts from the urgency of political freedom (Amartya
Sen 1999). The second form of freedom- economic facilities- refer to the opportunities
that individuals enjoy to utilize economic resources for the purpose of production,
exchange, or consumption. The economic entitlements that a person has will depend
on the ownership of and access to resources (land and other assets) as well
as on the conditions of exchange. The third form of freedom- social opportunities-
are the arrangements that society makes for education, health and so on, which
accelerate the capability of an individual's substantive freedom to live better.
Political and economic oppressions substantially reduce the positive effect
of social opportunities on individuals or on certain groups of people who are
oppressed. The fourth form of freedom - transparency guarantees- are related
to openness, i.e., the freedom to deal with one another under guarantees of
disclosure and lucidity. Transparency guarantees are based on trust, violation
of which adversely affects people's lives. Unfounded enactments, rules and regulations,
contradictory official memos, keeping people uninformed about their rights,
among others, are some of the good examples of lack of transparency guarantees
which pave the way for oppressing people, promoting corruption, underhand dealings,
mis-governance, and perpetuation of endemic deprivation. The fifth form of freedom-
protective securities - are extremely important because there are people who
are vulnerable, fragile and deprived as a result of material changes that adversely
affect their lives. The need for protective security can emerge as a consequence
of economic structure itself and/or as a consequence of alienation from political
and other freedoms. Ensuring protective securities implies the need for strong
institutional arrangements. All these freedoms reflect distinct types of rights
and opportunities which help to advance the general capability of a person,
or a community characterized by some common identity class, gender, culture,
ethnicity, geographic location etc. Denial of these freedoms produces and reproduces
serious imbalances in terms of social, economic, cultural, demographic, political
and psychological life in our society.
| Human Development: the Concept is Larger than the Index |
| Ironically, the human development approach to development
has fallen victim to the success of its human development index (HDI). The
HDI has reinforced the narrow, oversimplified interpretation of the human
development concept as being only about expanding education, health and
decent living standards. This has obscured the broader, more complex concept
of human development as the expansion of capabilities that widen people's
choices to lead lives that they value. Despite careful efforts to explain that the concept is broader than the measure, human development continues to be identified with the HDI-while political freedoms, participating in the life of one's community and physical security are often overlooked. But such capabilities are as universal and fundamental as being able to read or enjoy good health. They are not included in the HDI because they are difficult to measure appropriately, not because they are any less important to human development. |
Source: Fukuda - Parr 2002
Bangladesh Economy and Politics: Setting the Stage
Human development in Bangladesh is a mosaic of some achievements but many disappointments.
Certain reduction in population growth and fertility rates, rise in literacy
levels, gender parity in school enrollment rates- all represent important gains.
Bangladesh has continuously strengthened its disaster management capabilities.
This enhanced capability, as well as the resilience of its long suffering people,
was in ample evidence during the resolute and effective people's response in
1998 to one of the century's worst floods.
However, in terms of sustained human development, many daunting challenges
remain. First, despite some gains, massive poverty persists, particularly in
the rural areas and urban slums; and the basis for unempowerment inequality
has broadened and increased. GDP growth rates averaging 5 per cent per annum
appear to be well below Bangladesh's potential. Second, confrontational politics
weakens the political will and social stamina needed to challenge the self-serving
elite, bureaucracy, military, labour unions and corrupt business forces that
block the potentials of progress critical for accelerating and broadening development.
Third, poor governance, weak institutions and public resources, sector performance
inhibit development and reduce the access of the excluded to public services
and benefits. Fourth, foreign aid has been less effective than it could be,
reducing its impact on growth and poverty reduction.6
Economic progress is too slow to match true human develop- ment. Bangladesh,
with a GNP per capita of only $390, remains one of the world's least developed
HDI countries, 145 out of 173 in UNDP's Human Development Index. Growth with
inequity certainly aggravates the poverty situation and the deprivation trap.
Bangladesh seems to be caught in the trap of economic criminalization. This trap is attributable, among others, to the legacy of anti-poor political economy and crisis in governance. The nature of crisis in governance should be assessed from three inextricably linked dimensions of humane governance: economic, political and civic.. Economic governance consists of absolute and relative spending on social priority sectors reflected through extent of priority assigned to public goods, extent of compliance of allocation with national needs, and equity considerations. Political governance includes the factors associated with the use of institutions by the government to govern, among which the major ones are accountability and transparency, and compliance with rules and regulations. The essence of civic governance is the right and responsibility of the governed quarters to participate in and promote good governance. The deep-rooted, politico-economic crisis is both cause and outcome of the following macro issues, among others:
1. Criminalization of economy and politics.
2. Dominance of black money (Taka 600 billion annually).
3. Huge drain of national resources, both in private and public sectors.
4. Predominance of worst form of capital, which is anti-industrialisation.
5. Non-accountable banking sector (unpaid loans of Tk.200 billion) and inefficient
financial institutions: powerful catalyst for economic distortions and impetus
for criminalization.
6. Low investment - both public and private (including FDI).
7. Low priority assigned to human development expenditure, and high priority
to unproductive sectors (e.g, military spending and administration).
8. Acute process of pauperization in rural economy.
9. Liquidity crisis due to high government borrowing.
10. Slumization instead of urbanization.
The garment industry, one of Bangladesh's most striking successes, has succeeded largely by by-passing the banking system, getting most of its working capital from family contacts or from companies overseas via back-to-back letters of credit. But industry as a whole appears to have stalled - the current growth in manufacturing will be little more than three per cent. WTO's impact on this sector, after withdrawal of quota, according to the experts, will be negative. This sector is already experiencing a sharp downfall after nine-eleven, invasion in Iraq and rapid market changes in the developed economies. These imply a possibility of life threatening situation for two million female workers in the garments, and consequent sharp decline in export earning which is already in place. Anti-industrializa- tion nature of capital will continue to act as major deterrent for backward linkage industrialization in Bangladesh.
The overall investment climate is bleak. Domestic capital due to the very nature of the capital (trading and commission agency) is reluctant to transform into productive industrial capital. The overall investment climate is non-conducive due to many factors - the rule of law (crime, corruption, law enforcement); bureaucratic harassment (tax administration and other regulations); macro-economic stability; political stability; strength of financial institutions; quality of infrastructure (power and communications). Unless domestic productive investment is ensured the likelihood that foreign investment will come forward is minimal.
Neither foreign portfolio nor investment has made much impression. Foreign
investors have moved funds into the Dhaka Stock Exchange, but they have moved
them out again - in 1995-96 there was a $ 23 million net outflow. And foreign
direct investment has proved no more positive - in the same year it was only
around $ 5 million. The most consistent flow of foreign investment has gone
into the country's two export processing zones in Dhaka and Chittagong, which
between 1983 and 2000 had accumulated investment of $ 330 million and given
employment to 58,000 people. The remittances from Bangladeshi's abroad is at
least ten times higher than the FDI. Unless the domestic economic management
is streamlined, the factors responsible to attract FDI for productive pursuits
will not be in place.
Agriculture will remain the backbone of the economy, with around 30 per cent
of GDP. But average growth here, even with diversification, is unlikely to be
much more than three per cent per year, so non-farm rural or semi-urban activities
in manufacturing and services will have to expand at two or three times that
rate to make up the difference. But finance remains difficult. While NGOs are
skilled at offering micro-credit to upper-poor households, and banks are willing
to finance larger enterprises, lower-poor are left-out, and small business in
the middle have to fall back on their own savings or sometimes remittances from
Bangladeshi workers overseas.
There has been some apparent attempts to restore democracy and institute norms. Successive elections have been conducted under Interim Governments, and parliament is broadcast live on TV and radio. But the real spirit of democracy is still weak. Bangladesh remains a highly centralized and bureaucratic state. At the top, political debate often reverts quickly into party confrontations divisions that are mirrored in many other institutions, and can too easily spill over into violence on the streets. While at the bottom, millions of people are marginalized by their poverty from genuine participation in national life. The process of inclusion of the excluded into the human development is too weak to make any significant dent on poverty eradication. Part of the problem can be explained through the long period of autocratic rule. The legacy of autocratic government has also steadily concentrated power in Dhaka, reducing officials at the district and thana levels to functionaries carrying out centrally ordained directives.
Since independence, the Civil Service in Bangladesh has been growing at an
average rate of 3.6 per cent per year- considerably faster than the overall
population. Currently, there are over one million civil servants. The system
as a whole is persistently unresponsive and unaccountable. Few people have high
expectations in their contact with government servants- indeed they are pleasantly
surprised if they receive the service to which they are entitled.
There is no denying the fact that those who suffer most are the perennially
distressed and deprived poor and illiterate. But even the largest enterprises
have trouble dealing with officialdom and a dense thicket of regulations. One
survey of exporters, for example, found that most of them had to employ someone
full time to deal with government officials and that dealing with export and
import delays cost them an average of eight per cent of their sales revenue.
The deficiencies in democratic accountability and public administration have
left huge gaps, some of which have been filled by NGOs. Bangladesh has some
of the most innovative and enterprising NGOs in the world. The country now has
upwards of 1,000 foreign-funded NGOs of all shapes and sizes spending about
$500 millions per year. Originally they got most of their funds from charities.
But in recent years they have also been funded by official aid donors who see
NGOs as an alternative effective way of reaching the poor and use them as a
channel for more than ten per cent of the country's official development assistance.
While NGOs in the past have concentrated on service delivery, many more are
now engaged in social mobilization and advocacy. Many have been serving as a
bridge between local communities and government. Many NGOs have also transformed
into money making enterprises, which calls for redefining the mission and vision
of NGOs.
Bangladesh is a long way from a fully integrated system of governance. Democracy
occurs sporadically. Voter turnout at elections is high: about 75 per cent in
the 2001 parliamentary election, and often higher in Union Porishod election.
But, after that, possibilities for participation remain limited, particularly
for the poor. This development has direct roots to the nature of expenditure
in elections: Election expenses are nothing but high-return investment. This
raises a serious question about the efficacy of democracy to transform human
deprivation into human development in Bangladesh.
The critical issues of anti-poor political economy and crisis in governance
which reproduces disempowerment is a reality beyond doubt. The public sector's
allocative priorities show a clear bias towards the non-poor. Even the government's
much acclaimed pro-poor Food-for-Education (FFE) programme's benefit-incidence
(presented at Bangladesh Development Forum 2002) analysis shows that 75 per
cent of allocation to FFE do not reach households implying the incidence would
actually be pro-rich. This bias points to the skewed balance of political power
in favour of the more affluent segments of the population. This is clearly evident
from policy level non-compliance with human welfare-orientation depicted in
the pattern of public sector spending. Increasing military expenditure reduces
the speed of poverty reduction and social-welfare activities. This is because,
arms spending undermines human security, eating up precious resources that could
have been otherwise used for human development. The lack of humane governance
here is simply evident from the fact that, during the 1985-1999, military expenditure
in Bangladesh increased by about 70 per cent from US $ 341 million in 1985 to
US $ 580 million in 1999, whereas during the same period, NATO military expenditure
fell by 25 per cent. The lack of sensibility toward any humane governance is
evidenced in the pattern of scarce resource allocation where military expenditure
comprises at least 40 per cent of the combined expenditure in public health
and education. The real expenditure must be much higher than this official figure7.
Bangladesh has bought Mig-29 fighter air crafts at a cost of US $ 150 million.
The lack of humane governance is evident from the fact that this could have
been otherwise used for the total eradication of TB and leprosy from Bangladesh,
or that could have been used to drastically reduce the unacceptably high maternal
mortality from 4.33 to 2.0 per 1000 LB, or to reduce the infant mortality rate
to 35 per 1000 LB from the current level of 67, or to deploy atleast 30,000
primary school teachers for 20 years, among others.
Empowering Women: A Key to Human Development
There is an interesting paradox regarding gender relations in Bangladesh. There
is an unclear understanding of empowerment of women as a process of awareness
and capacity building leading to greater participation in decision making and
control over her own life, although women as mothers are held in high respect
at the individual level.
A significant majority of people living in absolute poverty are women, and women-headed
households are among the poorest in the country. Although theoretically, the
implications of poverty are same for both sexes, women are more vulnerable due
to social norms and customs prevailing in the society, which tend to degrade
their position from early childhood.
Non-entitlement-based dis-empowerment is evident in the fact that women of Bangladesh
suffer from a vicious cycle of malnutrition. They eat last and least. Because
of food deprivation malnutrition starts from infancy through childhood and continues
up to later years. Poverty is not the only cause. Social prejudice and food
deprivation leads to maternal and child mortality at a high rate. Her ill health
implies the ill health of the future generation. Early marriage leads to early
pregnancy. Almost all low-income pregnant women in Bangladesh weigh less than
50 kg. This condition leads to miscarriage, high morbidity and shortens women's
life.
Women in the rural areas carry a heavy work load in the agricultural sector.
Rural women participate in farming crops, horticulture, livestock, husbandry,
paddy boiling, husking and drying, rearing cows, goats, chickens, ducks, fishing
and carrying water, milking, collecting fuel. Unfortunately, because of patriarchal
values, women's work load is not counted as agriculture work. They are not included
in making decisions about the allocation of material and economic resources.
Though they are over burdened by household work, the prevailing cultural norm
of domestic work is not recognized as work at all. There is no reliable and
comprehensive information about women's economic activity. These are very basic
indicators showing status of women's disempowerment.
The female adolescent is engaged in nursing the elderly and young members in
the home. Their caring labour is also non-valued. But when they fill sick they
are most neglected and remain uncared. This is amply evident in the sickness
reporting statistics by gender.
A large number of women are participating in wage labour migrating from rural
areas. Most of them live in city slum areas and work in the garment industry.
Most of the garment factories are in Dhaka. Nearly 1.5 million women work in
this industry. Over 80 per cent of the total garment workers are female, of
whom 50 per cent are adolescent girls. Studies on the situation of garment workers
revealed low energy and nutrient intake by the working girls. They work for
twelve hours on average.
Women's (poor) health in Bangladesh is a major area of neglect. Illness and
deaths from complications of pregnancy, childbirth, un- safe abortion, from
reproductive tract infection and from improper use of contraceptive methods
top the list of health threats to women. The health of both a pregnant woman
and her fetus, for example, can be severely compromised by reproductive tract
infections. On the other hand, women may contract such infections, or, as the
result of poor handling of childbirth or abortion procedures. Poor women are
ill prepared for child bearing, an activity in which they will almost certainly
engage repeatedly. And from one pregnancy to another they may never receive
medical care. Lack of access to timely and effective basic maternal health care
is a critical empowerment issue for women of Bangladesh, and contributes considerably
to maternal mortality and morbidity. Every year about 30,000 women die in Bangladesh
due to pregnancy related complications.
Son preference in Bangladesh is widespread. Women in Bangla- desh are still
pressured to give birth to a son. If they do not, they have to go through several
pregnancies in order to try to produce one, draining their bodies of nutrition
and strength. In rural Bangladesh, a majority of people are ignorant of the
fact that it is the male genes, which determine the sex of the child, and if
a young woman cannot produce a son, various forms of punishment await her. She
is either ill-treated, divorced or finds herself sharing the kitchen with a
co-wife. If the young woman cannot give birth to a child she is blamed without
any medical investigation of the husband.
According to the UNFPA State of the Women Population Report, 47 per cent of
the women in Bangladesh testify to having been physically assaulted by a male
partner. Such results and the fact that Bangladesh would rank second in a list
of twelve countries with a high rate of violence against women caused quite
a stir in the media. A recent study revealed rank the ordering of different
types of VAW (prevalence during last year): verbal abuse is the most prevalent
and alarming (76 per cent). The second most widely occurring type of VAW is
battering (57 per cent) while the third position goes to dowry related violence
(56 per cent); marital rape is also quite noticeable (44 per cent).8
Trap of Politico-economic Criminalization: Enemy of
Human Development
There is no way to ensure sustainable human development without addressing the
issue of sustainable empowerment of the poor and the deprived the excluded mass.
This is because poverty is much more than a lack of income, and deprivation
is more than just lack of physical necessities, assets and income. Other dimensions
of depri- vation are physical weakness, isolation, vulnerability and power-
lessness. Poverty is not only a state of deprivation, it is also a process of
vulnerability. The vulnerabilities in our context are routine rather than exceptional
in nature and serve to constrain opportunity frontiers, impair social identities
or impose tangible economic losses. Most frequently, routine vulnerability generates
a critical problem of income erosion, which may overshadow efforts at income
generation (Barkat and Ahmed 2000).
In view of the fact that 70 million (out of 140) Bangladeshis live in absolute
poverty - poverty eradication and breaking the deprivation trap should be the
paramount thrust within the overall goal of promoting sustainable human development.
Here it would be very important to internalize that human development is essentially
a freedom-mediated process, whereby freedom as a condition for development includes
political freedom, economic facilities, social opportunities, transparency guarantees,
and protective security (explained in section 2).
The urgent need for poverty alleviation was powerfully made by half a million
of Bangladesh's poor when they assembled outside Parliament on 1 January 1996:
"Poverty alleviation should be the primary objective of all irrespective
of rich or poor, Government or NGOs, class or profession and ruling party or
opposition party."
In Bangladesh, informal economy is growing very fast. Those involved have very
limited access to jobs created by growth. Their poverty is deep-rooted, pervasive
and multi-faceted, relating not just to the absence of reliable incomes and
productive assets, but also to feed, safe water, education, shelter, injustice,
lack of power and to continuing daily vulnerability to disaster and disease.
From income point of view, the average per capita income remains very low at
around US $ 390 in 2000. It is estimated that about 50 per cent of the population
regularly consume less than 2,122 kilo calories per day, while around half of
these are considered to be in extreme poverty, consuming less than the equivalent
of 1,805 kilo calories per day. It is worthwhile to note that, Bangladesh has
the highest incidence of poverty in South Asia and third highest number of poor
in the World after China and India.
The extent of exclusion depicted in the human deprivation profile in Bangladesh
is much more pronounced than one can guess. The vast absolute extent of some
of the key 'deprivation' measures in our context is as follows. Out of 140 million
population
· 70 million (with 60 million in rural areas) are below poverty line;
· 30 million persons are unemployed;
· 100 million people do not have access to adequate sanitation;
· 90 million people do not have access to primary health care services;
· 80 million are illiterate;
· 20 million children are not enrolled in primary and secondary schools;
· 12 million children under 5 years of age are malnourished;
· 3 million births (each year) are not attended by trained personnel;
· 2 million infants have low birth weights;
· 1.6 million children die before reaching five years of age (50 per
cent of all death);
· 1.7 million children (12-23 months) are not fully immunized; and
· 110 million are denied access to electricity at their households.
The figures quoted above are sufficient enough to indicate that millions in Bangladesh lack the most basic requirements of dignified life -food, education, health care, adequate sanitation, and a safe environment which are guaranteed by the Constitution. The pre-dominant majority of our people is increasingly denied opportunities for full-life. Even worse, as would be evident later in this section, the human deprivation trend is on the rise. Thus, the humane development challenge of Bangladesh in the twenty first century is formidable.
The global HDI ranked Bangladesh 145 out of 173 countries in 2002 (UNDP, 2002). Bangladesh's HDI ranking since 1990, as reported in the global HDRs of UNDP, has dropped further down and always remained near the bottom. Thus, whatever achievements have been made in the past, human exclusion continues to be deep and pervasive. These aggregated analyses inevitably conceal considerable differences in the distribution of human development within Bangladesh. When account is taken of the unequal distribution of development, at least as it relates to income, education and longevity, Bangladesh's aggregate HDI would be reduced significantly. And, more importantly, such inequities are greatest for women.
The distribution of ownership of assets and income distribution - both are highly skewed in Bangladesh. There is no evidence to suggest that the gaps between haves and have-nots are decreasing. The opportunities to earn and control over assets are the main determinants contributing to income inequities. The most important asset in this context is land. Around two-thirds of the rural poor are landless. Between 1988 and 1995, there was little change in the two per cent proportion of land held by the bottom 40 per cent, while the top ten per cent owned around 50 per cent of the land 9. In addition, a huge share (88 per cent) of the government owned land and water-bodies known as khas land (amounting 3.3. million acres) is illegally occupied by the richer segment of the population. 10
People are migrating, one way, from rural to urban areas. This is not because they just want it. People with reliable sources of income in rural areas are less likely to migrate. Official data show that while there has been slight reduction in the percentage of poor people over the last decade, absolute numbers in both rural and urban areas have grown since the last Household Expenditure Survey (HES) in 1988-89. Also, taking a longer historical perspective, the absolute numbers of both the poor and the extreme poor have risen significantly in the last century. The challenges posed by this mass poverty are enormous. The population continues to grow by about two per cent a year and this is putting additional strain on a natural resource base that in many areas is already showing signs of breakdown. The magnitude of the challenges of human development indicated through the various dimensions of the extent of human deprivation is evident from the information contained in Table 1.
Table III. 1: Human Deprivation in Bangladesh: Selected Indicators
Can not supply here. See the book.
Sources: Barkat A and S Akhter (2000), BDHS, HES-BBS, SYB-BBS, GOB (1999), WB, UNICEF, SPB-BBS, INFS, UNFPA, UNDP
Widening gap between the poor and non-poor is indicated through the fact that
employment has increased by 36 per cent for the non-poor compared to 27 per
cent for the extreme poor. Among other gaps significant are: primary school
enrollment rate rises with land ownership, access to safe drinking water facilities
is positively related with land ownership, and access to sanitary toilets even
more so; landless, functionally landless and marginal farmers suffer more from
diseases and sickness. The extent of disease and sickness induced vulnerability
is much higher among poor than among the non-poor. Disease and sickness-mediated
deprivation not only perpetuates poverty, but also further aggravates the extent
of impoverishment.
Seven health conditions termed as diseases of poverty (by WHO), tuberculosis,
malaria, maternal and perinatal conditions, childhood illness including measles,
acute respiratory infections, diarrhoea, and STDs, are responsible for two in
three deaths among children and young adults in Bangladesh. The impact of these
diseases on death and morbidity is disproportionately high for the poor compared
to non-poor. The impact of the above diseases on poor occurs through the following
channels (Barkat and Majid, 2001):
1. It creates consumption shocks, which adversely affect the nutrition status
of children and women.
2. It deteriorates the capability of the income-poor, directly.
3. It forces the poor to pay for health services (even to the public sector)
| Essence and Implications of Poverty-mediated Disease and Disease-Mediated Poverty: |
|
"A rickshaw driver in Khulna, Bangladesh may
well know that he lives in a place where the risk of tuberculosis is high.
But his poverty deprives him of the choice to live somewhere else. When
he gets infected, he cannot compete so well for work. His income goes
down. This sends the family into a spiral of debt and increasing poverty.
His children -particularly the girls- may be kept from school. The family
may have to cut out fish from their meals most days. Their malnutrition
increases vulnerability, risk of illness- and death." Dr. Gro Harlem Brundtland |
In every aspect of human well being, women in Bangladesh are significantly
worse off than men. Female-headed households are generally much more deprived
and destitute than the others. The prevalence of extreme poverty is far higher
amongst female-headed households whose total population may exceed five million.
Over 95 per cent of these female-headed households fall below the poverty line,
of which a third are amongst the hard core poor. Their incomes on average are
about 50 per cent less than male-headed households even amongst the extreme
poor. Also, more boys are treated at health centres, while self-treatment is
more prevalent among girls; girl babies are breast fed for shorter period and
that the incidence of malnutrition is higher among girls.
The adult literacy rate for the females is 76 per cent of that for the males.
The mean years of formal education for females averages about 30 per cent less
than males. Wages are lower for women even for the same work. In the manufacturing
sector, female wage is 50 per cent less than that of male (UN, The World's Women
2000). Women face discrimination in inheritance, child custody and marriage.
Violence against women continues at high levels and that laws to protect women
are not enforced.
Increasing 'slumization' is a glaring example of mass impoveri isation in the
urban areas (11) Medium term projection shows that urban population will share
for 38 per cent of total population and will exceed 85 million in 2020, which
is almost equivalent to the 1981 population of the whole country (Barkat, 2000).
The urban centres in Bangladesh have significantly increased over the past two
decades. The main reason for the rapid growth of population in the cities is
the heavy inflow of migrants from rural areas. The vast majority of these migrants
are extremely poor. Because of the interaction of rural push and urban pull
factors, cities are being flooded with people looking for a job. Most of these
people moving into the cities have no other place but only the slums and squatter
settlements to reside in. In fact, the slums and squatters are growing at an
alarming rate. The estimated total number of slums and squatter settlements
(cluster) in the four metropolitan cities in Bangladesh was 3,431 with about
88 per cent in the Dhaka city alone.
Increasing landlessness, under-employment in the rural areas and the increasing
job prospect in the urban areas as perceived by the rural people are the main
factors to cause ceaseless migration of the rural poor to the urban informal
sector and growth of slum population as well as inflationary raise in urban
population. Besides, various natural disasters also influenced this migration.
With the expansion of the urban centres and increase in the urban population,
the number of slums and slum dwellers are also rapidly increasing. In the city
area, poor migrants preferred slum areas for their initial colony due to income
scarcity and poverty of opportunity (POPI). In Dhaka city alone, there are 3,007
slums and squatters. The Dhaka population in 2010 will be about 17.6 million,
up from the current of about 10 million. This projected Dhaka population is
almost equivalent to the current population size of the world's second largest
urban agglomeration- Sao Paulo of Brazil. According to some projections on urbanization,
about 50 per cent of the total urban population will be struggling for survival
in the low income settlements-referred to as slums and shanty-towns. The nature
of urbanization is such that at least 50 per cent of this Dhaka urban population
will be living in the slums and squatters. The size of this population being
so large and the rate of growth of slums and squatters being so high have important
economic, social, political, demographic and public health implications.
The slum dwellers are largely distressed migrants from the rural areas and,
more importantly, most of them live below the poverty line. The problem is aggravated
by the fact that the development efforts of the government targeted to the slum
population are highly inadequate in most cases they are `served' less even than
the rural population en masse. The slum dwellers do not have sufficient access
to the education, employment and health facilities of the formal sector. Consequently,
the health and nutritional status of the urban poor is even worse than that
of the rural poor. Fewer than 20 per cent of school age children in Dhaka slums
attend school. Infant mortality rate and maternal mortality rate in the slums
are also quite high compared to the national rates. It might be mentioned here
that in Bangladesh, about 300 thousand children under five die of diarrhea every
year, out of which one-third die in city slums and squatter settlements.The
overall infant mortality rate (IMR) in Bangladesh appears relatively more favourable
for urban areas than for rural areas; however, once that is disaggregated, the
urban slums not only reach the highest IMR in the country but also show important
gender differentials (Barkat and Akhter, 2000).
The high extent of human deprivation of the dwellers of slum and squatter settlements
is clearly evident in all dimensions of life, namely life expectancy, economy,
education, access to health, child health and women's health status. Although
the lack of human opportunity is highly pronounced for most people in Bangladesh,
the relevant values are unacceptably high in case of the slum and squatter population.
In this connection, the scenario of urban slums as compared to the national
situation is deplorable, and the gaps are significantly high and unacceptable
in terms of the following indicators: population density, life expectancy at
birth, level of poverty, prevalence of child labour, literacy, access to health
facilities and sanitation, under five deaths due to diarrhea and prevalence
of diarrhea, prevalence of acute respiratory infections, infant mortality rate,
pregnant women's access to antenatal check-up, teenage fertility, and women's
knowledge about STD/HIV/AIDS. The extent of gaps in all the human development
indicators between the urban slums and the national data are indicative enough
to conclude that life in the slums is full of misery, deprivation and destitution,
by any standard, showing "poverty of opportunity" which is not the
effect but the cause of poverty. Thus, urbanization in Bangladesh, which essentially
takes the form of slumization, is showing an upward trend a clear evidence of
growing urban impoverishment in Bangladesh. The above analysis implies that
through so-called `urbanization', if `poverty of opportunity' continues, then
the national level poverty will concentrate increasingly in the urban areas,
especially in urban slums and squatter settlements.
The rapid growth of urban slums is adversely affecting the overall human developmental
efforts. Even if the urban formal sector as well as the rural sector substantially
develops the overall rate of economic growth and human development may not appreciably
increase and the incidence of poverty may not decline if the slum population
continues to grow at the existing rate. Again, even increase in the growth rate
and considerable human development will not ensure improvement in the social
welfare function leaving a large segment of the population, called the slum-dwellers,
in deplorable socio-economic conditions. Thereby, the overall national human
development will be at jeopardy and will fail to meet the genuine developmental
aspirations. Apart from economic there are also social implications of the rapid
growth of slums and squatter settlements. Therefore, appropriate interventions
are urgently needed to combat the growth of slums, integrate the slums with
the modern sector, and improve upon the life and living of slum population through
all-out efforts of transforming human deprivation into human development in
the slums and squatter settlement. Thus, the increasing number of poor people
and adverse deprivation situation can be tackled only through vigorous implementation
of rural poverty and urban poverty targeted massive interventions. These should
be considered as key to sustainable human development.
To summarize the nature of human development attained by Bangladesh during the
last 30 years of our development: Economic criminalization has acted as a powerful
catalyst to criminalize all spheres of politics and society. We have attained
a sort of perpetuating exclusion of the excluded situation; an environment aggravating
the alienation process of the excluded; a scenario which has created conditions
for more active denial to address the issues pertaining to the broadening of
human choices for full-life (to ensure five types of freedom people shall enjoy).
The balance sheet (presented below in Table 2) shows vividly that we are now
caught in a culture (trap) of plundering wherein the overall environment favours
everything which is against human development, which is fully in congruence
with the interest of criminalization. The thirty-years' balance sheet depicts
a clear tendency: The status of all indicators conducive to human development
is getting worse, and indicators associated with criminalization trap are getting
stronger, and thereby, limiting the scopes for broadening human choices to exercise
their own free will. During the past three decades of our development we are
again back to the discriminatory two-economy (with more strength): One economy
is represented by only one million people who are most powerful (in the steering
wheel, irrespective of who holds the formal power), and the other economy is
represented by the unempowered majority, 139 million people - the excluded,
deprived and distressed (According to our Constitution, "All powers in
the Republic belong to the People", Article 7).
Table III: 2. Balance-sheet of Politico-economic Development
of Bangladesh:
30 Years Trend
| Indicators showing upward trend | Indicators showing downward trend |
| 1. Black economy/black money and associated plundering, crime, terrorism, illegal arms, muscle power, corruption, bribe, money laundering, bad governance, repression, oppression, torture, persecution, killing, physical assault | Strengthening economic foundation; development of national capital; industrialization; economic capability to run normal family economy; employment generation; efficacy of institutions dealing with black economy |
| 2. Billionnaire and beggars/paupers; forcible grabbing of land and waterbodies; new cars and flats, and new techniques of begging; number of people die to collect Zakat clothes (during Eid); number of people sick and death due to cold and heat waves | Economic opportunities; employment generation; poor peoples' ownership and access to resources |
| 3. Multistoried buildings; brick fields; child and women labourers for brick chipping | Housing facilities for the poor; environmental balance-- natural environment |
| 4. Super market; car sale centres; garments industries, women labourers; alienation/isolation from families | Industries, workshops, production equipment and machineries, value addition in industries |
| 5. Rural-to-urban forced migration; number of people living in slum; informal sector; nuclear families; distress and deprivation of children-women-older people | Poor and marginal farmers control over land; rural employment; real income/wage; extended families |
| 6. Legal and illegal import and export; unearned income; imbalanced economic growth and development | Efficient use of human potentials and resources; use of capital for industrialization; development of small and cottage industries and entrepreneurship. |
| 7. Foreign grant-loan projects; NGO activities | Local initiatives; incentives to promote best use of local resources; peoples' participation in social and economic development |
| 8. Use of organic fertilizer, insecticide, pesticide and HYV seeds and associated business; hoarding and black marketing of agricultural inputs | Natural fertility of land; age-old traditional seed varieties; timber; fish; environmental balance; price of agricultural commodities |
| 9. Communication; information technology; number of students in computer and business education | General science education; technological basis; students in science and philosophy; intellectual pursuits |
| 10. Women's employment and mobility; violence against women and children; women and child trafficking; acid throwing | Real wage/income of female workers; protective security of women and child; efficacy of institutions responsible to ensure protective securities for women and children |
| 11. Private sector commercial universities, colleges, coaching centres, English medium schools, kindergarden, madrasha (including English medium); rich-poor disparity in education | Public/private schools, colleges and universities for common people; quality of education in public schools and low-cost private sector; efficacy of education system; public sector real allocation for basic education |
| 12. Use of religion with business motive; religious institutions; number of pir-fakirs; religion-based political parties; violence by the name of religion; expressed uneasiness to people belonging to other religion; fatalism; number of palmistsv | Equal respect to people of other religions; science institutions; scientific mind-set; enlightened worldview; discussion meetings about science and knowledge; healthy life style; secular feelings-behavior-mind-set |
| 13. Expensive private clinics, diagnostic centres; anxiety and poverty-related diseases; health expenditure; pauperization due to health expenditure | Primary health care; quality of public health service; actual per capita public health expenditure; efficacy of public health system |
| 14. Real expenditure on unproductive sectors: military (defense), administration, protective security related areas; distance between public and public servants; influencing the court | Good governance; justice; feeling of individual security; real public sector expenditure for human welfare and in productive sectors |
| 15. Investment in election; competition of black money holders in elections; distance between people and elected representative/institutions | Efficacy/utility of elected persons and institutions; people's trust on the elected person and institution; enlightened politics |
| 16. Exogenous decadent culture; wastage of time in viewing and listening to decadent culture; mutual mistrust | Practice of national culture; feelings of solidarity; mutual trust and respect; human(e) values- moral, ethical and aesthetic |
| 17. Erosion of political values; criminalization of politics; sycophancy; politics as business investment; autocracy, (latent) demand for welfarist politics. | Politicians love for people; politicians patriotism knowledge-based and humanitarian ideology-based politics, democratic values. |
Source: Abul Barkat, 2003
Accelerating Process of Right to Development:
Needs and Doable
In terms of ensuring human development, through poverty alleviation and breaking
the cycle of deprivation and people's empowerment, I hold a mixed view about
the possibilities and non-possibilities. I think the following would be important
to consider in our work with people aiming at accelerating the process of sustainable
human development in Bangladesh:
First
Human Development is a freedom-mediated process, which is essentially an issue
of structure; and pro-elite government's possible role within this structure
will be subordinate to vested interest biased towards rich and mighty. The fact
remains that poverty, both absolute and relative, is structural. Under the present
structure 'nursing poverty' by certain class under certain social-economic-political
structure is not accidental, rather a rule of the structural-game an inherent
outcome of the structure itself. So, what we can do is- we can talk about poverty;
we can put our research efforts to find out complicated facets of exclusion
and work-out means and ways about how best and quickly to get out of the trap.
The limit is due to the fact that governance is the monopoly of the minority-rich,
who have full control and command over resources; where the significant distance
between the promises (in terms of pro-poor policies declared in the Five Year
Plans) and realities is obvious; where due to the operation of the process of
adverse inclusion the poor themselves are caught into the trap of extensive
rent-seeking behaviour; where reliance on market under a free market economy
is obvious which itself is never poor-friendly. All these imply that the limit
to poverty eradication (absolute poverty) and poor people's empower- ment are
attributable to the structure itself. As we are part of that struc- ture we
can also influence the process of change.
Second
Although the boundary for poverty eradication is set within the existing socio-economic-political
structure, I would strongly argue that whoever is with the poorest of the poor,
is struggling for the development of the poor and closely with them, is ready
to learn from the poor (get rid of professional ego and 'vanity') and to carry
forward poor-people's agenda- would be able to accelerate the process of poverty
alleviation and deprivation minimization, and thereby contribute to the process
of sustainable human development in Bangladesh through empowering poor and ensuring
five types of freedom.
Third
I would stress that the change needed is essentially philosophical and practical.
By philosophy, I mean the philosophy of "human development as a freedom-mediated
empowerment process"; and by practical, I mean the need for replacement
of culture of dominance (of various types) by the culture of respect (to the
poor) which is essential to institute empowerment of the poor and deprived.
Development, as I believe, is a process of expanding the reall freedoms that
people enjoy. Development requires the removal of major sources of un-freedom:
poverty as well as tyranny, poor economic opportunities as well as systematic
social deprivation, neglect of public facilities as well as intolerance or over
activity of repressive states. Therefore, by addressing these major sources
of un-freedom we, in fact, accelerate the process of sustainable human development.
Fourth
Since we are in search of understanding the possible ways out of poverty and
deprivation, I think it would be appropriate to delineate the essence of three
major dimensions of sustainable human development paradigm - equity, sustainability,
and empowerment as practical inputs in our efforts to transform human deprivation.
These can also be viewed as principles to follow in our work with the poor.
Equity
A powerful concept that lies at the heart of the human development paradigm.
If development is to enlarge people's choices, people must enjoy equitable access
to opportunities. Development without equity means a restriction of the choices
of the poor and deprived individuals in the society.
Equity should be understood as equity in opportunities, not necessarily in results.
Equity in access to political and economic opportunities must be regarded as
a basic human right in a sustain- able human development paradigm.
Equity in access to opportunities demands a fundamental re- structuring of power.
In our context, this might include (but not be limited to) the following:
· The distribution of productive assets may need to be changed, especially
through agrarian and land reforms (e.g. through distribution of Khas land to
the poor, through reform in the land management and administration systems,
etc).
· The distribution of income may require a major restructuring through
progressive fiscal policy, aimed at transferring income from the rich to the
poor.
· Credit systems may need an overhaul so that poor people's potential
enterprise is regarded as sound collateral and the allocation of bank credit
is not guided only by the existing wealth of the affluent.
· Social and legal barriers that limit the access of women, certain minorities
or ethnic groups to some of the key economic and political opportunities need
to be removed.
· Political opportunities may need to be equalized through voting rights
reform, campaign expenditure reform, and other actions aimed at limiting the
excessive political power of minority elites and plunderers.
Sustainability
This means many things to many people. There are many front-runner concepts
competing with sustainability for global linguistic recognition: self-reliance,
self-sufficiency, local income generation, community ownership, sustainable
livelihood etc. The concept of sustainability is sometimes confused with the
renewal of natural resources, which is just one aspect of sustainable human
develop- ment. It is the sustainability of human opportunities that must lie
at the centre of our concerns.
Sustainability does not mean sustaining present levels of poverty and human
deprivation. Since the present is miserable and unacceptable to the majority,
it must be changed before it is sustained. In other words, what must be sustained
are worthwhile life opportunities, not human distress and deprivation.
Sustainability of a system is the ability of that system to maintain productivity
inspite of a major stress. The major stresses (or shocks) are the forces, which
have immediate impact on the system's (programs) productivity. Sustainability
measures the persistence or durability of the system's productivity under known
or possible conditions. The dimensions to keep in mind in our efforts towards
sustainable human development are presented in the box below.
| · Maintain productivity without (or with
reduced and justified) external assistance · Maintain quality services with declining external assistance · Stand on own feet · Walk with own leg · Grow with dignity · Enhance quality of life with own resources · Maximize mobilization of local resources · Maximized utilization of local resources |
In terms of the empowerment dimension, the human development paradigm
is neither paternalistic nor based on charity or welfare concepts. Its focus
is on development by the people, who must participate in the activities, events
and processes that shape their lives. The worst policy prescription for poor
people is to place them on permanent charity. Such a strategy is neither consistent
with human dignity nor sustainable over time. That is why the sustainable human
development paradigm envisages full empowerment of the people.
Empowerment means that people are in a position to exercise choices of their
own free will. It implies a political democracy in which people can influence
decisions about their lives.
Empowerment presupposes decentralization of power so that real governance is
brought to the doorstep of every person. It means that all members of civil
society participate fully in making and implementing decisions.
In terms of ensuring equality, equity and empowerment of women, exclusive concentration
on just 'well-being' aspects is not enough to ensure development mediated through
empowerment. Now it is time to broaden the so-called 'welfarist' focus to incorporate-
and emphasize- the active role of women's agency (Sen, 1999). The whole effort
of bringing about women's empowerment should be targeted to transform women
from 'less than equal' to at least 'equal to one'. And in our efforts to and
designs of women development programmes, women should no more be seen as passive
recipients of welfare-enhancing help, they should rather be seen as active agents
of change - the dynamic promoters of social transformations that can alter the
lives of both women and men.
Fifth
In Bangladesh, the extent of human deprivation with all its dimensions within
the politico-economic criminalized structure is not only huge, but also the
trend in terms of absolute size is on the rise. The successes of past efforts
officially directed towards alleviation of human deprivation are highly questionable.
The efforts of the past govern- ments, pro-poor NGOs (INGOs and NNGOs) and private
individuals are only encouraging in the sense of understanding and setting of
some of the possible pathways for transforming human deprivation into human
development. What we have learned from the deprived is - despite many vulnerabilities
the poor people survive and they have their own coping strategy. Lack of access
to financial, political, infrastructural, natural and information sources leaves
most of these people at the margins of subsistence. It is obvious that a greater
say in the decision-making processes would release poor people's talent and
latent potentials for positive transformation. What the deprived people require
is more opportunity, not welfare handouts.
Now, to recapitulate the key message that 'sustained human development' as a process of expanding choices should be mediated through real freedoms that people enjoy, in which poor people's empowerment has a central role to play. Thus, 'sustainable human development' should be freedom-mediated and empowerment-mediated. SHD needs to be viewed as a process mediated through five distinct types of freedom- political, economic, social, transparency, and protective security- and all associated dimensions of empowerment which will break the 'deprivation trap', ultimately (shown below). SHD should ensure fully the process of inclusion of the excluded in development (adverse inclusion should be stopped at any cost). Finally, I think, as an individual, as a citizen, and as a member of civil society, we all have a role to play in accelerating sustained process of the inclusion of excluded for human development in Bangladesh. And by way of our participation in this process we will become a conscious part of the history of 'transformation of human deprivation'. And we can expedite the whole process, even within our limited scale of public action, if we believe and practice the 3C Paradigm: CONCERN, COMMITMENT and COMPETENCE.
Annex I: The Millennium Development Goals, targets and indicators
| Goals and Targets | Indicators |
| Goal 1: Eradicate extreme poverty and hunger | |
| Target 1: Halve, between 1990 and 2015, the proportion
of people whose income is less than one dollar a day |
Proportion of population below $1 per day Poverty gap ratio [incidence x depth of poverty] Share of poorest quintile in national consumption |
| Target 2: Halve, between 1990 and 2015, the proportion
of people who suffer from hunger |
Prevalence of underweight children (under five years of age) Proportion of population below minimum level of dietary energy consumption |
| Goal 2: Achieve universal primary education | |
| Target 3: Ensure that, by 2015, children everywhere, boys and girls alike, will be able to complete a full course of primary schooling |
Net enrolment ratio in primary education Proportion of pupils starting grade 1 who reach grade 5 Literacy rate of 15-24 year olds |
| Goal 3: Promote gender equality and empower women | |
| Target 4: Eliminate gender disparity in primary and
secondary education preferably by 2005 and to all levels of education no
later than 2015 |
Ratio of girls to boys in primary, secondary and tertiary education 10.Ratio of literate females to males of 15-24 year olds Share of women in wage employment in the non-agricultural sector Proportion of seats held by women in national parliament |
| Goal 4: Reduce child mortality | |
| Target 5: Reduce by two-thirds, between
1990 and 2015, the under-five mortality rate |
Under-five mortality rate Infant mortality rate Proportion of 1 year old children immunised against measles |
| Goal 5: Improve maternal health | |
| Target 6: Reduce by three-quarters, between 1990 and
2015, the maternal mortality ratio |
Maternal mortality ratio Proportion of births attended by skilled health personnel |
| Goal 6: Combat HIV/AIDS, malaria and other diseases | |
| Target 7: Have halted by 2015, and begun to reverse,
the spread of HIV/AIDS |
HIV prevalence among 15-24 year old pregnant women Contraceptive prevalence rate Number of children orphaned by HIV/AIDS |
| Target 8: Have halted by 2015, and begun to reverse, the incidence of malaria and other major diseases |
Prevalence and death rates associated with malaria Proportion of population in malaria risk areas using effective malaria prevention and treatment measures Prevalence and death rates associated with tuberculosis Proportion of TB cases detected and cured under Directly Observed Treatment Short Course (DOTS) |
| Goal 7: Ensure environmental sustainability | |
| Target 9: Integrate the principles of sustainable development
into country policies and programmes and reverse the loss of environmental
resources |
Proportion of land area covered by forest Land area protected to maintain biological diversity GDP per unit of energy use (as proxy for energy efficiency) Carbon dioxide emissions (per capita) [Plus two figures of global atmospheric pollution: ozone depletion and the accumulation of global warming gases] |
| Target 10:
Halve, by 2015, the proportion of people without sustainable access to safe
drinking water |
Proportion of population with sustainable access to an improved water source |
| Target 11: By 2020, to have achieved a significant
improvement in the lives of at least 100 million slum dwellers |
Proportion of people with access to improved sanitation Proportion of people with access to secure tenure [Urban/rural disaggregation of several of the above indicators may be relevant for monitoring improvement in the lives of slum dwellers] |
| Goal 8: Develop a Global Partnership for Development* | |
| Target 12: Develop further an open, rule-based, predictable,
non-discriminatory trading and financial system Includes a commitment to
good governance, development, and poverty reduction - both nationally and internationally |
Some of the indicators listed below will be monitored separately for the Least Developed Countries (LDCs), Africa, landlocked countries and small island developing states. |
| Target 13: Address the special needs of the LDCs)
Includes: tariff and quota free access for LDC exports; enhanced
programme of debt relief for heavily indebted poor countries (HIPC) and
cancellation of official bilateral debt; and more generous ODA for countries
committed to poverty reduction |
Official Development Assistance (ODA) Net ODA as percentage of DAC donors' GNI [targets of 0.7% in total and 0.15% for LDCs] Proportion of ODA to basic social services (basic education, primary health care, nutrition, safe water and sanitation) Proportion of ODA that is untied |
| Target 14: Address the special needs of landlocked
countries and small island developing states (through Barbados Programme
and 22nd General Assembly provisions)
Target 15: Deal comprehensively with the debt problems of developing
countries through national and international measures in order to make
debt sustainable in the long term |
Proportion of ODA for environment in small island developing states Proportion of ODA for transport sector in land-locked countries Market Access Proportion of ODA provided to help build trade capacity Debt Sustainability |
| Target 16: In co-operation with developing countries, develop and implement strategies for decent and productive work for youth |
Unemployment rate of 15-24 year olds |
| Target 17: In co-operation with pharmaceutical companies,
provide access to affordable, essential drugs in developing countries |
Proportion of population with access to affordable essential drugs on a sustainable basis |
| Target 18: In co-operation with the private sector,
make available the benefits of new technologies, especially information
and communications |
Telephone lines per 1000 people Personal computers per 1000 people Other Indicators TBD |
* Abul Barkat is Professor, Department of Economics,
Dhaka University & General Secretary, Bangladesh Economic Association.
Notes
1. Atkinson, 1987, 1989; Ravallion, 1992.
2. Filmer and Pritchett, 1998; Montgomery et al., 2000; Sahn and Stifel, 2000.
3. Falkingham and Namazie, 2002
4. Sen, 1985, 1987; McKinley 1997; Micklewright and Stewart, 2001.
5. Grosh and Munoz, 1996; Grosh and Glewwe, 2000.
6. A recent National Seminar of the Bangladesh Economic Association reported
that 75% of the total aid (loan and grant) flow to the government, during the
last 30 years, was misappropriated and misused ;BEA, Dhaka: February 10, 2001;
See Barkat, 2001.
7. Islam and Barkat, 2001.
8. Barkat et. al, 1999.
9. Barkat and Ahmed, 2000.
10. Barkat, Zaman and Raihan, 2001.
11. Barkat and Akhter, 2001.
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