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Millennium Development Goals

Social Expenditure in the Central Administration 1997 to the present time

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Social Expediture of the Budget Bulletin
Year 1 - Nr. 1 - September 2003

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The cost of the Objectives of the MIllennium in Paraguay
Five priority objectives
 


Following are the additional financial resources that, in accordance with the estimations of the Project, the country needs to destine as of now to accomplish the Objectives of the Millennium by the year 2015. We will concentrate on the 5 priority objectives that the Project intends to monitor.

1. Reduction of Extreme Poverty from 16% to 8%
The extremely poor people are those people whose incomes do not cover basic food supplies. People who are in this situation will hardly take the greater opportunities of education, technological advances, even in many cases, the advantages of economic growth can reach them with much delay. This segment of the population receives especial attention in countries that have public policies oriented to achieving the Objectives of the Millennium. The amount of additional resources that are needed for 50% of the population in extreme poverty to have the capacity of acquiring basic food supplies that would allow them to leave such condition reaches the amounts of US$ 26 million until 2015. There are different mechanisms designed 5 for these resources to reach people effectively, which seek to minimize errors of exclusion and inclusion, and aim in general to the co-responsibility of the beneficiaries 6.

2. Reduction of global malnutrition by 50%
To secure sufficient clarity, we repeat part of the diagnosis already announced; global malnutrition in Paraguay reaches 5% of the population younger than 5 years old. To achieve the objective of reducing this rate by half, a joint attention to other vulnerable groups is required, besides those that were already mentioned, since 30 % of the pregnant women are malnourished, and on the other hand, 20% of the children younger than 5 years old are in the fringe of the “malnutrition risk”. The pregnant women will probably give birth to malnourished children, and those children in the fringe of malnutrition may descend, if unattended, to the group of malnourished.

Because of the above, the most appropriate way to achieve the proposed objective requires a simultaneous attention to the three mentioned groups (children with global malnutrition + children with risk of malnutrition + pregnant women with malnutrition). In accordance to the Objectives of the Millennium, the goal is the reduction of these percentages by half, for which an annual average of US$11.4 million has to be destined to programs to fight malnutrition from this year until the year 2014. The amount emerges from especially designed packages, such as milk, cereal, vitamin and mineral supplements, and other foods.7

3. Access of 100% of the population to a Package of Basic Health Services.
According to the data of the Ministry of Health (1998), 73% of the population has effective assistance coverage, distributed as follows:
• 58% of the population covered by the public sector:
- 32% Ministry of Health
- 8% Military and Police Health Services
- 17% by the IPS
- 1% by other services
• 15% of the population covered by private services

The gap is made up of population that does not have access to any type of health care, which in percentage terms represents 27% of the population, or 1,520,000 persons in 2003.8 Since in the current circumstances it is difficult to provide all basic health services to the whole population, a package of basic health services is being considered, which in general terms would imply: group education about the use of health services, attention to emergencies, vaccines for children and adolescents, growth supervision and control, pregnancy control, delivery, puerperal consultation, consultation for family planning, early diagnosis of gynecological cancer, service oriented to adults and elderly people, service directed to the community and environment (for example anti rabies vaccination), etc.

The additional resources to provide the mentioned package to the population that is currently unattended, and achieve coverage of 100%, reach US$ 28.8 million annually as an average, from 2004 to 2015.

4. Coverage of 100% of the population for Initial and Basic School Education in 2015.
The estimated amount of registered people in initial and basic school education in 2003 goes up to 1,319,884. This figure is much higher than the one in the 80’s, and this is mainly due to the fiscal priority that has been given to education since 1992, year in which constitutional rank was given to the budget of the Ministry of Education.

The number of boys and girls, however, who are still outside the formal educational system, in accordance to the last estimations of the Ministry of Education totals 133,000. Considering that the population that is added to education each year is important, additional efforts are needed in terms of budget allotment to reach a universal coverage in initial and basic school education. An average of additional US$25 million is needed from now until 2015 to accomplish the objective.9

5. Reduction by 50% of the gap of access to drinking water and basic sanitation.

Drinking Water: achieving the objective implies that 77% of the population will have access to drinking water in 2015. In the urban sector around 80% has access to drinking water. In the rural sector, exactly the opposite occurs: 80% of the population does not have access to drinking water and only 20% does.


At country level, the current gap is of 45%, which represents around 2,500,000 people. The amount required to accomplish the objective is an annual average of US$ 26.9 million per year. Each year 42,850 new connections should be made to reduce the gap and attend to the vegetative growth of the population. It is important to point out that if the investment is not made, the gap will grow from 2,500,000 to 4,385,000 in 2015.

Basic Sanitation: achieving the objective implies to increase from 25% of coverage to 63%. This will be accomplished by reducing the existing gap by 50% both in the urban sector (sewage system), and 50% the percentage of houses that do not have septic tank in the rural sector.
The required amounts reach an average of additional US$ 39 million annually from 2004 to 2015.


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Where to contact us: Mcal. López y Saraví / Edif. Naciones Unidas - 1er. piso | Asunción, Paraguay
Teléfonos: (595 21) 611 007/8 - 608 644 / Fax: (595 21) 611 015
Email: info@gastosocial.org.py