- Economic accessibility which entails that primary education should be free and compulsory. b. Access to health care series Ms Angela Muriuki from Save the Children made the presentation on access to health services. The World Health Organization perspective was used in defining health as a state of complete physical, mental, and social well-being. The reference documents were same as education (African Charter and Agenda 2040). A 3 delays model was shared to explain why people don’t use health services, namely: - 1st delay- lack of knowledge at the house about services; 2nd delay- lack of infrastructure; 3rd delay- lack of appropriate health service such as personnel and health care facilities Ms Muriuki underlined that access to health services includes physical accessibility, but is not limited to geographical accessibility since it includes security and other factors. It was further noted that accessibility is further defined in terms of availability (presence of health facilities); accommodation (the capacity of the health care service to accommodate the provision of service to all children); affordability (cost which takes into account transportation and opportunity costs); and acceptability including socio-cultural considerations. c. Group discussions on good practices and challenges The group discussions focused on access to education for girls and other disadvantaged children as well as removing cost of barrier to access to health. The groups were organized around language with two being francophone and two Anglophone. From the group discussions, countries reported that most countries provide free access to primary education including a few countries allowing pregnant girls back to school after giving birth. However, economic and financial reasons were raised as challenges holding children back from going to school. The main challenges in access to education include lack of infrastructure, school drop outs due to pregnancies, early and forced marriage and household chores for girls. Furthermore, the discussions highlighted that birth registration remains a barrier as many countries require it for school enrolment. The barriers to health came out as high costs leading to donor dependence, poor quality of services with Equatorial Guinea citing budget constraints as the explanation, and lack of proper monitoring. Additionally it was noted that personnel movement to the private sector is a barrier due to poor remuneration at public health care centers. Mauritius 19 | P a g e

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