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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:
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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
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