GEOGRAPHY AND DEMOGRAPHY CHILDREN LIVING ON THE STREET IN CENTRAL JAVA PROVINCE:

THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 308 THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 309 Figure 4.5.3: Percentage of households living below the national poverty line, Indonesia and Central Java 1999-2009 Source: National Socio-Economic Surveys 1999-2009 Figure 4.5.4: Percentage of population below the poverty line by area, Central Java 1999-2009 Source: National Socio-Economic Surveys 1999-2009 In line with the reduction in aggregate poverty levels in the province, Central Java’s human development index HDI has been continuously improving since 2000. This is illustrated in Figure 4.5.5, which shows the improvements of Central Java’s HDI, gender development index GDI, and gender empowerment measure GEM from the year 1999 to 2007. As shown, by 2008, Central Java’s HDI had increased to 70.92 from 68.9 in 2004. 480 According to the Central Java Provincial Medium-Term Development Plan RPJMD, Central Java’s HDI now ranks fourteenth among the nation’s 31 provinces and 2 special regions. 481 Although all districts of Central Java have improved their HDI, there is still wide inter-district variation See annex 4.5. While some districts have improved even above the national average, others still rank below the national average. A comparison of urban and rural districts in Central Java shows disparities in the improvement of the HDI, similar to the uneven reduction in poverty in rural areas, such that some rural districts still sit well below the national and provincial averages. One example of above-average improvement has occurred in urban Surakarta, the district in which the Child-Friendly City is being piloted as discussed in the second part of this subsection. In 2007, Surakarta’s HDI ranked sixteenth among all 471 districts in Indonesia, and was the only district from Central Java to be ranked among the nation’s 20 districts with the highest HDI. 482 An example of below-average improvement is Brebes district. While in 2007 the HDI of the district of Surakarta was 76, far above the provincial average, the HDI in Brebes was only 64.3, far below the provincial and national averages, ranking last among all districts in the province. Figure 4.5.5: Human development index HDI, gender development index GDI, and gender empowerment measure GEM, Central Java 1999-2007 Source: BPS - BAPPENAS - UNDP, Indonesia Human Development Report, 2004 data 1999 and 2002, BPS - The Ministry of Women’s Empowerment, Gender Based Human Development Report Overall, wealth distribution in Central Java has become more equal across population groups over the past years, as indicated by a small decrease in the Gini Index from 0.28 in 2005 to 0.25 in 2007. 483 However, the distribution of wealth within districts in Central Java is still highly unequal, especially in rural areas see annex 4.5. Furthermore, the wide disparity across districts is also reflected in the Williamson Index, 484 which stood at 0.75 for Central Java in 2005 and 0.74 in 2007 485 , indicating a wide disparity in the gross regional domestic product GRDP across districts municipalities. Indeed, some cities, such as Semarang and Surakarta, have a relatively high GRDP, whereas some districts, such as Brebes and Wonosobo, show a lower GRDP. 486 The combination of a large proportion of children and women in the population in Central Java as discussed in section 4.5.2 on demographics is important in terms of human, social and economic development measures and policy approaches. Despite overall improving poverty trends, gender-based inequality in human development persists in Central Java in terms of income, human rights and political freedom. Many women still face unequal income opportunities and employment conditions. This is evidenced by the 2007 GEM and GDI for Central Java, which stood at 64.3 and 59.7, respectively. 487 Furthermore, although the 2006 National Socio-Economic Survey data showed an almost equal number of men and women entering the employment market, on average women’s wages were lower than men’s despite overall increases 480 BPS - Statistics Indonesia and the Ministry of Women’s Empowerment 2007 Gender-based human development report, BPS - Statistics Indonesia: Jakarta 481 Central Java Provincial Government 2009 Central Java Medium-Term Development Plan RPJMD 2008-2013, Central Java Provincial Government: Semarang, p13 30.00 25.00 Per cent 20.00 15.00 10.00 1999 2000 2001 2002 2003 2004 Year Indonesia C entral Java 2005 2006 2007 2008 2009 28.46 23.43 18.95 18.40 18.20 17.42 16.66 15.97 17.75 16.58 15.42 14.15 21.16 22.07 23.06 21.78 21.11 20.43 19.23 17.72 482 Ibid., p14; BPS - Statistics Indonesia and the Ministry of Women’s Empowerment 2007 Gender-based human development report 483 BPS - Statistics Indonesia relevant years data from the National Socio-Economic Survey, BPS: Jakarta 484 The Williamson Index indicates inequality across regions, while the Gini Index indicates inequality across population groups 485 Central Java Provincial Government 2009 Central Java Medium-Term Development Plan RPJMD 2008-2013, p15 486 Ibid. 487 BPS - Statistics Indonesia and the Ministry of Women’s Empowerment 2007 Gender-based human development report 64.6 66.3 68.9 69.8 70.3 70.9 57.4 58.7 59.8 60.8 63.7 64.3 51.2 51.0 56.5 56.9 59.3 59.7 45.0 50.0 55.0 60.0 65.0 70.0 75.0 1999 2002 2004 2005 2006 2007 Index HDI GDI GEM 0.00 5.00 10.00 15.00 20.00 25.00 1999 27. 8 28. 8 20. 2 21. 8 1999 20. 5 25. 19. 7 23. 2 17. 5 23. 6 17. 2 23. 5 16. 3 22. 15. 4 19. 9 11. 4 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 30.00 35.00 40.00 Urban Rural Per cent THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 310 THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 311 in wages each year. For example, on average women freelance workers in the non-agricultural sector earned only 46 per cent of what men earned in February 2005, and this increased to 60 per cent in February 2007. 488

4.5.4 HEALTH, NUTRITION, WATER AND SANITATION, AND EDUCATION

While indicators in health, nutrition, and access to clean water and adequate sanitation have improved province-wide in Central Java, they continue to be better in urban than in rural areas. Between 2000-2008, access to clean water among rural households improved from 45.9 per cent to 52.1 per cent, whereas this improved from 61.4 per cent to 64.4 per cent among urban households. 489 Likewise, access to adequate sanitation improved from 19.5 per cent to 38.2 per cent of rural households over the same period, whereas access improved from 54.5 per cent to 65.0 per cent of urban households. 490 Compared to other provinces in Indonesia, such as NTT, Central Java has made relatively greater improvements in health and nutritional status. For instance, the infant mortality rate IMR has been decreasing since 2002-2003, from 36 per 1,000 to 26 per 1,000 in 2007, and the under-five mortality rate U5MR has been successfully reduced to and already reached the MDG target of 32 per 1,000 per live births in 2007. 491 One of the programmes introduced by the Central Java Ofice of Health, which has no doubt contributed to these improvements, has been the Planning for Deliveries and Preventing Complications during Birth programme P4K, Perencanaan Persalinan dan Pencegahan Komplikasi. The importance of giving birth in health facilities attended by skilled professionals for reducing mortality rates has been highlighted previously both in the national overview of health Section 3.1 and in the case study on health and nutrition in NTT Section 4.2. In contrast to NTT where the IMR is far higher and births often take place at home without the assistance of skilled birth attendants, the geographic distances to travel to health facilities in Central Java are far smaller the province is not formed of many islands and there is greater uptake of skilled birth attendants. “The Central Java Provincial Ofice of Health has initiated the Planning for Deliveries and Preventing Complications during Birth programme P4K…The programme aims to have all expectant mothers registered with health facilities, allowing for easier identification of high- risk mothers. Successful implementation of the programme depends on the support of other village institutions as well as community participation. Village midwives, with the help of other health officials, identify expectant mothers and assist them in devising a safe birthing plan. The midwives also monitor the developing pregnancy, from conception to birth.” Staff at the Department of Family Health and Nutrition Unit, Central Java Provincial Ofice of Health, 9 September 2009 Under this programme, the Ofice of Health actively monitors pregnant women by encouraging their participation in monitoring their own pregnancies. 492 However, the staff at the Ofice of 488 BAPPENAS 2007 Laporan pencapaian Millennium Development Goals Indonesia 2007, BAPPENAS: Jakarta 489 Based on the National Socio-Economic Survey, processed by BPS - Statistics Indonesia, Jakarta, 2009. For more detailed information refer to annex 4.5 on Central Java. 490 Ibid. The improvement is partly due to a programme called Community Based Drinking Water and Sanitation Provisions Pamsismas, Penyediaan Air Minum dan Sanitasi Berbasis Masyarakat , which aims to improve clean water and sanitation, and to projects such as Water and Sanitation Support for Program for Low Income Communities WSSLIC, Urban Poverty Reduction Programme P2KP, which provide facilities to build suitable sanitation facilities in urban areas. These programs strive to improve the quality of basic infrastructure in relation to reaching MDGs such as clean drinking water and sanitation BAPPENAS 2007 Laporan Pencapaian Millennium Development Goals Indonesia 2007. 491 BPS - Statistics Indonesia and Macro International 2008 Indonesia Demographic and Health Survey IDHS 2002-2003 and 2007 492 Interview with staff of the Central Java Ofice of Health 9 September 2009 Health stated that there is still low awareness about maternal health among women in rural areas, as well as a lack of health facilities for pregnant women. This has made reduction of the MMR and IMR more difficult in rural areas such as Brebes, Batang and Blora. 493 Further indicators for child health and nutritional status include underweight, stunting, and wasting, which are indicators of malnutrition. Riskesdas 2007 data show that the prevalence of children under five years old suffering from stunting was still 36 per cent, wasting was 12 per cent and the rate of children who were underweight was 16 per cent. 494 While stunting rates in Central Java sit around the national average, wasting and underweight rates are below the national average. As stated in the RPJMD for Central Java: “The lower prevalence of severe malnutrition in Central Java compared to the national level is due to the Central Java government’s intensive efforts to implement programmes aimed at reducing the number of cases of severe malnutrition. These intensive efforts have been made through the revitalisation of posyandu [integrated health service posts], hamlet head referrals, and providing guidance for families with members suffering from severe malnutrition. In line with these efforts, efforts have also been made to increase keluarga sadar gizi [families aware of the importance of nutrition].” 495 Improvements in the health and nutritional status of a society are important for promoting human capabilities in other areas, such as education and employment productivity. In Central Java, however, despite the nine-year compulsory education programme, many children still leave school early, before the completion of junior secondary school, due to economic factors. 496 While enrolment rates at the primary school level are high in Central Java compared to other provinces see annex 4.5, and early school leaving dropout rates are falling at the primary school level, the large population in Central Java means that a large number of children are still not receiving nine years of basic education. Transition rates to junior secondary school fell from 82 per cent in 200607 to 74 per cent in 200708, and there have only been marginal improvements 1-2 per cent in net attendance rates at the junior secondary school level, with these rates roughly the same for boys and girls see annex 4.5. Furthermore, early school leaving rates for secondary school have been rising in recent years see annex 4.5. In urban areas, such as Surakarta and Semarang, many school-age children work on the street singing for money, begging, and so on. A lack of parental awareness about the importance of education often results in low support for their children’s education and uncontrolled truancy. 497 Many parents remove their children from junior secondary school because they are considered mature enough to help their parents running small food shops and kiosks. 498 Often, children who live in rural villages must help their parents during the rice harvest times, or with fishing during high yield times in coastal areas. Some parents are hesitant to keep their children in school because they are uncertain about the future employment possibilities that result from schooling. 499 In sum, despite overall improvements in poverty levels, human development, and other areas such as health and education in Central Java, urbanrural disparities persist. These factors likely contribute to the migration of children to urban areas, either with their families or alone. The 493 Ibid. 494 Ministry of Health 2008 Riskesdas 2007 495 Central Java Provincial Government 2009 RPJMD 2010-2013, p26 496 Ministry of National Education 2009, Statistics of National Education, available at: www.depdiknas.go.idstatistik Last accessed 1 July 2009 497 FGD staff with at BAPPEDA District Development Planning Agency in Brebes 16 September 2009 498 Ibid. 499 Ibid.