Slgp DFID CNTR: 00 0512A SLGP Consultants’ Report Number 601 (Original Number 14) Desk Study and Scoping Mission on Poverty and Well-Being in Benue State by Paul Francis, Noble Nweze and Ode Ojowu February 2002 Table of Contents 1.0 INTRODUCTION...............................................................................................3 1.1 Purpose of this Report ...................................................................................3 1.2 Background....................................................................................................3 1.3 Process Followed by the Consultants............................................................3 2.0 FINDINGS ON POVERTY.................................................................................4 3.0 OPTIONS FOR FUTURE WORK AND NEXT STEPS .....................................5 3.1 Options for Poverty Reduction and Governance Reform ..............................5 3.2 Next Steps .....................................................................................................5 3.2.1 Objective 1: Poverty Knowledge.............................................................6 3.2.2 Objective 2: Policy Analysis....................................................................6 3.2.3 Objective 3: Policy Development............................................................6 3.2.4 Objective 4: User Consultation ...............................................................6 3.3 Risks and Assumptions .................................................................................6 3.4 Building Support and Credibility.....................................................................7 3.5 Public Awareness of Governance and Poverty Links ....................................7 4.0 SUMMARY OF MAIN RECOMMENDATIONS .................................................7 5.0 IMMEDIATE FOLLOW-UP ...............................................................................9 List of Tables Table 1: Table 2: Suggested Framework for PRSP Process in Benue State .................8 Immediate Follow-up Actions..............................................................9 Annexes Annex 1: Annex 2: Annex 3: Terms of Reference Persons Met and Institutions Contacted Poverty in Benue State - A Preliminary Assessment based on Secondary Sources SLGP Consultants’ Report Number 601 1 Slgp Acknowledgement The consultants are grateful for the support given to them by the State and Local Government Project and the Benue State Reform Team, as well as to all of those institutions and persons who shared their time and experience in making the exercise possible. SLGP Consultants’ Report Number 601 2 Slgp 1.0 INTRODUCTION 1.1 Purpose of this Report This report responds to ToR, reproduced in full in Annex 1, for a ‘scoping study on conducting assessments in the areas of poverty, well-being and wealth generation’ in Benue State. The assignment consisted of two parts: a desk study to collate existing material on poverty and a scoping exercise for a poverty assessment and strategy. Our inputs were as follows: Francis from 27th January to 2nd February 2002; Nweze, 14th to 26th January 2002; Ojowu, 21st January to 2nd February 2002. 1.2 Background The goal of the State and Local Government Programme (SLGP) is to support the development of effective pro-poor state and local government in Nigeria, which enables people to realise their rights. This is to be achieved through enhancing the capacity and effectiveness of state and local government to formulate policy, manage resources and support service delivery in the interests of poor people. In Benue, the state Government has established a State Reform Team (SRT) charged with responsibility for leading governance reform with a view to achieving enhanced capacity and effectiveness of state and local governments to formulate policy, manage resources and provide improved service delivery. Its objectives include enhancing efficient service delivery, and promoting accountability and participation. As part of the process of planning and implementing strategies to achieve these objectives, SRT decided to undertake a situational assessment on poverty, assessing present levels of economic freedom and wealth creation and considering the extent to which government addresses issues of social disadvantage. A sub-committee of the SRT has been established on ‘Economic Freedom, Wealth Creation, Social Inclusion and the Dimensions of Poverty’, and that sub-committee has taken a lead role in initiating and guiding this study. 1.3 Process Followed by the Consultants In the desk study phase, information on poverty and well-being, as well as on poverty-related programmes was collected from secondary sources and through visits to a range of agencies in the state (Annex 2). This information was synthesised into a report, the essentials of which have been summarised in Annex 3. During the scoping phase, meetings were held with members of the Benue State Reform Team and others involved in poverty alleviation programmes in both government and non-government sectors (see Annex 2). Based on these discussions and the findings of the desk review, an overview with options for action was prepared and presented to a meeting of the State Reform Team on 31st January. This meeting confirmed that poverty reduction was one of the SRTs key objectives, and endorsed the idea of taking it forward with a Poverty Reduction Strategy Plan for the state. On the basis of the direction of that meeting, the proposals outlined in this report (see Section 3) were developed in consultation with SRT members and the SLGP State Programme Manager. SLGP Consultants’ Report Number 601 3 Slgp 2.0 FINDINGS ON POVERTY The main findings of the review of secondary material on poverty in Benue State are reproduced in Annex 3. This preliminary review identified both quantitative and qualitative information on poverty and social indicators in the state, as well as information about poverty programmes and other sectoral policies and projects affecting the poor. These sources demonstrate that poverty in the state is severe, widespread and multi-dimensional, and that it has increased considerably in the last two decades. Poverty is a predominantly rural phenomenon, and affects women even more seriously than men. Particularly vulnerable groups include children, the aged, victims of HIV/AIDS, and persons displaced by communal and military violence. Nevertheless, there remain substantial gaps in the information available on poverty. Some of the main ones are: • social and cultural dimensions of poverty, including gender/household issues; • local perceptions of poverty; • the distribution of various aspects poverty through the state, and the needs and problems of specific LGAs; • the relationship between poverty and the environment1; • the special needs of vulnerable groups; and • the poverty alleviation activities of Civil Society Organisations. With the exception of the National Poverty Eradication Programme (NAPEP), there are few programmes specifically and explicitly focused on poverty in the state. However, our assessment identified a substantial number of institutions, policies and programmes with a bearing on the lives of the poor. These include federal, state, local government level institutions providing health, education, water and agricultural services, as well as institutions in the civil society sphere. Considerable overlap in mandates and responsibilities was found between these institutions, both within and between levels of government. Two further problems identified were a lack of continuity in programmes, and serious gaps between planned outputs and those actually achieved. Many of the reasons for this poor performance may be traced to problems of management and governance. In particular, there is a lack of transparency in planning, implementation, monitoring and evaluation, and little or no involvement of public. The overall result of these seemingly chronic problems is a lack of ownership by the public and a deep scepticism on their part about government at all levels. 1 A preliminary environmental assessment, also supported by the SRT and SGLP was underway in Benue State at the time of our consultancy. See Annex 3. SLGP Consultants’ Report Number 601 4 Slgp 3.0 OPTIONS FOR FUTURE WORK AND NEXT STEPS 3.1 Options for Poverty Reduction and Governance Reform These findings strongly suggest that reducing poverty, improving governance and building public confidence will advance together or not at all. Addressing poverty will require both improving the quality of the public services which the poor, with others, use, and focusing on support for specific vulnerable groups with their special needs. Given the multi-sectoral nature of poverty, developing and implementing pro-poor policies in Benue State will require far-reaching changes in the planning and management of public expenditure. These include the realignment of institutional roles so as to reduce overlap and duplication, the allocation of resources to pro-poor programmes and actions, adherence of actual expenditure to budgets, and the involvement of users and beneficiaries in the planning and monitoring of programmes. The central role of improved governance to poverty reduction means that the State Reform Team is well placed to lead such a process. However, it will be essential for the Team also to involve fully those key Ministries that will figure centrally in PRSP development and implementation, so that they too may understand, own and support the process. At the same time, given that the field of activities with a potential impact on poverty is very broad, it will be essential for the next set of actions to be selective, focused, coordinated and appropriately phased. Finally, the involvement of civil society in the process of reform will be critical to its success. Four key ways of involving the public are identified here and reflected in the proposals below (although no doubt others will become apparent as the process proceeds): • consulting the public during the development of pro-poor policies • assigning broad responsibility for the management of the reform process • introducing user surveys to obtain feedback on service quality • building public awareness of the relationship between governance and poverty. 3.2 Next Steps A framework for developing appropriate pro-poor policies for the state could be provided through the formulation of a Poverty Reduction Strategy Plan (PRSP). A PRSP is already underway at the national level, although the process through which it is to be developed may not be clear for some time. A state-level PRSP could be tailored to Benue State’s own priorities and vision of the reform process. It would be aimed, not at the production of a definitive document, but the promotion and documentation of an ongoing process through which consensus could be built and progress monitored towards a more pro-poor policy environment in the state. Table 1 outlines a framework for a consultative process to develop a PRSP for Benue State, defining objectives, activities, outputs and inputs and processes to be followed. Four key objectives are proposed: • Objective 1: to fill gaps in knowledge about poverty in Benue State; • Objective 2: to analyse the impact on the poor of existing policies, patterns of public expenditure, and programme management; SLGP Consultants’ Report Number 601 5 Slgp • • Objective 3: to increase the poverty orientation and impact of public expenditure and programmes; and Objective 4: to involve the poor in assessing and monitoring the quality of public programmes. Brief notes on each of these follow. 3.2.1 Objective 1: Poverty Knowledge Focused research would address the gaps in knowledge about poverty which have been identified in this report. A combination of formal/quantitative and participatory/qualitative methods would be used, depending on the subject matter being researched. It is recommended that this research be managed and undertaken through the collaboration of academic, government and civil society institutions. 3.2.2 Objective 2: Policy Analysis The proposed review of public expenditure management to be undertaken for SRT/SLGP from March 2002 would form the foundation for this objective. This review could be broadened so as to take into account the fiscal incidence of public expenditure and its impact on the poverty. 3.2.3 Objective 3: Policy Development Given the large number of government agencies impacting poverty2, there will be a need to focus at the outset on a selected group of agencies working in a few key sectors. It is suggested that both production and social sectors be represented. Careful attention will need to be given to this phasing. Another possibility would be a geographical phasing by beginning with selected Local Government Areas. 3.2.4 Objective 4: User Consultation This objective could be linked with the service delivery assessment already planned by SRT/SLGP from March 2002, through the development of a survey method to obtain feedback on the use, and perceived quality, of key public and private services. It is recommended that this user survey be focused on a relatively small number of key indicators and that it be repeated regularly to assess trends in service delivery. 3.3 Risks and Assumptions The most critical assumption for the success of the PRSP process is the existence of the political will to integrate poverty concerns into state policies across sectors as a matter of priority. The high priority given by the SRT and the state administration to poverty reduction is a positive indication of commitment. The regular radio phone-in programmes being broadcast on the reform process are reinforcing the public nature of this stand. 2 According to the Ahmed Joda panel report (1999) and the Professor Ango Abdullahi Committee report (2000), the core poverty alleviation ministries are: Agriculture and Rural Development, Education, Water Resources, Industry, Power and Steel, Employment, Labour and Productivity, Women’s Affairs and Youth Development, Health, Works and Housing, Environment, Solid Minerals Development, Science and Technology, Finance, and the National Planning Commission. SLGP Consultants’ Report Number 601 6 Slgp 3.4 Building Support and Credibility In order to generate support and credibility both from within government and the wider public to pursue this programme, the consultants believe that it will be essential in the next step of the reform process to ensure the broad and demonstrable representativeness of the process. One way of achieving this would be through the establishment of a steering committee for the PRSP that includes state, local government and civil society representation. This body could report to the SRT. 3.5 Public Awareness of Governance and Poverty Links Given the centrality of governance issues to poverty alleviation, there is a clear need to build local understanding of the relationship between governance, democracy and poverty. The SRT has already taken steps in this direction through publicity about the reform programme, a public summit conference and radio broadcasts. SRT/SLGP should therefore consider deepening the process of public education about the relationship between the exercise of democratic rights and public sector reform. 4.0 • • • SUMMARY OF MAIN RECOMMENDATIONS The State Reform Team should consider initiating a process that would lead to a Poverty Reduction Strategy Plan (PRSP), with four aims: o to fill gaps in knowledge about poverty in the state o to analyse the impact on the poor of existing policies, patterns of public expenditure, and programme management o to increase the poverty orientation and impact of public expenditure and programmes o to involve the poor in assessing and monitoring the quality of public programmes. Measures towards these ends are outlined in Table 1. A multi-sector/stakeholder steering committee, including member of civil society organisations, be established to coordinate this process under the leadership of the SRT. A process of public education about the relationship between the exercise of democratic rights and public sector reform be initiated. SLGP Consultants’ Report Number 601 7 Slgp Table 1: Suggested Framework for PRSP Process in Benue State a) To fill gaps in knowledge about poverty in Benue State b) To analyse the impact on the poor of existing policies, patterns of public expenditure, and programme management c) To increase the poverty orientation and impact of public expenditure and programmes d) To involve the poor in assessing and monitoring the quality of public programmes a) Poverty research and survey Activities b) Analysis of the impacts of policies, expenditure, and programmes on the poor c) Development of pro-poor policies and programmes which address the key constraints identified in (b). These are likely to include: • Appropriate allocation and timely release of funds • Appropriate and transparent management and monitoring of funds • Coordination within and between levels of government and sectors • Special programmes for vulnerable groups • Improved management and governance of programmes d) Establishment of mechanisms to obtain feedback from users on the appropriateness and effectiveness of public and private services Process to be Consultations within various sectors and levels of government Consultations with civil society groups followed Technical consultancies PRSP defining and justifying pro-poor policies and documenting reform process Outputs expected Expertise on: poverty/social analysis, consultation/facilitation, public expenditure analysis, Technical inputs required key sectoral issues. PRSP to be completed by end 2002; draft to be complete in time for 2003 budget process Time frame (i.e. 3rd quarter 2002). Personnel, consultations, facilities, transport, equipment, consumables Costs Objectives SLGP Consultants’ Report Number 601 Key risks and assumptions Political interest and will Public credibility Technical capacity Bureaucratic will restructure policies budgets to and 8 Slgp 5.0 IMMEDIATE FOLLOW-UP Acceptance of the above framework and recommendations would imply the following follow-up actions in the short term (by objective). Table 2: Immediate Follow-up Actions Objective Action Responsibility General Begin to build consensus and ownership for pro-poor policy process within government and civil society SRT/SLGP Review experience of PRSPs in other countries so as to benefit from experience SLGP/SRT Establish a timetable for proposed PRSP activities and processes SRT/SLGP a) Poverty research Identify research team Draft ToR for poverty research SLGP /ODG (during April visit) b) Policy analysis Supplement ToR for PEM consultancy SLGP c) Policy development Develop plan for consultative processes within government and with civil society SRT/SLGP d) User consultation Develop proposals for periodic client feedback system SRT/planned service delivery assessment SLGP Consultants’ Report Number 601 9 Slgp Annex 1 Terms of Reference Scoping Study on Conducting Assessments in the area of: Poverty, Well-Being and Wealth Generation Introduction In Benue the state Government has established a State Reform Team (SRT). This is charged with responsibility for leading governance reform with a view to achieving enhanced capacity and effectiveness of state and local governments to formulate policy, manage resources and provide improved service delivery. The long term objectives of the SRT are to: • Enhance efficient service delivery in both the social and economic sectors of society at the public and private levels; • Promote accountability and responsiveness of government to the interests of the governed; • Guarantee economic freedom of the citizens and encourage indigenous entrepreneurship and wealth creation; • Guarantee protection of the citizens by providing a framework for security and order; and • Promoting the participation of the citizens in the process of government in order to entrench sustainable democracy. As part of the process of planning for and implementing strategies to achieve these objectives, the SRT has decided to undertake a number of situational assessments. One such assessment area was originally (in June 2001) encapsulated in the following statements: • • What is the present level of economic freedom and wealth creation; and To what extent does government address the issues of social disadvantaged (children, women, handicapped)? Subsequently a sub-committee of the SRT was established (there are others also) on ‘Economic Freedom, Wealth Creation: Social Inclusion and Dimensions of Poverty’. This committee then agreed (in September) that the SRT should commission a study that would focus on poverty, and on developing a strategy for poverty reduction and mainstreaming of socially disadvantaged groups. In October, at the block 2 learning session, Jock Cameron conducted a general session on approaches to assessing well-being. The session included consideration by reform teams from different states, including Benue, of: • • • elements of well-being (elements identified by groups could be said to have included a range of different forms of capital similar to those listed in livelihoods models); different types of groups that may be disadvantaged; and general elements of a livelihoods analysis. Therefore members of the reform team at least are familiar with these concepts. SLGP Consultants’ Report Number 601 10 Slgp In addition it should be noted that some work related to poverty assessment has already been undertaken in Benue. For example the Federal Office of Statistics, based in Makurdi, has recently undertaken a Core Welfare Indicators Questionnaire study in the state. It is believed that there are other relevant and recent pieces of information available. Objectives The proposed study will comprise two parts: • A desk study to include collection and assimilation of existing poverty assessment material in Benue state; and • A scoping study to establish the need, and outline plans, for a participatory assessment. The Desk Study The desk study will be undertaken mainly in Makurdi, but could also involve consultation of other centrally located sources. It should be undertaken in January by two Nigerian consultants, probably one from NISER, and the other from Makurdi (probably from the Benue State University). The consultants will: • Talk to relevant stakeholders in Benue to establish the existence of current and relevant materials and information on Poverty in Benue; • Assimilate and collate this information; and • Produce a written review and evaluation of it. • The work may be expected to identify, amongst other things: • Types of indices or measures of poverty (or well-being or other related terms) currently being used; • Any current strategies or programmes for reducing poverty (increasing wellbeing) now in place; • The role being played by current institutions (federal, state, LGA, others) and their responsibilities in these areas; • The current occurrence of poverty (well-being) according to the measures currently available; and • The different socially disadvantaged groups that are most affected or at risk. The outputs of the study will be a collection in hard and/or electronic copy of the materials identified, plus a report that summarises and evaluates the information according to the bullet points above. This report will be an important input to the second part of the study. The Scoping Mission The overall aim of the scoping mission will be to produce outline plans for a participatory assessment of poverty (or well-being) in Benue State. The development of this plan must take head of the following conditions: What needs to be assessed? There remains some question as to the precise issue that requires assessment. A number of terms have been used (poverty, well being, wealth generation, needs of socially disadvantaged groups, and so on). SLGP Consultants’ Report Number 601 11 Slgp The results of the desk study may be expected also to provide some indications as to what has, and therefore what needs to be, assessed in Benue. Indeed it is conceivable that the desk study will indicate that there is no current need for further work. At the outset therefore it is necessary to agree with the SRT exactly what it is that requires assessment. What is the purpose of assessing it? The purpose of the assessment also needs to be fully understood. Is it in order to: • simply collect information about poverty; • involve the citizens in providing information so as to raise their awareness of poverty issues and what they, the government and others might be expected to do about it; • provide information, based on citizens views, that can be fed into the development and implementation of better service delivery, and into other policy and strategy developments? Results of this questioning should influence decisions about the type of survey to be done, and may raise the SRT’s ownership of the work; How should we assess it? Finally the various techniques available for assessing it (whatever it is) need to be understood, and evaluated, given local conditions and the answers to the above questions. Outline of Planned Assessment Following these decisions, it should then be possible to develop an outline plan for the assessment work to be done. This should include reference to: • Objectives • Techniques to be used • Sampling required • Resources necessary • Potential local sources • Time frame • Costs • Expected outputs Participation in the Work As far as possible the members of the SRT should be involved in the scoping work. It is essential that their understanding should drive development of the assessment plans. This involvement may be through individual meetings, but should include a full SRT team session at the beginning of the week in order to consider the questions and a team session at the end of the week to report back on outline proposals for assessment work. Output The main output of the scoping mission will be: • An outline plan for the assessment to be undertaken; and • A consultants report (including the above plan) that describes the participatory work done in order to achieve the plan. SLGP Consultants’ Report Number 601 12 Slgp Consultants and Timing The scoping mission will be undertaken by an International Consultant (probably Paul Francis) together with the local Nigerian consultants who will have undertaken the original desk study. The work will be undertaken during the week beginning 28th January. SLGP Consultants’ Report Number 601 13 Slgp Annex 2 Persons met and institutions contacted in Benue State Name Position Organisation Mr. Bill Bloxom Programme Manager, Benue State State and Local Government Programme Mr. Atoato David Igirgi Benue State Programme Monitoring Adviser (SRT chair) UNDP / Benue State Secretariat Mr. Terna Ahua Permanent Secretary (SLGP Liaison Officer and SRT member) Ministry of Water Resources and Environment Mr. J.S. Mayange Director of Planning and Statistics (SRT member) Ministry of Finance and Economic Planning Dr. Yakubu Ochefu Deputy Vice Chancellor Benue State University, Makurdi Dr. Nancy Agbe Dean, Faculty of Education (SRT and poverty subcommittee member) Benue State University, Makurdi Mrs. Lucie K. Ato Director (SRT member) Staff Development Centre, Makurdi Mr. Adikpo Agbatse CRT Member Private Sector Mr. Jerry Agada Permanent Secretary (SRT member) Ministry of Local Government and Chieftaincy Affairs Mr. S.T. Kurga Deputy Director, Monitoring and Inspections Ministry of Local Government and Chieftaincy Affairs Mr. T.S. Adzaagee Head of Civil Service Benue State Administration Mr. Simon Shango State Coordinator, and Chairman, State Coordinating Committee National Poverty Eradication Project (NAPEP) Mr. James Zasha Benue State Coordinator DFID Dr. Hassan Haruna Bdliya Environmental Assessment Department Federal Ministry of Environment, Abuja Mr. Anongo Lyam Department of Geography Benue State University Mrs. Lonela J Bloxom Country Program Director Partners for Development Frank Krause Programme Manager, Enugu SLGP Mr. Yusufu, Mr. Ugama Lower Benue River Basin Development Authority (LBRBDA) SLGP Consultants’ Report Number 601 14 Slgp Name Position Mrs. L. Hawken Benue Health Fund Dr. J Umeh Department of Agricultural Economics Dr.G Ayoola Mr. Daniel Iorshagher Organisation University of Agriculture, Makurdi Ministry of Water Resources and Environment Benue Rural Water Supply and Sanitation Agency (BERWASSA) Improved Farmers Participation in Research and Extension (IFREB) University of Agriculture, Makurdi Water Aid, Makurdi Mr. Moses Ugye President Association of Benue CBOs and NGOs Mr. Tile T.V. Dyo General Secretary Association of Benue CBOs and NGOs Representatives of NGO/CBO members of the Association of Benue CBOs and NGOs: Anglican Diocesan Development Services (ADDS) Ecumenical Commission for Justice and Peace (ECJP) Health and Development Organisation (HADO) HADO Development Services (HADSERVE) Methodist Church Ankpa Ward circuit Women and widows foundation Association (ASWWWFA) Ohonyeta Care Group (OCAG) OSA Foundation Otia Development foundation (ODF) Women in Nigeria (WIN) Benue Chapter Rice Mill Owners Association Industrial Cooperative Society of Honey Producers Ajika Multipurpose Women’s Cooperative, Oju Tree Crop Farmers Association, Alede Poverty Alleviation and Community Development SLGP Consultants’ Report Number 601 15 Slgp Annex 3 Poverty in Benue State A preliminary assessment based on secondary sources By Noble Nweze, Ode Ojowu, Paul Francis 1.0 INTRODUCTION 1.1 Purpose of this Study This report reviews and synthesises available information on poverty in Benue State, and presents a brief assessment of the institutions, policies and programmes that affect the poor. As such, it is based entirely on secondary material, including the published and unpublished sources listed in the references section3. The limitations of these sources and the time available make the review inevitably selective. 1.2 Benue State Benue State lies in the North Central Zone of Nigeria and has a land area of 300,955 square kilometres. Most of the state is in the southern guinea savannah. The state has a projected population of about 3.2 million, some 70 to 80 percent of whom live in rural areas. Agriculture accounts for over 75 percent of economic activities. 1.3 Concepts of Poverty and Well-being Well-being and poverty (its lack) are broad concepts: they encompass not only an income, but the whole range of factors which influence human capabilities – our capacity to do and to be. Health and education (‘human capital’ in economic terms) are clearly critical to well-being. So also are the social and institutional environment within which we live: the degree of social autonomy and empowerment, political representation, access to justice and physical security. Poverty, then, comprises physical isolation, vulnerability, isolation and powerlessness as well as lack of income and assets (Chambers 1983). Some of these may be measured and counted, and are thus amenable to quantitative analysis, either in absolute or in relative terms. Other aspects of poverty, such as its institutional or cultural dimensions, or its lived experience, are more complex or subjective, and are thus best captured by qualitative research. 3 The present report is draws on: ‘Poverty, Well-Being and Wealth Generation in Benue State’ Consultancy Report prepared for the Benue State Reform Team by Noble J. Nweze and Ode Ojowu, Draft. January 2002. SLGP Consultants’ Report Number 601 16 Slgp 2.0 POVERTY INCIDENCE IN BENUE STATE 2.1 Income Poverty Table 1 indicates dramatically the substantial growth in the proportion of households in Benue suffering income poverty over the last two decades. Table 1: 1980 1985 1992 1996 Percentage Poverty Head Count in Benue State Extremely poor Moderately Poor 1 21 14 29 15 26 25 39 Non-poor 77 57 59 36 Source: FOS 1999 The changes in Benue State correspond to a national picture of increasing poverty over these years, as Table 2 demonstrates. However, Benue is the eighth poorest of the thirty-six states of the Federation. The reasons for this are complex, but may in part be sought in the dependence of the state on agriculture, and government’s neglect of the sector. This cause is compounded by the extreme lack of infrastructure in the state (which, for example, was only connected to the national electricity grid in 2001), and also by its historical political marginality (though in recent years it has become more central to national political life). The state’s underdevelopment has promoted, and in turn been exacerbated by, out-migration of both skilled and unskilled labour. Benue has been a major source of labour to the cocoa growing areas of south-western Nigeria, and people of Benue origin are also highly represented in teaching and other professions throughout Nigeria. Table 2: 1980 1985 1992 1996 Percentage Poverty Head Count in Nigeria Extremely poor Moderately Poor 6 21 12 34 14 29 29 30 Non-poor 73 54 57 34 Source: FOS 1999 2.1.1 Local Conceptions of Poverty and its Causes Participants in the Voices of the Poor study in Benue distinguished three groups: the rich, the average, and the poor (Zasha 1999). Men estimated 80 percent of households to be ‘poor’, women 60 percent. Participants in Benue considered local poverty as well as that across the country has increased over the years. People identified the main causes of poverty as: unemployment, poor environment, lack of capital, lack of farm inputs, bad roads and inefficient transportation system, poor crop yields, lack of food, overpopulation, ill-health, conflicts, and corruption. Men ranked produce prices and poor harvests followed by poor roads and a lack of inputs as the main causes of poverty. Women rated lack of inputs and unstable prices, followed by lack of health care and persistent ill-health highest. SLGP Consultants’ Report Number 601 17 Slgp 2.1.2 Other Indicators of Poverty Table 3 gives some key social indicators for Benue State. In spite of the enormous increase in poverty since 1980, more households considered that there had been an improvement in their situation over the previous year (that is, between March 2000 to March 2001) than felt themselves to have become poorer. This result is perhaps due to the temporary increase in public expenditure which followed democratisation (but which has since been negated by price inflation). However, over a half of households still reported having had difficulty satisfying their food needs at lease once during the previous year (FOS 2001). 2.1.3 Access to Education Almost two-fifths of household heads had no education, a further 6 percent had some primary education, and just over a quarter had completed primary school. 16 percent had completed secondary school, while 11 percent had some post-secondary education. The adult literacy rate was 58 percent (55 percent in rural areas). The gap between male and female literacy is 33 percent (FOS 2001). Sixty percent of children were within 30 minutes of a primary school (55 percent in rural areas). Primary school enrolment, at 73 percent, is somewhat higher for boys than for girls (77 percent compared to 69 percent). Only 26 percent of children had access to secondary schools (14 percent in rural areas compared to 74 percent in urban). Secondary enrolment was 36 percent overall, but the gender gap was wider than for primary education: less than a third of secondary school age girls being enrolled (29 percent, compared to 41 percent of boys) (FOS 2001). Enrolment statistics aside, the quality of formal education has deteriorated seriously. Those who can afford to have abandoned public schools in favour of private ones, especially in urban areas. Public schools, which are chronically under-funded and mismanaged, are now nearly exclusively for the children of the poor, a situation that has the long-term effect of perpetuating poverty and social exclusion. This situation is reflected in rates of satisfaction with education. Only 36 percent of enrolled primary students (32 percent in rural areas) were satisfied with schools. Satisfaction with secondary schools was even lower, at 20 percent. The main reasons for dissatisfaction were the poor facilities (53 percent), the lack of books and materials (49 percent), and the lack of teachers and frequent strikes (30 percent), high fees (22 percent) and the quality of teaching (15 percent).4 Children in government schools were most dissatisfied with the poor facilities (around 60 percent), while those in private schools were more upset by the high fees (59 percent for primary, 70 percent for secondary). Those who had dropped out of school overwhelmingly gave the high cost of education as their main reason (52 percent) (FOS 2001). 4 Respondents could name more than one problem, so that the total exceeds 100 percent. SLGP Consultants’ Report Number 601 18 Slgp 2.1.4 Employment According to the CWIQ survey, three quarters of the adult population of the state was economically active. The inactive portion included 1.7 percent who reported being unemployed. One in six workers (almost all currently self-employed or unpaid family labour) reported themselves as being underemployed. 59 percent of the working population was self-employed, 32 percent unpaid family workers, 8 percent regular workers, and 1 percent casual workers. Seventy nine percent of the working population were engaged in agriculture (89 percent of rural dwellers). Women were more likely to be engaged in agriculture than men (83 compared to 75 percent) (FOS 2001). Table 3: Some Key Social Indicators Benue total % Household economic situation compared to one year ago Worse now 27.6 Better now 49.5 Access to water supply 51.5 Access to safe water supply 25.6 Adult Literacy Rate 58.0 Employment 1.7 Unemployed5 1.9 Male 1.5 Female 16.2 Underemployed6 17.2 Male 15.2 Female Primary School 59.9 Access to Primary School 73.2 Primary enrolment 76.7 Male 68.9 Female 36.2 Satisfaction Secondary School 25.9 Access to Secondary School 35.7 Secondary enrolment 40.7 Male 29.2 Female 20.3 Satisfaction Medical Services Health Access Need Use Satisfaction Child Nutrition Stunting Wasting Underweight Source: Adapted from FOS 2001. Rural % Urban % 31 47 42 16 55 15 62 93 69 72 1.3 1.2 1.3 16 17 16 3.8 5.2 2.4 15 17 13 55 73 73 69 32 85 74 74 69 57 14 33 39 26 17 74 46 48 43 33 32.0 10.8 10.2 52.9 25 12 11 49 67 7 7 74 31 11 17 33 12 16 18 10 22 5 Unemployed defined as ‘persons who did not work in the four week period preceding the survey and who looked for work in the same period. The inactive population, primarily students and retired persons, is not included’. This figure seems very low. 6 Underemployed defined as ‘persons who sought to increase earnings in the seven days preceding the survey’. SLGP Consultants’ Report Number 601 19 Slgp 2.2 Health and Poverty Access to and use of medical services About one third of the population had access to a health facility (defined as being less than 30 minutes away by transportation commonly used by the household), but only a quarter in rural areas. Eleven percent of households in the CWIQ survey reported the need for medical services in the four weeks preceding the survey. Fever/malaria (especially for young children), diarrhoea/abdominal pains and pains in back, limbs or joints were the most common ailments. Ten percent had consulted a health practitioner in the four weeks preceding the survey (FOS 2001). The principal providers of health services were private hospitals (32 percent), public hospitals (23 percent), and traditional healers (20 percent). Significantly, community health centres were used by only 5 percent of patients, all from rural areas. Almost a half (47 percent) of users were dissatisfied with the treatment which they received. The main reasons given were high costs (50 percent) followed by unsuccessful treatment (31 percent) and long waiting times (29 percent). Other reasons adduced were that the facilities were not clean (13 percent, but 43 percent of health centre users), or the absence of professional staff (11 percent). Patients treated by a traditional healer were the least likely to express dissatisfaction (FOS 2001). Child nutrition The CWIQ survey showed a high proportion of children in Benue state to be stunted, wasted and underweight.7 Stunting and wasting were higher in rural areas; underweight in urban (see table 3). Males under five tended to have poorer nutritional status than females (33 to 28 percent stunted; 13 against 10 percent wasted; 17 against 16 percent underweight). Figures for Central Nigeria (of which Benue is a part) from the National Demographic and Health Survey of 1999 show higher rates of malnutrition, with, over a half of children (53 percent) stunted and a quarter (24 percent) as underweight (NPCN 2000). These figures were higher among the children of women with no education (56 percent stunting). Child mortality Poor access to services and malnutrition are associated with very unfavourable health outcomes. The WHO ranks the performance of the Nigerian Health System as 187th of 191 members, with only Sierra Leone, Myanmar and the Democratic Republic of Congo, performing worse (Adetokumbo 2000). Table 4 shows the extremely high levels of childhood mortality in Central Nigeria (including Benue State). Under 5 mortality is extremely high 84.4 per thousand. In other words, more than one child in twelve does not see his or her fifth birthday. 7 Stunted children are short for their age. Their height is more than two standard deviations below the standard (NCHS) height for age. Wasted children are underweight for their height. Their weight is more than two standard deviations below the standard (NCHS) weight for height. Underweight children are short for their age. Their weight is more than two standard deviations below the standard (NCHS) weight for age. SLGP Consultants’ Report Number 601 20 Slgp Table 4: Childhood Mortality in Central Nigeria Neonatal mortality8 Post-neonatal mortality Infant mortality (0-1 yr) Child mortality Under 5 mortality 23.8 26.9 50.7 35.5 84.4 Source: NPCN 2000 2.2.1 Water Supply and Sanitation While a half of households had access to water supply (defined as a water source less than 30 minutes away), only a quarter of all households, but only 16 percent of rural households, had access to safe water (i.e. pipe-borne, borehole/handpump or protected well). Fifty-seven percent of households had some means of sanitation, but only 35 percent a good means of sanitary disposal (i.e. flush-to-sewage system or septic tank, covered pit latrine and ventilated pit latrine) (FOS 2001). 2.2.2 Physical Infrastructure Economic and social development in Benue state are constrained by poor roads. The lack of market and transport infrastructure results in serious post harvest losses. These infrastructural constraints are associated with oligopsonistic marketing practices: closed trade associations and entry requirements tend to restrict entry into produce purchasing and thus inhibit competition. 2.2.3 Gender Dimensions of Poverty Poverty has a marked gender dimension. The gender division of labour, responsibility and power reflects interdependence and cooperation on one hand, and inequalities and conflict on the other. We have already noted differences in nutrition, and school enrolment between girls and boys, as well as the gap in adult literacy. Table 5 shows some of the other ways in which women are socially and economically disadvantaged. While more likely to be engaged in crop production than men, women rarely own or control farmland. Women are also largely responsible for fetching water and firewood, cooking, and other household work, as demonstrated in Table 5 (the figures for male involvement in water and firewood collection largely reflect the contribution of children). Women’s role in decision making is inferior to men’s in all aspects of household decision making covered in the CWIQ survey. For example, on health, 51 percent of women participated in decision-making compared to 65 percent of men; for decisions about education, the equivalent figures were 37 percent to 51 percent. Men also more often controlled the proceeds of farm sales (53 to 32 percent) (FOS 2001). Men dominate access to other resources like credit and agricultural inputs. About 26 percent of women, compared to 33 percent of men have access to agricultural inputs, and 7 percent of women compared to 10 percent of men access to credit facilities. Ten percent of households were female-headed. These were more likely to report having difficulties in meeting food needs (20 percent) than male-headed households (6 percent). 8 Neonatal mortality is the probability of dying within the first month of life. Post-neonatal mortality is the probability of dying within the first year of life. Neonatal mortality is the difference between infant mortality and neo-natal mortality. Infant mortality is the probability of dying between the first and fifth birthday. Under-five mortality is the probability of dying within the first five years of life. SLGP Consultants’ Report Number 601 21 Slgp Table 5: Gender Dimensions of some Social Indicators Engaged in crop farming Ownership of land Access to farmland Control over proceeds of farm sales Access to credit Use of agricultural inputs Female (%) 61 14 31 32 7 26 Male (%) 58 51 58 53 10 33 Responsibility for fetching water Responsibility for fetching firewood 88 78 54 41 74 41 Adult literacy Source: Adapted from FOS 2001 2.2.4 Poverty and the Environment There are important links between poverty and environmental issues. A recent report prepared for the SRT notes the major environmental problems in the state as: declining soil fertility, soil erosion, bush burning, flooding, deforestation, pollution and waste management (Bdliya and Lyam 2002). These costs fall predominantly upon the poor, especially farmers and rural dwellers. Declining soil fertility has resulted in a shift from higher value – but also higher labour – crops such as yams, beniseed and soyabean, in favour of lower value crops such as cassava. Finally, the geology and low water table in many parts of the state makes the sinking of wells problematic. 2.2.5 Spatial Dimensions of Poverty Few available sources of social and economic data on the state give information about local variation in the incidence of poverty. However, the CWIQ survey presents findings disaggregated by the three zones (see Table 6). There are major differences in access to safe water. Only 33 percent of households in zone C have water within thirty minutes’, and only 8 percent to safe sources: in zone B, the equivalent figures are 71 and 50 percent. Access to and enrolment in both primary and secondary schools are lower in zone A. These figures reflect complex social and political processes, and the inclusion of the different levels of urbanisation in the three zones, rural settlement patterns, and the distribution of the population of minorities. 2.2.6 Vulnerable Groups Social and economic indicators are universally worse in rural than in urban areas. The gender and spatial dimensions of poverty have also already been described. There are other particularly vulnerable groups. These include widows, orphans, and the aged. The HIV/AIDS prevalence rate for Benue, at 21 percent, is the highest in the country (the national average is 5.4 percent). Those directly and indirectly affected by the epidemic is a growing group. Finally, the bloody communal clashes which took place in neighbouring Nasarawa State resulted in the displacement of thousands of people into various communities in Benue state. Many are temporarily housed in the Daudu and Uikpiam relief camps in Guma LGA. Subsequent communal clashes in other parts of the country, in particular in Taraba and Benue itself, have created more internally displaced persons and led to the establishment of additional relief camps in other LGAs (Partners for Development 2001). SLGP Consultants’ Report Number 601 22 Slgp 2.2.7 Institutions, Policies and Programmes Addressing Poverty A wide range of institutions have bearing upon the lives of the poor, although only a small number of these have mandates specifically and explicitly phrased in terms of poverty alleviation9. The next section briefly sketches federal and state programs with a potential impact on poverty. Many sectors are in fact served by a combination of federal, state and local government institutions as well as private and NGO provision. Here, we take the health sector as an example, exploring institutional responsibilities, staffing and expenditures. Subsequently we give brief attention to the water supply and agriculture sectors. Civil society institutions are then considered before drawing some provisional conclusions10. 9 According to the Ahmed Joda panel report (1999) and the Professor Ango Abdullahi Committee report (2000), the core poverty alleviation ministries are: Agriculture and Rural Development, Education, Water Resources, Industry, Power and Steel, Employment, Labour and Productivity, Women’s Affairs and Youth Development, Health, Works and Housing, Environment, Solid Minerals Development, Science and Technology, Finance, and the National Planning Commission. 10 Reviews of these sectors are quite provisional, and other important sectors, notably the institutional and policy context of education, are not treated at all. SLGP Consultants’ Report Number 601 23 Slgp Table 6: Key Social Indicators by Zone Zone A (%) Zone B (%) Zone C (%) Household economic situation compared to one year ago Worse now 31 25 27 Better now 44 54 52 Difficulty in satisfying food needs 64 52 47 over previous year Access to water supply 46 71 33 Access to safe water supply 16 50 8 Adult Literacy Rate 58 59 57 Employment 0.8 1.8 2.5 Unemployed 1.0 2.6 2.3 Male 0.6 1.1 2.8 Female 22 15 12 Underemployed 23 16 12 Male 20 14 12 Female Primary School 36 66 77 Access to Primary School 69 75 75 Primary enrolment 71 79 81 Male 67 70 70 Female 23 44 42 Satisfaction Secondary School 8 46 23 Access to Secondary School 32 34 40 Secondary enrolment 36 38 48 Male 26 29 32 Female 16 25 20 Satisfaction Medical Services 10 47 39 Health Access 11 9 13 Need 10 8 13 Use 47 54 56 Satisfaction Child Nutrition 31 35 26 Stunting 24 3 6 Wasting 14 15 21 Underweight Source: Adapted from CWIQ 2001 Zone A: Katsina-Ala, Konshisha, Kwande, Logo, Ukum, Ushongo and Vandeikya LGAs Zone B: Buruku, Gboko, Guma, Gwer, Gwer West, Makurdi, Tarka Zone C: Ado, Agatu, Apa, Obi, Ogbadibo, Oju, Okpokwu, Otukpo 2.2.8 Federal Initiatives The National Poverty Eradication Programme (NAPEP) is responsible for a number of schemes, including a Youth Empowerment Scheme, which aims to give university and school leavers job training opportunities. Other NAPEP programmes include: the Rural Infrastructures Development Scheme, the Social Welfare Services Scheme and the Natural Resource Development and Conservation Scheme (NAPEP 2001). Federal poverty initiatives have not in the past been free of politicisation and have sometimes been looked on with suspicion by state actors as vehicles for party patronage. Other Federal initiatives include the Lower Benue River Basin Development Authority (LBRBDA), whose main roles are the provision of water for irrigation and domestic use. SLGP Consultants’ Report Number 601 24 Slgp 2.2.9 State-level Initiatives A State Poverty Eradication Council, chaired by the Governor, exists formally, but would appear not yet to have initiated activities11. State level institutions with bearing on poverty alleviation include, among others, the line agencies responsible for water supply, health, education and agriculture. Some of these sectors include specialised agencies or projects, such as the Benue Rural Water Supply and Sanitation Agency (BERWASSA), or the Benue Health Fund (BHF). In the agriculture sector, in addition to the Ministry of Agriculture at Federal, State and Local Government areas, there exist the Benue State Agricultural and Rural Development Authority (BNRADA), as well as (until its recent closure) the University of Agriculture, Makurdi Cooperative Extension Centre’s initiative, Improved Farmer Participation in Research and Extension in Benue State (IFPREB). 2.2.10 Educational Institutions There are about five main line agencies responsible for educational policy and development in Benue State. These are the Ministry of Education itself, The Teaching Service Board (TSB), the Educational Resource Centre (ERC), The National Primary Education Commission (NPEC) and the State Primary Education Board (SPEB). The Ministry of Education is largely responsible for policy direction under the overall authority of the Federal Ministry of Education. The National Council on Education (NCE) is the umbrella organisation that brings together all the Ministries of Education in the Federation to harmonise educational policies and to share experiences across the Federation. The NCE holds its meetings once a year. The last meeting of the NCE was held in Enugu in August 2001. The Federal Ministry of Education is responsible for the annual conduct of the school census nation-wide; the last school census was, however, conducted in 1998. There have been no officially published Educational Statistics in Benue State since 1996. The data and information used below for the for the assessment of education and its relationship to poverty, derive from primary data still being compiled by the Ministries of Finance and Education of the State, from the CWIQ report and discussion held with some officials of the line Ministries. The analysis is therefore provisional. There are two parallel institutional arrangements for the administration of primary and secondary education in the state. The National Primary Education Commission, which operational arm in the state is the SPEB, is controlled by the Federal Government for the management of primary schools throughout the Federation. The operational expenses of the primary schools are however met by direct deductions from the Federation account shares of the Local Government Councils. Under the policy of the Universal Basic Education policy declared by the Federal Government, the formula for sharing responsibilities between the three tiers of Government is yet to be decided. The Federal Government took over the management of primary schools due to their poor management by the Councils and the subsequent crisis, especially with respect to the payment of teachers’ salaries. There are currently (1999) about 2,362 primary schools in the state with an estimated enrolment of 900,202 The State’s Ministry of Education is responsible for secondary and tertiary education. The TSB is the operational arm of the Ministry responsible for the supervision and overall management of secondary schools. By 1998, the total number of secondary schools in the state was put at 348 out of which about 285 prepare students for the senior secondary examination. 11 The Retreat for the Executive Governors and State Coordinators of NAPEP in June 2001 resolved that such a council should be established in each state. SLGP Consultants’ Report Number 601 25 Slgp Each of the secondary schools is said to self-accounting. In other words, the revenue generated from the fees is used directly by the principal of each school for the feeding of boarding students, the maintenance of school buildings, purchase of stationery, library development and sports/games equipment, etc. The Day Students are charged N200 per term or N600/year, while the Boarding students are charged N2990 per term or approximately N9000/year. The Ministry of Education, through the TSB, is responsible for capital development. Available data indicate that the student population in post primary schools in the state in 1998 was 206,271. The estimated capital expenditure in that year was N37.960m; this meant a capital expenditure of N184.03 per child. There are no data on private schools and so comparisons cannot be made directly. What is true generally is that the private schools charge higher fees and are better funded than the public schools. The private primary and secondary schools are patronised by senior civil servants and businesspersons in the state. The fifth of the agencies responsible for the development of education in the state is the ERC. Its specific duty is the development of the educational curricular for the state. The ERC is to review adapt and evaluate the educational curricular from time to time and develop course materials in indigenous languages. It is also expected to adapt the UNESCO programmes to support the link between formal and informal education to the benefit of Benue State. At the time of the visit, the ERC was largely dormant and had not undertaken any review of the curriculum. The ERC can be assisted to develop the capacity for curriculum review and help make education more skills oriented towards the solution of poverty crisis in the state. The proposed Poverty Reduction Strategy Plan (PRSP) should include capacity building for the Educational Resource Centre in the state. The early introduction of skills in primary education is critical in tackling the problem of poverty because on the average, the state turns out between 117,000 to 118,000 primary school graduates yearly; about 60 per cent of these proceed to post primary schools. Between 46,800 and 47,200 primary school graduates enter the labour market every year. They enter the low paying jobs of wheelbarrow pushing, newspaper vending and other risky street running businesses like bread hawking. They also operate as cobblers or “on-the-shoulder patch-patch” tailors. The percentage of the transition from secondary to tertiary institutions is not readily available, but educated guesses are that less than half of the secondary school graduates gain entrance to tertiary institution for reason of poor performance and inadequate opportunity in tertiary institutions. By 1998 figures of graduating students, this implies that about 10,000 secondary school graduates enter the labour market a year. Though these figures may not be very accurate, they paint a grim picture of the potential for accelerating poverty in the state given the limited opportunity for employment. A pointer to the enormity of this problem in the state was provided by NAPEP where in 2001, of the approximately 210,000 applicants for the Youth Empowerment Scheme, less than 10 percent was recruited. In addition to the problems posed by primary and secondary school graduates the CWIQ report showed with respect to the base population that almost two-fifths of household heads had no education, a further 6 percent had some primary education, just over a quarter had completed primary school, 16 percent had completed secondary school, 11 percent had post-secondary school education. The adult literacy rate was 58 percent. The gap between male and female literacy is 33 percent (FOS 2001). SLGP Consultants’ Report Number 601 26 Slgp While primary school enrolment, at 73%, is encouraging overall, it is higher for boys than for girls (77 percent compared to 69 percent). Only 26 percent of the children had access to secondary schools (14 percent in rural areas compared tom 74 percent in urban). Secondary enrolment was 36 percent overall, but the gender gap was wide than for primary education; less than a third of the secondary school age girls were enrolled (29 percent compared to 41 percent of boys) (FOS 2001). However, the quality of formal education is in doubt. Those who can afford to have abandoned public schools in favour of private ones, especially in urban areas. Public schools, which are chronically under-funded and mismanaged, are now nearly exclusively for the children of the poor. Many of the children engaged in street trading or serving as apprentices in potentially low income earning jobs such as bicycle repairs and motor mechanics are from poor families and must have graduated from public schools. This situation has the long-term effect of perpetuating poverty and social exclusion. The rate of dissatisfaction with education is evident. Only 36 percent of enrolled primary students (32 percent in rural areas) were satisfied with schools. Satisfaction with secondary schools was even lower, at 20 percent. The main reasons for the dissatisfaction were the poor facilities (53 percent), the lack of books and materials (49 percent), the lack of teachers and frequent strikes (30 percent), high fees (22 percent) and the quality of teaching (15 percent) Note that respondents could name more than one problem. Children in government schools were most dissatisfied with the poor facilities (about 60 percent) while those in private schools were most upset by the high fees (59 percent for primary, 70 percent for secondary). Those who had dropped out of school overwhelmingly gave the cost of education as the main reason (52 percent) (FOS 2001). It is very important to mention at this point the difficulties encountered in obtaining secondary data in respect of the educational sector. Other than the FOS CWIQ survey of 2001, there have not been any published educational statistics in the state since 1997. In the course of this assignment all data obtained were scavenged from files in the Ministry of Education and in the Ministry of Finance and Economic Planning. Some data were also extracted from files in the State’s Teaching Service Board. The exercise of generating the data was therefore very time consuming and physical. The data are for this reason not verified data and their accuracy and reliability cannot be counted upon. Even the method of estimating the student population in the absence of a school census, using either the ‘sport development levy’ rate or the ‘quality control’ rate is suspect as it assumes all pupils pay the levies. Alarmed by the poor state of educational statistics, the Ministry of Finance and Economic is calling for a meeting of line agencies and other stakeholders to discuss the modalities for generating educational statistics for policy formulation and programme planning. This initiative is yet to take off the ground. The Benue State Government will need assistance in developing educational statistics, albeit in a larger framework of a state’s statistical directorate. It should be noted in this regard that Benue State is about the only state in the Federation without a Directorate of Statistics. SLGP Consultants’ Report Number 601 27 Slgp 2.2.11 Institutions, Policies and Programs in the Health Sector The objective of the national health policy is to ‘achieve health for all Nigerians based on the national philosophy of social justice and equity’. The emphasis of national policy is on the provision and expansion of primary health care. While policies and guidelines are set at the federal level, implementation strategies for health and family planning services are determined at the state level, and the actual provision of primary care is the responsibility of the LGA (NPCN 2000). Health facilities are organised in a three-tier system. The primary level consists of Health Centres/Clinics which are managed by LGAs and provide maternal and child health care, preventive care and the basic curative care. The secondary or state level comprises the district hospitals that provide curative and some preventive services. The tertiary level includes teaching hospitals, controlled by the Federal Government. Benue’s health facilities have suffered from neglect and mismanagement, and we have seen how this is reflected both in low levels of user satisfaction and very poor indicators of health outcomes (pages 5-6). There are some 2,440 health facilities in the state, comprising hospitals, comprehensive health centres, primary health centres, primary health posts and dispensaries. Almost two thirds of these (63 percent) are privately owned, 31 percent are government facilities, and the balance of 6 percent run by missions (Agbidye 2001). However, these facilities are very unevenly distributed: five LGAs have no public hospital. Medical personnel and health facilities are concentrated in the three urban areas of the state, Makurdi, Otukpo and Gboko, which together account for 72 percent of doctors, 69 percent of nurses and midwives and 83 of the states hospitals. There are 5 doctors and dentists per 100,000 population (the Nigerian average in 1993 was 21/100,000). Public expenditure on health in the state is extremely low. Capital and recurrent expenditure by State and Local Government levels combined amounted to a mere N = 155 (little more than a US dollar) per capita in the year 2000 (Ajande 2001). The proportion of the state budget allocated to health is not only low, but declining: from 10 percent in 1996 to less than 4 percent in 2000. In spite of the almost five-fold increase in the Federation Account allocation to local governments between 1995 and 2000, LGA health budgets declined from 31 percent in 1996 to only 8.5 percent in 1999. Most (75 to 90 percent) of this was recurrent expenditure for staff emoluments. These figures are budget estimates: actual expenditures were even lower: in the years 1996 and 1999 only between 15 and 30 percent of the state health budget was actually spent. While this improved to 63 percent in 2000, it still amounted to little over two percent of state expenditure. Health services in Benue State have been supported by the Benue Health Fund, initiated in 1997 and due to close in March 2002, which aims at improving coverage, utilisation and quality of basic services. Initiatives supported by the Fund have included the establishment of drug revolving funds, training for staff and village development committees, the provision of basic clinical equipment, the establishment of hospital management committees and trial of deferral and exemption schemes. DFID is currently preparing an HIV/AIDS programme for the state. SLGP Consultants’ Report Number 601 28 Slgp 2.2.12 Water and Sanitation The Benue Rural Water Supply and Sanitation Agency (BERWASSA) was established in 1995 to support LGA Water and Environmental Sanitation Units and rural communities in the implementation of water supply, sanitation and waste management in the rural areas of the state. They provide the central capacity for drilling work throughout the state, and in 1998, for example, drilled 156 boreholes. The Oju and Obi Water and Sanitation Project, initiated in 1996, is financed by UK DFID and managed by Water Aid in partnership with the Oju and Obi LGAs, who implement project activities through their Water and Sanitation Units (WASU). The project is poverty focused: these two LGAs are among the poorest in the State, and within them, poor communities and households are targeted. Water and Sanitation Committees are established in each community and help to ensure local ownership and the sustainability of water and sanitation facilities. 2.2.13 UNDP UNDP programmes state-wide and in eight communities, focused on national management of socio-economic development, and social development (including mass literacy, gender, HIV/AIDS, agriculture, rural roads, and environmental management. 2.2.14 Civil Society Organisations Many Civil Society Organisations (CSOs), including Non-Government Organisations (NGOs) and Community-based Organisations (CBOs) are active in poverty alleviation in the state. An umbrella organisation, the NGO Forum, exists for the exchange of ideas among members. Community-based organisations also contribute substantially to local anti-poverty initiatives, for example in relief work with internally displaced persons, and in the provision of social and productive services. A few examples of notable NGOs working in the state are the Otia Development foundation, which provides farmers and traders with micro-credit services; Anglican Diocesan Development Services, involved in microcredit and water supply; and the Farm and Infrastructure foundation, which attempts to bring new technology to farm level and promote farm enterprise. A wide range of community associations work for the benefit of their members. 3.0 CONCLUSIONS Poverty in Benue state is severe, widespread and multi-dimensional. It has increased dramatically over the last two decades. Poverty is a predominantly rural phenomenon, and affects women even more seriously than men. Particularly vulnerable groups include children, the aged, victims of HIV/AIDS, and persons displaced by communal and military violence. There remain substantial gaps in the information available on poverty. Some of the main ones are: • social and cultural dimensions of poverty, including gender/household issues • local perceptions of poverty • the distribution of various aspects poverty through the state, and the needs and problems of specific LGAs • the relationship between poverty and the environment • the special needs of vulnerable groups • the poverty alleviation activities of Civil Society Organisations. SLGP Consultants’ Report Number 601 29 Slgp With the exception of the National Poverty Eradication Programme (NAPEP), there are few programmes specifically or explicitly focused on poverty in the state. However, our assessment identified a substantial number of institutions, policies and programmes with a bearing on the lives of the poor. These include federal, state, local government level institutions providing health, education, water and agricultural services, as well as institutions in the civil society sphere. Considerable overlap in mandates and responsibilities was found between these institutions, both within and between levels of government. Two further problems identified were a lack of continuity in programmes, and serious gaps between planned outputs and those actually achieved. Many of the reasons for the poor performance identified may be traced to problems of management and governance. In particular, there is a lack of transparency in planning, implementation, monitoring and evaluation, and little or no involvement of public. The overall result of these seemingly chronic problems is a lack of ownership by the public and a deep scepticism on their part about government at all levels. Our findings therefore suggest that poverty alleviation efforts are only likely to be successful if it they are accompanied by measures to improve governance, and build public confidence. SLGP Consultants’ Report Number 601 30 Slgp Appendix 1 References and Sources Adedzwa, D.K. 2001. ‘Training of Trainers Course for CEC Staff as Part of IFREB’s Withdrawal Strategy’. News Letter, CEC/ University of Agriculture, Makurdi, Nigeria. Adetokumbo, O.L. 2000. World Health Organization Report on Nigeria, Monograph. Agbidye, F 2000. Access to Health Care in Benue State, Document prepared for the Benue State Strategy for Health Planning Process. Monograph. Anjande, G. 2001. Health Sector Financing and Expenditure in Benue. Report prepared for the Benue State Strategic Health Planning process. Monograph. Alubo, S.O. and O. Ojiji 1997a. Report of the Benue Health Fund Qualitative Baseline Survey in Ipolo Community, Benue Health Fund/DFID, Makurdi. Alubo, S.O. and O. Ojiji. 1997b. Report of the Benue Health Fund Survey in Otobi Community. Benue Health Fund/DFID, Makurdi. Ayoola, G.B.1999. Toward a Comprehensive Framework for Poverty Reduction in Nigeria: A Review of Programmes and Projects in North East. Department of Agricultural Economics, University Of Agriculture, Makurdi. Bdliya, Hassan Haruna and Anongo Lyam. 2002. Report presented to the Benue State Reform Team on a Desk Study Component of a Preliminary Environmental Assessment in Benue State. Draft. January 2001. Benue Action Plan Document. 1999. Benue Health Fund. 2001a. Briefing Paper. BHF, Makurdi. Benue Health Fund. 2001b. Briefs on BHF Support to Selected Secondary Care Facilities in Benue State, BHF, Makurdi. Brokklesby, A and L. Ega. 2001. Towards a Livelihood Strategy for Benue State: Issues and Recommendations. Report Prepared for REID, DFIDN, Centre for Development Studies, University of Wales, Swansea. CEC/IFREB. 2000. Presentation for Output-to-purpose Review, CEC/IFREB, University of Agriculture, Makurdi. Chambers, Robert. 1983. Rural Development: Putting the Last First. London: Longman. Davies, J. 1999. Projects in Benue State, Nigeria: Rural Water Supply and Sanitation. Inception Report submitted to DFID. SLGP Consultants’ Report Number 601 31 Slgp FOS. 1992. Nigeria Demographic and Health Survey, 1990. Federal Office of Statistics, Abuja. FOS. 1999. Poverty Profile for Nigeria: A Statistical Analysis of 1996/97 National Consumer Survey (with reference to 1980, 1985 and 1992 Surveys). Federal Office of Statistics in collaboration with The World Bank. February 1999. FOS. 2001. CWIQ: Core Welfare Indicators Questionnaire Survey, Benue State, Main Report. Federal Office of Statistics, Abuja, Nigeria, in collaboration with Benue State Statistical Agency, Ministry of Finance and Economic Planning, Makurdi, Benue State. NAPEP. 2001. National Poverty Eradication Proagramme (NAPEP): A Blueprint for the Schemes. NAPEP, June 2001 NPCN. 2000. Nigeria Demographic and Health Survey, 1999. Calverton, Maryland: National Population Commission of Nigeria and ORS/Macro. Oxford Policy Management 2001. Public Expenditure Management in Benue State with Particular Reference to the Health Sector. Oxford. Partners for Development. 2002. Agricultural Marketing Support Program. Project Description. Partners for Development, Makurdi. Soyibo, A. and F. Ladejobi 2001. Estimation of Household Health Expenditure in Benue State, Nigeria. Draft Report submitted to the Benue State Health Project/DFID, December 2001. Umeh, J.C.; Obinne, C.P.O.; Ejembaa, E.P.; N.I. Achamber and I.U. Odoemenem 1996. Socio-economic Impact Study of the Agricultural Development Project System on the Rural Farm Families in Nigeria. Water Aid. 2001. Targeting the Vulnerable. A Brochure of Water Aid in Collaboration with Water and Sanitation Units WASU, Oju and Obi LGAs, Benue State. Zasha, James. 1997a. ODA Qualitative Baseline Survey of Gbemacha Community, Gboko LGA, Nigeria BHF/DFID, Makurdi. Zasha, James. 1997b. ODA Qualitative Baseline Survey of Ityogbenda, Udende Community, Katsina-Ala LGA, Nigeria, BHF/DFID, Makurdi. Zasha, James, Gbolagade Ayoola, Grace Akuto and Mabel Ebe. 1999. Voices of the Poor in North East of Nigeria. Study Report prepared for the World Bank and the British Department of International Development. July 1999. SLGP Consultants’ Report Number 601 32