Final Report
Transcription
Final Report
Community-Poverty Monitoring Report of Urundel and Tandil, Argentina This work was carried out with the aid of a grant from the PEP Asia-CBMS Network with support from the International Development Research Centre (IDRC)-Canada and the Canadian International Development Agency (CIDA) Final Report November, 2012 Produced by: Institute of Economics Instituto de Economía, Facultad de Ciencias Económicas, UNICEN Table of Contents 1. General profile ...................................................................................................................... 8 2. Demography ........................................................................................................................ 14 Migration ............................................................................................................................. 16 3. Core Indicators .................................................................................................................... 17 3.1. Female headed households ........................................................................................ 17 3.2. Young mothers ............................................................................................................ 19 3.3. Nutrition ...................................................................................................................... 21 Hunger ................................................................................................................................. 21 Child nutrition ..................................................................................................................... 24 4. 3.4. Education..................................................................................................................... 25 3.5. Mortality rate in Children and pregnant ..................................................................... 29 3.6. Housing conditions ...................................................................................................... 31 3.7. Unemployment ........................................................................................................... 35 3.8. Social assistance .......................................................................................................... 36 Analysis of survey results .................................................................................................... 40 4.1. Work & business.......................................................................................................... 40 4.2. Health .......................................................................................................................... 45 4.3. Education..................................................................................................................... 46 4.4. Community and politics participation ......................................................................... 49 4.5. Religion ........................................................................................................................ 50 4.6. Civility .......................................................................................................................... 51 4.7. Amenities .................................................................................................................... 52 4.8. Self-perceived situation, expectations and needs ...................................................... 54 4.9. Family planning ........................................................................................................... 58 4.8. Elderly ............................................................................................................................... 60 4.10. Disabled members................................................................................................... 61 5. Summary of research findings............................................................................................. 64 6. Policy Recommendations .................................................................................................... 65 Annex 1 – Measures of nutrition................................................................................................. 67 Annex 2 – Additional sources of income and access to programs .............................................. 70 Annex 3 – Health problems ......................................................................................................... 72 Recent health problems ...................................................................................................... 72 2 Chronic diseases .................................................................................................................. 73 Index of Graphs Graph 1. GIS Tandil ........................................................................................................................ 8 Graph 2. Pictures of Tandil ............................................................................................................ 9 Graph 3. GIS Urundel .................................................................................................................. 11 Graph 4. Satellite Picture of Urundel .......................................................................................... 11 Graph 5. Pictures of Urundel Town ............................................................................................. 12 Graph 6 - Population pyramid in Argentina – 2001 .................................................................... 15 Graph 7 - Population pyramid in Tandil* .................................................................................... 15 Graph 8 - Population pyramid in Urundel* ................................................................................. 16 Graph 9 – BMI by age – Tandil .................................................................................................... 24 Graph 10 – BMI by age – Urundel ............................................................................................... 24 Graph 11 - Work: Industry and kind of job - Tandil..................................................................... 41 Graph 12 - Work: Industry and kind of job - Urundel ................................................................. 42 Graph 13 - Amount of hours worked per week - Tandil ............................................................. 43 Graph 14 - Amount of hours worked per week - Urundel .......................................................... 43 Graph 15 - Regular and excessive hours ..................................................................................... 44 Graph 16 - Industries with long working days............................................................................. 45 Graph 17 - General education profile - Tandil ............................................................................ 47 Graph 18 - General education profile - Urundel ......................................................................... 48 Graph 19 - Religion - Tandil ......................................................................................................... 50 Graph 20 - Religion - Urundel...................................................................................................... 51 Graph 21 - Self-perceived social class - Tandil and Urundel ....................................................... 55 Graph 22 - Self-perceived situation and expectations - Tandil ................................................... 55 Graph 23 - Self-perceived situation and expectations - Urundel ................................................ 56 Graph 24 - Use of contraceptive methods - Tandil ..................................................................... 58 Graph 25 - Use of contraceptive methods - Urundel .................................................................. 59 Graph 26 - Kind of contraceptive method - Tandil...................................................................... 59 Graph 27 - Kind of contraceptive method - Urundel .................................................................. 60 Graph 28 – Pensions – Tandil and Urundel ................................................................................. 60 Graph 29 - Medical assistance and providing institution - Tandil ............................................... 61 Graph 30 - Medical assistance and providing institution - Urundel ........................................... 61 Graph 31 - Cause of the disability – Tandil and Urundel ............................................................ 62 Graph 32 - Institution that provides the aid - Tandil and Urundel ............................................. 63 Graph 33 - BMI-for-age BOYS (World Health Organization) ....................................................... 68 Graph 34 - BMI-for-age GIRLS (World Health Organization)....................................................... 68 Graph 35 - Chronic diseases - Tandil ........................................................................................... 73 Graph 36 - Chronic diseases - Urundel ........................................................................................ 73 3 Index of Maps Map 1 - Female headed households - Tandil (blocks)................................................................. 17 Map 2 - Female headed households - Urundel ........................................................................... 18 Map 3 - Female headed households - Tandil (dots) .................................................................... 18 Map 4 - Current young mothers - Tandil..................................................................................... 19 Map 5 - Current young mothers - Urundel ................................................................................. 20 Map 6 - Young mothers - Tandil .................................................................................................. 20 Map 7 - Young mothers - Urundel............................................................................................... 21 Map 8 - Hunger: Territorial distribution - Tandil (1) ................................................................... 22 Map 9 - Hunger: Territorial distribution - Tandil (2) ................................................................... 22 Map 10 - Hunger: Territorial distribution - Urundel (1) .............................................................. 23 Map 11 - Hunger: Territorial distribution - Tandil (1) ................................................................. 23 Map 12 - Repeaters - Tandil ........................................................................................................ 25 Map 13- Repeaters - Urundel ...................................................................................................... 26 Map 14 - Drop-out – Tandil (1).................................................................................................... 26 Map 15 - Drop-out – Tandil (2).................................................................................................... 27 Map 16 - Drop-out – Urundel (1) ................................................................................................ 27 Map 17 - Drop-out – Urundel (2) ................................................................................................ 28 Map 18 - Illiteracy ....................................................................................................................... 28 Map 19 – Illiteracy – Urundel ...................................................................................................... 29 Map 20 - Child deaths - Tandil .................................................................................................... 30 Map 21 - Child deaths - Urundel ................................................................................................. 30 Map 22 - Makeshift housing - Tandil........................................................................................... 32 Map 23 - Makeshift housing - Urundel ....................................................................................... 32 Map 24 - Squatters - Tandil ......................................................................................................... 33 Map 25 - Squatters - Urundel...................................................................................................... 33 Map 26 - Lack of sanitary toilet facilities - Tandil........................................................................ 34 Map 27 - Lack of sanitary toilet facilities - Urundel .................................................................... 34 Map 28 - Unemployment - Tandil ............................................................................................... 35 Map 29 - Unemployment - Urundel ............................................................................................ 36 Map 30 – Social assistance - Tandil ............................................................................................. 37 Map 31 - Social assistance - Urundel .......................................................................................... 38 Map 32 - Social assistance (without Universal Subsidy per Child) - Tandil ................................. 39 Map 33 - Social assistance (without Universal Subsidy per Child) - Urundel.............................. 39 4 Index of Tables Table 1 - Tandil - Households visited........................................................................................... 13 Table 2 - Urundel - Households visited ....................................................................................... 13 Table 3 - Households and Individuals – Tandil and Urundel ....................................................... 14 Table 4 - Gender – Tandil and Urundel ....................................................................................... 14 Table 5 - Migration – Tandil and Urundel ................................................................................... 16 Table 6 - Hunger in Tandil and Urundel ...................................................................................... 21 Table 7 - Z values for BMI ............................................................................................................ 24 Table 8 - Education in Tandil and Urundel .................................................................................. 25 Table 9 - Housing problems......................................................................................................... 31 Table 10 - Unemployment per gender - Tandil ........................................................................... 35 Table 11 - Unemployment per gender - Urundel ........................................................................ 35 Table 12 – Social assistance in Tandil and Urundel..................................................................... 36 Table 13 Relation of USpC, Unemployment and informal employment .................................... 37 Table 14 - Most common working days in Tandil and Urundel .................................................. 44 Table 15 - Health plan ................................................................................................................. 46 Table 16 - Medical attention ....................................................................................................... 46 Table 17 - Public and private school ........................................................................................... 48 Table 18 - Maximum educational level achieved of dropouts - Tandil ....................................... 49 Table 19 - Community and politics participation - Tandil ........................................................... 49 Table 20 - Community and politics participation - Urundel ........................................................ 50 Table 21 - Births registered - Tandil and Urundel ....................................................................... 51 Table 22 – Participation in elections - Tandil and Urundel ......................................................... 51 Table 23 - Source of electricity - Tandil and Urundel .................................................................. 52 Table 24 - Kind of heat (Cooking) - Tandil ................................................................................... 52 Table 25 - Heating system - Tandil .............................................................................................. 53 Table 26 - Kind of heat (Cooking) - Urundel ................................................................................ 53 Table 27 - Heating system - Urundel ........................................................................................... 53 Table 28 - Other amenities - Tandil and Urundel ........................................................................ 54 Table 29 - Present situation compared to foretime - Tandil and Urundel .................................. 54 Table 30 - Cause of present situation compared to foretime - Tandil and Urundel ................... 54 Table 31 - Needs of the households - Tandil ............................................................................... 56 Table 32 - Needs of the households - Urundel............................................................................ 57 Table 33 - Disintegration of households without access to sanitary toilet facilities – Tandil and Urundel........................................................................................................................................ 57 Table 34 – Issues of special interest ............................................................................................ 58 Table 35 - Disabilities - Tandil and Urundel ................................................................................ 62 Table 36 - Aid received for the disability – Tandil ....................................................................... 63 Table 37 - Aid received for the disability – Tandil ....................................................................... 63 Table 38 - Additional sources of income - Tandil ........................................................................ 70 Table 39 - Access to programs - Tandil ....................................................................................... 70 5 Table 40 - Additional sources of income - Urundel ..................................................................... 71 Table 41 - Access to programs - Urundel .................................................................................... 71 Table 42 – Institutions attended for recent treatments ............................................................. 72 Table 43 - Coverage of expenditures of recent treatments- Tandil and Urundel ....................... 72 Table 44 - Coverage of expenditures of recent treatments- Tandil and Urundel ....................... 74 6 Abstract In December 2010 started the Pilot CBMS in Argentina. The Institute of Economics of the UNICEN (Universidad Nacional del Centro de la Provincia de Buenos Aires) was the institution who lead the process. From January to July of 2011 the Institute established alliances and partnerships with local actors, involved the municipalities in the process, design the pilot selecting the places to census, and the questionnaire to use (joint with the municipal governments). The personal (interviewers, data enters, team leaders) was selected and trained in August 2011. The Census was finally done mainly in September (and in a few days of October). The places selected for the pilot where Tandil (the Northern part of the city) and Urundel (the entire city). The selection of these two places was strategic to make the pilot the richest possible, since these cities present very different characteristics. From November to April 2012 we worked in processing the data, and validating the results with local authorities. From May to August 2012 we reviewed all the material, presented the results in seminars, publicized the CBMS methodology in other municipalities and write the final reports. The present is the main report where we summarize the most relevant results of the CBMS census performed in the cities of Tandil and Urundel. We present first the demographic results, then poverty profile of the areas surveyed and then a general analysis of the results. In the Poverty profile section we present those results related to poverty, sticking to the set of Core Indicators established at the early stages of the process and some complementary figures. In the Analysis of Survey Results section we show the results regarding the main features of the population: demography, education, economy, etc. The two cities studied are very different in history, size and economic situation, nevertheless the living condition situation shares many things in common. This effect is probably due to the fact that in Tandil we focus on a low income part of the city, whereas in Urundel we studied the entire town. The most notorious differences are in unemployment, problem that in Urundel reaches a quarter of the economic active population, doubling Tandil’s record. Social assistance also is larger in Urundel. In the Poverty profile section we present those results related to poverty, sticking to the set of Core Indicators established at the early stages of the process and some complementary figures. In the Analysis of Survey Results section we show the results regarding the main features of the population: demography, education, economy, etc. 7 1. General profile About Tandil Tandil was founded in 1823 as a Fort, called originally Fuerte Independencia (Independence Fortress) which was at that point the limit with aborigines, and an area of constant attacks and violence. It was populated mainly with European immigrants. Most of the early migrants come from Spain (mostly Basks) and Denmark. Later, it come a large contingent of Italians that populated the region, being Italians descendents the most populous group today in Tandil. The new territories developed fast influenced by agriculture, what shaped the north-south dichotomy of Argentina. In the case of Tandil, the attractiveness of the Tandilia Hills and the “Moving Stone” (Piedra Movediza) allowed an early development of tourism too, that today accounts for 20% of local GDP. Tandil currently has, according to the 2010 Census, 123.520 inhabitants. GDP per capita is estimated in USD 11.000 per capita. It has been growing well above the country average in the 2000s, with the development of new economic sectors (such as software industry) and the attractiveness of its good quality of life. It has been an attractor pole for entrepreneurs and rich individuals, but also for pours looking for jobs. The economic boom has pushed urban land prices up, particularly in the downtown area, what has segmented the city in a similar fashion as the larger cities of the country, expelling the medium and low income households to the periphery. The city is limited to the south by hills. As the city grew, rich neighbourhood concentrated in downtown area and in the lower hills of the southern part of the city, whereas poor barrios grew to the other side of the Route 226 (the Northern part). It is estimated than in the north part of the city, called Tandil Norte (Northern Tandil) -developed outside the original urban zone- currently has 30.000 inhabitants. The isolation of this part helped to create a sense of community. The urban area of Tandil can be divided into 23 neighborhoods or “barrios”. These barrios in some cases have an own sense of community (like Villa Italia, a barrio founded with Italian immigration) and in other cases is just an administrative definition. Our Pilot CBMS focused on Northern Tandil, to the other side of the Route 226. The three barrios we study are: 1) San Cayetano, 2) Villa Aguirre and 3) Selvetti-Palermo. Graph 1. GIS Tandil 8 Graph 2. Pictures of Tandil 9 Urundel Urundel is a rural municipality of Salta. According to the 2001 Census there were 3162 inhabitants (Census 2010 data is not available), whereas the entire Department has 124.000 inhabitants. In the pre-census of Urundel we found 633 inhabited lots, divided into nine “barrios” or neighborhoods. We estimated 800 households. According to the information for the entire department (Oran), the population growth between 2001 and 2010 was 11%, close to the country average of 10.6%. In terms of aborigine groups, there are currently two “Guaraní” native communities living in the town: the “Iyiguapentirami” and the “Avaguaraní”. They are not segregated in a particular neighborhood but rather distributed along the city. Urundel is an area of "foothill forests" . The main economic activity is agriculture, historically dominated by sugar, but currently more diversified. It has a conglomerate of farms doing premiere horticultural crops and export fruits such as: orange, grapefruit, lemon, mango, papaya, bananas, green peppers, tomatoes, watermelon, pumpkin, melon, strawberry, sweet potato, cassava, and coffee. There is also wood production from the forests. 10 Graph 3. GIS Urundel Graph 4. Satellite Picture of Urundel 11 Graph 5. Pictures of Urundel Town Census 1 The total amount of lots in the 3 neighborhoods: San Cayetano, Selvetti-Palermo and Villa Aguirre was 3874, according to what the municipal authority reported, but many of them were uninhabited at the time the census was carried out. Many of the lots were occupied by factories, shops or public buildings, but the most common situation in this group were the empty lots (closed with wire fence, some of them only with horses on them) and lots with a building and/or a swimming-pool to spend the weekend. The total amount of lots in the 3 neighborhoods: San Cayetano, Selvetti-Palermo and Villa Aguirre was 3874, according to what the municipal authority reported, but many of them were uninhabited at the time the census was carried out. Many of the lots were occupied by factories, shops or public buildings, but the most common situation in this group were the empty lots (closed with wire fence, some of them only with horses on them) and lots with a building and/or a swimming-pool to spend the weekend. From the households visited, we had 2083 positive answers, 336 refused to answer and 259 were, after 3 visits, considered as temporarily uninhabited. Hence, the final amount of households in the surveyed area is 2678. 1 In Tandil the Census was administrated from September 9 to October 31, 2011. In Urundel, from Tuesday August 30 to the Monday October 17. 12 Table 1 - Tandil - Households visited Positive answers Refusals Considered inhabited Total amount of households Amount Proportion 2083 77.8% 336 12.5% 259 9.7% 2678 100.0% In Urundel, the census was carried out in the whole town. According to the municipal authorities, the total amount of lots was 746. In the Census from the households visited, we obtained 662 positive answers, 34 refused to answer and 41 were, after 3 visits, considered as temporarily uninhabited. Hence, the final amount of households in the surveyed area was 737. Table 2 - Urundel - Households visited Positive answers Refusals Considered inhabited Amount 662 34 41 Proportion 89.8% 4.6% 5.6% Total amount of households 737 100.0% 13 2. Demography In Northern Tandil we found 7171 individuals in 2083 households, what gives average household size of 3.44 (in what follows we will refer just to Tandil instead of Northern Tandil). In Urundel, the population surveyed reaches 2865 individuals in 663 households, or 4.32 per household. Gender composition was more male biased in Urundel with 51% of the individuals. In Tandil, the gender composition (51.3% females) is more similar to the national average (51.33%) Table 3 - Households and Individuals – Tandil and Urundel Tandil Total households Total people Average size of household Urundel 2,083 7,171 3.44 663 2,865 4.32 Table 4 - Gender – Tandil and Urundel Tandil Freq. % Urundel Freq. % Argentina (Census 2010) Freq. % Male 3,492 48.70 1,46 51.0 19,523,766 48.7 Female 3,679 51.30 1,405 49.0 20,593,330 51.3 Total 7,171 100.0 2,865 100.0 40,117,096 100.0 The population pyramids for Urundel and Tandil shows that the first city has a younger population: 34.3% is 14 years or less, while in Tandil this percentage reaches 28.7%. The youth is also relatively larger in Urundel than in Tandil, 29.2% versus 24%. Again Tandil follows closer the pattern of Argentina than Urundel. 14 Graph 6 - Population pyramid in Argentina – 2001 Source: www.indec.gov.ar/proyectos/censo2001 Graph 7 - Population pyramid in Tandil* 90 or more 85-89 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 Woman Man 6 4 2 0 2 4 6 * The percentage of people that did not answered or did not knew, did not reached 1% 15 Graph 8 - Population pyramid in Urundel* 90 or more 85-89 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 Woman Man 8 6 4 2 0 2 4 6 8 * The percentage of people that did not answered or did not knew, was less than 1% Migration When we look at migration rates, we can see a more dynamic pattern in Tandil since 70% of the population lived always in the same city compared 85% in Urundel. In the las two years (2010-2011) migrated to Tandil 1.7% of the population surveyed, and 8.2% in the last decade. For Urundel this figures are much smaller: 0.8% and 4.5% respectively. Table 5 - Migration – Tandil and Urundel Tandil Total Male Female Native 70.2% 71.4% 69.0% Migration in 2010 and 2011* 124 56 68 Migration rate (2010 and 2011*) 1.7% 1.6% 1.8% Migration since 2001* 589 277 312 Migration rate (since 2001*) 8.2% 7.9% 8.5% Urundel Total Male Female 85.3% 86.0% 84.6% 23 6 17 0.8% 0.4% 1.2% 129 194 129 4.5% 4.4% 4.6% * Until the date of the survey Female migration is higher in all cases, and it is interesting to see that this tendency accelerates in the last two years. In Tandil the Female migration rate is 15% higher than the one referred to man for the last two years and 7% for the last decade, and in Urundel the female migration rate is 194% higher than the one referred to man for the last two years and 6% for the last decade. 16 3. Core Indicators 3.1. Female headed households The sustained interest in the female heads of households comes from its growing weight in the population due to the crisis of the nuclear complete family model and to the fact that their households are considered vulnerable. 2 In Tandil 28.8% of the households were female headed compared to 26.7% in Urundel. Geographically, female headed households in Tandil are concentrated in the northern part of the area we census, which is the poorest and furthest from downtown (see in Map 1 - Female headed households - Tandil ). The northern blocks are the ones that are less populated, causing the measures per block to be more extreme. 3 In the case of Urundel there is not a particular pattern. Map 1 - Female headed households - Tandil (blocks) 2 Rosa N. Geldstein (1997). Women head of household, UNICEF Argentina. This is the only time we use this visualization in Tandil. For the rest of the maps we considered better to use dots, so as not to distort view due to the different amount of households in each block. Instead, in Urundel, we were able to present the information per lot. 3 17 Map 2 - Female headed households - Urundel Map 3 - Female headed households - Tandil (dots) 18 3.2. Young mothers We defined a young mother as those females that have had their first child at 21 years old or younger. It is important to point out that young mother is highly correlated with poverty and social exclusion in Argentina. 4 In Tandil, we found that 3% of the mothers were, at the time of carrying out the survey, younger than 21. From them, 66% were between 19 and 21 years old. As expected, this indicator in Urundel was higher, reaching 7.6%. From them, 55% are 19 or 20 years old. Regarding mothers that gave birth young, independently from their current age, in Tandil we obtained that 47% of the mothers had their first child before being 21, and in Urundel 63.6%. Map 4 - Current young mothers - Tandil 4 80% of the young mothers (aged between 15 and 24 years old) belong to the two poorer quintiles http://www.idesa.org/sites/default/files/documentos/Informe-Nacional-06-11-11.pdf 19 Map 5 - Current young mothers - Urundel Map 6 - Young mothers - Tandil 20 Map 7 - Young mothers - Urundel 3.3. Nutrition Hunger We define three measures of hunger: households that suffer privacy of food less than 5 times in a month (but more than one), between 5 and 15 times and more than 15 times. Table 6 - Hunger in Tandil and Urundel 1-5 times 5-15 times 15+ Tandil 2.4% 0.5% 0.0% Urundel 2.4% 1.1% 0.0% The conclusion emerged from the nutritional data at a household level is that there is a small part of them whose members suffer from hunger and on the contrary one may expect, the proportion is similar in Tandil and Urundel. In the first city there is no particular geographical pattern of the distribution of the households whose members suffered from hunger, while in Urundel, the households that suffer the most are in the western and southern part. 21 Map 8 - Hunger: Territorial distribution - Tandil (1) Map 9 - Hunger: Territorial distribution - Tandil (2) 22 Map 10 - Hunger: Territorial distribution - Urundel (1) Map 11 - Hunger: Territorial distribution - Tandil (1) 23 Child nutrition As explained in Annex 1 , we compute the Body Mass Index (BMI) indicators for children, and based on this indicators we classify children following PAHO. 5 We present the results in scatter plots and tables for both cities. The results show that in Tandil and Urundel the main problem is overweight and obesity (48% and 28% respectively) more than emaciation. Graph 9 – BMI by age – Tandil Boys Girls Graph 10 – BMI by age – Urundel Boys Girls Table 7 - Z values for BMI Z values BMI standards # Severely emaciated Emaciated Normal Overweighed Obese Total Tandil % 7 5 76 17 64 4.1% 3.0% 45.0% 10.1% 37.9% 169 100% # Urundel % 2 1.9% 0 0.0% 72 69.9% 11 10.7% 18 17.5% 103 100% 5 Standards from the Pan American Health Organization www.paho.org/spanish/ad/fch/nu/a_introduccion.pdf and the World Health Organization www.who.int/childgrowth 24 3.4. Education In this section we present statistics related to education, such as retention , drop-out and Illiteracy rates. We also present the information in georeferenced maps. The main result is that there are important limitations in terms of education for the households interviewed. Table 8 - Education in Tandil and Urundel Tandil Urundel Retention 23.1% 37.7% Drop-out (13-18 years old) 5.2% 7.9% Drop-out (6-12 years old) 0.1% 1.0% Illiteracy 1.3% 1.1% Retention rate is surprisingly high in Urundel, especially considering that according to the Ministry of Education, retention rates are higher in the Province of Buenos Aires than in the province of Salta 6. This could show heterogeneity within provinces, especially in Salta between Capital City and little towns (for the Province of Buenos Aires repetition rate is measured separately in big and small cities). Regarding Illiteracy, both cities are slightly below the national average for adult population (1.9% according to the last census in 2001) 7. Map 12 - Repeaters - Tandil 6 7 http://www.indec.gov.ar/ http://www.indec.gov.ar/ 25 Map 13- Repeaters - Urundel Map 14 - Drop-out – Tandil (1) 26 Map 15 - Drop-out – Tandil (2) Map 16 - Drop-out – Urundel (1) 27 Map 17 - Drop-out – Urundel (2) Map 18 - Illiteracy 28 Map 19 – Illiteracy – Urundel 3.5. Mortality rate in Children and pregnant In Tandil, the mortality rate of children reached 0.27%, finding 4 cases (Two of them of sudden death, one of imperfect osmogenesis and one did not know/refused) in children aged 0-5 years old death in the last 5 years, over 1465 children. In Urundel, the proportion reached 0.87%, with 6 cases over 690 (two died of Cancer, two of Pneumonia, one of heart problems and one of appendicitis). In terms of mother mortality related to pregnancy complications, in Tandil we did not find any case (from the 1822 mothers surveyed), and found one in Urundel (from 529 mothers). 29 Map 20 - Child deaths - Tandil Map 21 - Child deaths - Urundel 30 3.6. Housing conditions Another dimension of poverty is the housing deficit: Makeshift housing, squatter households and restricted access to proper sanitary toilet facilities, among others. We define as “Makeshift housing” those houses in which the walls were built with light and/or improvised materials or households in which the roof was built with improvised materials. Housing conditions were collected in the Census by the CBMS enumerators. We defined squatter households as those that (self-reported) to occupy the lot or the house without consent of the owner (if occupants did not report, we might be underestimating this figure). We defined as proper sanitary toilet facilities those connected to public mains or with septic tank and cesspool, considering households with precarious wastewater drains those with a cesspool (with septic tank); in the open; indoor or without bathroom. Table 9 - Housing problems Tandil Makeshift housing Squatters Without access to sanitary toilet facilities Urundel 3.8% 3.3% 1.1% 0.5% 17.7% 15.7% Regarding its geographical distribution, in Tandil, makeshift housing and squatter households do not seem to follow a specific pattern, while zones where there is lack of access to proper sanitary toilet facilities are more clearly identifiable. 31 Map 22 - Makeshift housing - Tandil Map 23 - Makeshift housing - Urundel 32 Map 24 - Squatters - Tandil Map 25 - Squatters - Urundel 33 Map 26 - Lack of sanitary toilet facilities - Tandil Map 27 - Lack of sanitary toilet facilities - Urundel 34 3.7. Unemployment This set of indicators were the ones that presented the highest disparity between the two surveyed areas, while Tandil´s unemployment reaches 12.9%, in Urundel it reaches more than the double: 26.3%. Another disparity found was between genders: In Tandil, while rate of unemployment for men is 5.1%, for women is 22.6%; and in the case of Urundel, for men women is 41.7% and for men is 17%. Table 10 - Unemployment per gender - Tandil Men Employed Unemployed 1,823 98 1,921 Women 94.9% 1,197 5.1% 349 100.0% 1,546 Total 77.4% 22.6% 100.0% 3020 447 3,467 87.1% 12.9% 100.0% Table 11 - Unemployment per gender - Urundel Men Employed Unemployed Women 576 118 694 83.0% 17.0% 100.0% Total 243 174 417 58.3% 41.7% 100.0% 819 292 1,111 73.7% 26.3% 100.0% Map 28 - Unemployment - Tandil 35 Map 29 - Unemployment - Urundel 3.8. Social assistance In general, the Core Indicators show that Social Assistance is very frequent in the areas of the census. There are different types of programs. A massive one is Asignación Universal por Hijo (Universal Subsidy per Child, USpC) which is a lump sum subsidy per child for families with income below a given threshold introduced in 2009. The subsidy per child is ARS 270 (almost USD 43 at the exchange rate 6.3) or ARS 1080 for a handicap child. 8 Before 2009 there was a Subsidy per Child benefit for formal workers with income below a threshold. The problem with this program (financed with labor contributions) was that most poor households were excluded. In 2009 the subsidy generalized to every family, and not only those who have a formal worker, what means unemployed, informal workers, and selfemployed are now included. Table 12 – Social assistance in Tandil and Urundel Social assistance Social assistance (government) Social assistance (government, excluding Universal Subsidy per Child) Tandil Urundel 40.9% 53.0% 38.3% 52.0% 23.8% 43.8% 8 In fact, 80% of the subsidy is disbursed monthly and 20% accumulates and it is paid once a year after verification of the requirements of child assistance to school, vaccination and other controls. 36 Table 13 Relation of USpC, Unemployment and informal employment Tandil Urundel USpC Unemployment Coverage* 22.8% 12.9% 19.3% 26.3% Informal employment 52.5% 39.3% * Percentage of households with at least a child receiving the USpC In order to investigate further in social programs diffusion, the different levels of social assistance are evaluated geographically, from the most general to the particular. Thus, we focus first on social assistance provided both by the government and private parties. In the case of Tandil, the total social assistance reaches more than 40% of the households, and performing a bird´s eye view, we can see some areas where social assistance is very common (like area 1, in Map 30), and some other where it is the exception (like areas 2 and 3, in Map 30). Performing the same methodology in Urundel, we can go from an area where the social assistance is not very usual, in the center of the city (area 1, in Map 31), to the surroundings, where the social assistance seem to be very common (areas 2, 3, 4 and 5 in Map 31). It is important to point out that in both places, Tandil and Urundel, private social assistance is relatively small. Map 30 – Social assistance - Tandil 37 Map 31 - Social assistance - Urundel 38 Map 32 - Social assistance (without Universal Subsidy per Child) - Tandil Map 33 - Social assistance (without Universal Subsidy per Child) - Urundel The most spread program in Urundel is the Provincial Feeding Program, whose beneficiaries are almost 30% of the households. This program consists mainly of the provision of a food package, vitamin complexes and iron sulfate to families with children and to pregnant mothers, aimed to prevent malnourishment in children aged 0-6 years old. 39 The ´homemade bread´ program consists of providing flour to groups of five mothers to make bread. According to the results, these two main feeding programs cover almost 40% of the households in Urundel. 4. Analysis of survey results 4.1. Work & business Having determined the rates of unemployment and informal jobs within areas surveyed (see the Unemployment and Social assistance sections), we continue analyzing other features about economic activity related with the households. First, let´s take a look at the labor structure. The Non-skilled workers are among the most important groups of workers in both cities. While the high amount of Salesman-servant in Tandil tend to show a city more focused into services, the high amount of people dedicated to agriculture/cattle farming, reveal an economy more into primary activities. In Tandil, the most important activities are services (23%); construction (17%) and wholesaleretail sales (12%), while in Urundel are the Agriculture / Livestock (42%) and services (13%). 40 Graph 11 - Work: Industry and kind of job - Tandil 2% DK/REF 3% Other 12% Services 3% 4% 2% Arts, culture, sport and recreation Health 3% Education Industry Public administration-Defense Professional-scientific-technical Financial services Communications Hotels-restaurants Transport and storage 2% Mechanical 3% 2% Wholesale-retail sales Construction Manufacturing 2% Agriculture / Livestock 0 5% 3% 10% 200 11% 400 600 800 Kind of job In Tandil, the three most frequent combinations are the job salesman-servant in the services and in the wholesale-retail sales industries and the non-skilled work in construction. Besides following a global/national tendency, the high relevance of services could be the consequence of the growth of tourism in the last decade. Since the devaluation of the peso, Argentineans started looking for alternatives to spend their vacations, and Tandil became a significant spot for inhabitants of Buenos Aires City to visit within the country, especially in long-weekends 9. According to different estimations, only the touristic activity represents around 10% of GDP 10. To enforce this point of view, it is useful to mention that the proportion of workers only in Hotels-Restaurants is non-despicable: 2% of the total workers. As for the great amount of construction workers could be explained by the growth of the city and the particular macro-economic conditions that make real estate a safe investment (inflation, high prices of soy, mistrust in financial institutions and government), that caused the construction activity to flourish in the last decade. Although the two industries mentioned (services and construction) and wholesale-retail sales generate the most of the jobs, from their composition can be understood that most of them are non-skilled. 9 See, for example http://garridoyasociados.com.ar/new/images/TURINV07.pdf , http://www.elpopular.com.ar/diario/2010/06/04/nota.html?idnota=80822 10 See, for example http://www.lanacion.com.ar/1410431-tandil 41 Graph 12 - Work: Industry and kind of job - Urundel DK/REF Other 3% 3% Services Arts, culture, sport and… Health Education 2% 4% 2% Public administration-Defense Industry 6% Professional-scientific-… Financial services Communications Hotels-restaurants Transport and storage Mechanical 2% 7% 5% Wholesale-retail sales Construction Manufacturing 21% Agriculture / Livestock Kind of job 0 50 100 18% 150 200 250 300 350 Government-Executive-Manager-etc. Professional Technician Administrative-Priest Salesman-Servant Agricultor-Cattle farming Craft and similar Non skilled worker Teacher-Police-Military Other job DK/REF 400 While Tandil shows a more diversified productive structure, in Urundel the agriculture/livestock industry is hegemonic: 21% of workers called themselves farmers, while 18% are non-skilled workers within Agriculture and livestock industry. It is reasonable to assume that the so called farmers cultivate their own land, while the non-skilled workers perform their activity for others in exchange for a salary. The difference of Agriculture/livestock activities in Tandil (4%) and Urundel (42%) probably happens also because primary activity in pampeana region has incorporated in the last decades a great deal of machinery (together with technological package that includes genetically modified seeds, chemicals and fertilizers), while in Urundel the production method shows more participation of labor 11. Other relevant facts regarding the Industries and kinds of jobs: • Teachers represent a relevant portion of the workers both in Tandil (3%) and Urundel (4%). • Manufacturing activity is more intense in Tandil (8%) than Urundel (4%). • Urundel shows a higher presence of public jobs (5%) than Tandil (3%). This difference becomes higher if we sum the health and education workers together, that are mainly public in both cities (10% in Urundel and 6% in Tandil) When looking at the amount of hours that worked those who declared to have worked in the last 3 months, first, the histograms are presented to see the general picture: 11 See for example http://economicas2.unlam.edu.ar/unlam100/biblioteca/cepal/W24.pdf 42 0 5 Percent of the workers 10 15 20 Graph 13 - Amount of hours worked per week - Tandil 50 0 100 Ammount of hours 150 5.7% of the workers did not answered or did not know 0 Percent of the workers 10 20 30 Graph 14 - Amount of hours worked per week - Urundel 0 50 100 Ammount of hours 150 1.6% of the workers did not answered or did not know 43 The most common answers are 20 hours (part-time, most probably 4 hours a day from Monday to Friday), 40 hours (full time, most probably 8 hours a day from Monday to Friday) and 48 hours (full time, most probably 8 hours a day from Monday to Saturday, or 9 hours a day from Monday to Friday): Table 14 - Most common working days in Tandil and Urundel Tandil 20 hours 30 hours 40 hours 48 hours 6.5% 6.6% 15.7% 13.3% Urundel 5.1% 15.3% 25.8% 18.4% As a percent of the workers - 9.5% (Tandil) and 1.6% (Urundel) of the workers did not answered or did not know Considering the limit established by ILO (International Labour Organization) for Industry, commerce and office 12 of 48 hours of work per week, we determined the proportion of workers doing regular hours and those doing excessive hours. Graph 15 - Regular and excessive hours If we explore the industries of those working between 48 and 84 hours: 12 International Labour Standards - http://www.ilo.org/global/standards/subjects-covered-byinternational-labour-standards/working-time/lang--en/index.htm 44 Graph 16 - Industries with long working days In Tandil, the higher average is in other, followed by transport and storage (for reasons analyzed then) Agriculture/Livestock and mechanical. If we take a quick look at the industries of jobs doing more than 84 hours a week, in Tandil, 22% of them work in transport and storage and 19% in the Wholesale-retail sales business. In so far as the first ones, it is reasonable to assume that they are mainly truckers and within the seconds, there is possibly a lot of storekeepers that live where they serve their customers. In Urundel, there is a much smaller proportion that said to be working more than 84 hours (0.7%, only six people) and their occupations are all different, which cannot allow us to arrive to powerful conclusions. 4.2. Health In Tandil there are 3 public hospitals and 16 basic assistance centers (places that work with scarce medical equipment, to attend basic needs and to carry out periodical consultations to people in different neighborhoods). In the surveyed area there are four of the mentioned basic assistance centers. In Urundel, there is a general hospital for the whole town. Regarding health insurance, 36% and 33% of the households in Tandil and Urundel respectively are not covered. From those households that have a health plan, in Tandil the public and from a union (that is, that belongs to a group of workers unionized) health insurances play a significant role, while in Urundel, the most common health plan is the one that is private. 45 Table 15 - Health plan Health plan? Yes Tandil Public Private From a Union DK/REF No DK/REF Urundel 640 325 273 89 750 6 30.7% 15.6% 13.1% 4.3% 36.0% 0.3% 126 267 51 0 218 1 19.0% 40.3% 7.7% 0.0% 32.9% 0.2% 2083 100% 663 100% Both in Tandil and Urundel, the public hospital is the most frequented place to go when a health problem appears (38% and 71% respectively). In the Table 16 - Medical attention it can also be evaluated the relevance of the neighborhood health centers in Tandil: They have an impact on the neighborhood (11%), but most of the neighbors continue seeing the traditional more prepared institutions in the main part of the city (across the 226 route) as the reference at the time of requiring medical assistance. At the same time we see the trend in Tandil to attend to private institutions (Health insurance offices, private hospital and private consultation). Table 16 - Medical attention Tandil Neighborhood health center Public hospital Health Insurance Private hospital Private consultation Other z DK/REF z N/A Urundel 233 791 214 330 344 35 12 124 11.2% 38.0% 10.3% 15.8% 16.5% 1.7% 0.6% 6.0% 2 470 64 67 18 2 38 2 0.3% 70.9% 9.7% 10.1% 2.7% 0.3% 5.7% 0.3% More detailed features of health problems are specified in Annex 3 – Health problems, not at a household level, but at a people level. 4.3. Education Having determined the relevance of the main education problems, in this section we complete the analysis of the educational situation in the areas surveyed. First, we present the general education profile of Tandil and Urundel. From the total population surveyed, we determined those people that dropped out before finishing 46 secondary school, those that finished secondary school, those that still have not finished school but are still within the educational system and the children that are less than 4 years old, to exclude those that are not relevant for this analysis . This can give an idea of the level of instruction: 45% and 44% respectively for Tandil and Urundel are not in school (or kindergarten) and have not finished the secondary school. Besides, 28% and 33% are still in school and 20% and 2% have finished the secondary school respectively in Tandil and Urundel. In Urundel, there is very few the population surveyed that stated to have finished the secondary school, but there was a high proportion of undetermined answers (this is, that said not going to school, but did not specified their educational status at all), that would possibly increase the proportion of people that finished secondary school. These undetermined answers were due to problems in training enumerators (it was wrongly understood that those people that were not in school did not have to answer any other questions of education). We decided, yet, to show the data as it was answered, and then to make assumptions on that, instead of making assumptions during data cleaning. Graph 17 - General education profile - Tandil Undetermined 0% Less than 4 years old 7% Still in school 28% Dropped out 45% Finished 20% 47 Graph 18 - General education profile - Urundel Less than 4 years old 9% Undetermined 12% Dropped out 44% Still in school 33% Finished 2% Second, other of the main aspects to outline is the preeminence of public over private school. Tough, in Tandil the private institutions have proliferated in the last two decades, given the decrease in educational level in public schools 13. Table 17 - Public and private school Public Private DK/REF Tandil 1982 226 93 2301 86.1% 9.8% 4.0% 100% Urundel 963 96.6% 19 1.9% 15 1.5% 997 100% Regarding the maximum educational level achieved for those that dropped out, in Tandil the most common situation was that they dropped out after finishing primary school (51%, for the most of them, “finish the school” means to finish the primary school). In Urundel, it is hard to extract conclusions since the problems with this section mentioned above. 13 There is an overwhelming consensus of this. See, for example, Daniel Filmus (former minister of Education), Los condicionantes de la calidad educativa, 1995. 48 Table 18 - Maximum educational level achieved of dropouts - Tandil 1800 1600 1400 1200 1000 800 600 400 200 0 1,634 789 593 61 35 6 3 1 2 95 4.4. Community and politics participation When the household members were asked about participation in community groups and in political activities, we found in Tandil that the most active participation is in Church/religious group (20%), social club (13%) and school association (10%). Table 19 - Community and politics participation - Tandil In Urundel, the participation is higher in all organizations. The most active participation is in Church/religious group (57%), political party (35%) and social club (32%). 49 Table 20 - Community and politics participation - Urundel 4.5. Religion In Tandil and especially in Urundel, the surveyed population is mainly catholic. In Tandil the first religious minority is atheism, while in Urundel is Evangelism. Graph 19 - Religion - Tandil 3.240% Catholic Evangelist 20.608% Jehovah's Witness .850% .060% 1.510% Jewish 9.539% 64.194% Other religion None DK/REF 50 Graph 20 - Religion - Urundel 1.570% .140% 4.080% .450% .00% Catholic Evangelist 22.552% Jehovah's Witness Other religion None 71.207% DK/REF 4.6. Civility Societies both from Tandil and Urundel have a high participation in its civil duties. Almost all births are registered in registry office and most of the citizens with 18 years or older participated in elections 14 Table 21 - Births registered - Tandil and Urundel Yes No DK/REF Tandil 7135 99.5% 6 0.1% 30 0.4% 7171 100% Urundel 2854 99.6% 8 0.3% 3 0.1% 2865 100% Table 22 – Participation in elections - Tandil and Urundel Yes No DK/REF 14 Tandil 3,926 83.1% 747 15.8% 54 1.1% 4,727 100% Urundel 1468 88.1% 195 11.7% 3 0.2% 1666 100% In Argentina, voting is an obligatory civil duty 51 4.7. Amenities Regarding amenities, besides the features showed in the section “Housing conditions”, here we present first the source of electricity of the households, the kind of heat used to cook and the heating system. Regarding the electricity, in both cities most of the households have it, and the great majority receives it from the electric company. Table 23 - Source of electricity - Tandil and Urundel Electric company Other sources Do not have DK/REF Tandil 2,034 41 5 3 97.7% 2.0% 0.2% 0.1% Urundel 642 96.8% 15 2.3% 4 0.6% 2 0.3% 2083 100% 663 100% Regarding the heat used to cook, we see that in Tandil half of the households use natural gas from the gas mains, and the other half (48%) use natural gas from a cylinder. Instead, in Urundel, most of the households use natural gas from a cylinder (77%) and only a few are connected to the mains (3%). Besides, the use of wood to cook is relevant (20%). Regarding the heating system, in Tandil most of the households use a gas stove (44%) or a fireplace (36%), while in Urundel, the most common situation is not to have heating system at all, since the high average o temperatures registered in the northern part of the country. Yet, 25% of the households use an electric stove and 5% of them use a fireplace. Table 24 - Kind of heat (Cooking) - Tandil Kind of heat (cooking) Frequency Percent Natural gas mains Natural gas cylinder Natural gas large container Electricity Kerosene Wood Others DK/REF 1050 999 4 3 1 6 3 17 50.4% 48.0% 0.2% 0.1% 0.1% 0.3% 0.1% 0.8% Total 2083 100% 52 Table 25 - Heating system - Tandil Heating Frequency Central heating system Gas Stove Electric Stove Fireplace Others There is no heat DK/REF Total Percent 276 919 50 746 52 21 19 13.3% 44.1% 2.4% 35.8% 2.5% 1.0% 0.9% 2083 100% Table 26 - Kind of heat (Cooking) - Urundel Kind of heat (cooking) Frequency Percent Natural gas mains Natural gas cylinder Natural gas large container Electricity Wood Others Do not Cook DK/REF 17 511 2 1 123 1 5 3 2.6% 77.1% 0.3% 0.2% 18.6% 0.2% 0.8% 0.5% Total 663 100% Table 27 - Heating system - Urundel Heating Frequency Percent Central heating system Gas Stove Electric Stove Fireplace There is no heat DK/REF 1 12 164 35 444 7 0.2% 1.8% 24.7% 5.3% 67.0% 1.1% Total 663 100% To buy gas cylinders, 14% and 11% of the households in Tandil and Urundel respectively receive aid from the government (or they are entirely provided by it). 53 Finally, the following table shows other amenities enjoyed by the households. Table 28 - Other amenities - Tandil and Urundel Phone line Cell phone Internet Cable TV Satellite TV Tandil 994 1,862 557 1,354 292 47.7% 89.4% 26.7% 65.0% 14.0% 5059 243% Urundel 39 5.9% 534 80.5% 36 5.4% 549 82.8% 24 3.6% 1182 178% 4.8. Self-perceived situation, expectations and needs Regarding the self perceived socioeconomic level and social mobility, both in Tandil and Urundel, the respondents were optimistic when comparing the economic situation that their parents lived to theirs. Furthermore, in Tandil the most of the respondents think that this is due to external causes (“the opportunities offered by the country”) while in Urundel, the main cause mentioned is internal (“Own ability and initiative”). Table 29 - Present situation compared to foretime - Tandil and Urundel Better Same Worse DK/REF Tandil 53.5% 23.6% 18.3% 4.6% Urundel 64.3% 29.0% 5.4% 1.4% Table 30 - Cause of present situation compared to foretime - Tandil and Urundel Own ability and initiative Educational attainment The opportunities offered by the country Other DK/REF Tandil 36.1% 10.7% 44.4% 3.5% 5.4% Urundel 41.8% 10.6% 32.1% 0.3% 15.2% The data surveyed in Tandil shows that the big majority of the households´ members surveyed see themselves as middle class, while in Urundel the most of the respondents consider their household as poor. 54 Graph 21 - Self-perceived social class - Tandil and Urundel In general, the population in Urundel and especially in Tandil considers that the health and education their families receive is of a good quality. Also, the expectations about the opportunities and economic situation their children will receive are mostly optimistic. Graph 22 - Self-perceived situation and expectations - Tandil 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Yes No DK/REF Good quality education? Good quality Future health? opportunities Future economic situation 55 Graph 23 - Self-perceived situation and expectations - Urundel 90% 80% 70% 60% 50% 40% Yes 30% No 20% DK/REF 10% 0% Good quality education? Good quality health? Future opportunities Future economic situation Regarding households needs, we summarize in the following tables the most frequent issues mentioned by neighbors: Table 31 - Needs of the households - Tandil Problem Do not know / refuse None Self-owned home Extend/improve home Get a job Natural gas mains Self-owned home (finish construction) Asphalt Increase income Sewer Job stability Extend/improve home (construction materials) Get a good job Self-owned home (for family members) Safety Mentioned 1st Mentioned 2nd 37.1% 83.9% 12.1% 10.0% 1.2% 5.8% 0.7% 4.7% 1.1% 2.8% 1.2% 2.7% 0.2% 2.5% 1.6% 2.2% 0.5% 1.5% 0.9% 1.4% 0.8% 1.3% 1.2% 1.2% 1.1% 0.3% 0.3% 0.1% 1.0% 56 Table 32 - Needs of the households - Urundel Problem Self-owned home Jobs Do not know / refuse Extend/improve home Bathroom Self-owned home (Lot) Safety Money Economic needs Mentioned 1st Mentioned 2nd 27.2% 7.7% 26.2% 7.7% 17.7% 72.0% 7.8% 1.7% 5.1% 3.2% 4.2% 1.7% 1.4% 0.5% 1.2% 0.3% 1.1% 0.2% In Tandil, the population did not show much interest in this topic, probably because the problems mentioned in previous reports (languishment of the people due to the national census, a few problems in training) plus the fact that this group of questions were the lasts and the respondents tend to show fatigue in the final minutes of the interview. However, some clear conclusions can be obtained: if we group the answers in categories, the housing problems appeared as the main topic (21%), followed by job/income problems (10%), infrastructure deficiencies (7%) and safety (1%). In Urundel, with a higher interest from the respondents, the main problem was also about housing (39%), followed by job/income problems (29%), Bathroom (5%) and safety (1%). The problem of the lack of bathroom in Urundel appears as very significant tough the population in Urundel have highest access to proper sanitary toilet facilities (see conditions). To Housing shed some light on this matter, let’s see the way the core indicator was built. A household was considered with proper sanitary toilet facilities when it was connected to the public mains (sewer) or when it had a septic tank and a pool, while when the answers “Only a cesspool”, “In the open” or “No toilet facilities” were given, it was considered as a household without sanitary toilet facilities. Then if we disaggregate the indicators obtained, we have that in proportion; more households in Urundel have no toilet facility at all than in Tandil: Table 33 - Disintegration of households without access to sanitary toilet facilities – Tandil and Urundel Only a cesspool – Own use Only a cesspool – Use shared with other In the open No toilet facility Total of households without access to sanitary toilet facilities Tandil 13.39% Urundel 14.03% 3.89% 0.05% 0.29% 0.45% 0.00% 1.21% 17.62% 15.69% 57 Anyway, while the households that specified that their main need is a Bathroom are 5%, those that said to have no toilet facilities are only 1.21%. So, probably, the mentioned problem is not so much an infrastructure problem, but rather a housing problem. Finally, when specifying issues of their special interest most of them gave a higher mark (from 0 to 10) to infrastructure issues above social problems: Table 34 – Issues of special interest * From 0 to 5% of the households refused to answer or did not know ** From 5 to 10% of the households refused to answer or did not know Among the other issues mentioned by neighbors in Tandil stands out Crime (2.5%), Education and “Streets” (0.5% each). In Urundel, stand out Safety (2.7%) and Work (1.8%). 4.9. Family planning Regarding the use of contraceptive methods, 40% and 39% respectively in Tandil and Urundel recognized the use of contraceptive methods. In Tandil there was a high proportion of refusals to this answer (22%), while in Urundel the option of refusing was not given explicitly, so probably many of the ones that did not wanted to talk about the subject, just answered No. Graph 24 - Use of contraceptive methods - Tandil REF 22% Yes 40% No 35% DK 3% 58 Graph 25 - Use of contraceptive methods - Urundel Yes 39% No 59% DK 2% Following, we seek in the kind of contraceptive method used. In Tandil, the most widely used method are the pills (58%), the barrier method (27%), and the vasectomy or tubal ligation (9%), while in Urundel, the most used methods are the barrier method (48%), the pills (37%) and injection (7%). Graph 26 - Kind of contraceptive method - Tandil REF Other Injection DK Vasectomy or tubal ligation Barrier method (preservative, cap, IUD) Standard days method Pills 0 100 200 300 400 500 59 Graph 27 - Kind of contraceptive method - Urundel Injection Vasectomy or tubal ligation Barrier method (preservative, cap, IUD) Standard days method Pills 0 20 40 60 80 100 4.8. Elderly When we analyze social and medical coverage of elderly, in Tandil a great part of the population 65 years old or older receives a pension (88%) while in Urundel is lower but yet important (48%). In this part is important to mention that in the last decade many noncontributory pensions to elderly were granted 15. Graph 28 – Pensions – Tandil and Urundel No DK/REF 2% 10% No 8% Yes 88% DK/REF 14% Yes 78% Regarding medical assistance, both in Tandil and Urundel, 75% of the elderly are covered. 15 Two million and a half approximately. See for example: http://www.clarin.com/politica/Gobiernoampliaria-regimen-jubilarse-aportes_0_464953519.html 60 Graph 29 - Medical assistance and providing institution - Tandil Neighborhood Health Center 3% Private Establishment 38% DK/REF 10% No 15% Yes 75% Other 1% DK/REF 1% Public Hospital 32% Graph 30 - Medical assistance and providing institution - Urundel Neighborhood Health Center Other 2% 0% DK/REF 14% No 11% Yes 75% Private Establishment 29% DK/REF 1% Public Hospital 43% 4.10. Disabled members While in Tandil, 3.7% of the people were reported as disabled (11.7% of the households have at least a disabled member), in Urundel the percentage reaches 2.9% (11.7% of the households have at least a disabled member). Regarding the kind of disability, here are presented the relative amounts: 61 Table 35 - Disabilities - Tandil and Urundel Kind of disability* Total blindness Partial blindness Low vision Totally Deaf Partially Deaf Hearing difficulties Speaking problems One hand No hands One leg No legs Mild (Regular) cerebral palsy Severe cerebral palsy Regularly mentally handicapped Severely mentally handicapped Regularly affected by a mental disease Severely affected by a mental disease Regularly multiple impaired Severely multiple impaired Others Tandil Urundel 2.26% 3.66% 3.40% 4.88% 5.66% 6.10% 1.51% 7.32% 3.02% 2.44% 2.26% 3.66% 1.89% 7.32% 1.51% 2.44% 0.00% 1.22% 7.17% 2.44% 0.38% 0.00% 2.26% 6.10% 1.13% 4.88% 10.19% 8.54% 1.89% 4.88% 4.53% 6.10% 5.66% 8.54% 6.04% 1.22% 4.15% 0.00% 33.96% 17.07% *Percentages as a proportion of those identified as disabled The percentages higher than 5% and 10% were highlighted. In none of the places surveyed is a kind of disability named in “Others” worthy to mention (this is, with a percentage higher than 5%). The cause of disability was declared to be, in most of cases, In-born: Graph 31 - Cause of the disability – Tandil and Urundel 7% 8% 4% 2% Urundel 6% In-born 16% 7% Illness Tandil 40% 49% 16% Accident Old Age Others 22% 23% DK/REF 62 In Tandil, one third of those who mentioned “Others”, expressed that the cause was “By/in work” Regarding the aid received for the disability, the most frequent answers were: Table 36 - Aid received for the disability – Tandil Kind of aid Do not know/refuse to answer Pension None Medical treatment Medication Percentage 31.3% 20.0% 18.9% 8.7% 7.2% Table 37 - Aid received for the disability – Tandil Kind of aid Percentage None 47.6% Pension 28.0% Medical treatment 9.8% Do not know/refuse to answer 8.5% It is probable that the tendency for both cities is similar: Tandil has a high percentage of people that did not want or refused to answer, but that happens probably because the enumerators from Tandil were not instructed to put “None”, when the family members expressed that have not received any aid at all, and instead they left the spaces blank. From those who received any kind of aid, the majority stated that it comes from the government: Graph 32 - Institution that provides the aid - Tandil and Urundel 9% 2% 0% 7% 20% 0% 0% 4% 12% Urundel Government NGO (non-government agency) Tandil Others 62% 2% 82% Health insurance Employer 63 5. Summary of research findings We find many similarities between the Northern Tandil and Urundel. The ranking of priorities are consistent and similar. Regarding the general contrast of both cities, Tandil shows in general a higher socio-economic development of their society, with an older more-migrant population, higher levels of employment, better education indicators, higher use of contraceptive methods together with less younger mothers and higher level of connectivity. In both of the surveyed areas the population seems to be optimist about the course of the socioeconomic situation and opportunities in the long term, the general access to drinkable water and electricity is very well spread, as well as the public school. In some subjects the areas surveyed show similarities also in the problems: deep education problems and some indicators of deep poverty, such as illiteracy, hunger and housing problems. Respondents in both places feel that policy actions have to go stronger to general infrastructure issues than social problems, such as drugs, alcohol and family violence. In the Urundel validation meeting with local leaders, they explain us that many people tend to see the latter as “personal” problems rather than social problems where government policy can be addressed to. On the other hand, people recognize in the government the obligation to provide infrastructure (including social infrastructure, such as schools and hospitals). In Tandil, the relatively low level of unemployment, combined with the high rates of informal job and the wide spread of social assistance, appears to confirm the impressions left by some of the community leaders in the validation meeting of a lack of incentive to promote legal work, and on the contrary, a sort of collusion between employers and workers, in order to allow the latter to continue receiving the social assistance (especially the Universal Subsidy per Child) for their condition of unemployed. The needs expressed in Tandil are very diffuse and do not show a central problem, but some housing issues arise. In the case of Urundel, the needs of housing expressed by the respondents are higher, even though housing conditions are better in this city than Tandil. In Urundel people stress jobs problems, what matches with the harsh conditions in their labor market. This difference seems to respond to two very different economic situations in both cities, Tandil is a growing city, attracting migrants, Urundel is a small rural town, where emigration in the past has been important. 64 6. Policy Recommendations Argentina has relatively high levels of poverty even after 10 years of strong economic growth. Income distribution is very unequal. Poverty is related to the fortunes of the labor market, since most of argentine population lives in urban areas. In terms of income distribution, one of the most important factors is explaining it is education and the quality of education. The distribution of public goods and services is very unequal too. In our study we find that people complain more about the access and quality of public services and public goods than education, health or the labor market. But the situation, what people demand, is different in each case. In Tandil, 50% of the population chooses infrastructure related problems as the most important problem in their neighborhood. Some of these problems are lacked of paved street, lack of water and sewerage services, lack of electricity, loose animals (dogs and horses) and lack of cleaning and rats. The second most important problem is safety. In Urundel, on the other hand, the most important problem is safety followed by health and education. Housing and unemployment, problems that did not emerge in Tandil, where chosen by 12.8% of the population. Table. Most important problem in your neighborhood Tandil Urundel Infrastructure 45.80 8.75 Safety 34.76 37.25 Health 2.11 23.83 Education 2.78 13.57 Unemployment 0.00 9.58 Housing 0.00 3.24 None 7.15 0.00 Others 7.40 3.78 This shows some heterogeneity in the problems, and reinforces the importance of having a tool like CBMS to capture the needs at the local level. It is also interesting how the perception of individuals might show a different diagnostic. For instance, Argentina has a clear problem with the quality of education. In PISA 2009 it obtained an average score quite below the expected one according to its income level, and it is the country with the highest inequality in the quality of education in the world (Auguste et al 2008) 16. But when we asked them to grade the education of their school in a scale from 0 to 10 the average score was 9.05 and 8.05 in Tandil and Urundel respectively (with a standard deviation of 2.42 and 1.42 respectively). Interesting enough, when we see the score to their education open it by whether they are current students or not, to capture the trend in education, we do not find any significant difference. This perception goes against the finding in 16 Auguste S., Echart, M and Franchetti F. 2008. “The Quality of Education in Argentina”, RES-BID. 65 Auguste et al that the quality of education in Argentina has deteriorated a lot in the last 40 years. We find that people in Urundel perceive themselves as poorer than in Northern Tandil. In Urundel, 54% of the people consider their own family as poor, in Northern Tandil 61% consider their own family as middle class. Nevertheless, the housing and nutrition is better in Urundel although the labor market conditions are much poorer, with very high unemployment rates. This brief diagnostic gives intuition of what would be the main policy actions, and how different this could be across cities. In Urundel the main problem is lack of dynamism in the labor market, in a small rural town that has been expulsing population. In Tandil, on the other hand, we studied a poor neighborhood of a small size city that has been growing very fast and attracting migrants. The problems in this area are mostly related with the lack of infrastructure, and not with employment. In this sense, the policies in Urundel would point more to those that can faster development, entrepreneurship and productivity, whereas in Tandil the importance is more on providing infrastructure. The maps we have done show very precisely the division of geographical areas where the access to infrastructure is limited, from those where every neighbor have proper access. This can be used by municipal authorities to check whether their plains are accurate and, specially, to raise awareness of a situation that, assumed as normal, can fall into oblivion. 66 Annex 1 – Measures of nutrition With the gender, date of birth, height and weight, we were able to obtain the Body Mass Index (BMI). The BMI is a simple index of weight-for-height that is commonly used to classify underweight, overweight and obesity. It is defined as the weight in kilograms divided by the square of the height in meters (kg/m2): Equation 1 - Body mass index In adults, values are age-independent and the same for both sexes, but in the case of children 0-5 years old, the WHO (World Health Organization) established two charts (one for boys and one for girls), where at a certain age a particular value of BMI is given: 67 Graph 33 - BMI-for-age BOYS (World Health Organization) Graph 34 - BMI-for-age GIRLS (World Health Organization) 68 Green lines represent the ideal BMI. The other colored lines allow the analyst to see how far a BMI-for-age measure from the ideal standard is. The numbers 3, 2, 1, -1, -2 and -3 (Z-scores) expresses the amount of distance measured in Standard deviations that a particular sample is from the ideal standard. Despite the general and spread use of these measures, it is important to point out that small differences can emerge due to the difference existing on the body complexion of different ethnical groups. Besides, and more important, the data of the weight and height of the children surveyed is not as reliable as we would wish, because enumerators only asked children´s physical characteristics to the elder residents of the households. There was not any procedure to check the information given by the member of the household that answered the questionnaire (such as taking personally the height and weight). Also, many of the people surveyed, as they did not know some of the weights or heights, were not able to provide this information: From the 511 children aged 0-3 years surveyed in Tandil, there was data available to calculate the BMI-for-age indicator for 169 of them (33%). From the 265 children aged 0-3 years surveyed in Salta, there was data available to calculate the BMI-for-age indicator for 103 of them (39%). Regarding those households that answered about the weight/height of the children, probably there is a self-selection bias: individuals select themselves into a group, causing a biased sample with non-probability sampling. To see why this may happen, it appear reasonable to think that those parents/tutors that keep track of their children weight and height are also those that do the most to control their children physical status. Having into account all the problems that may emerge with the BMI measures, we still considered relevant to prepare this information, not only because it can, despite of the troubles, show a view of the issue, but especially in order to reflect on it what can be done in future opportunities to improve the amount of positive answers and its accuracy and how to show this information in the most friendly way. 69 Annex 2 – Additional sources of income and access to programs Table 38 - Additional sources of income - Tandil During the last twelve months, did you or a member of your family received from third parties that do not live in the house… Person or institution Public institution NGO Labor union Relatives Other Rent/house Other exp. expenses 3.55% 2.83% 3.55% 2.35% 1.34% 1.15% 1.30% 1.20% 3.65% 4.70% 1.44% 1.63% Food 4.80% 5.38% 1.20% 1.20% 3.36% 1.54% Food in community dinning hall Clothes 2.26% 2.16% 2.21% 1.68% 1.30% 1.34% 1.20% 1.20% 1.54% 2.83% 1.15% 1.87% The aid from relatives was not considered Social assistance Table 39 - Access to programs - Tandil During the last twelve months, did you or a member of your family received or used any of the following programs? Universal Subsidy per Child´ program?" Non-contributory pension? Working or training program? Feeding program? School program? Housing program? Health assistance program? Other program 22.76% 10.75% 2.02% 8.59% 0.58% 0.24% 1.25% 0.10% 70 Table 40 - Additional sources of income - Urundel During the last twelve months, did you or a member of your family received from third parties that do not live in the house… Rent/house Other Food in communitary exp. expenses Food dinning hall Clothes Person or institution 2.26% 1.96% 2.26% 1.96% 1.81% Public institution 1.81% 2.87% 2.71% 1.36% 1.21% NGO 0.45% 0.45% 0.45% 0.45% 0.75% Labor union 0.90% 0.45% 0.45% 0.45% 0.90% Relatives 3.92% 7.24% 5.43% 1.21% 2.87% Other 0.60% 0.60% 0.75% 0.60% 0.75% * The aid from relatives was not considered Social assistance Table 41 - Access to programs - Urundel During the last twelve months, did you or a member of your family received or used any of the following programs? Universal Subsidy per Child´ program?" ´Homemade bread´ program? Housing program? Non-contributory pension? Provincial feeding program? 19.31% 9.05% 8.75% 10.71% 29.86% 71 Annex 3 – Health problems Recent health problems 921 (13%) and 200 (7%) of the surveyed people in Tandil and Urundel respectively had received medical treatment in the 30 days previous to the survey. From them, in Tandil the institutions where the affected people concurred pretty much matches with the places stated in Table 16 - Medical attention, in the Health section, but in the case of Urundel, the most of the affected people turned to a private consultation (having stated that the main place they go when they have health problems is the public hospital). This may happen because they see the public hospital as a place to go when emergencies occur, but they go to private medic consultation for non-urgent treatments. Table 42 – Institutions attended for recent treatments Tandil Neighborhood health center Public hospital Health Insurance Private hospital Private consultation Unprepared person Other DK/REF 143 346 71 136 209 1 5 10 15.5% 37.6% 7.7% 14.8% 22.7% 0.1% 0.5% 1.1% Urundel 12 6.0% 3 1.5% 0 0.0% 4 2.0% 101 50.5% 28 14.0% 35 17.5% 17 8.5% 921 100% 200 100% The results in Table 43 summarize answers given when the respondent was asked who covered the expenditures of the recent treatments. Table 43 - Coverage of expenditures of recent treatments- Tandil and Urundel Tandil Public hospital or health Center Public or union health insurance Private insurance Yourself Other 294 299 154 158 4 31.9% 32.5% 16.7% 17.2% 0.4% Urundel 54 27.0% 38 19.0% 28 14.0% 77 38.5% 3 1.5% 72 DK/REF 12 1.3% 0 0.0% 921 100% 200 100% Chronic diseases When we focus on chronic diseases, 941 (13%) and 182 (6%) of the surveyed people in Tandil and Urundel respectively were affected by them. In the following graphics we show their affections: Graph 35 - Chronic diseases - Tandil 300 People affected 250 200 150 100 50 0 People affected Graph 36 - Chronic diseases - Urundel 45 40 35 30 25 20 15 10 5 0 *Tropical parasite disease 73 The wide variety of chronic diseases made us to group those diseases with less than 2% of the affected in “Other” - 30% in Tandil and 22% in Urundel. The most common affections are hypertension, respiratory diseases, diabetes, heart diseases, osteoarthritis and arthritis. In Table 44 - Coverage of expenditures of recent treatments- Tandil and Urundel we can see who covered their treatments. Table 44 - Coverage of expenditures of recent treatments- Tandil and Urundel Tandil Public hospital or health Center Public or union health insurance Private insurance Yourself Other DK/REF 264 299 148 198 16 16 28.1% 31.8% 15.7% 21.0% 1.7% 1.7% 941 100% Urundel 34 18.7% 39 21.4% 26 14.3% 70 38.5% 3 1.7% 10 5.5% 182 100% 74