Pakistani Children
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Pakistan Pakistan, officially the Islamic Republic of Pakistan, is a country in South Asia. It is the List of countries and dependencies by population, fifth-most populous country, with a population of over 241.5 million, having the Islam by country# ...
's estimated population (excluding the disputed areas of
Azad Kashmir Azad Jammu and Kashmir (), abbreviated as AJK and colloquially referred to as simply Azad Kashmir ( ), is a region administered by Pakistan as a nominally self-governing entitySee: * * * and constituting the western portion of the larger ...
and
Gilgit-Baltistan Gilgit-Baltistan (; ), formerly known as the Northern Areas, is a region administered by Pakistan as an administrative units of Pakistan, administrative territory and consists of the northern portion of the larger Kashmir region, which has b ...
) was 207,774,520 according to the provisional results of the
2017 Census of Pakistan The 2017 Census of Pakistan was a detailed enumeration of the Pakistani population which began on 15 March 2017 and ended on 25 May 2017. It was the first census taken in the country in the 21st century, nineteen years after the previous one i ...
. Pakistan is the world's fifth-most-populous country. Majority of the population are part of the youth age bracket: in 2019, 34.8% were thought to be 14 or younger, though in 1990 this had been much higher at 43.7%.Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, World Population Prospects: The 2019 Revision
/ref> In 2010, the figure for those aged 24 or less was 62.19%. Many young Pakistanis are affected by serious issues around
education in Pakistan Education in Pakistan is overseen by the Federal Ministry of Education and the provincial governments, while the federal government mostly assists in curriculum development, accreditation and the financing of research and development. Artic ...
; only 68% of Pakistani children finish
primary school A primary school (in Ireland, India, the United Kingdom, Australia, New Zealand, Trinidad and Tobago, Jamaica, South Africa, and Singapore), elementary school, or grade school (in North America and the Philippines) is a school for primary ...
education and Pakistan has one of the lowest literacy rates in the world. Other areas with significant issues include:
child marriage in Pakistan Child marriage (marriage of minors under the age of 18) is banned by law and is criminalized under the Pakistan Penal Code. But, it is practiced in some parts of the country, with the highest prevalence in the Sindh province. It disproportionatel ...
,
child labour in Pakistan Child labour in Pakistan is the employment of children to work in Pakistan, which causes them mental, physical, moral and social harm. Child labour takes away the education from children. The Human Rights Commission of Pakistan estimated that i ...
,
street children Street children are poor or homeless children who live on the streets of a city, town, or village. Homeless youth are often called street kids, or urchins; the definition of street children is contested, but many practitioners and policymakers ...
,
malnutrition Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues a ...
, and health problems.
Unemployment Unemployment, according to the OECD (Organisation for Economic Co-operation and Development), is the proportion of people above a specified age (usually 15) not being in paid employment or self-employment but currently available for work du ...
poses an escalating concern in Pakistan. With a population exceeding 220 million and a workforce of approximately 65 million, the country faces challenges in offering an adequate number of job opportunities for its citizens. This issue is particularly acute for the youth, who constitute roughly 60% of the population and confront an unemployment rate of approximately 10%.


Education

Article 25-A of the
Constitution of Pakistan The Constitution of Pakistan ( ; ISO 15919, ISO: '' Āīn-ē-Pākistān''), also known as the 1973 Constitution, is the supreme law of Pakistan. The document guides Pakistan's law, political culture, and system. It sets out the state's outlin ...
obligates the state to provide free and compulsory quality education to children of the age group of 5 to 16 years. "The State shall provide free and compulsory education to all children of the age of five to sixteen years in such a manner as may be determined by law". Pakistan has one of the lowest literacy rates in the world and the second largest out of school population (22.8 million children) after
Nigeria Nigeria, officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf of Guinea in the Atlantic Ocean to the south. It covers an area of . With Demographics of Nigeria, ...
. Only 68% of Pakistani children finish primary school education.


Child marriage

The practice of
child marriage Child marriage is a practice involving a marriage or domestic partnership, formal or informal, that includes an individual under 18 and an adult or other child.* * * * Research has found that child marriages have many long-term negative co ...
is prevalent in
Pakistan Pakistan, officially the Islamic Republic of Pakistan, is a country in South Asia. It is the List of countries and dependencies by population, fifth-most populous country, with a population of over 241.5 million, having the Islam by country# ...
, with the highest prevalence in the
Sindh Sindh ( ; ; , ; abbr. SD, historically romanized as Sind (caliphal province), Sind or Scinde) is a Administrative units of Pakistan, province of Pakistan. Located in the Geography of Pakistan, southeastern region of the country, Sindh is t ...
province. It disproportionately affects the daughter of a Pakistani family.Goonesekere, Savitri, Children, Law and Justice: A south Asian Perspective, p. 20. Defined as marriage before the age of 18 years, child marriage is widespread in Pakistan and linked to spousal violence. Child marriage occurs most often in rural and low-income households where
education Education is the transmission of knowledge and skills and the development of character traits. Formal education occurs within a structured institutional framework, such as public schools, following a curriculum. Non-formal education als ...
is minimal. The Pakistan Demographic and Health Survey conducted from 2012 to 2013 reported that 47.5% of currently married
women A woman is an adult female human. Before adulthood, a female child or adolescent is referred to as a girl. Typically, women are of the female sex and inherit a pair of X chromosomes, one from each parent, and women with functional u ...
aged 15 to 24 had been married before the age of 18. Moreover, of those child marriages, one-third of those women reported spousal violence. Another UNICEF report claims 70% of girls in Pakistan are married before the age of 16. As with India and Africa, the UNICEF data for Pakistan is from a small sample survey in the 1990s. The exact number of child marriages in Pakistan below the age of 13 is unknown, but rising according to the United Nations. Another custom in Pakistan, called ''
swara Swara () or svara is an Indian classical music term that connotes simultaneously a breath, a vowel, a note, the sound of a musical note corresponding to its name, and the successive steps of the octave, or ''saptanka''. More comprehensively ...
'' or ''vani'', involves village elders solving family disputes or settling unpaid debts by marrying off girls. The average marriage age of ''swara'' girls is between 5 and 9. Similarly, the custom of
watta satta Watta satta or Shighar (, ) is an exchange marriage common in Pakistan and Afghanistan.Watta ...
has been cited as a cause of child marriages in Pakistan. According to
Population Council The Population Council is an international, nonprofit, non-governmental organization. The Council conducts research in biomedicine, social science, and public health and helps build research capacities in developing countries. One-third of its re ...
, 35% of all females in Pakistan become mothers before they reach the age of 18, and 67% have experienced pregnancy – 69% of these have given birth – before they reach the age of 19. Less than 4% of married girls below the age of 19 had some say in choosing her spouse; over 80% were married to a near or distant relative. Child marriage and early motherhood are common in Pakistan.


Street children

Pakistan's major cities and urban centers are home to an estimated 1.2 million
street children Street children are poor or homeless children who live on the streets of a city, town, or village. Homeless youth are often called street kids, or urchins; the definition of street children is contested, but many practitioners and policymakers ...
. This includes beggars and scavengers who are often very young. The law and order problem worsens their condition as boys and girls are fair game to others who would force them into stealing, scavenging, and smuggling to survive. A large proportion consumes readily available solvents to stave off hunger, loneliness, and fear. Children are vulnerable to contracting STDs such as HIV/AIDS, as well as other diseases. The number of street children in
Pakistan Pakistan, officially the Islamic Republic of Pakistan, is a country in South Asia. It is the List of countries and dependencies by population, fifth-most populous country, with a population of over 241.5 million, having the Islam by country# ...
is estimated to be between 1.2 million and 1.5 million. Issues like domestic violence,
unemployment Unemployment, according to the OECD (Organisation for Economic Co-operation and Development), is the proportion of people above a specified age (usually 15) not being in paid employment or self-employment but currently available for work du ...
,
natural disasters A natural disaster is the very harmful impact on a society or community brought by natural phenomenon or Hazard#Natural hazard, hazard. Some examples of natural hazards include avalanches, droughts, earthquakes, floods, heat waves, landslides ...
,
poverty Poverty is a state or condition in which an individual lacks the financial resources and essentials for a basic standard of living. Poverty can have diverse Biophysical environmen ...
, unequal
industrialization Industrialisation (British English, UK) American and British English spelling differences, or industrialization (American English, US) is the period of social and economic change that transforms a human group from an agrarian society into an i ...
, unplanned rapid
urbanization Urbanization (or urbanisation in British English) is the population shift from Rural area, rural to urban areas, the corresponding decrease in the proportion of people living in rural areas, and the ways in which societies adapt to this change. ...
, family disintegration, and lack of education are considered the major factors behind the increase in the number of street children.
Society for the Protection of the Rights of the Child The Society for the Protection of the Rights of the Child (SPARC) is a Pakistani independent non-governmental organization dedicated to protecting the rights of children. Mission SPARC was established as an advocacy group for children's right ...
(SPARC) carried out a study which presented 56.5% of the children interviewed in Multan, 82.2% in Karachi, 80.5% in Hyderabad, and 83.3% in Sukkur were forced to move on to the streets after the
2010 The year saw a multitude of natural and environmental disasters such as the 2010 Haiti earthquake, the Deepwater Horizon oil spill, and the 2010 Chile earthquake. The 2009 swine flu pandemic, swine flu pandemic which began the previous year ...
and
2011 The year marked the start of a Arab Spring, series of protests and revolutions throughout the Arab world advocating for democracy, reform, and economic recovery, later leading to the depositions of world leaders in Tunisia, Egypt, and Yemen ...
floods.


Child labour

Child labour in Pakistan is the employment of children for work in Pakistan, which causes them mental, physical, moral, and social harm. The
Human Rights Commission of Pakistan The Human Rights Commission of Pakistan (HRCP; ) is an independent, democratic non-profit organisation. Founded in 1987, it is one of the oldest human rights organisations in the country. HRCP is committed to monitoring, protecting and prom ...
estimated that in the 1990s, 11 million children were working in the country, half of whom were under age ten. In 1996, the median age for a child entering the work force was seven, down from eight in 1994. It was estimated that one quarter of the country's work force was made up of children.


Domestic violence

Domestic violence leads to increased risk towards certain health outcomes like
major depression Major depressive disorder (MDD), also known as clinical depression, is a mental disorder characterized by at least two weeks of pervasive low mood, low self-esteem, and loss of interest or pleasure in normally enjoyable activities. Intro ...
,
dysthymia Dysthymia ( ), known as persistent depressive disorder (PDD) in the DSM-5-TR and dysthymic disorder in ICD-11, is a psychiatric condition marked by symptoms that are similar to those of major depressive disorder, but which persist for at leas ...
,
conduct disorder Conduct disorder (CD) is a mental disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior that includes theft, lies, physical violence that may lead to destruction, and reck ...
, and
drug abuse Substance misuse, also known as drug misuse or, in older vernacular, substance abuse, is the use of a drug in amounts or by methods that are harmful to the individual or others. It is a form of substance-related disorder, differing definitions ...
. Moreover, because
women A woman is an adult female human. Before adulthood, a female child or adolescent is referred to as a girl. Typically, women are of the female sex and inherit a pair of X chromosomes, one from each parent, and women with functional u ...
are primary caretakers in Pakistan, children also face increased risk for depression and behavioural problems.


Health


Malnutrition

Malnutrition Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues a ...
is one of the most significant public health problems in Pakistan, and especially among children. According to
UNICEF UNICEF ( ), originally the United Nations International Children's Emergency Fund, officially United Nations Children's Fund since 1953, is an agency of the United Nations responsible for providing Humanitarianism, humanitarian and Development a ...
, about half of children are chronically malnourished. National surveys show that for almost three decades, the rates of stunting and acute undernutrition in children under five years of age have remained stagnant, at 45% and 16%, respectively. Additionally, at the “national level almost 40% of these children are underweight...and about 9% re affectedby
wasting In medicine, wasting, also known as wasting syndrome, refers to the process by which a debilitating disease causes muscle and fat tissue to "waste" away. Wasting is sometimes referred to as "acute malnutrition" because it is believed that epis ...
”, diseases where muscle and fat tissues degenerate as a result of malnutrition. Similarly, women are also at risk, with about half suffering from
anemia Anemia (also spelt anaemia in British English) is a blood disorder in which the blood has a reduced ability to carry oxygen. This can be due to a lower than normal number of red blood cells, a reduction in the amount of hemoglobin availabl ...
, which is commonly caused by iron deficiency.


Mental health

Depression often starts at a young age and affects women more commonly than men. One or two mothers out of 10 have depression after childbirth. Depression also limits a mother's capacity to care for her child, and can seriously affect the child's growth and development. A study showed that exposure to maternal mental distress is associated with
malnutrition Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues a ...
in 9‐month infants in urban Pakistan.


Polio

Pakistan is one of the two remaining countries in the world where
poliomyelitis Poliomyelitis ( ), commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 75% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe ...
(polio) is still categorized as an
endemic Endemism is the state of a species being found only in a single defined geographic location, such as an island, state, nation, country or other defined zone; organisms that are indigenous to a place are not endemic to it if they are also foun ...
viral infection, the other country being
Afghanistan Afghanistan, officially the Islamic Emirate of Afghanistan, is a landlocked country located at the crossroads of Central Asia and South Asia. It is bordered by Pakistan to the Durand Line, east and south, Iran to the Afghanistan–Iran borde ...
. As of 20 July 2020, there have been 60 documented cases in Pakistan in 2020, and 146 documented cases in Pakistan in 2019. The total count of wild poliovirus cases in Pakistan in 2018 was 12. By 1991, only 83% of Pakistani children had been vaccinated. Research by the
Center for Disease Control The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency under the Department of Health and Human Services (HHS), and is headquartered in Atlanta, ...
(CDC) in April 1998 cited a failure to vaccinate, vaccine failure, and inadequate immunization strategies as causes for the continued incidents of polio in this time. Reasons for under-vaccination included the population being uninformed, considering vaccination unimportant, and having to travel long distances to vaccination sites. In March 2001, about 27 million children were vaccinated across the country in the hope that Pakistan could be virus-free by the end of that year. As of 2004, when there were 30 million children in Pakistan under five, about 200,000 health workers were required for a vaccination campaign that was carried out eight times a year. A documentary, ''Polio True Stories'', was aired on several television channels to make people aware of the problems facing people affected by the disease. In August 2015, the country launched an injectable polio vaccine intended to treat four million children and bring Pakistan closer to its goal of eradication by 2016. While the new vaccine is pricier than the traditional oral
polio vaccine Polio vaccines are vaccines used to prevent poliomyelitis (polio). Two types are used: an inactivated vaccine, inactivated poliovirus given by injection (IPV) and a attenuated vaccine, weakened poliovirus given by mouth (OPV). The World Healt ...
(OPV) and requires that a doctor or nurse administer it, the injection needs only one dose, not repeated doses, to generate immunity. It has been shown that low parental - specifically, maternal - literacy and knowledge regarding vaccines and immunization schedules, poor socioeconomic status, and residence in rural areas all are attributable to decreased rates of immunization completion. Parental education is one of the most important determiners of whether children will complete their vaccinations. In a study of two-parent households in Pakistan, it was shown that the father's knowledge about health most impacted immunization decisions, with an effect so large that some researchers contend improving education will improve health more than even the provision of health services. Widespread
malnutrition Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues a ...
in Pakistani children is a factor in lowered resistance to disabling diseases and reduced efficacy of the polio vaccine. Polio has had drastic effects on the health of the population of Pakistan and on the nation's healthcare infrastructure and economy. The WHO estimates that 65–75% of polio cases in developing countries occur in children under 3 years of age, with 95% of all cases occurring in children under 5 years of age. Researchers at the School of Public Health at Johns Hopkins University quantified the
disease burden Disease burden is the impact of a health problem as measured by financial cost, mortality, morbidity, or other indicators. It is often quantified in terms of quality-adjusted life years (QALYs) or disability-adjusted life years (DALYs). Both ...
of various diseases in Pakistan; in the year 1990, a Pakistani person with polio averaged a loss of 1.13 healthy life years to the disease. The duration of disability of polio, averaged over 1000 people, was 81.84 years, the equivalent of diseases including
diphtheria Diphtheria is an infection caused by the bacteria, bacterium ''Corynebacterium diphtheriae''. Most infections are asymptomatic or have a mild Course (medicine), clinical course, but in some outbreaks, the mortality rate approaches 10%. Signs a ...
, childhood meningitis, and
measles Measles (probably from Middle Dutch or Middle High German ''masel(e)'', meaning "blemish, blood blister") is a highly contagious, Vaccine-preventable diseases, vaccine-preventable infectious disease caused by Measles morbillivirus, measles v ...
.


See also

*
Children Parliament Pakistan The first ever children parliament of its kind was launched on November 14, 2008, by the Society for the Protection of the Rights of Child (SPARC) to raise awareness and promote child rights in Pakistan. The members are elected from different ...
*
Female infanticide in Pakistan Female infanticide has long been a common practice in Pakistan due to a number of cultural factors. Official statistics show the rate of infant mortality has been decreasing, but these numbers would not include infanticide, which is rarely report ...
*
Rape in Pakistan Punishment for rape in Pakistan under the Pakistani laws is either death penalty or imprisonment of between ten and twenty-five years. For cases related to gang rape, the punishment is either death penalty or life imprisonment. DNA test and othe ...
* Right to Education Pakistan *
UNICEF Pakistan UNICEF Pakistan is one of country offices of UNICEF. It works for the rights of children in Pakistan, including their right to education, healthcare and protection from abuse and exploitation. The national office falls under the UNICEF ROSA. UN ...


References

{{Pakistan topics Youth in Pakistan