Working towards ending Child Marriage in Egypt By: Nevein Dous Health Program Manager, SCI Egypt June 2014

Save the Children We are the world’s leading independent organization for Children Founded in 1919 and works in over 120 countries We save children’s lives We fight for their rights We help them fulfill their potential

“life-cycle approach” Our Vision and Mission Our vision: is a world in which every child attains the right to survival, protection, development and participation Our mission: is to inspire breakthroughs in the way the world treats children, and to achieve immediate and lasting change in their lives “life-cycle approach” The needs of specific age groups of children are addressed in a holistic way even before the child is born by targeting newlyweds, pregnant women, infants and young children aged 0-5 years, school-aged children aged 6-12 years, in- and out-of-school adolescents aged 12-18, thereby completing the life cycle.

Save the Children in Egypt Operating in Egypt since 1982 Sponsorship Impact Area HEALTH AND NUTRITION Maternal, newborn and child health, nutrition, hunger and livelihoods CHILD PROTECTION Protection for children without appropriate care and in conflict or disaster EDUCATION Basic education, informal education early childhood development CHILD RIGHTS GOVERNANCE Child rights monitoring, strengthening national systems, awareness and capacity Humanitarian Response Program

Where We Currently Work: SC is implementing projects in 13 governorates across Egypt: Qena Sohag Assiut Minya Beni Sueif Fayoum Cairo Giza Qalyoubia Beheira Gharbiya Sharkiya Alexandria Our Partners are MOHP, MOE, MISA, NGOs, INGOs, Private sector

Situation of Egypt’s Children: A good quarter of Egypt’s 90 m people live below the poverty line (compared to 21.6% in 2008/2009) and 23% of children under 15 years live in income poverty 5 million children are deprived of appropriate housing (shelter, water, sanitation), and 1.6million under 5 years suffer health and food deprivation An estimated 2 million children deprived of home care and are living on the streets, facing numerous forms of violence, hardships and exploitation An estimated 1.6 million children are in hazardous work Lack of quality and relevant basic education, including poor school infrastructure, unsafe schools and poor education systems High rates of unemployment among youth, especially girls and young women

Situation of Egypt’s Girls, a closer eye: More than 91% of girls and women 15-49 years old who have been cut (FGM) Inequitable access to education services for girls and poor children with more than two million aged 6 to 18 have never attended school

Health Indicators and Facts 37% of women are illiterate 57.4% of women do not receive antenatal care 67% of community members do not have official Identification Papers

Save the Children’s work to end Child Marriage Due to the critical impact of child marriage, Save the Children aims to address child marriage across all our core programs through different education, health and child protection interventions which incorporate a holistic approach of : Legislations and policies: Advocacy and media for sharing lessons learned at multi-levels of national, regional and globally Community-based : Address social norms, awareness raising, collaborates with local stakeholders, religious and natural leaders Child and youth participation, Peer support, Adolescent training, livelihood opportunities Parental education

Be the Innovator Through our Ishraq Plus, a non-formal education programme adolescent girls aged 10-15 living in rural areas receive life skills training and access to support and services. The Arab Women Speak Out Session employs community mobilization strategies where groups of local women work social and health workers to disseminate messages on a range of women’s empowerment issues including FGM/C. CHOICES project engages 10 to 14 year old girls and boys in reflective activities that challenge restrictive and inequitable gender norms and promote gender equality and an end to child marriage. In 2010, qualitative and qualitative findings documented that girls felt empowered to talk to their parents about continuing their studies and avoiding early marriage and boys advocated with their parents for their sisters’ education and delayed marriage.

Be the Innovator PROMISES engaged community members in discussion using posters which promoted gender equality. In 2012 an evaluation found husbands became more positive in their view of their daughters’ ability to contribute to the community in the future and expressed increased understanding of the need for their daughters to be physically mature before marriage. Building on this success, a further innovation was created in 2014 called VOICES which directly engages parents of children from the CHOICES intervention to speak out about the benefits of gender equality and so prevent early marriage through peer led behaviour and attitude change amongst other parents.

Programs’ Highlights Maternal and Child Health We work to ensure that mothers and infants survive and stay healthy during pregnancy, childbirth and early childhood in the most disadvantaged areas in Egypt where services are most lacking and the majority of deaths occur. We strengthen the capacities of healthcare providers; we improve their skills and invest in improving local health care facilities. We also work with families to improve their health and nutrition practices; we raise their awareness and encourage them to adopt healthy behaviors and seek out quality maternal and neonatal care.

Rural- Urban Challenges Service availability and accessibility Community structure Community needs Socio-economic differences Community leaders and players Environmental hazards (high voltage- garbage collection areas)  

Successes

Marriage and Consanguinity: The percentage of reported early marriage increased in the three governorates from 40% to 52% in Sohag from 24.5% to 30.4%in Assiut and from 23% to 48% in Cairo. Increase in the percentage of women who believe that girls should be married before the age of 20. More women believed that men should marry after the age of 20. There is positive change the views of women towards consanguinity except in Cairo where women had positive attitude towards consanguinity increased from 29% to become 45.7% .

Family Planning More than 97% in Assiut and almost 95% in both Cairo and Sohag has positive attitude toward family planning. 85% of the surveyed women in Cairo were using contraceptives, followed by 52% in Sohag and 45.5% in Assiut compared to (72%, 25% and 45.5) during the baseline respectively.