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Burkina Faso
Poverty Reduction Strategy Paper
Ministry of Economy and Finance
May 25, 2000

Poverty Reduction Strategy Papers (PRSPs) are prepared by member countries in broad consultation with stakeholders and development partners, including the staffs of the World Bank and the IMF. Updated every three years with annual progress reports, they describe the country's macroeconomic, structural, and social policies in support of growth and poverty reduction, as well as associated external financing needs and major sources of financing. This country document is being made available on the IMF website by agreement with the member country as a service to users of the IMF website.

Contents

Executive Summary
 
1.   Introduction
  1.1   Macroeconomic Performance and Poverty Persistence
  1.2 The Need for a More Ambitious Equity-Based Growth
  1.3 The PRSP: an Iterative Approach
  1.4 PRSP Programs and Strategic Objectives
 
2. Characteristics of Poverty in Burkina Faso: Background and Causes
  2.1 Definitions and Different Perceptions of Poverty
  2.2 The poverty line and monetary poverty
  2.3 Regional Analysis of Poverty
  2.4 Basic Social Services and Poverty
 
3. Development Objectives and National Priorities
  3.1 Burkina Faso’s Development Vision
  3.2 Medium and Long-term Development Objectives
 
4. Poverty Reduction Strategy
  4.1 Major Principles Underlying the Poverty Reduction Strategy
  4.2 Overall Poverty Reduction Strategy
 
5. Costing and Financing the Strategy
  5.1 Medium-term programs under way in priority sectors
  5.2 Cost of Complementary Actions to Be Financed on HIPC Resources
  5.3 Poverty Reduction Strategy Implementation Tools
  5.4 Risk Assessment
 
6. Poverty Monitoring and Assessment Strategy
  6.1 Consolidation of Existing Assessment Systems in Burkina Faso
  6.2 Monitoring Indicators in Priority Sectors
  6.3 Actions to be Taken Over the Next 12 Months to Prepare the Next PRSP
  6.4 List of Surveys Conducted Between 1993 and 98
  6.5 List of Surveys To Be Carried Out In The Coming Years

Tables

Table 1.   Poverty Indices Based on Place of Residence
Table 2. Incidence and Share by Agro-climatic Region
Table 3. Poverty Trends by Socioeconomic Groups
Table 4. Education Indicators
Table 5. Comparative Health Indicators Between Burkina Faso & Sub-Saharan Africa
Table 6. Health Indicators in Burkina Faso, 1993-1999
Table 7. Health Indicators based on Social-economic Well Being
Table 8. Medium and Long-Term Health Objectives
Table 9. Coverage Objectives by Minimum Activity Package
Table 10. Drinking Water Supply Objective
Table 11. Quantitative Objectives of SOP-Agriculture
Table 12. Quantitative Objectives of SOP-Livestock
Table 13. Additional Costs of Priority Programs
Table 14. Additional Costs of Poverty reduction Measures for Priority sectors
Table 15. GDP Trends, 1996-2003
Table 16. Comparative Trends of Government Financial Operations
Table 17. Monitoring Indicators of PRSP for 2001-2003

Boxes

Box 1:   The Participatory Process: A Tradition in Burkina Faso
Box 2: Determinants of rural poverty in Burkina Faso
Box 3: Burkina Faso 2025 Prospective Study
Box 4: National decentralized Rural Development Program
Box 5: AIDS and Poverty
Box 6: National Justice Forum
Box 7: Conditionality Reform Test in Burkina Faso

Annexes

Annex 1.   Health: Three-Year Investment Budget
Annex 2. Agriculture: 2001-2003 Provisional Budget
Annex 3. Education: Cost of the Ten-Year Plan
Annex 4. Education: Cost of the Ten-Year Plan
Annex 5. Education: Cost of the Ten-Year Plan
Annex 6. Education: Cost of the Ten-Year Plan
Annex 7. Water: 2001-2003 Projected Budget
Annex 8. Service Performances by Socioeconomic Groups
Annex 9. Poverty and Medium Term Expenditure Framework
Annex 10. Selected Economic and Financial Indicators
Annex 11. Government Financial Operations, 1996-2000
Annex 12. Balance of Payments, 1996-2003
Annex 13. Sources of Household Income by Geographical Area
Annex 14. Poverty Incidence Rate per Income Source and Geographical Area
Annex 15. Cotton Production: Performance Trends by Geographical Zone
Annex 16. Speech by the Chair of the Economic and Social Council on poverty reduction

Figures

Figure 1.   Inequity in Burkina Faso: proportion of income held by the wealthiest households
Figure 2. Child mortality and malnutrition rates by socioeconomic group
Figure 3. Utilization of basic health services by socioeconomic group
Figure 4. Utilization of public services for curative care for children and child delivery
Figure 5. Utilization of private services for child delivery
 

EXECUTIVE SUMMARY OF THE PRSP

       This document is Burkina Faso’s first Poverty Reduction Strategy Paper. It was prepared in the context of the introduction of the enhanced Heavily Indebted Poor Countries (HIPC) Initiative. The paper describes the strategy, which the Government plans to implement during the next four years in order to wage a more effective fight against poverty. It was prepared via a participatory process in consultation with representatives of the private sector, civil society, and donors, thus benefiting from the experience the country has acquired in this field over the past decade.

       The document comprises five parts. The first part describes the predominant characteristics of poverty in Burkina Faso and endeavors to identify the major causes. The second part presents the country’s development objectives and priorities. The third part describes the Government’s poverty reduction strategy. The fourth part indicates the cost of complementary priority actions, which the Government has identified for the purpose of accelerating poverty reduction. The fifth and final part describes the monitoring and evaluation arrangements.

(1) Characteristics and causes of poverty in Burkina Faso

       The analysis of poverty is based on the results of two surveys of household living conditions conducted in 1994 and 1998 and on qualitative studies of the perceptions of the poor regarding the causes of poverty. The survey findings indicate that poverty is a widespread phenomenon in Burkina Faso, and that 45.3 percent - nearly one-half - of the population lives below the absolute poverty line of approximately CFAF 72,690 per year. Poverty is particularly prevalent in rural areas, although its incidence in urban areas increased by nearly five points from 1994 to 1998, reaching 16 percent in 1998.

       The participatory surveys of the perceptions of the poor regarding poverty reveal that the situation differs depending on where the respondents live. The key factors for the urban poor are, in order of importance, climate-related hazards, low purchasing power, old age, and large family size. Poor people in rural areas, however, attribute their situation mainly to laziness or lack of initiative, persistent failure, physical handicaps, and social decay.

       The regional analysis of poverty shows that the poverty map in Burkina Faso changed between 1994 and 1998. Although the incidence of poverty decreased significantly (by nearly eight points) in the southern, southeastern, and northern agro-climatic regions, the south-central region experienced an increase of four points. The Probit analysis of the probability of becoming poor reveals a troubling situation, in that the probability is highest in poor regions.

       The analysis of poverty among socioeconomic groups (based on source of income) shows that the incidence of poverty is increasing for all groups except cash crop farmers and inactive persons. It is highest among food crop farmers, who account for most of the population living in poverty. The analysis of the causes of poverty shows that inappropriate public policies and inhospitable climatic conditions are largely responsible for this situation.

(2) Vision and long-term development objectives

       In the light of these observations, the Government reaffirms its commitment to pursue the objectives established in the Letter of Intent for Sustainable Human Development, which sets out its vision for the country’s development. This vision is based on the concept of human security, which entails guaranteeing that every Burkinabe national will enjoy economic security (access to training and employment), health security, food security, environmental security, and individual and political security. The key quantitative objectives the Government will pursue in the years ahead are the product of this vision. They include (i) increasing annual per capita gross domestic product (GDP) by at least three percent from 2000 to 2002 and from four to five percent starting in 2003; (ii) reducing the incidence of poverty from 45 percent to 30 percent by the year 2015; and (iii) increasing life expectancy by at least ten years.

(3) Poverty reduction strategy

       The new poverty reduction strategy for Burkina Faso is in line with the existing Letter of Intent for Sustainable Human Development and is based on seven major principles that will underpin the Government’s actions in the future:

  • Redefinition of the role of the State;
  • Sustainable development of natural resources;
  • Promotion of a new partnership between the State and donors;
  • Promotion of good governance;
  • Participation of women;
  • Consideration of regional disparities; and
  • Continuation of the process of integration within WAEMU.
    The strategy hinges on the following four major objectives:
  • Objective 1: Accelerate equity-based growth;
  • Objective 2: Guarantee that the poor have access to basic social services;
  • Objective 3: Expand opportunities for employment and income-generating activities for the poor; and
  • Objective 4: Promote good governance.

       Acceleration of growth is a prerequisite for reducing poverty. The Government will therefore implement major structural reforms in order to more fully open up the economy to the outside, lower production costs while improving factor productivity, encourage initiative, and support activities to generate income and create jobs, particularly in rural areas. However, the Government recognizes that faster growth alone will not reduce the incidence of poverty. It will therefore adopt policies directly targeting the poor by helping them access essential social services (basic education, health, clean water, and sanitation) and offering them expanded employment opportunities. To this end, it will accelerate the required institutional reforms and will continue its efforts to enhance the effectiveness of public expenditure. Reforms to increase the ability of the poor to participate in growth will focus on creating conditions necessary to facilitate the accelerated growth of the agricultural sector.

       Finally, the Government considers good governance a key component of its poverty reduction strategy. It will therefore accelerate reforms to strengthen democratic forums and promote the efficient management and transparency of government finance.

       In order to combat poverty it is essential to establish priorities. The Government has therefore decided to designate the social sectors (basic education, health, drinking water, and sanitation) and rural development (agriculture, livestock breeding, agricultural water works, rural roads) as priority sectors, which will receive increased attention as the poverty reduction strategy is implemented. Programs for these sectors will be implemented via new modalities involving NGOs and local communities when such modalities are more effective than government structures.

(4) Cost and financing of complementary priority actions

       The availability of resources under the HIPC Initiative will enable the Government to strengthen its efforts on behalf of priority sectors. The approximate overall cost of implementing planned complementary actions and thereby accelerating poverty reduction is CFAF 15 billion during 2000 and CFAF 32 billion-CFAF 34 billion in subsequent years. These amounts exceed the estimated resources expected from the HIPC Initiative. The additional financing needed in 2000 is CFAF 2.6 billion, and varies from CFAF 6 billion-CFAF 7.6 billion in future years. The development objectives, which the Government has established, can be achieved if all the priority actions identified in the priority action plan to combat poverty are carried out. The Government is therefore counting on the willingness of its development partners to provide the additional resources. The macroeconomic framework incorporating these additional expenditures will remain stable even though the primary balance will be adversely affected (although it will remain positive, i.e., will show a surplus).

(5) Arrangements for monitoring the poverty reduction strategy

       The success of the strategy will depend on how effectively it is monitored. The Government therefore plans to establish dedicated monitoring arrangements which will rely, in particular, on improving statistics-gathering, and on clearly defined monitoring indicators, the identification of ad hoc administrative structures, and, finally, participation by beneficiaries, civil society, and the private sector in the evaluation of outcomes. It will use the results of the conditionality reform exercise currently under way to refine indicators showing the impact of public policy and will involve its development partners in implementing and monitoring the poverty reduction strategy.

 

 

ABBREVIATIONS AND ACRONYMS

ADB

African Development Bank

AFD

French Development Agency

ARI

Acute respiratory infections

BADEA

Arab Bank for Economic Development in Africa
(Banque Arabe pour le Développement Economique de l’Afrique)

BAME

Office for support to enterprise management
(Bureau d’Appui en Management d’Entreprise)

BID

Islamic Development Bank, IsDB (Banque Islamique de Développement)

BRAKINA

Burkina Faso Cookeries (Brasseries du Burkina Faso)

CAPEO

Ouagadougou Support Unit for Small Businesses

CEDRES

Center for Socila and Economic Study and Research
(Centre d’Etude et de Recherche Economique et Social)

CET

Common External Tariff

CHR

Regional hospital center (Centre Hospitalier Régional)

CHU

University hospital center (Centre Hospitalier Universitaire)

CMA

Advanced Medical Center (Centre Médical Avancé)

CM2

CM2 (2nd year intermediate class) (Cours Moyen 2ème année) (4th grade)

COGES

Health management committee (Comité de Gestion de Santé)

CP1

CP1 (Cours Préparatoire 1ère année) (First grade)

CP2

CP2 (Cours Préparatoire 2ème année) (Second grade)

CSPS

CSPS (Centre de Santé et Promotion Sociale)

DANIDA

Danish International Development Agency

DFS

Decentralized financial systems

DHS

Demographic and health survey

DPEBA

Provincial Direction for Basic Education
(Direction Provinciale de l’Education de Base)

DREBA

Reg. Direction for Basic Education
(Direction Régionale de l’Education de Base)

EP

Priority survey (Enquête prioritaire)

ESC

Economic and Social Council

EU

European Union

FAARF

Fund for Support of Women’s Employment
(Support Fund for Gainful Employment of Women)

FAO

Food and Agriculture Organization

FASI

Support Fund for the Informal Sector

FESPACO

Bi-annual film festival

FONAPE

National Fund for the Promotion of Employment

GDP

Gross domestic product

GNP

Gross national product

GTZ

German Technical Cooperation

HDI

Human development index

HIPC

Heavily indebted poor countries

ICOR

Incremental capital-output ratio

IDA

International Development Association

IMF

International Monetary Fund

KFW

Kreditanstalt für Wiederaufbau

LISHD

Letter of intent for sustainable human development

LPDRD

Letter of Development Policy for Decentralized Rural Development

MEBA

Basic Education and Literacy Ministry
(Ministère de l’Education de Base et de l’Alphabétisation)

MIMAP

Method for assessing the microeconomic impact of macroeconomic policies

NGO

Non-governmental organization

WFP

World Food Programme

PAF

Project for Food Enterprises (Projet d’appui aux filières bio-alimentaires)

PAPME

Support Project for Promotion of Small and Medium Enterprises

PRGF

Poverty reduction and growth facility

PRSP

Poverty reduction strategy paper

SIAO

Arts and crafts meeting

SIM

Market information system

SITARAIL

International Society for African Railway Transportation
(Société Internationale de Transport Africain par Rails)

SOFITEX

Textile Association (Société des Fibres et Textiles du Burkina)

SONAGESS   

National Society for Security Stock Management
(Société Nationale de Gestion du Stock de Sécurité)

SOP

Strategic operational plan

TROPEX

Tropical Product Export

WAEMU

West African Economic and Monetary Union

 
1.   INTRODUCTION

Macroeconomic performance in Burkina Faso was impressive during the 1990s. Real GDP grew at an average rate of 5 percent during 1994-99 compared with 3 percent during 1980-93. Despite a significant deterioration in the terms of trade between 1997 and 1999, the growth rate held steady at 5.6 percent on average. The increase in the gross domestic product (GDP) was achieved through the adoption and implementation of stabilization and structural adjustment programs – supported by the Burkina Faso’s entire development partners – aimed at improving public expenditure management, liberalizing the national economy, and benefiting from a more openness to external trade.

1.1   Macroeconomic Performance and Poverty Persistence

Despite important economic achievement, Burkina Faso’s population has remained extremely poor, as demonstrated by the findings of two priority surveys conducted by the Government in 1994 and 1998. Based on the current poverty line – approximately CFAF 72,690 in 1998 compared with CFAF 41,099 in 1994 – the proportion of poor inhabitants rose slightly, from 44.5 percent to 45.3 percent. Although the number of poor declined slightly in rural areas, it is on the rise in urban areas. Annual per capita GDP is US$220, lower than in most of Burkina Faso’s neighbors (US$250 in Mali, US$ 330 in Togo, US$380 in Benin, US$390 in Ghana and US$700 in Côte d’Ivoire). Burkina Faso’s Human Development Index is one of the lowest in the World (HDI = 0.304 in 1997).

Although much has been done to promote essential basic social services (basic education, basic health services, including reproductive health, drinking water, nutrition, hygiene, and sanitation), Burkina Faso still suffers from a huge gap in social services. This may be attributed to the rapid rate of population growth (2.8 percent annually) and low labor productivity, particularly in the agricultural sector, which employs 80 percent of the working population. Moreover, the school enrollment ratio, though definitely on the rise, is one of the lowest in the subregion (the gross enrollment ratio was 41 percent in 1998-99, in which girls accounted for approximately 35 percent). With regard to health, morbidity and mortality (particularly among infants and mothers) are very high, a result of infectious and parasitic diseases and the rapid spread of HIV infection. Water supply has improved considerably, although it remains insufficient to cover the entire urban and rural demand. The nutritional status is unsatisfactory. Nutritional requirements are not still being adequately met: In 1996 the figure was 2300 kcal, compared to 2500 kcal required. As to the status of women in Burkina Faso, they are still subject to reactionary prejudices and practices and have not been adequately incorporated into the public life of the country.

The gap in social services, the extreme poverty, and vulnerability of Burkina Faso’s population to a wide variety of crises, constitute a major handicap impeding efforts to bring about sustainable development. Against this background, the Government has decided to prepare this Poverty Reduction Strategy Paper (PRSP) in cooperation with the various stakeholders – the Government, the private sector, civil society, and the country’s development partners.

1.2   The Need for a More Ambitious Equity-Based Growth

The Government’s primary objective in the PRSP is to put forward a development strategy that will focus on enhancing the impact of public policies and on the need to increase the purchasing power of the disadvantaged population and to provide them with an environment more conducive to their social development. A new paradigm, therefore, has to be adopted to guide macroeconomic policy: a paradigm focusing on the pursuit of quality economic growth, i.e. sustainable growth in the face of external shocks (such as a sudden drop in cotton or gold prices), and stronger because it is fueled by a broader economic base. Various fiscal and sector policy instruments will also be needed to enable the population to play a more active role in their development and to reduce inequities.

Although economic growth is certainly a necessary condition to raise the level of income and improve the well being of the population, growth alone is not enough to combat poverty and inequity. For an economic policy to be sound and effective for the majority of the population, it must place equity at the forefront of its objectives.

A number of recent government studies1 have identified the main obstacles to a balanced growth: (i) weak human capital, which contributes to low labor productivity and very high unemployment; (ii) inadequate infrastructure for economic development, which explains the high cost of production factors and the narrow scope of the modern sector of the economy; (iii) insufficient national capacity, which aggravates governance problems; and (iv) the limited external openness of the economy (despite the success of Burkina Faso’s stabilization and adjustment programs), which limits opportunities for growth and job creation.

Burkina Faso would like to benefit from the regional integration process under way in the West African Economic and Monetary Union (WAEMU) in order to transform its landlocked status – currently a handicap – into an asset and position itself at the crossroads of the economies of the sub-region. Swift implementation of an ambitious program of complementary structural reforms to eliminate the four key obstacles outlined above would soon enable Burkina Faso to achieve growth rates permitting a significant alleviation in the incidence of poverty. Given the current low level of competitiveness of the national economy, the West African economic integration process will undoubtedly entail some economic and social costs. Even so, the Government is confident that it can work with other members of the Union both to minimize the costs and to take full advantage of the opportunities that a much broader regional market will offer.

1.3   The PRSP: an Iterative Approach

The PRSP is a framework document setting out the development priorities established by the Government. It is not intended to replace sectoral strategies, which already exist or are currently being developed within each ministry – all of which must be aligned with government priorities. The purpose of the PRSP is therefore to influence the sectoral objectives of each ministry and the choice of monitoring indicators for the programs and action plans to be financed. However, the PRSP also reflects the essential choices established for the priority sectors. The PRSP preparation process is therefore an iterative process. The Government plans to update it annually to take into account the lessons learned from the implementation of the public policies adopted in the document, the findings of complementary studies carried out by various institutions to gain a better grasp of the poverty phenomenon, and the amount of resources available.

1.4   PRSP Programs and Strategic Objectives

The major challenge facing Burkina Faso is to reduce the level of poverty of its population, their vulnerability in the face of a wide variety of crises, and inequalities among different regions and socioeconomic groups. To accomplish this goal, the Poverty Reduction Strategy Paper will endeavor to reconcile the requirements of structural reform and economic recovery with the objective of increasing the income of the poor and transferring more resources to the poorest members of society. Recognizing the limited amount of resources available, and wishing to take a realistic approach to its problems, the Government has established development priorities to guide its poverty reduction efforts. It will therefore focus initially on reducing the gap in social services, improving food security, and ensuring that the poor have access to drinking water.

In order to reduce considerably the incidence of poverty, a stronger economic growth is required in the years ahead. Accelerated growth should:

  • Create the necessary conditions to improve the living conditions of the population, notably the poorest members of society;
  • Enhance the impact and effectiveness of public policy, focusing initially on the social sectors;
  • Promote the rational management of natural resources;
  • Foster improved governance and better coordination of official development assistance.

Efforts to achieve the goals of the strategy paper will focus on a set of programs organized under four strategic objectives, for which quantified priority actions are planned:

Objective 1: Accelerate growth based on equity

  • Maintain a stable macroeconomic framework;
  • Increase the competitiveness of the economy and reduce factor costs
  • Accelerate the development of the rural sector
  • Support productive sectors

Objective 2: Guarantee that the poor have access to basic social services

  • Promote access of the poor to education;
  • Promote access of the poor to health services;
  • Promote access of the poor to water;
  • Improve the environment in which the poor live: housing.

Objective 3: Expand opportunities for employment and income-generating activities for the poor

  • Reduce the vulnerability to agricultural activities;
  • Intensify and modernize agricultural activities;
  • Increase and diversify rural income;
  • Build roads to open up rural areas.

Objective 4: Promote good governance

  • Good democratic governance;
  • Local governance;
  • Combat corruption.

1.4.1   Broad-based consultations to prepare the PRSP

Building on the work carried out by the Government since the adoption of the Letter of Intent for Sustainable Human Development (LISHD) in 1995 and on the outcome of broad-based consultations in each sector of activity, the PRSP preparation process, officially launched in November 1999, was conducted on four levels of dialogue:

1.4.2   Within the central Government:

This dialogue began with a briefing for the Government on the process as a whole. All the ministries were made aware of the importance of the new undertaking and of the need to make poverty reduction the focus of all development strategies, and were asked to contribute their ideas. An interministerial committee was then formed comprising the directors of research and planning. Its first task was to become thoroughly familiar with and to endorse the preliminary findings of the household living conditions survey. The committee – which was organized in four thematic groups (improving the economic environment of the poor, human resources development, natural resources management, and improved governance and aid coordination) – was then asked to discuss the components of the strategy. Operating under the supervision of the Ministry of Economy and Finance, the committee worked to improve the PRSP on an almost continual basis. The basic documents prepared by the interministerial committee were then discussed in technical meetings within the Government.

1.4.3   With institutions representing the people:

Before the PRSP was officially transmitted to the international financial institutions, the Ministry of Economy and Finance presented it to both chambers of the parliament of Burkina Faso (the National Assembly and the House of Representatives) and the economic committee of the Economic and Social Council (ESC). With quasi-unanimity, the representatives of the population and of civil society belonging to these institutions approved the Government’s suggested choices and the highly selective and realistic approach underlying these choices.

1.4.4   With the country’s development partners:

Two meetings have already taken place. The first one, held on February 15, 2000, enabled members of the Government to exchange ideas and information on the PRSP preparation process with Burkina Faso’s external partners. The second meeting held on February 28, 2000, provided an opportunity to hear the views of certain partners regarding an initial outline of the framework document. Additional technical meetings were then held to finalize the document. These meetings demonstrated that the Government’s approach to the preparation of the PRSP mirrored the approach taken in discussions with donors in the context of an important reformulated conditionality test initiative under way in Burkina Faso. Recognizing that the purpose of all development efforts is to improve the well being of the population, especially the poorest members of society, the Government – with the support of its development partners – began to test a new approach to conditionality in 1997. The objectives of this original exercise are to strengthen the Government’s commitment to the reforms and establish performance indicators acceptable to all donors for measuring both progresses in the implementation of public policy and their actual impact on the well being of the population.

1.4.5   With civil society and other stakeholders in the field:

Two regional workshops were organized, in Ouahigouya (in the northern part of the country) and Bobo-Dioulasso (in the west), on February 23 and March 3, 2000, respectively. The aim of the workshops was to inform representatives of civil society, decentralized governments, the private sector, and producers’ groups of the results of the second priority survey (EP II) and to elicit their advice and suggestions for improving the basic document prepared by the interministerial committee. Many association officials representing a broad sample of Burkina Faso’s society thus were able to indicate their priorities for combating poverty and contribute meaningfully to the search for solutions. The members of the interministerial committee preparing the PRSP were receptive to the proposals offered and prepared summaries that were used to draft the document.

This PRSP is therefore a synthesis of all the ideas and contributions gathered throughout the country, not only during the five-month drafting period (November 1999-April 2000), but also at the meetings and forums on various topics convened over the past few years. The document reflects the current consensus in Burkina Faso regarding the Government’s approach to the problem. It reiterates the Government’s vision and its priorities for the poverty reduction effort. This new strategy will influence the process now under way to consolidate democratic reforms, and the shared commitment to democratic values will have a positive impact on performance in the priority social sectors. Democracy should lead to greater well being for the poorest segments of society so that they will remain committed to the democratic process.

 

Box 1:The Participatory Process: A Tradition in Burkina Faso


Participatory development has been a tradition in Burkina Faso and a key component of its development efforts. Communities have always had a role in choosing and implementing grassroots development-activities. In support of this tradition of participatory development, a robust associative movement – which also has its origins in traditional society – has emerged and has expanded steadily. Non-governmental organizations (NGOs) -which have increased in number significantly since the major drought of the early 1970s – have been instrumental in the success of this concept. Some 200 NGOs have formed associations, the major ones being: the Permanent NGO Secretariat; the NGO and Association Liaison Office; the Network for Communications, Information and Training of Women in NGOs; the Secretariat for Sahelian NGO Consultations; the Comprehensive Framework for Consultations between NGOs and Associations on Environment and Development; and the NGO Coordination Committee on Basic Education. The associative movement also includes nearly 14,000 entities (cooperatives, groups, and self-help organizations). In addition, the Government has established a gateway for discussions and exchanges with all stakeholders in society by creating a framework for consultations between the State and civil society and another for consultations between the State and the private sector.

The strength of the participatory development concept is illustrated by the following events:

  • In May 1990, national meetings on the economy were held to encourage dialogue on the structural shortcomings and constraints of the economy and to design a new economic development strategy. When the meetings ended it was decided to establish an economic reform program, to be supported by the Bretton Woods institutions.
     
  • In May 1994 a second series of national meetings was convened to assess the relevance of the strategies then in place and make any adjustments needed to enable Burkina Faso to take full advantage of the devaluation of the CFA franc. Another objective was to portray the devaluation in a positive light and encourage the entire population to get involved. These meetings served as the inspiration for the historic speech on production presented by Burkina Faso’s President on June 2, 1994. That same speech was also the driving force behind the Letter of Intent for Sustainable Human Development (1995-2005), which focuses on poverty alleviation and the development of human resources.
     
  • Every year since 1993 "Agricultural Workers’ Days" have brought farmers and livestock breeders from the country’s 45 provinces together with NGOs to discuss their particular problems with the Government. The Head of State himself presides over these gatherings. The sessions for 2000 were held on April 27th and 28th in Bagré.
     
  • In June 1995, a General Assembly of Project Managers was convened to seek ways to energize and streamline the implementation of development projects. The objective was to enhance the contribution such projects make to economic recovery and professionalize project management.
     
  • A Burkina Faso women’s forum was organized in 1994. The gathering – under the august auspices of the Head of State - adopted important recommendations to ensure that women’s issues are taken more fully into account in the development process.
     
  • Meetings were held in December 1997 to discuss the role and missions of the State. The meetings dealt with governance issues in the context of efforts to place the rule of law on a sounder footing, competitiveness and efficiency, and the need to pay closer attention to an increasingly more demanding national public opinion.
     
  • High-level meetings on education and health held in 1994 and 1998, respectively, brought together all the stakeholders concerned. The conclusions reached served as input for the preparation of the ten-year education plan, which the Government adopted in 1999 and for the preparation -now in progress - of the national health plan.
     
  • Medium-term budget preparation sessions for all ministries – including those concerned with social issues - were held starting in 1998. They provided a forum for a grassroots dialogue on budget policy and budget choices and led to the establishment of a mechanism for allocating resources to decentralized entities.
     
  • A forum on justice was held in 1998. Its conclusions form the basis for reforms under way in the sector.
     
  • The decentralization process launched in Burkina Faso in 1995 is another major factor enabling local governments and grassroots communities to take responsibility for their own development.
 
Contents

 

2.   CHARACTERISTICS OF POVERTY IN BURKINA FASO:
BACKROUND AND CAUSES

2.1   Definitions and Different Perceptions of Poverty

2.1.1   Definitions and Approach

Equity and poverty are multidimensional concepts. They include many things beyond an individual’s monetary income, including the ability to play an active role in the community or to take control of his own life. Accordingly, no single indicator can address all the issues at hand. Factors unrelated to income, including the level of education, health and nutrition, housing, access to drinking water and land – all of which have a direct impact on poverty in Burkina Faso – must also be considered.

2.1.2   How the poor themselves perceive poverty

The results of the participatory surveys conducted in 1998 on perceptions of the dimensions of well being, poverty and the accessibility of basic social services in urban and rural areas showed that at the individual level, poverty – particularly economic poverty – is defined as the inability to satisfy basic needs such as food, clothing, and housing. From a collective perspective, an inhospitable natural environment, famine, and epidemics characterize economic poverty. The lack of a safe environment (public safety) and of social infrastructure (schools, markets, dispensaries, etc.), the isolation of some regions, and poor transport facilities underscore the population’s perception of collective poverty.

The population has a clear perception of the causes of poverty. How the main factors are ranked depends on where the inhabitants live. In urban areas, ten determinants of poverty were singled out, as follows, in decreasing order of importance: climate-related hazards, low purchasing power, old age, large family size, laziness or lack of initiative, mediocre governance, physical handicaps, theft, death of a spouse, and chronic poverty. In rural areas, the ten key factors, in decreasing order of importance, were laziness or lack of initiative, permanent failure, physical handicaps, social decay, chronic poverty, low purchasing power, social and cultural barriers, absence of NGOs or project assistance, large family size, and planning problems. Inasmuch as the perceptions of households determine how they conduct their lives, these perceptions should be taken into account when defining a poverty reduction strategy. It can be noted that low purchasing power, the burden of having a large family, and a lack of initiative were cited as causing poverty in urban and rural areas alike.

2.2   The poverty line and monetary poverty

The results of the most recent (1998) survey of household living conditions indicate that the absolute poverty line is approximately CFAF 72,690 per adult per year, compared with CFAF 41,099 in 1994. The poverty line expressed in terms of caloric intake remained constant, at 2300/person/day. Accordingly, the proportion of the population of Burkina Faso living below the poverty line is 45.3 percent, slightly higher than in 1994 (44.5 percent). The incidence of poverty in urban areas rose by nearly five points during that period, reaching 16 percent in 1998. In rural areas, however, the incidence of poverty remained stable. Despite the significant increase in urban poverty – from 3.8 percent in 1994 to 6.1 percent in 1998 – its share in the total picture is low. Thus, poverty is still essentially a rural phenomenon, accounting for 94 percent of the national figure in 1998. The depth of poverty remained at 14 percent, suggesting that a substantial majority of the poor are close to the poverty line.

 

Table 1: Poverty Indices Based on Place of Residence (in percent)

 
1994
1998
Change

Incidence
Urban
Rural
National

 
10.4
51.0
44.5

 
16.5
51.0
45.3

 
+ 5
-
+ 0.8


Depth
Urban
Rural
National

 
2.5
16.1
13.9

 
4.0
15.7
13.7

 
+ 1.5
- 0.4
- 0.2


Severity
Urban
Rural
National

 
0.9
7.0
6.0

 
1.5
6.8
5.9

 
+ 0.6
- 0.2
- 0.1


Share
Urban
Rural
National

 
3.8
96.2
100.0

 
6.1
93.9
100.0

 
+ 2.3
- 2.3
-

Source: Analysis of Poverty in Burkina Faso, INSD, 1999
 

2.2.1   Household Consumption

The results of Priority Survey II indicate that the average annual spending per household is CFAF 751,361, or CFAF 62,613 per month. The breakdown shows that the money is spent mainly on foodstuffs (52.2 percent). Lodging, water, electricity, and other consumables come second with 20.2 percent of total spending in urban areas and 12.1 percent in rural regions. Compared with the situation in 1994, foodstuffs are the main expenditure items with an increasing share. In poor households, cereal products accounted for 40.6 percent of foodstuffs. In urban households, the major non-foodstuff spending included rent (19.5 percent), health care (14.3 percent), gasoline and lubricants (11.6 percent), and transfers (9.7 percent). Without taking into account rent, wood was the most important expenditure item (15.1 percent) in poor households. More was spent on them than for health care (14.1 percent) and education (6.3 percent). In addition, individual spending in poor households was less than half more important than that of other households.

 

2.3   Regional Analysis of Poverty

2.3.1   Analysis based on agro-climatic regions

Data analysis of the Priority Survey I was based on agro-climatic regions as a representative unit. The same regions have been maintained in order to insure methodological coherence of poverty analysis in Burkina Faso.

From the geographical perspective, the poverty map has changed, the result of a significant decrease in the incidence of poverty in the southern, southeastern, and northern agro-climatic regions for about 8 points and a major increase in the south central region and, to a lesser extent, in the west. These regional disparities may be attributed to significant variations in the availability of natural resources (water, fertile land, and the environment). Moreover, in certain zones -especially in the north central, south-central, and southeastern regions, poverty is a particularly critical issue, owing to severe population pressures and a very inhospitable ecosystem.

 

Map 1: Poverty incidence rate in Burkina Faso, by Agro-climatic Regions (in percent)

Rates for 1994 in small fonts, rates for 1998 in bigger fonts

 

Table 2: Incidence and Share by Agro-climatic Region

 Region

Incidence (in percent)

Share (in percent)

 

1994

1998

Evolution

1994

1998

Evolution

 West

40.1

40.8

+ 0.7

16.4

16.1

- 0.3

 South

45.1

37.3

- 7.8

9.0

6.8

- 2.2

 Center-South

51.4

55.5

+ 4.1

27.8

28.3

+ 0.5

 Center-North

61.2

61.2

--

31.6

30.6

- 1.0

 North

50.1

42.3

- 7.8

6.1

5.9

- 0.2

 South-East

54.4

47.8

- 6.6

5.3

6.8

+ 1.5

 Ouaga-Bobo

7.8

11.2

+ 3.4

1.8

2.7

+ 0.9

 Other towns

18.1

24.7

+ 6.6

2.0

2.8

+ 0.8

Source : Poverty Analysis in Burkina Faso, INSD, 1999
 

2.3.2   Analysis by Administrative Planning Regions

The Priority Survey II of 1998 was based on the ten planning regions of the Ministry of Economy and Finance for the production and representativity of data. Each region regroups a number of provinces with common characteristics.

Result analysis shows that the poorest regions, by decreasing importance, are the North, the North Central, the East Central, the Northwest and the East (See the Maps). In general, poorest regions have high probability to be poor. However, it can be noted that economic regions with relatively low incidence of poverty may have high probability of being poor (case of the East).

 

Map 2: Poverty incidence rate in Burkina Faso, by Region (in percent)

 

Map 3: Probability of being poor in Burkina Faso, by geographic area (in percent)

(Calculations based on the Probit analysis method and results of the EP II)

 

2.3.3   Socioeconomic groups and poverty

When considering poverty among different socioeconomic groups – that is, by focusing on the main sources of household income – the figures show that in 1994 the incidence of poverty was highest among food crop farmers (51.5 percent), cash crop farmers (50.1 percent), and inactive or unemployed persons (41.5 percent). In 1998 the figures increased in all groups, with the exception of cash crop farmers and inactive persons, who experienced a significant decrease in poverty.

Although the proportion of food crop farmers among the poor population decreased slightly, they still account for the majority of the poor in Burkina Faso: more than three out of four poor persons are food crop farmers. If poverty is to be reduced in Burkina Faso, it is essential to improve the living conditions and income of these farmers. The incidence of poverty among cash crop farmers fell substantially, from 50.1 percent to 42.4 percent, but since the number of households growing cash crops increased during the period studied, they accounted for a higher proportion of the poor.

 

Figure 1: Inequity in Burkina Faso: proportion of income held by the wealthiest households

 

 

Table 3: Poverty Trend by Socioeconomic Groups

 

Incidence

Share

 Socioeconomic Group

1994

1998

1994

1998

 Public sector employees

2.2

5.9

0.2

0.5

 Private sector employees

6.7

11.1

0.4

0.7

 Craftsmen, businessmen

9.8

12.7

1.4

1.6

 Other active workers

19.5

29.3

0.3

0.4

 Cash crop farmers

50.1

42.4

11.8

15.7

 Food crop farmers

51.5

53.4

78.9

77.1

 Inactive

41.5

38.7

7.1

4.0

 Total

44.5

45.3

100.0

100.0

Source : Poverty Analysis in Burkina Faso, INSD, 1999

 

2.3.4   Farmers and Livestock Breeders’ Vulnerability and Food Security

Production activities in the rural sector are the main source of employment and income for approximately 80 percent of the population of Burkina Faso. Agriculture and livestock are the primary sectors driving the growth of the national economy, accounting for nearly 35 percent of GDP and 60 percent of exports. There are about 1,300,000 farms, 87 percent of which focus on subsistence farming and/or extensive livestock breeding, and productivity is low. Small farmers have difficulty securing loans and gaining access to markets and agricultural support services.

Agricultural performance was inconsistent during the 1980s; however, the agricultural sector grew by an average of 4 percent annually, outstripping population growth. Growth was weak during the first half of the 1990s (about 2 percent), but after the CFAF devaluation it increased by more than 6 percent between 1995 and 1997, mainly as a result of the boom in cotton production.

Low productivity in the agricultural and livestock sectors places considerable pressure on Burkina Faso’s already fragile natural resources, particularly in the densely populated zones of the central plateau. Short fallow periods, inadequate use of fertilizers, overgrazing, and woodfuel harvesting contribute directly to deforestation and the disappearance of the vegetation cover. To sum up, climatic conditions, the country’s land-locked status, and low agricultural productivity, along with degradation of the soil and water resources, are major constraints to economic growth and contribute to massive poverty and severe food insecurity among rural inhabitants. Income from farming and livestock raising is therefore highly dependent on the amount of rainfall, which varies considerably from year to year, causing rural families to suffer from food insecurity.

The incidence of poverty in rural areas remained stable between 1994 and 1998, increasing by two points among food crop farmers and decreasing by eight points among cash crop farmers. The breakdown of the figures by socioeconomic group shows that the incidence of poverty among food crop producers rose from 51.5 percent in 1994 to 53.4 percent in 1998. The depth of poverty, which measures the revenue gap between the income of the average poor and the poverty line, remained stable, at 16.3 percent for the same social group. A comparative analysis of the various socioeconomic groups indicates that poor farmers were the farthest removed from the poverty line, both in 1994 and in 1998. They also have very limited access to social services (such as education and health), earn very modest incomes, and their productive capacity is low. Food crop farmers account for a very high percentage of the poor: the figure was 78.9 percent in 1994 and 77.1 percent in 1998. The average family size among the poor in this group is 7.6 persons.

 

Box No.2: Determinants of rural poverty in Burkina Faso


Not counting external transfers, which cannot be controlled, the economic performance of a rural resident is determined by two basic factors: his total production and the price at which that output can be sold. Total production consists essentially of primary products, including crops grown and other activities such as livestock raising and nonagricultural activities (crafts, processing of agricultural products, etc.). Production depends, inter alia, on the productivity of the various factors involved - including land, labor, and tools such as animal traction equipment. The price is what consumers are prepared to pay to purchase the goods produced, and depends primarily on market conditions. The level of poverty or well being of a person living in rural area will be highly dependent on the interaction between prices and the productivity of essential factors, as well as on the village environment, which may be described in terms of how open it is to the outside world, particularly through the markets of basic goods and services needed to live a full life function.

1.   Low productivity of agricultural and nonagricultural activities. Studies have underscored the low level of agricultural productivity in Burkina Faso. This is evidenced by very low per-hectare yields, especially in vulnerable regions where the incidence of poverty is high. Another contributing factor is low labor productivity, a problem exacerbated by the high dependency ratio in most households, given the large number of young children. The results of recent surveys show that agricultural income per working farmer ranges from CFA 51,000 in Soum province (representative of the Sahel), CFA 71,000 in Passoré province (representative of the Sudanian zone of the central plateau), and CFA 89,000 in Bâle province (representative of the north-Guinean zone). These studies also demonstrate that over a four-month period following the 1998-99 harvests, non-agricultural activities generated annual income of CFA 15,000 per active farmer annually in Soum, CFA18, 000 in Passoré, and CFA 37,000 in Bâle.

The low productivity of the various factors may be attributed to several causes. Generally speaking, the focus on subsistence agriculture in the poorest regions limits production to a low level. This situation is exacerbated by a lack of labor saving equipment, which poses an obstacle during some production cycles. However, subsistence farming is not necessarily the inevitable option. The immediate explanations include the following: (i) the level of education is low, one consequence of which is that farmers have only a limited perception of their environment; (ii) the technologies available in vulnerable areas – which generally strive for self-sufficiency - are incomplete; they focus on harnessing water (with shallow dikes and zaï) but do not rely heavily on mineral and organic fertilizers; and (iii) there is no far-reaching national policy to disseminate new technologies to vulnerable zones (the cotton-growing region is an exception).

2.   Sharp price fluctuations within a given year and from year to year. Fluctuations in prices - which can double between harvest time and lean food supply periods, and even from one region to another – prove just how imperfect the markets are. Low prices at harvest time which then rise during the growing season severely penalize poor farmers and aggravate poverty. The poor are often forced to sell their food crops at harvest time to meet urgent needs, only to find it necessary to repurchase the same items six to nine months later in order to compensate for their food deficit.

A number of factors explain these sharp temporal and geographical price variations: (i) transaction costs are high because markets are buyers’ markets, contracts are not used, and there is no insurance, with the result that prices received by producers differ considerably from those paid by consumers at purchasing centers; these same factors create a discrepancy between prices at harvest and prices several months later, a situation that excludes some producers from the market, thereby rationing supplies; (ii) inadequate infrastructure impedes inter-market activity and, consequently, tradeoffs that could help to sustain price levels. One example is the lack of an efficient link between the productive western part of Burkina Faso (the provinces of Kossi, Houet, Kénédougou, and Bougouriba) and the Sahel, where agricultural productivity is low (the provinces of Yatenga, Soum and Séno); and (iii) there is no national price stabilization policy.

3.   Minimal openness of villages to the outside, or non-functioning markets.The ability to produce more than one can consume depends not only on the factors described above, but also on the existence of an outlet for the surplus. Marketable goods must exist in order for there to be a demand for them and, consequently, for surplus funds to be available to purchase them. Rural areas receive few goods and services that improve the quality of life. This lack of market depth in modern goods, plus long distances or difficulties traveling between villages and supply centers, pose an obstacle to increased productivity.

 

2.4   Basic Social Services and Poverty

2.4.1   Education and poverty

Throughout the past decade Burkina Faso has pursued a satisfactory resource-allocation policy that reflects the priority assigned to basic education. Thus, between 1990 and 1999 primary enrollment rose from 30 percent to 41 percent (34 percent for girls). The number of new admissions in the first year of primary education doubled in the same period. Educational opportunities have been greater for urban children and particularly for those in rural areas, where 70 percent of all new classrooms have been built over recent years. The disparities between provinces are becoming less in that the proportion of provinces failing to reach the national average enrollment rate has fallen from 73 percent to 58 percent.

These recent advances have been accomplished thanks to the implementation of two strategies: (i) Additional funds have been allocated to basic education to support its development; the share of the education sector budget assigned to basic education increased from 45 percent to nearly 60 percent between 1990 and 1999; the availability of schools has also increased thanks to the construction of about 800 classrooms on average per year; (ii) Several steps have been taken to substantially reduce unit costs per student in order to facilitate the expansion of basic education. These include: (a) concentration on hiring assistant teachers, which has made it possible to reduce average salary costs for primary teachers from 8.2 to 6.2 times the country’s per capita GDP; (b) the introduction of dual-stream teaching, which has facilitated the inclusion of 40 percent of students in urban areas, thereby serving to contain urban demographic pressure; and (c) recourse to multigrade classes which have enabled 25 percent of rural children living in localities with very low population density to attend school.

Burkina Faso has also made appreciable efforts to address demand-side education constraints. To this end, the proportion of schools with drinking water and sanitary facilities has reached 47 percent and 45 percent respectively. The number of literacy centers has more than doubled since 1990 and the literacy programs available to only 90 villages in 1990 today cover 4,500. To further stimulate school attendance on the part of low-income groups, the Government has set up a system for providing sets of textbooks for use free of charge and has encouraged greater parent participation in the running of the schools. To lower the opportunity costs for poor households and promote school attendance by girls, a considerable effort has been made to build schools not far from the villages, financial and material resources have been made available to mothers’ associations (Associations des mères d’élèves) for income-generating activities, and school lunch programs have been developed in rural areas.

In parallel to these efforts, Burkina Faso has also taken steps to improve the quality of education (a) by regularly distributing sufficient textbooks to allow, on average, for one set of books to be shared by two students in the basic subjects; (b) by upgrading teachers’ skills, particularly in rural areas; and (c) by introducing bilingual education on an experimental basis. Taken altogether, these improvements have made it possible to reduce the disparities in school attendance between urban and rural areas and between regions, and also between boys and girls.

Despite these efforts some significant problems still persist:

  • Resource allocation in favor of the education sector can still be increased further: the public funds allocated to the education sector represent 21.6 percent of public expenditure and 2.8 percent of GDP, whereas on average the African countries benefiting from the HIPC Initiative devote 4.0 percent of their GDP to education;

  • Unit costs in primary education remain high: 0.24 times per capita GDP compared with 0.15 times on average for the French-speaking African countries;

  • In rural areas, the proportion of families not registering their children for school increases from the least poor deciles to the poorest;

  • The retention rate is low (60 percent compared with 67 percent on average for the French-speaking African countries) and in fact amounts to just 49 percent in rural areas and to 41 percent for girls in those areas;

  • Repetition rates remain high: 15 percent between the first and fifth years of primary and about 40 percent in fifth grade, indicating excess demand for the first cycle ofsecondary education;

The cost of producing a primary graduate is twice what it ought to be; dropout rates are high in the north (10.9 percent) and lower in the southwest (3.5 percent); the gender difference expressed in dropout rates varies between regions: for boys it is 12.5 percent and for girls 7.1 percent in the north and in the west the rates are, respectively, 8.1 percent and 3.7 percent; in the other regions the dropout rate for girls is either higher than the dropout rate for boys, or largely the same; and the AIDS pandemic could erode the gains already achieved. Not only does the falling life expectancy due to AIDS limit the returns on investments in education, but it also threatens the effectiveness of the system due to the increased rates of teacher and student absenteeism, the need to replace sick teachers, and the growing number of AIDS orphans, thereby complicating management of the education system.

 

Table 4: Education Indicators

  1994 1998
  Urban Rural Total Urban Rural Total
             
 Literacy rate 51.6 11.8 18.9 50.6 10.8 18.4
 Men 61.7 18.8 27.1 59.9 15.6 24.8
 Women 40.9 5.7 11.4 42.0 6.8 12.9
             
 Gross enrollment-primary 74.2 28.4 35.2 102.3 30.8 40.9
 Boys 79.0 34.3 40.5 105.8 37.1 46.7
 Girls 69.4 21.8 29.3 98.7 23.9 34.7
             
 Gross enrollment-secondary 36.7 4.9 11.2 48.8 4.5 13.0
 Boys 44.8 6.6 13.7 56.4 5.8 15.4
 Girls 28.8 3.1 8.5 41.2 3.1 10.2
             
 Gross enrollment-higher 6.1 0.0 1.4 4.9 0.0 1.3
 Male 8.6 0.0 2.1 7.9 0.1 2.3
 Female 3.4 0.0 0.7 1.9 0.0 0.4
Source : Poverty Analysis Report – INSD-EP II – 1998

 

2.4.2   Health and Poverty

Propelled by very high fertility (the fertility rate is 6.8 births per woman), Burkina Faso’s population is growing at a rapid rate of 2.8 percent annually. The health indicators place Burkina Faso among the most disadvantaged countries in Sub-Saharan Africa (Table 5). Life expectancy at birth is 54 years, child mortality is 219 per thousand and maternal mortality is 484 per 100,000 births. More than one third of all children suffer from malnutrition. Burkina Faso is also one of the countries in West Africa more severely affected by the AIDS epidemic. HIV seroprevalence is 7 percent among the general population and reaches 13 percent among truckers. Nearly 64 percent of the prostitutes in Ouagadougou and 43 percent of those in Bobo-Dioulasso are estimated to be seropositive. The evolution of the health indicators over time is also particularly disturbing. Between 1993 and 1999 certain indicators posted no noteworthy improvement while others deteriorated (mortality among children under five years), as shown in Table 6.

 

Table 5: Health Indicators in Burkina Faso Compared with Sub-Saharan Africa 2


Country

Life Expectancy at birth (years)

Infant mortality (deaths before age 1 per 1000 live births)

Child Mortality (deaths before age 5 per 1000 births)

Maternal mortality per 100,000 live births)

Fertility rate (No.of children per woman)

HIV prevalence

Child malnutrition (percent under weight < 5yrs. old 1990-96)


Burkino Faso

54

105

219

484

6.8

7%

 

Africa

52

91

151

822

5.6

8%

32

Guinea

46

122

220

880

5.7

 

24

Madagascar

58

96

162

600

6.0

0.5%

36

Mali

50

120

192

580

6.7

 

31

Côte d’Ivoire

55

88

138

600

5.6

14%

24

Ghana

60

71

110

740

5.0

 

27

Uganda

40

99

141

550

6.7

 

26


 
 

Table 6: Burkina Faso Health Indicators 1993-1999


 

1993

1999


 Child mortality
(children under 5 years)

204.5

219

 Infant mortality

107.6

105

 Neonatal mortality

51.3

41

 Post-neonatal mortality

56.2

65

 Maternal mortality

 

484

 Fertility rate
(women aged 15-49)

6.9

6.8

 Malnutrition rate

 

 

-       Weight for age

29.5%

  

-       Height for age

29.4%

  


Sources: Demographic and Heath Surveys 1993 and 1999

 

Examination of the health indicators by socioeconomic level also shows significant disparities in the state of health between the richest and poorest groups in Burkina Faso (Table 7). Figure 2 clearly shows the gap between the 20 percent making up the richest group, for whom the indicators are significantly better, and the 80 percent forming the poorest group, among whom mortality and malnutrition rates are still very high. This gap appears to be linked to the urban-rural differential. For instance, a drop in fertility is observed in the urban centers but not in the rural areas (Demographic and Health Survey, 1999). The incidence of diseases such as diarrhea and acute respiratory infections (ARI) is not closely connected with socioeconomic status, a circumstance that probably reflects the prevailing high level of infectious disease, with high levels of malaria, lack of access to safe water, and sanitation problems. However, health service utilization is higher and malnutrition lower among the richest groups, which confirms that nutrition status and access to basic services are important cofactors in child mortality.

 

Table 7. Health Indicators by Income Level, 1993 3


  Quintiles Population  

Health Indicators

Very
Poor

Poor

Average
Poor

Average
Rich

Rich

Average

Low/High
Ratio

 

Infant mortality
(deaths under age one per thousand live births)

113.6

113.0

129.8

98.6

79.7

107.6

1.425

 

Child mortality
(deaths under age 5 per thousand live births)

199.2

223.9

237.3

198.6

156.4

204.5

1.274

 

Moderate malnutri-tion,
height for age (%)

36.1

38.9

34.8

33.8

21.5

33.3

1.679

 

Malnutrition,
weight for age (moderate)

35.6

35.4

33.5

35.7

22.0

32.7

1.618

 

Malnutrition,
weight for age (severe)

9.6

11.8

8.9

11.1

4.0

9.3

2.400

 

Body mass
index among mothers (%)

15.7

16.5

16.5

16.1

10.2

15.1

1.539

 

Fertility rate
(children born per woman)

7.5

6.7

7.1

7.0

4.6

6.5

1.630

 

Prevalence of diarrhea among children (%)

22.3

18.3

20.5

21.5

17.9

20.1

1.246

 

Prevalence of ARI amongChildren (%)

10.2

12.3

11.2

10.6

11.1

11.1

0.919


 

 

Figure 2: Child mortality and malnutrition rates by income group in 1993 4 (in percent)

 

Health service use is still very inadequate. Immunization coverage of children between 0 to 11 months remains very low, having risen slightly from 39 percent in 1992 to 42 percent in 1998. The situation in 1998 was as follows: BCG: 52 percent; DTCP3: 31 percent; measles: 38 percent; Yellow fever: 33 percent. There was a slight improvement in 1999 (Table 17). The use of basic curative services, while at a level comparable with that of neighboring West African countries, remains low at 0.2 visits per person and per year. Contraceptive prevalence is only five percent. Use of mosquito nets, impregnated or not, is very low. The proportion of women delivering in a health facility dropped from 43 percent in 1993 to 27 percent in 1999. And despite widespread knowledge concerning AIDS (in 1999, 87 percent of women and 96 percent of men knew how AIDS is transmitted), condom use by the most vulnerable groups (truckers, single women, military personnel) remains low.

Health services are particularly underutilized by the poor and the vulnerable groups. Only wealthier inhabitants (20 percent of the population) use these services to a satisfactory degree. Considered overall, the poorest 20 percent use the services half as much as the 20 percent who are most well off (Figure 3). There is also a considerable differential between rich and poor and between rural and urban areas as regards immunization coverage. Children in rural areas receive much less in the way of immunizations than do those in urban areas. Studies of beneficiaries also show that certain services are not affordable for the poorest groups.

 

Figure 3. Utilization of basic health services by socioeconomic group
(shown as percent of target population)

 

Generally speaking, public health services are less used by the poor than the rich, both for immunizations (offered mainly by the public services) and for curative services for children or childbirth (Figure 4). However, the difference is the same or even more marked as regards private services, which the poor utilize to only a very small extent (Figure 5). With regard to childbirth, 72 percent of the group comprising the poorest 20 percent have their babies at home.

 

4. Utilization of public services for curative care for children and child delivery
(shown as percent of target population)

 

Figure 5. Utilization of private services for child delivery
(shown as percent of population needing child delivery services)

 

Public expenditure on health, expressed in percentages of the government budget, have increased over recent years, rising from 7 percent in 1993 to 12 percent in 1998. However, Burkina Faso has had to cope with an increase in the cost of imported consumables (medications and vaccines) and equipment (refrigerators, vehicles, fuel) since 1994, owing to the devaluation of the CFA franc. Donor support also represents a large proportion of the Government’s health budget. Total health expenditures (Government and transfers by external donors) represent nearly US$7 per capita, an amount that is significantly higher than in neighboring countries with comparable GNP. The distribution of these resources is, however, still strongly skewed in favor of central and urban areas. Funding for recurrent non-wage expenditures is allocated essentially to the central level (49.83 percent in 1999 and 56.89 percent in 2000). The regional level received 4.47 and 4.87 percent respectively in 1999 and 2000 while the districts received 45.70 percent in 1999 and 38.24 percent in 20005. Moreover, households contribute large sums, with private expenditures amounting to nearly US$10 per capita per year.

2.4.3   Drinking water

The situation regarding drinking water supply is characterized by inadequate coverage, notwithstanding the efforts made to set up supply centers in the country. As regards hygiene and sanitation the situation is even more worrisome, especially in rural areas, with the result that the risks of mortality and morbidity due to waterborne diseases connected with the unhealthful nature of the water and housing are intensified.

In both 1994 and 1998 about 90 percent of households were obtaining their water from wells, boreholes or public taps. However, there was a modest increase in the percentage using taps in urban areas between 1994 and 1998, while utilization of boreholes has increased to a certain extent in rural areas, as compared with other sources of drinking water. These trends point to an improvement in the quality of drinking water available to households, and are attributable in part to the national water supply policy (“Drinking Water for All by the Year 2000”).

The Southwest, which drew 68 percent of its drinkable water from river in 1994 (therefore not really safe), reduced that source to 36 percent in 1998, thanks to a vigorous intervention policy. However, the low recourse observed in 1998 may be attributable to rivers dry up during the data collection period.

2.4.4   Living Environment

The quality of housing, which is made up of a combination of elements that render it either pleasant to live in or rough, is analyzed on the basis of a number of factors: the wall, the ceiling, the roof, the means employed for disposing of waste water, type of toilet, connection to electricity supply, and type of energy used for cooking. For this indicator of human development, the differential between towns and villages is immense. Among possible services, electricity is the one that can contribute toward substantial changes in a community’s way of life. In rural Burkina Faso, less than one percent of households had access to electricity in 1994 and no progress had been posted as of 1998. It is true that Burkina Faso has not yet adopted a rural electrification policy, possibly because even today the service is unable to keep up with urban demand. The proportion of urban homes with electricity only rose from 29 percent in 1994 to 34 percent in 1998. Even in the cities, 63 percent of households were still using kerosene lamps for lighting in 1998, i.e. only a slight decrease compared with 69 percent in 1994. A significant finding is that in urban areas, access to electric power for households in the lower-income quintiles did not improve much between 1994 and 1998. This is due to a considerable gap between supply and sharply rising demand resulting from the rapid rate at which people are moving to the urban periphery.

2.4.5   Women and poverty

The lag in school attendance by girls and young women is holding back women’s participation in the modern sector. Educated women make up about 21 percent of public and government employees and only five percent of the personnel employed in private companies in the modern sector. As regards (political) public service, although definite progress has been made, there are few women in Parliament and Government.

The health situation of women is characterized by continuing high morbidity and mortality rates. Direct causes such as hemorrhages and infections are responsible for about 72 percent of deaths among mothers. Moreover, it has been established that 55 percent of pregnant women are anemic. In the country as a whole, only 38.4 percent of pregnant women receive prenatal care. Deliveries under poor sanitary resulted in a prenatal mortality rate of 126 per thousand in 1995. In addition to ignorance and poverty, women’s health is affected by the burden of household chores, harmful traditional practices, and inadequate sanitation and water-supply facilities.

Prevailing socioeconomic conditions and sociological and cultural constraints often explain women’s low level of participation in economic and public life. With assistance from NGOs, women’s cooperatives grow vegetables and produce crafts for the tourism sector. However, the productivity of these activities is low due to the lack of support services and of access to credit. The institutional mechanisms established for the purpose of granting credit to women are inadequate, making it difficult for women to avail themselves of credit facilities. To improve socioeconomic conditions for women, a network of financial institutions needs to be set up to attract savings and recycle them for investment purposes by means of medium and long-term lending to women.

Women in Burkina Faso are less literate (12.9 percent) than men (24.8 percent). And whatever their social status, there is discrimination to women’s disadvantage. This discrimination is in fact quite pronounced at the level of the first quintile. Thus, poverty partly explains the low literacy rate among women as compared with men. Furthermore, the survey confirms that women have limited access to health care, employment opportunities and credit, and participate less in national political life and decision-making.

2.4.6   Other Causes

2.4.6.1   Access to land for the poor

The legislation concerning agrarian and land reorganization has passed through several revisions in order to take into account the ongoing evolution of national realities. However, the implementation of this legislation remains limited even though it is a key component of the initiatives aimed at reducing poverty. The distribution and possession of land, especially as regards cultivable land (including the granting of title deeds), have decisive impacts on the production, incomes and living standards of poor rural families. In addition to being a productive agricultural resource, land can also be considered as the principal asset of such families. It can also be assigned an exchange value with a view to favoring the most efficient allocation of this natural resource among several possible uses and thereby contributing to the well being of the disadvantaged. Finally, in the context of the financing of micro-infrastructure or income-generating activities, land, often the sole asset of poor families, can serve as guarantee for the granting of credit or loans.

2.4.6.2   Access of the poor to productive capital, employment and financial services

In the context of improving living conditions and incomes for the poorer segments of society, access for such persons to productive capital and to technologies suited for the poor will enable them to find employment or develop an income-generating activity, thereby helping them secure access to financial capital and, in particular, credit. Beyond the recognized impact of saving, credit, and loans in reducing poverty and increasing incomes for the poor, the key consideration concerning development of microcredit for low-income borrowers now is financial intermediation. Financial intermediation makes it possible to bring the supply of and demand for funds together through the professionals involved. In this connection, the Burkina Faso authorities have put in place financing instruments such as the Fonds National pour la Promotion de l’Emploi [National Fund for the Promotion of Employment] (FONAPE), the Fonds d’Appui au Secteur Informel [Support Fund for the Informal Sector] (FASI), the Fonds d’Appui aux Activités Rémunératrices des Femmes [Support Fund for Women’s Income-Generating Activities] (FAARF) and the Projet d’Appui à la Promotion de Petites et Moyennes Entreprises [Support Project for Promotion of Small and Medium Enterprises] (PAPME). These funds round out the initiatives developed by the cooperation agencies to promote small businesses: the Cellule d’Appui à la Petite Entreprise de Ouagadougou [Ouagadougou Support Unit for Small Businesses] (CAPEO), Bureau d’Appui en Management d’Entreprise [Business Management Support Bureau] (BAME) of the Bobo-Dioulasso region,etc. These various funds have made it possible to finance a number of projects and create employment opportunities, but they remain limited in their ability to meet the needs of their target public.

As a general rule, financial intermediation has thus far barely reached the poorest areas and families. The economy of the poor remains largely non-liquid because of the absence of banks geared to their needs and the scant presence of microcredit organizations. They are accordingly unable to accumulate savings or obtain access to credit. To reduce human poverty, it is necessary to increase the availability of microfinancing opportunities that will open up a varied range of activities essential for improving the living conditions of the poor, meeting their basic needs, and strengthening their capabilities.

2.4.7   Conclusion

To conclude, besides ecological and geographic factors, poverty in Burkina Faso may be attributed primarily to the following factors:

  • A noncompetitive economy, which is growing at a modest rate that is not conducive to generating income or creating jobs for a large part of the population or to producing sufficient resources to enable the State to provide basic social and economic services.

  • A very low literate and educated population who receive minimal services and are subject to AIDS risks.

  • Insufficient capacity to develop strategies and priorities for investment planning.

  • Inefficient public services and a poorly coordinated external assistance.

In recent years poverty has not decreased to the extent that might have been expected with the economy posting growth rate of over five percent. Poverty has in general remained stable, with a slight reduction in rural areas being offset by a marked increase in urban locations. However, there have been some appreciable improvements in education, for example, but certain health indicators remain worrisome.

To reduce poverty in Burkina Faso, it will be necessary to focus on reducing poverty among the rural population which, as has been noted, represents over 94 percent of the country’s poor. This reduction will have to be achieved by an increase in rural incomes and improvement of rural living conditions. Support to promote the growth of existing sources of income such as agriculture and livestock raising is crucial, but must be combined with a search for additional income sources derived from diversification of rural activities. The importance of women in this growth process must not be underestimated. This support for rural growth must take the form of expanded access to production factors and inputs such as land, credit, technologies, and information, coupled with greater investments in infrastructure. At the same time, the poverty reduction strategy must give priority to improving the conditions of access to basic social services such as water, health and education, which are so different in rural areas compared with the towns and cities.

 
Contents

 

 

3.   DEVELOPMENT OBJECTIVES AND NATIONAL PRIORITIES

3.1.   Burkina Faso’s Development Vision

In 1995 the Government drew up a Letter of Intent for Sustainable Human Development, the purpose of which is to center the country’s development strategy on the concept of human security, thereby giving each Burkina Faso national access to:

  • Economic security, which depends on access to education, vocational training and paid employment;

  • Health security, which depends on access to low-cost preventive and curative medical care;

  • Food security, which depends on access to basic foodstuffs and safe water;

  • Environmental security, which requires the preservation of a healthy environment; and

  • Individual and political security, which require the application of principles of good governance, namely the primacy of law, responsibility and participation, efficiency and transparency.

This revival of economic and social policy is guided by the following fundamental principles: (i) pursuit of maximum impact of public expenditures on the population’s welfare as measured by social indicators; (ii) promotion of equity and equality of opportunity between the various social strata, men and women, and the regions, without restriction of public and civic freedoms; (iii) participation of the population and of civil society (particularly NGOs and associative movements) in the formulation, implementation, monitoring, and evaluation of development policies and programs; and (iv) transparency of the procedures and tools for managing public resources.

This Letter, which will be reviewed in light of the findings of the Burkina Faso 2025 prospective study (Box 3), remains the conceptual framework of this Poverty Reduction Strategy, for which the Government has set itself the following major objectives: (i) reinforcing actions to reduce poverty and vulnerability of population as well as various disparities; (ii) pursuing quality macroeconomic policies aimed at achieving sustainable high and well distributed growth; (iii) accelerating and enhancing the decentralization process and actions to modernize public administration; (iv) integrating successfully the country to the global and regional markets.

 

Box No.3: Burkina Faso 2025 Prospective Study


The current evolution of the international environment requires that States possess a greater capacity to anticipate and control their development. The Government of Burkina Faso has therefore decided, with the support of certain partners, to prepare a Burkina Faso 2025 prospective study. The essential objective of such a study is to foster a social dialogue on key development issues with a view to defining a shared vision of the country’s future.

This study, which began at the end of 1999, will – over more than 18 months – mobilize various players drawn from the State, the private sector, and the organizations of civil society through the National Strategic Planning Council. It will produce a prospective reference framework for the various strategic development agendas, particularly those targeting poverty reduction.

The Burkina Faso 2025 Prospective Study comprises three main phases: (i) creation of the database and establishment of the strategic diagnosis; (ii) construction