At a glance: Nicaragua

The big picture

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This map does not reflect a position by UNICEF on the legal status of any country or territory or the delimitation of any frontiers.

Nicaragua has a population of 5.1 million and an annual population growth rate of 2.7 per cent; 53 per cent of the population is under 18 years of age. Nicaragua's main challenge is to overcome inequity and poverty, which affect children and women most severely. The breakdown of income distribution shows that 45 per cent of all income goes to the richest 10 per cent of the population, while only 14 per cent goes to the poorest. Nicaragua is the third poorest country in the Americas, with a per capita gross national product of $453. Poverty affects 2.3 million persons, 831,000 of whom live in extreme poverty, mainly in the Central and Atlantic regions.

One of every three children has some degree of chronic malnutrition and nine per cent suffer from severe malnutrition. The maternal mortality rate (MMR) of 150 per 100,000 live births is unacceptably high. In the Atlantic region and areas difficult to access, MMR may be twice as high as the national average. Adolescent pregnancies account for one of every four births nationally. Safe water and sanitation coverage continues to be low, particularly in rural areas and those with dispersed populations.

Access to early childhood development interventions is limited. An estimated 79 per cent of primary-school-age children are enrolled, with no gender difference. The quality and relevance of education are significant problems. It takes an average of 10.3 years to complete the mandatory six years of schooling, and only 29 per cent of children complete primary schooling. Poverty affects school participation, with many families unable to afford the direct or hidden costs. Poverty also results in child labour, which affects more than 167,000 children and adolescents.

One of every four households is headed by a woman. Family violence leads to family disintegration and a culture of violence. As yet, 36 per cent of children are not legally registered due to administrative, legal and cultural causes. Only five per cent of disabled children receive appropriate support. Child and adolescent sexual exploitation, drug use and violence are emerging issues of concern. The existence of approximately 76,000 landmines continues to be a high-risk factor for children and adolescents.

The presence of HIV/AIDS in all departments and the potential of its spread represent a high, latent risk. Official data show a low number of cases, giving a false sense of security. The main challenges of the Joint United Nations Programme on HIV/AIDS (UNAIDS) and counterparts are to improve surveillance capacity; raise awareness among decision makers to overcome denial; and support the National Programme on Sexually Transmitted Infections/HIV/AIDS.

Growing environmental degradation exacerbates poverty among children and their families. Poverty and its interaction with the environment increase already high levels of social and environmental vulnerability. Nicaragua is also prone to disasters including earthquakes, volcanic eruptions, floods and drought.

UNICEF priorities

UNICEF strategies include high-level political and social advocacy, strengthening national and municipal capacity, social communication and mobilization, and selective support to basic services and supplies. The scope combines national and municipal interventions using UNICEF's comparative advantages and accumulated experience, while mobilizing and strengthening allies and partners at all levels. The geographic targeting of interventions is based on criteria such as the level of poverty, cost-effectiveness and the opportunity to complement other programmes. Special attention will be given to strengthening, and/or expanding interventions of partners and allies working in the Atlantic region.

The country programme comprises three areas, as well as cross-sectoral costs.

• The public policies, legislation and special protection programme contributes to strengthening national capacity for effective compliance with laws, public policies and national programmes for the fulfilment of women's and children's rights. 
• The health, healthy environment and vulnerability programme includes strengthening of national and decentralized health systems. 
• The education and citizenship programme contributes to ensuring the right to quality education for all.