We’re building a new UNICEF.org.
As we swap out old for new, pages will be in transition. Thanks for your patience – please keep coming back to see the improvements.

Evaluation database

Evaluation report

2002 CAR: L'enfant centrafricain: Famille, santé, scolarite, travail (Analyse Causal de MICS 2000)

Author: Ndamobissi, R.; Kouame, A.; Moloua, F.; Kiteze; Piamale, F.; Sabendo, A.; Kobelembi, F.

Executive summary


Following the repetive mutineries (1996-1997) and the recurrent coup attempt (2001-2002), the social-economic indicator deteriorated substantially between 1995 and 2002: the rate of economic growth is negative, the household poverty has generalized (62% of the population leave with less than 1 dollar per day), the juvenile-infant mortality has increased from 157% in 1995 to 194% in the year 2002, the rate of maternal mortality went from 683 in 1990 to 948 in maternal death for 100 000 life birth and the net rate of enrollment dropped in the magnitude of 20 point, from 63% in 1996 to 43% in the year 2000.  On the other hand, the HIV/AIDS prevalence increased substantially from year to year; it has reached 15% in 2003 ranking CAR at the 10th position worldwide among countries most affected by the virus.  Faced with this dark economical and social, national political environment, UNICEF, within the framework of its mandate has judged necessary to  bring its modest contribution to a better knowledge of the social-demographic determinant of the alarming situation of survival and development of Central African children, responding to the logic of programming aimed at results.  The realization of this in-depth analysis is justified by the strong demand from planners, government, development partners, NGO, researches, to better understand the deep causes of the persistence of that dramatic situation in terms of health and education of children in CAR as revealed by the descriptive analysis of the results of  MICS 2003 survey.  The in-depth analysis of the survey data, the first exercise of this type published in this country (outside the university research work) should enable to


The objective of this study is to identify the families and communities determinant of the bad state of health, malnutrition, under-schooling, children early labour and girl adolescent sexuality in order to guide the CAR development actors in the definition of efficient intervention strategy in order to introduce efficient, equitable and lasting changes in the life of children and women in CAR.  The established relations between the economic and social-cultural factors of <key givers> with unfavorable status of children should enable decision makers, planners, or development actors to conceive appropriate models of targeted interventions with results in children?s life in CAR.  The study should therefore enable to answer the following specific questions:

  • What are the internal factors to households exposing more children to the risk of being sick, malnourished, not immunized not enrolled in school, to work instead of going to school?;
  • Why some married women have less opportunity to practice contraception or being informed on HIV/AIDS than others?


The behavioral negative and positive risk factors of <keys givers> influencing directly the status of children and women in health, immunization, nutrition, adolescent sexuality, school enrollment and children labour have been emphasized by the application of strong statistical analysis model using conceptual schemes based on the type of data existing from MICS and the review of literatures to draw scientifically valuable conclusion.  The data used are drawn by from the MICS 200 households review which sample is largely representative (14,000 households).  The evaluation of the data from MICS 2000, using the appropriate demographic analytical technique have support their reliability.  The demographic research and the Training Institute and Demographic Research (IFORD,) based in Yaounde, in Cameroon, has insured the technical supervision of the analysis and research work by national officers under the direct supervision of the follow-up evaluation officer of UNICEF.


The improvement of the condition of the Central African Republic child would not be achieved only through direct geographical access to basic social services, but by acting on all determining factors.  The programmes of fight against  monetary poverty  of households are necessary to guaranty the financial access to basic social services.  But also necessary, are programes to improve the condition of women directed towards the promotion of youth education and particularly girls.  The social and cultural norms which influence individual attitudes and behaviours in child cares should be changed through the development and implementation of particular communication strategies adapted to the cultural environment of children.  At the General Assembly of the United Natins in May 2002, dedicated to children, the key statement for the decade 2000-2010 was?  A worthy world for our children?  For that, an effective partenariat of all multi-sectoral development actors is now necessary if we want to achieve a signifficant change in the level of well being of Central African children.

The report is in a zip file.  Please contact the UNICEF Evaluation Office at evalhelp@unicef.org for request of this Central African Republic report with Sequence # 2002/806.

Full report in PDF

PDF files require Acrobat Reader.



Report information


Central African Republic


Social Policy


Ministry of Planning


New enhanced search