Children in Zambia

In Zambia, UNICEF defends the rights of children, focusing on the poorest and most disadvantaged.

Students run hand in hand at the primary school

Overview of the situation for children

Zambia is a country of young people, with the majority of the population under the age of 18 (53.4 per cent). The estimated median age is 16.7 years (2015), which is one of the lowest in the region and globally.

Many of these children are affected by both monetary and non-monetary POVERTY - an estimated 54.5 per cent of the population lives below the national poverty line. In rural Zambia, up to 65 per cent of children suffer from at least three deprivations or more (lacking access to nutrition, education, health, water, sanitation, adequate housing).

Gender inequality, household poverty and the expansion of peri-urban populations are some of the systematic challenges to realizing the rights of children. The situation is further compounded by high population growth, with a fertility rate of 5.7 children per woman leading to an annual population growth rate of 3.2 per cent

About 59.4 per cent of children live in poor households with 45.4 per cent living in extreme poverty.

Even though Zambia was reclassified as a middle-income country in 2013, the Living Conditions Monitoring Survey Report (2015) revealed that the proportion of households living below the poverty line had decreased only marginally since 2010. The shift to middle-income status has also led to a downsizing of development programmes, threatening interventions targeted at the most vulnerable women and children. While poverty rates have been declining, albeit slowly, data suggest that there are more children living in poverty today, than in 2013. Income inequality is increasing and largely impacts rural households, which have larger numbers of children per family.

Over the last decade, Zambia has made progress on child HEALTH and NUTRITION, including the reduction in maternal and child mortality rates. Between 2007 and 2014:

  • The maternal mortality ratio declined from 591 to 398 deaths per 100,000 live births
  • The under-five mortality rate decreased from 119 to 75 deaths per 1,000 live births
  • The neonatal mortality rate decreased from 34 to 24 deaths per 1,000 live births

HIV prevalence has decreased from 13.3 per cent in 2014 to 11.6 per cent in 2016, with a high proportion (over 90 per cent) of pregnant women being tested. The prevalence of stunting among children under five remains high at 40 per cent, and is higher in rural (42.1 per cent) as compared to urban areas (36 per cent).

A child eats a peanut paste in a health clinic

A child after just being released from the malnutrition unit at the Chipata Clinic in Lusaka. Zambia has high levels of childhood undernutrition.

A mother registers her child's birth at a health facility

Overall, fewer than 15 per cent of births are registered in Zambia — with poor and rural children having the lowest likelihood of being registered.

Access to basic SANITATION has barely improved since 2000, when access stood at 26 per cent. In 2015, that had risen to 31 per cent (49 per cent for urban households, 19 per cent in rural areas). Basic WATER coverage in Zambia in 2015 was 61 per cent, with urban coverage (86 per cent) much higher than rural (44 per cent).

Zambia has made significant achievements in the EDUCATION sector since 2000. Enrolment in primary education reached 3.3 million in 2017, up from 1.6 million in 2000. Girls are now enrolling in primary school in the same numbers as boys. But there are an estimated 800,000 school-aged children that are out of school. Access to early childhood education is low with only 26 per cent of children entering Grade 1 with any such experience.

Approximately 1 in 3 females and 2 in 5 males between 18-24 years experienced physical VIOLENCE prior to the age of 18, and 20 per cent of males and 16 per cent of females reported experiencing emotional violence.

With 31 per cent of women aged 20-24 married before the age of 18, Zambia has one of the highest rates of CHILD MARRIAGE in Africa. In 2014, the Government commissioned a study through UNICEF on the dynamics leading to child marriage. The findings indicate that child marriage in Zambia is often a union of peers and a reflection of deep social and economic inequalities.