Case study on ending child marriage in the Republic of Mozambique
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Credit for cover photo: UNICEF Mozambique Acknowledgements The UNFPA-UNICEF Global Programme to End Child Marriage is generously funded by the Governments of Belgium, Canada, Italy, the Netherlands, Norway, and the United Kingdom, the European Union and Zonta International. The UNICEF Eastern and Southern African Regional Office (ESARO) commissioned Child Frontiers to develop a compendium of promising practices on ending harmful practices and violence against children across the region. This documentation was written by Emma de Vise-Lewis and Gillian Mann of Child Frontiers with contributions from UNICEF staff in Mozambique, and government, NGO and other partners. Thanks also go to Jean Francois Basse and Mona Aika of UNICEF ESARO for their leadership and support throughout the process of developing the brief. The publication was designed by hopeworks. April 2021
Purpose of the case study challenges. The information presented is based © UNICEF/UNI381305/Bongyereirwe on a documentary review and interviews with The purpose of this case study is to highlight those involved and available. Its intended a promising programme, service or approach audience includes those working in the areas that is supported by the UNFPA-UNICEF of research, programmes and policy to end Global Programme to Accelerate Action to End child marriage in Mozambique, in the region, Child Marriage and is contributing to delaying and elsewhere, such as UNICEF, UNFPA, the age of child marriage in Mozambique. It the Government of Mozambique, donors, provides an outline of the work that is being civil society organisations and academics. done, and an analysis of its successes and 3 UNICEF Case study on ending child marriage in the Republic of Mozambique
© UNICEF/UNI381305/Bongyereirwe The context of child In Mozambique, a new child marriage law marriage in Mozambique (passed in 2019) sets the legal minimum age of marriage at 18 and eliminates the previous Child marriage is defined as a formal marriage option of children marrying at the age of 16 or informal union that takes place before the age with parental consent. Marriage between an of 18. In many contexts, the practice has been adult and a minor is now punishable by law shown to have profound physical, intellectual, with up to 12 years in prison. According to the psychological and emotional impacts, especially 2011 Demographic and Health Survey, 48% of for girls. Children who are poor, live in rural areas women aged 20 to 24 years were married or in and/or are out of school are disproportionally at a union by the age of 18, and 14% by the age of risk of marrying young. Globally, the prevalence 15.2 Despite a decline from 56.6% in 1997, this of child marriage has declined over the last rate of child marriage still represents one of the decade, with the most progress seen in South highest in the world and the second highest in Asia, especially among girls below 15 years of the eastern and southern African sub-region.3 age. Nevertheless, in 2020 the total number of girls married before the age of 18 remained at Child marriage is more prevalent in rural areas approximately 12 million per year. Progress must where 56% of women aged 20-24 were be accelerated in order to meet the Sustainable married by the age of 18, compared with Development Goal 5.3 of ending child marriage 36% in urban areas.4 As seen elsewhere in by 2030.1 Furthermore, recent and growing the world, the drivers of child marriage in evidence from the COVID-19 pandemic Mozambique include high levels of poverty, suggests that some of the gains have been gender inequality, poor access to quality lost over the past year and thus an even greater education, limited life choices, cultural norms, investment is needed than earlier predicted. especially those related to initiation rites, and high levels of teenage pregnancy. 4 UNICEF Case study on ending child marriage in the Republic of Mozambique
The UNFPA-UNICEF Global Programme to Eliminate Child Marriage in Mozambique In 2016, UNICEF, together with UNFPA, Beneficiaries for case management support are launched the Global Programme to End Child identified during the registration or payment of Marriage in twelve of the most high-prevalence the cash transfers based on criteria that assess countries, including Mozambique. Working in vulnerability. The pilot has been endorsed by the three phases, the programme aims to address government with the intention of influencing complex socio-cultural and structural factors changes in the overall system. Should the pilot that underpin the practice of child marriage, with be successful, the aim is to roll it out nationally. the goal of ending the practice within 10 to 15 years.5 In Mozambique, the Global Programme Although the implementation of the case is implemented in coordination with the lead management component of the Child Ministry of Gender, Children and Social Action, Grant 0-2 programme is not directly funded the National Coalition to Prevent and End Child by the Global Programme, the mapping Marriage and other relevant organisations and process (PROSAS) and a workforce capacity networks. Milange, Pebane and Maganja da assessment that helped to inform the initiative Costa in Zambézia province, and Monapo, were supported by it. Moreover, the case Rapale and Angoche in Nampula province, are management model being employed is part priority areas due to their high prevalence of child of a wider system-strengthening approach, marriage, coupled with other related issues, which underlies the Global Programme’s efforts such as teenage pregnancy and stunting, as to combat child marriage. Furthermore, in the well as an already high investment and presence 2021-2023 Global Programme work plan, a of UNICEF in other programmatic areas.6 new activity was included: the VAC Response District Plans. These allow social workers UNICEF is supporting a case management to provide case management to children approach, known as Acompanhamento Familiar who are victims of violence and/or at risk of (family support), which consists of tailored child marriage in the six districts identified support and follow up to vulnerable individuals under the Global Programme and six districts and families. Case management was introduced under the Spotlight Initiative.8 A particular in 2019 under a pilot intervention in three pilot emphasis is being placed on the impact of the districts in Nampula: Lalaua, Mogincual and Covid-19 pandemic. This case study focuses Nacala-a-Velha. It is one of two components on the case management component as an under the Child Grant 0-2 programme, the approach that seeks to successfully reduce other being unconditional cash transfers.7 risks that children and adolescents face, including to marriage before the age of 18. 5 UNICEF Case Casestudy studyon onending endingchild childmarriage marriagein inthe theRepublic Republicof ofMozambique Mozambique
© UNICEF/UN0246462 Promising practice to delay the age of marriage The case management model in Mozambique Case management follows policies and tools approved by the in Mozambique Ministry of Gender, Children and Social Action. Its aim is to deliver social welfare and social The case management component of the protection services to families defined as ‘most Child Grant programme did not initially focus vulnerable’, assessed against criteria that look specifically on child marriage, as shown in the at a family’s economic, security and hygiene conceptual note for the Child Grant programme. conditions. The underlying assumption is that However, it became apparent during the access to income contributes to overcoming implementation of the programme that child situations of vulnerability, but that for this to be marriage was a significant concern in the areas effective, income generation efforts need to where the grant was being rolled out. Many of be accompanied by social welfare assistance. those identified as vulnerable were girls under tection threats and safety concerns. the age of 18 who were either pregnant, and they were classified as a category that qualifies 6 UNICEF Case study on ending child marriage in the Republic of Mozambique
for automatic referral for the child grant. The to improve the family’s wellbeing. Guidelines triage process9 in the three case management include the Statutory Case Management districts found that an average of 55% of those Guidelines, a national Procedures Guideline eligible for case management were children for the child protection reference group,12 under the age of 18. Of these, 24% were and a detailed Home Visit Manual developed married.10 Based on this observation, the case to specifically guide the pilot in Nampula. management sub-component began to actively identify and consider the needs of children who were married or at risk of marriage. Case workers, known as either ‘permanentes’ from the National Social Action Institute (INAS) or ‘technicians’ from the Social Welfare District Services, are assigned a maximum of 20 cases at any given time.11 Their role is to work closely with individuals and their families to establish and support the roll out of an agreed tailored plan that spans, on average, a period of six months and a further three months for monitoring. During that time, regular home visits are conducted by case workers to offer direct support to primary caregivers, their children and other members of the household. For cases of child marriage, an immediate assessment is made of the child and the family’s surroundings, and a trusted caregiver is identified to support the girl in the event Through their discussions with families, that she leaves her partner and returns home. case workers also seek to support family Support that case workers offer includes strengthening initiatives and strengthen psychosocial and emotional support and community support networks. This aspect of counselling, and sensitising parents and other their work is especially important for women family members. They also facilitate referrals and girls who have married young because to community and government services, these individuals tend to feel isolated, have such as health, education, skills building, girls’ limited employment opportunities and are clubs, social protection, birth registration, more exposed to violence.13 Young girls and judiciary services/legal assistance. lack the maturity and knowledge to assert themselves, access means for their economic Various manuals and guidelines have been independence, and understand their rights. developed to train and guide case workers In these instances, assisting girls to access in their work. These focus on identifying and friends and family members who can registering vulnerable people, conducting risk listen, share experiences and help identify assessments, and planning and coordinating solutions can be critical to their wellbeing.14 together with the family an action plan that aims 7 UNICEF Case study on ending child marriage in the Republic of Mozambique
Programme achievements young and can identify and develop strategies to respond to such cases effectively. UNICEF Case management service is proving to be an has been supporting a multi-sectoral approach, effective way of identifying and responding strengthening the Ministry of Gender, Children to vulnerable children, and in the pilot and Social Action at the district level and the districts in Nampula, it has drawn attention child protection reference group. Case histories to the magnitude of the problem of child collated by UNICEF in 2019 in Angoche district marriage. Currently, the case management in Nampula demonstrate how a coordinated sub-component is supporting 385 cases approach between the different sectors is across the three pilot districts, of which enabling identified cases of child marriage to 24% relate to child marriage. Over half of be addressed and solutions to be found. the cases have been referred to one or more services, including health, social work, “In November 2019, 13 year old Maria went education and psychosocial support.15 to Angoche to visit her mother. When she arrived at her mother’s house, she met a 17 A social welfare workforce capacity assessment year old boy called Carlos who lived in the same funded by the Global Programme in 2019 found neighbourhood. Carlos asked Maria’s mother if that the ratio of social workers for the population he could marry Maria and the mother accepted. was woefully inadequate (1:75,000) and that the In a multi-sectoral coordination meeting at general capacity of the workforce was extremely the district level, a case worker reported the low. Social workers had very little knowledge incident. The case worker, along with paralegal and understanding about case management social workers, activists and community leaders, and there were no procedures in place. The came together to talk to the two families. After gaps identified prompted the recruitment of several discussions, the families agreed to new case workers, or ‘permanentes’ to be stop the premature marriage and Maria and placed in priority districts and intensive training Carlos went back to school.” Interview with was provided at the district level to ensure that Maria by a UNICEF employee, Agoche, 2019 case workers clearly understood what was expected of them and had clear guidance on Furthermore, referral mechanisms have been how to manage cases once they were identified. strengthened between the child protection and Guidelines and manuals were also developed. education sectors through the establishment of Data collection in the Child Grant pilot districts a VAC prevention and response mechanism in has also greatly improved. As a result, case schools, supported by the Ministry of Education workers are in a much stronger position to and UNICEF. This mechanism clarifies linkages identify and effectively respond to cases, and referrals between teachers, social workers including those that involve child marriage. and the police in the event of child protection abuses, such as child marriage. Teachers have Although it is difficult to see change at this been trained on procedures included in a GBV early stage in the pilot, UNICEF staff noted and VAC manual that will be implemented that in the pilot districts in Nampula, social in 2021 with Global Programme funding. workers are implementing case management in a far more cohesive, coordinated way. They understand the risks children face in marrying 8 UNICEF Case study on ending child marriage in the Republic of Mozambique
Challenges faced and future directions Financial resources available under Cultural acceptance of child marriage the Global Programme for the case creates a considerable challenge. According management work are very limited. to the district level head of the Office for According to a recent case management Assistance to Women and Children, many progress report, there are not enough case cases of child marriage have the consent of the workers to respond to the total number of girls’ parents.18 The practice is so entrenched identified cases of child marriage.16 UNICEF that very few cases are reported and it can be staff further explained that case workers do not difficult for the case workers to intervene. have adequate funding to carry out their tasks effectively, including phone credit, transport The effectiveness of the case management costs and basic stationery. Furthermore, delays approach has also been significantly in disbursing funds for the programme can challenged as a result of the COVID-19 impede case workers from reaching out to pandemic, especially because it is designed beneficiary families and providing technical based on a regular home-visit approach. Unless support and training to those involved in a face-to-face visit is considered essential, case management. As a result, there are currently case workers are recommended to huge challenges in strengthening the case speak to the family by mobile phone, which management approach as a whole, with gaps raises multiple challenges, among them the in case workers’ number/ratio, capacity, data decreased capacity of case workers to form collection, monitoring and other difficulties open, trusting relationships with their clients, still apparent. These budget constraints who may not feel comfortable discussing the severely impact on case workers’ motivation problems they are confronting over the phone.19 and on the quality of the interventions.17 © UNICEF/UN0254656/Marques 9 UNICEF Case study on ending child marriage in the Republic of Mozambique
Key learning The pilot case management sub-component of the Child Grant programme has made significant progress since it was launched in 2019. The workforce capacity assessment showed that the starting point was extremely low; there were no guidelines and procedures, no means of collecting and managing data, and insufficient numbers of case workers. Those who were in place had limited knowledge of case management. Since then, following greater investment and training, huge progress has been noted. However, there is still much work to be done to strengthen the case management approach and additional resources that are disbursed in a timely, reliable manner will be needed to ensure greater impact and sustainability. Furthermore, Covid-19 has hindered the implementation of the case management work, given restrictions on movement and gatherings. Services are being provided remotely by phone, requiring additional funds, and case workers have to ensure that they have a private and confidential space where they can speak to beneficiaries over the phone. School closures have severely impacted on the school reintegration strategy for girls who have given birth or been married. Moreover, there have been anecdotal reports that girls who were enrolled in school before the pandemic-related closures have indicated that on re-opening they do not intend to re-enrol because they are now either pregnant or married. Moving forward, it will be critical to further strengthen referral mechanisms and linkages to services, including social protection, child protection, education and health, with a strong focus on prevention initiatives that target vulnerable families. Case workers need to be supported to identify and respond to underage girls who are at risk of marriage and provide early support to the family. Even within the Child Grant programme, better coordination is needed between the cash transfer and case management components to ensure that increased access to income and improved social welfare assistance complement each other effectively and ultimately contribute to a decline in vulnerability. 10 UNICEF Case study on ending child marriage in the Republic of Mozambique
Sources [1] https://data.unicef.org/topic/child-protection/child- [9] This process is the first step to select the beneficiaries marriage; UNICEF (2016) Child marriage in Eastern and when they are registered for the child grant programme. Southern Africa: Determinants, consequences and the way All potential beneficiaries are evaluated using a vulnerability forward. Nairobi: UNICEF; prioritisation tool (VP). https://www.unicef.org/zambia/reports/ending-child- [10] UNICEF Case management component Child Grant 0-2 marriage-programme-zambia-country-profile-2018. Progress report, December 2020 (draft) [2] Ministerio da Saude (MISAU), Instituto Nacional [11] Whether a case is handled by a ‘permanente’ or a de Estatística (INE) e ICF International (ICFI) (2011). ‘technician’ depends on the severity of the case. Severe Moçambique Inquérito Demográfico e de Saúde 2011. cases fall under the technicians’ responsibility, while less Calverton, Maryland, USA: MISAU, INE e ICFI. serious cases are the permanente’s responsibility. [3] Ministerio da Saude (MISAU), Instituto Nacional [12] The reference group is a multisectoral coordination group de Estatística (INE) e ICF International (ICFI) (2011). that operates at national, provincial and district level. It is led Moçambique Inquérito Demográfico e de Saúde 2011. by the Attorney office and co- led by Ministry of Gender, Calverton, Maryland, USA: MISAU, INE e ICFI; Children and Social Action to respond to cases of violence https://www.unicef.org/mozambique/en/child-marriage- against children and trafficking. mozambique#:~:text=English-,Mozambique%20 has%20one%20of%20the%20highest%20rates%20 [13] UNICEF Mozambique (2020). UNICEF Care Component of%20child%20marriage,and%20southern%20 Progress Report, Case Management in Nampula, June 2020; African%20sub%2Dregion.&text=Child%20marriage%20 UNICEF Relatório de atividades da componente de Gestão endangers%20girls de Caso Subsidio da Criança em Nampula. November 2020. [4] Ministerio da Saude (MISAU), Instituto Nacional [14] UNICEF Mozambique (2020). UNICEF Care Component de Estatística (INE) e ICF International (ICFI) (2011). Progress Report, Case Management in Nampula, June 2020; Moçambique Inquérito Demográfico e de Saúde 2011. UNICEF Relatório de atividades da componente de Gestão Calverton, Maryland, USA: MISAU, INE e ICFI. de Caso Subsidio da Criança em Nampula. November 2020. [5] UNICEF-UNFPA (2015) Report of the Inception Phase of [15] UNICEF Mozambique (2020). UNICEF Case the UNICEF-UNFPA Global Programme to Accelerate Action management component Child Grant 0-2 Progress report. to End Child Marriage. New York: UNICEF-UNFPA. December 2020 (draft). [6] Silva, G. (2020) Child Marriage Convergence Strategy for [16] UNICEF Mozambique (2020). UNICEF Case UNICEF Mozambique. Maputo: UNICEF. management component Child Grant 0-2 Progress report. December 2020 (draft). [7] UNICEF Mozambique (2020). UNICEF Care Component Progress Report, Case Management in Nampula, June 2020; [17] UNICEF Mozambique (2020). UNICEF Care Component UNICEF Relatório de atividades da componente de Gestão Progress Report, Case Management in Nampula, June 2020; de Caso Subsidio da Criança em Nampula. November 2020. UNICEF Relatório de atividades da componente de Gestão de Caso Subsidio da Criança em Nampula. November 2020. [8] The Spotlight Initiative is a global partnership spanning several years between the European Union and the United [18] UNICEF Mozambique (2020). UNICEF Relatório de Nations. It was launched in 2017 and aims to eliminate atividades da componente de Gestão de Caso Subsidio da all forms of violence against women and girls through Criança em Nampula. November 2020. prevention, protection and the provision of services, [19] UNICEF Mozambique (2020). UNICEF Care Component with a focus on women’s economic empowerment and Progress Report, Case Management in Nampula. June 2020. participation in all aspects of society. For more information, please see www.spotlightinitiative.org 11 UNICEF Case study on ending child marriage in the Republic of Mozambique
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