Reduction of infant mortality in Latin America and the Caribbean: uneven progress requiring a variety of responses

Infant mortality has unquestionably declined throughout Latin America over the last decade, even under conditions of low and unstable economic growth and a meagre overall reduction of poverty in the region. The declines in infant mortality vary from one country to another. The persistence of high infant mortality rates is related to low income, teenage pregnancy and lack of access to basic services, as well as to the lack of appropriate health care infrastructure. At the same time, both the rural population as a whole, and the indigenous and Afro-descendent population in particular, has fallen markedly behind, with overall infant mortality rates much higher than among the rest of the population. Moreover, the cause and incidence of death in this age group have been changing according with the changes in neonatal and post-neonatal deaths. Our editorial line-up has created space for opinions from adolescents and youth, as well as from policy experts on the problem, its causes, and approaches to dealing with infant mortality. We also offer succinct information on a broad range of programmes—utilizing various interventions—in different countries of the region regarding maternal and infant care, in an attempt to bring about a reduction in mortality.

Rights of urban children

Urban children in Latin AmericaThis issue of Challenges addresses a topic deserving of special attention: the high proportion of children and adolescents in the region's urban areas who live in precarious conditions. Their disparate living conditions are examined with a look at the moderate deprivation (housing deficiencies, monetary poverty or low level of education) and severe deprivation (a combination of two or more of the aforementioned deficits) affecting urban dwellers. It is estimated that about 29.0% of children and adolescents in these areas live in conditions of severe deprivation and 27.6% experience moderate deprivation for an average of eight countries.In severely deprived rural and urban areas a higher proportion of children are not immunized against measles, and a greater percentage of adolescents are neither studying nor economically active, and are already parents.These disparities call for differentiated policies with a strong local focus and the potential to improve living conditions, lower the risk of infant morbidity and mortality, and reduce rates of adolescent pregnancy and school dropout. Significant initiatives and policies designed to produce healthy and inclusive environments have already been put in place in some of the most vulnerable areaswith a view to improving the quality of life among these groups.In addition to the featured article, the issue includes information on relevant meetings and conferences held in the region over the year, children's and adolescents' testimonies, and expert opinion.

Progress of road maintenance in Latin America

Road maintenance work has gradually been increasing in Latin America. Existing contracts in Argentina, Chile, Guatemala and Uruguay - 210 overall - account for a total of 20,212 kilometers of public roadways by level of service. In Brazil, Ecuador and Peru, 26 contracts are now in the pipeline for the maintenance of 7,700 kilometres of roadway. This issue of the FAL Bulletin presents a survey of the status of road maintenance considered at the second Seminar of the Americas of the Road Maintenance Training Programme (Provial), held in Lima, Peru from 18 to 21 October 1999 and which examined the type of financing used in road maintenance as well as contracts, institutions and interaction between the public and private sectors.

Physical integration of South America: recent progress

Processes of open regionalism and globalization should pay greater attention to physical integration, the limits of which today restrict their effectiveness, placing South America at a disadvantage compared to other regions around the world. This edition of the FAL Bulletin provides information on the resolutions approved by the Second Meeting of Presidents of South America, Guayaquil, 26 to 27 July 2002, along with some of the papers presented at the technical meeting held 5 August 2002 and the conclusions reached at this meeting.

Energy efficiency in Latin America and the Caribbean: Progress and challenges of the past five years. Executive summary

The present document analyses the progress of national programmes and activities associated with the promotion and development of energy efficiency between the years 2008 and 2013 in the 27 Latin American and the Caribbean member countries of the Latin American Energy Organization (OLADE). The new study is based on the original report —prepared by ECLAC and OLADE between July 2008 and July 20091— taking into consideration any progress made over the past four to five years, an interval long enough to justify an update both of the current status of energy efficiency and its prospects, developments and challenges in the Region of Latin America and the Caribbean.

Energy Efficiency in Central America: Progress and action towards the fulfillment of the goals of the Central American sustainable energy strategy

Includes bibliography.

Progress in implementation of the Mauritius Strategy: Caribbean Regional Synthesis Report

The Global Conference on the Sustainable Development of Small Island Developing States (SIDS) was held in Bridgetown, Barbados, from the 25 April – 6 May 1994. This culminated in the Declaration of Barbados and the Programme of Action for the Sustainable Development of Small Island Developing States. Ten years later an International Meeting to Review Implementation of the Programme of Action for the Sustainable Development of Small Island Developing States was held in Port Louis, Mauritius, from 10–14 January 2005. This international meeting, in turn, resulted in the Mauritius Declaration and the Mauritius Strategy for the Further Implementation of the Programme of Action for the Sustainable Development of Small Island Developing States (MSI).

Implementation of the Cairo Programme of Action in the Caribbean (1994-2013): Evaluating Progress and Renewing Commitment

Includes bibliography.

Patterns of technical progress in the Brazilian economy, 1952-2008

This article analyses the pattern of technical change in the Brazilian economy between 1952 and 2008. A Marx-biased pattern of labour-saving and capital-using change predominated in the period under study. Three phases in the dynamism of technical change can be distinguished, however. The first, from 1952 to 1973, was highly dynamic. In the second, from 1973 to 1991, this dynamism lessened. Lastly, between 1991 and 2008, the dynamism of technical change recovered slightly. The wage share held fairly steady throughout the period. The rate of profit dropped between 1952 and 1991 before rising slightly from 1991 to 2008. The net capital accumulation rate contracted after 1975 because of the decline in the rates of profit and investment. Between 2004 and 2008, the net capital accumulation rate increased.

The girl child and boys in the Caribbean: progress and challenges

This issue of Gender Dialogue focuses attention on the status of the girl child in the Caribbean and examines the ongoing progress and challenges in fulfilment of international mandates such as the Beijing Platform for Action, the Convention on the Rights of the Child (CRC), the Millennium Development Goals and other relevant commitments.

Guaranteeing indigenous people's rights in Latin America. Progress in the past decade and remaining challenges. Summary

As the twenty-first century advances, the countries of Latin America are building deeper democracies and looking critically at the development process, in the growing conviction that development should focus on equality and be approached on the basis of rights. This means tackling the region’s persistent inequalities, especially those affecting indigenous peoples, who have historically suffered exclusion and discrimination. It also means guaranteeing indigenous people both the enjoyment of human rights on an equal footing to the rest of society, and the right to be collectively different. This is a challenge for this century, which began with the recognition of the rights of indigenous people and the role they unquestionably play on national and international agendas.