The growing global consensus on the need for action on unpaid care work is reflected in its inclusion in a specific target under Sustainable Development Goal (SDG) 58 in 2015: “recognize and value unpaid care and domestic work through the provision of public services, infrastructure and social protection policies, and the promotion of shared responsibility within the household and the family as na. [...] There has been a priority for many years to universalise enrolment in primary schools – established as a human right in 1948, reaffirmed in the Convention of the Rights of the Child in 1989, prioritised as on one of the eight MDGs in 2000 and reiterated in SDG4. [...] A combination of national legislation and local mobilisation is needed to deliver the right to early childcare! But challenges continue and the next focus of mobilisation is to defend the centres against austerity cuts under the new government and to ensure greater proximity of centres to homes, longer hours of service and safe transit routes. [...] This varies enormously across countries – from the upper end of 591 in Cuba and 337 in Germany to the lower end of 12 in Zambia, 8 in Uganda and just 2 in Tanzania.84 It also varies within countries by location: whilst half the world’s population live in rural areas, they are served by just a quarter of the world’s doctors and a third of the nurses.85 There are about 29 million nurses in the world. [...] The 4A framework from Tomasevski is referred to in health though rather than ‘adaptable’, WHO refer to ‘quality’ as the fourth element:89 • Availability – the sufficient supply and appropriate stock of health workers, with the competencies and skill-mix to match the health needs of the population; • Accessibility – the equitable distribution of these health workers taking into account the demograp.
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