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UNICEF BRAZIL EXECUTIVE SUMMARY: Racial and Gender Inequalities in Children, Adolescents & Women in Brazil in the Context of the MDGs In 2000, 191 member states of the United Nations, including Brazil, pledged their commitment to achieve the eight Millennium Development Goals (MDGs), by the end of 2015. The MDGs will only truly be achieved, however, if every citizen, whatever his or her race, ethnic background, gender or age, is guaranteed the same opportunities. The analyses presented in this report show that, in Brazil, children, adolescents and women, especially those who are black or indigenous, are the most vulnerable to social exclusion and to violations of their rights to a decent wage, education, health, and reasonable living conditions. The aim of the report is to illustrate, in a reader-friendly way, how race, ethnic background and gender inequality excessively affect women, children and adolescents, and how it is important to consider these aspects not only in MDG monitoring and analysis, but also in the process of developing and implementing effective public policies in Brazil. The report focuses on eight official Brazilian indicators to understand Brazil’s performance thus far to reaching the eight MDGs, and highlights what is required for Brazil to achieve all eight by 2015. The report uses clearly understandable table and chart analyses throughout; the following example highlights MDG 5 – Improve maternal health. Percentage of women receiving no prenatal care, Brazil, 2003 Brancas = white Negras = afro-descendants Worst Best Source: MS/SINASC Microdata. Prepared by: UNICEF In relation to MDG 5, the report states that approximately 100,000 pregnant women did not undergo prenatal check-ups in Brazil, a procedure which is essential for guaranteeing the health of both mother and baby. Furthermore, for afrodescendant women, the lack of access to prenatal care is three times greater than for white women. More than 1.7 million pregnant women did not undergo seven prenatal check-ups, which represents the minimum recommended number of prenatal check-ups for guaranteeing the health of the mother and child. Afro-descendant women represent 64% of this group, a percentage that drops to 38.4% for white women. The racial inequality in this indicator reflects not only the difficulty in getting access to prenatal care services, but also its quality. Afro-descendant and indigenous women are very often the victims of racism at health-care units themselves. The report shows how guaranteeing the access of afro-descendant and indigenous women to prenatal care, whilst respecting cultural diversity, identity and culture, is one of the challenges to be faced during the development of appropriate public policies for improving maternal health in Brazil. For more information on UNICEF’s activities in Brazil, please visit our website at: www.unicef.org.br 1