Burundi remains a low-income country in which 80%of the population is dependent
on the agricultural sector. With a population density of 437 inhabitants per square kilometre and population growth remaining high, the pressure on natural and economic resources continues to grow in the country, with political and climate shocks impacting the most vulnerable in recent years. Burundi's Human Development Index (HDI) in 2019 was 0.433, placing the country in the "low human development" category and 185th out of 189countries. According to the World Bank, the gap between population growth and economic growth contributes to a continuous rise in the poverty rate, which is estimated at 87% in 2021. In 2019, the MPI reached 40%.
In a situation where the national economy is losing momentum, and due to the lack of knowledge on good nutritional practices, food and nutrition insecurity
continue to reach critical levels, with an average rate of 58% of chronic malnutrition, while the critical threshold as deemed by the World Health Organization
(WHO) is 40%; in some remote provinces it is well over 75%.
Food security is mainly linked to the production of two growing seasons, the intensification of which most often requires access to inputs and advisory and financing services for agricultural campaigns. Moreover, since Burundian agriculture is overwhelmingly rain-fed, the rainfall pattern impacts highly on agricultural production. Climate-related weather patterns have upset the balance, leading to more severe lean seasons. At the same time, the lack of economic opportunities for rural households and high food prices on the market are a problem for food accessibility for rural households.
In 2020, natural disasters, the mass return of Burundian refugees and the socio-economic impact of Covid-19, combined with pre-existing weak infrastructure and lack of basic social services and resilience mechanisms, have increased the difficulties and problems of the national health system. In addition, in 2018, a woman in Burundi gave birth to 5.5 children on average, which is one of the highest fertility rates in the world. Only 23 per cent of the population uses modern methods of contraception and family planning. Population growth is also bringing the school and health system to the limits of its capabilities.
In addition,
gender-based violence against women and girls is widespread and the
socio-cultural context prevents positive approaches to themes such as sex
education and family planning. In light of this situation, the Burundian
government has declared that it wants to stem population growth and improve the
sexual and reproductive health of the population and has therefore made these
two objectives a national priority. Similarly, rights associated with Sexual
and Reproductive Health and Rights (SRHR) must be respected.
The health sector is
working to reduce morbidity and mortality from epidemics by strengthening case
management and surveillance, risk communication, immunization campaigns and the
deployment of mobile clinics to meet the needs of vulnerable populations.
Partners contribute to better access to a minimum package of health services
through the training of health personnel. Particular attention is paid to emergency
obstetric care and medical and psychological care for victims of gender-based
violence.
It is in this general
context that the first multisectoral program "Support for the Resilience
of the Populations of Burundi", 2018-2022, which included three specific
objectives and contributions, was launched: (i) the sustainable reduction of
food insecurity and malnutrition by improving agricultural production, (ii)
improved access to health services, sexual and reproductive health and a
response to the specific needs of populations in crisis situations, and (iii)
improved access to a renewable energy source for the poorest populations.
The objective of this
mission and the second phase of this programme is to provide support to the
Delegation of the European Union in Burundi in the identification and
formulation of the new program aimed at the resilience of vulnerable
populations in the fields of rural development and health, following but especially taking into account the lessons
of the multisectoral program "Resilience" over the period 2018-2022.