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Enrolment at primary schools nationwide has leapt from 59% in 2000 to 95.4% today, putting the impoverished country well on course to achieve the second millennium development goal (MDG) of primary school education for all by 2015.

half of pupils will fail to qualify for secondary school, with 3,000 girls a year dropping out due to pregnancy.

The progress has come with a lesson in the law of unintended consequences. Enrolment has grown so fast in Tanzania that the school system is creaking with overcrowded classrooms, shortages of books, teachers and toilets, and reports of corporal punishment being used to keep order. In short, it seems that quality has been sacrificed for quantity.

But as President René Préval emphasized during my meeting with him, we must be thinking about tomorrow. Haiti, though desperately poor, had been making progress. It was enjoying a new stability; investors had returned. That will not be enough to rebuild the country as it was, nor is there any place for cosmetic improvements. We must help Haiti build back better, working with the government so that today's investments have lasting benefit, creating jobs and freeing Haitians from dependence on the world's generosity.

Haiti's plight is a reminder of our wider responsibilities. A decade ago, the international community began a new century by agreeing to act to eliminate extreme poverty by 2015. Great strides have been made toward some of these ambitious "millennium goals," variously targeting core sources of global poverty and obstacles to development -- from maternal health and education to managing infectious disease. Yet progress in other critical areas lags badly. We are very far from delivering on our promises of a better future for the world's poor.

Despite a decade-old commitment by world leaders to tackle the crisis, some 8.8 million children still die annually before they reach the age of 5. Nearly all of these needless deaths are easily preventable at little cost. Consider that number, 8.8 million. That is more than all Canadians aged 19 or younger. And that's how many young children die every year. It works out to 24,000 children per day. Seventeen per minute. Or 400 school bus loads every day, 365 days a year. All dead.At the same time, 500,000 mothers die annually in childbirth or from other pregnancy-related causes. In other words, simply being pregnant can kill you, depending on where you live. As the mother of a nearly 2-year-old child, I am reminded daily how fortunate I am to live in Canada. It is unimaginable to me that my child could die, as 1 million do every year, from the lack of a $10 bed net to protect him from malaria-carrying mosquitoes.

Diarrhea kills 1.5 million children annually. It is easily treated. So is malaria. Also, child blindness, too common in the developing world, can be prevented by just two vitamin A pills per year. Total cost: 4 cents. Better nutrition and safer birth conditions would annually save the lives of several hundred thousand pregnant women. Ten years ago, the nations of the world pledged to reduce hunger and death from a lack of basic health care. In one of their UN Millennium Development Goals, leaders committed to reduce maternal mortality rates by three-quarters and child mortality rates by two-thirds within 15 years. But, sadly, neither will be achieved by that target date, just five years away, unless donor countries like Canada reinvigorate the initiative.

Today, the world spends $49 billion (U.S.) on pet food every year. If half of that amount were added to current annual spending on maternal and child health, the child death rate could be cut nearly in half.

Indeed, there is consensus that no strategy for poverty reduction and development can ignore humanity's need for water and sanitation.

While there are specific MDGs relating to water and sanitation, it is an indisputable fact that the achievement of all other MDGs are dependent on access to clean water and improved sanitation facilities.

At Ashaiman alone, 2,015 children, each bearing a plastic drinking cup, formed a 2,015-people queue to remind duty bearers of the 2015 deadline for the meeting of the MDGs on water and sanitation.