Preliminary Remarks
Introduction
Statistics
Support Services
Financial Resources
Support Services
Financial Resources
Statistics
Article 2(c): Protection of Women's Legal Rights
Article 2(e) and (f)
Article 2 - Links to Convention and
other sections
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Article 3: Measures to Ensure the Advancement of Women
Article 3 - Links to Convention and
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Article 4: Temporary Special Measures
Percentage of Women in Québec's Public Service, by Job Category
Job Category | April 1, 1994 (%) | March 31, 1998 (%) |
Professional staff | 16.7 | 20.4 |
Training staff | 29.7 | 32.8 |
Technical staff | 38.7 | 40.7 |
Office staff | 42.4 | 48.4 |
Peace officers | 11.7 | 14.5 |
Labourers | 2.0 | 2.4 |
Source: Treasury Board, L'effectif de la fonction publique du Québec, 1998.
Proportionately, representation of women in the supervisory category rose from 14.1 percent in 1994 to 17.5 percent in 1998 at the upper management level, and from 16.7 percent to 20.4 percent at the middle management level. Despite this progress, however, the figures failed to meet program objectives.
In the area of employment equity in the construction industry, in implementing a remedial plan developed by Québec's Construction Commission, the government adopted major regulatory provisions to promote women's access to the construction industry, and maintain and increase their numbers in this sector.
Since November 1997, the Regulation Respecting Placement of Employees in the Construction Industry has ensured that available, qualified women are referred to employers in a given region on a priority basis. The Regulation Respecting the Issuance of Competency Certificates has also been amended. Now, an apprentice competence certificate can be issued to a woman upon confirmation that an employer is prepared to hire her, without the need for a guaranteed number of hours worked; this provision also facilitates renewal of both the apprenticeship certificate and the occupation competence certificate.
These changes have had a marked impact on women's access to the construction industry, but the maintenance and increase of their numbers are not yet significant. Individuals in charge of implementation feel the program should remain in place for 10 years; realistically speaking, therefore, the objective of incorporating and keeping 2,000 women in the industry could be realized by the year 2005.
Contract obligation is a measure that requires companies with 100 or more employees that obtain government contracts or grants of $100,000 or more to establish an equal employment opportunities program for women, visible minorities and Aboriginals.
Of the 154 firms subject to the Contract Obligation Program at December 31, 1997, 92 had submitted an initial report by December 1998, enabling the Human and Youth Rights Commission to establish a basis for analysis. Although these years were characterized by a considerable shrinkage in the labour market (a 7.5 percent reduction in staff of the companies concerned and a 4.9 percent cut in jobs from categories targeted by the Program), female personnel rose 3.4 percent. There was a considerable increase in women in management and professional positions (varying from 1 percent to 13 percent, depending on the sector involved) and supervisory posts (from 2 percent to 18 percent).
Article 4 - Links to Convention and
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Québec's Department of Citizen Relations and Immigration (MRCI) has helped promote the province's values on gender equality through host, socioeconomic integration and "francization" programs, the latter being aimed primarily at female immigrants.
Annual awards by the Minister of Education (Responsible for Youth) are intended to recognize the work of those who have developed high quality instructional material. The competition has been held at the college level for 20 years, and was launched at the university level in 1997. One of the categories highlights the promotion of gender equality and comes with a prize of $3,000 for each recipient.
Article 5(b)
The 1997 Act to Institute, Under the Code of Civil Procedure, Pre-Hearing Mediation in Family Law Cases (S.Q. 1997, c. 42) provided for the establishment of a family mediation program beginning in September 1997. Family mediation is defined as a means of conflict resolution in a context of family breakdown by which an impartial mediator helps the spouses negotiate an equitable agreement that is concluded with the free, informed consent of both parties. The main goal of mediation is to arrive at a viable agreement, outside the legal sphere, that meets the needs of each family member. If there is a dispute, therefore, couples with children participate in an information session on mediation before being heard by the court. The parties may then decide to continue the mediation process. Couples are entitled to a maximum of six free mediation sessions to reach an agreement on custody, visiting and outing rights, support payments and division of family assets.
Exceptions to the process may be made if one of the spouses is under duress, or on other serious grounds such as conjugal violence.
In matters of family law, Québec recognizes the joint responsibility of parents toward their children in all cases, which means that the equal interests and obligations of both mother and father are taken into account in settling disputes.
Article 5 - Links to Convention and
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Article 7: Women in Politics and Public Life
At the municipal level, the number of women in elected positions continues to grow slowly. The percentage of women mayors rose from 8.9 percent to 9.4 percent between 1994 and 1997, while that of female municipal councillors increased from 19.5 percent to 21.7 percent (see Appendix 2).
On the provincial political scene, 18.4 percent of Members of the National Assembly in 1994 were women; this figure rose to 20.0 percent in 1997. For the same years, the percentage of female government ministers rose from 19.0 percent to 22.7 percent (see Appendix 2).
In the school system, after the elections of November 20, 1994, 53 percent of women chaired school boards and 46.4 percent were board members, making for gender parity in these positions.
With the movement towards regionalization, new local and regional structures have gradually sprung up during the 1990s. On regional development councils, women represented 15.2 percent of board members in 1994, whereas in 1997 the figure was 18.0 percent. Women on regional health and social services boards accounted for 33.8 percent of board members in 1994; in 1997 the rate stood at 36.9 percent (see Appendix 2). In 1997, women represented 41.1 percent of board members in establishments responsible for delivering health care and social services at the local level.
In the public service, representation of women in executive positions rose significantly between April 1994 (21.8 percent) and March 1998 (28.5 percent). In particular, there was an increase in the number of female deputy ministers (from 14.3 percent to 27.6 percent), as well as assistant and associate deputy ministers (from 12 percent to 25.7 percent). Overall, women now represent one quarter of all executive positions, and are on the way to accounting for one third, thanks to the government's firm determination in this regard (see Appendix 3).
There have also been gains with regard to the presence of women on the bench. In total, the proportion of female judges was 11.8 percent in 1994, while in 1997, the figure stood at 16.1 percent. In the municipal courts the ratio rose from 6 percent to 11 percent; in the Court of Québec, from 12 percent to 18 percent, and in the Superior Court, from around 12 percent to 18 percent. The proportion of women judges in the Court of Appeal has held steady at 25 percent (see Appendix 4).
Article 7 - Links to Convention and
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Article 8: Women as International Representatives
Québec participated in all steps of the Fourth World Conference on Women (Beijing, China, September 1995). The province's contribution took the following shape:
participation in preliminary meetings held by the Francophonie (Nouakchott, Mauritania, July 1994, and Dakar, Senegal, November 1994), organized under the aegis of the Agence de coopération culturelle et technique
Between 1994 and 1998, the Secrétariat à la condition féminine [Secretariat on the Status of Women] participated in other international events dealing with various related themes:
Québec's participation at the Beijing Conference highlighted the benefits of discussions with other governments with innovative or complementary strategies on women's issues, or with administrations that hope to take advantage of our knowledge in this area. The experience also emphasized the need for closer monitoring of international trends and an evaluation of their repercussions on our own policies.
Accordingly, between 1996 and 1998, Québec sent task forces to Morocco, France and Tunisia, and signed an agreement with the latter for afive-year (1998-2002) cooperative program on women's rights and living conditions.
From April 1994 to March 1998, the Office of the Status of Women hosted 23 delegations from as many different countries -- in particular Thailand, Japan, Belgium, Russia, Haiti, Benin, Rwanda, Tunisia and Morocco, all of which were interested in discussing women's issues.
The Department of International Relations, which is involved in the 1997-2000 Action program, has undertaken to:
Article 8 - Links to Convention and
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In the fields of education and training, the number of women with degrees in Québec continued to rise between 1994 and 1998 at all levels; in fact, women even constituted the majority of students at the college and undergraduate and graduate university levels.
Article 10(a): Access to Studies
However,the breakdown by sex varies greatly according to field of study. There is an over-representation in traditional areas such as the social sciences, health, education and the arts, and an under-representation in the applied sciences, especially engineering, computer sciences, physics and data processing (see Appendices 5 and 6).
In order to ensure that women are on the cutting edge of major economic trends, have access to well-paid jobs with a future, and participate fully in the knowledge-based economy, the government has undertaken a project aimed at supporting and sustaining the progress made by Québec women in science and technology. This is one of the three mobilization projects that form part of the 1997-2000 Action Plan for Women Throughout Québec.
To carry out this project, an interdepartmental committee was struck in the spring of 1997. The committee is composed of departments and agencies that, by reason of their mission, are more directly involved with the problem and the approaches envisaged. The committee is to submit a government action plan designed to improve the situation.
With regard to non-traditional occupations, the Department of Education has implemented various measures to enhance the career choices open to girls and women. In 1995, in cooperation with the business community and other sponsoring departments, the Department restored the "Chapeau, les filles!" competition, in which scholarships from $500 to $1,000 are awarded to regional winners who then become eligible for a number of provincial awards, such as paid internships and training periods abroad. Winners' names are announced at a public ceremony, which helps eliminate resistance to careers in non-traditional trades and occupations.
Article 10(e): The Same Opportunities for Adult and Functional Literacy Programs
Thanks to a financial contribution of $300,000 (spread out over two years) from Québec's Department of Culture and Communications through the Information Highway Fund, the NetFemmes project was implemented in 1997-1998. The project goals included creating a website that is both a resource centre and a meeting place, and training women to use new information and communications technologies. NetFemmes is spearheaded by the Centre de documentation sur l'éducation des adultes et la condition féminine, in partnership with seven provincial women's groups numbering several thousand members, and the Regroupement québécois des chercheures féministes, an organization of more than 100 female researchers from the university, community and government sectors.
Article 10(g)
In 1998, the Department of Municipal Affairs published a study paper entitled Les jeunes et l'activité physique, Situation préoccupante ou alarmante? [Young People and Physical Activity: Cause for Concern or Alarm?] for physical education teachers and sports instructors working with young people. The document pays particular attention to the situation of girls.
Upon entering high school in Québec, only 46 percent of girls regularly engage in physical activity, as compared with a figure of 68 percent for boys. On average, teenage girls aged 12-17 spend barely four hours a week in physical activity, as compared to nine hours for boys the same age.
The study paper gave rise to a major two-year (1998-2000) awareness campaign aimed at countering inactivity and obesity in young women. Kino-Québec, an agency of the Department of Municipal Affairs, will work with the Fédération des éducateurs et éducatrices physiques enseignants du Québec and the Québec Student Sport Federation in this endeavour.
Article 10 - Links to Convention and
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In Québec's labour market, women are growing as an economic force, not only as qualified workers but as entrepreneurs. Since 1992, the participation rate of women has remained relatively constant at 54 percent.
From 1994 to 1997, the unemployment figure for women dropped slightly from 11.3 percent to 10.8 percent, continuing to come in at below that for men, which stood at 11.9 percent. However, the length of unemployment rose. For women, the average unemployment period went from 24.8 weeks to 27.8 weeks, although this number still remained below the average figure for men, which was 34.5 weeks in 1997.
Women still work in a restricted number of sectors. In 1996, almost 25 percent of the female labour force was concentrated in only five occupations-- secretary, sales clerk, cashier, accounting clerk and nurse. This concentration is much less noticeable among men (12 percent). Furthermore, the five main jobs occupied by women are generally less well paid than those dominated by men.
At the same time, between 1994 and 1997, there was a growth in the number of women in more unstable jobs, such as part-time employment, temporary or contract employment, and self-employment.
Between 1994 and 1997, an increasingly large proportion of the female labour force occupied part-time jobs, with more women, proportionally, in this type of work. In 1997, 27.3 percent of jobs occupied by women were part time, as compared with 25.6 percent in 1994. In contrast, the situation for men remained steady at a conspicuously lower rate of 10 percent.
From 1994 to 1997, self-employment figures continued to rise. Women represented almost one-third of the self-employed and accounted for the increase in this type of work in the same proportion. The status of self-employed women is similar to that of their salaried counterparts: that is, proportionally more women occupy part-time jobs and earn less income than their male peers (70 percent of women, as compared with 28 percent of men, earn less than $10,000 per year). It is estimated that 43 percent of self-employed women work part time, while this is true for only 14.3 percent of self-employed men. Average income for all women for whom self-employment constitutes a main business or secondary activity is 40 percent below that for men in the same situation, and this discrepancy increases progressively with age.
A committee established by the Department of Employment and Solidarity and the Department of Labour to examine the problem of self-employment submitted its report in November 1997. The government then pursued its deliberations by creating two working subcommittees, one on the status of self-employment and taxation, and the other on support for entrepreneurship, employment and job development.
Close on the heels of the 1997-2000 Action Plan for Women Throughout Québec, a government task force on female entrepreneurship was established in April 1997. This task force filed its report, entitled Entreprendre au féminin [Enterprising Women], in November of the same year. The report's recommendations are aimed primarily at facilitating access to financing, networking and information for female entrepreneurs. To implement those recommendations, the Department of Industry, Commerce, Science and Technology made administrative changes at the regional level in order to help women take advantage of Department services. The government also announced the creation of a consulting group on entrepreneurship to advise it on the best measures to be taken in this regard.
Despite an unfavourable economic climate, the number of businesses run by women has climbed dramatically. In 1994, approximately one firm in three was run by a woman; in 1991, the ratio was one in four. Over that period, the job growth rate in companies run by women was 13.6 percent. In 1994, these undertakings accounted for 358,200 jobs. However, female entrepreneurs are still found mainly in the traditional service sector.
Access to credit is one of the main difficulties experienced by female entrepreneurs. There are marked discrepancies in this area between female and male entrepreneurs, and research has shown that companies run by women borrow from financial institutions less often than those run by men. Also, when female entrepreneurs apply for financing, they are turned down much more often than men (23 percent versus 14 percent). Financial institutions ask women who own businesses to put up a guarantee, security or collateral more often than their male counterparts (74 percent as compared with 64 percent). Women are also more likely to be required to have their spouse co-sign a loan (25 percent) than men (13 percent), and they often pay higher interest.
Given these facts, in 1998 the Department of Industry and Commerce produced a video entitled Prêt pour un prêt in an effort to facilitate meetings with bankers. This tool comes with a plain language guide filled with examples that illustrate concepts and make financial jargon more understandable, enabling users to properly word their applications and prepare for negotiations.
With regard to labour standards in the province of Québec, the hourly minimum wage rose from $6 on October 1, 1994, to $6.80 on October 1, 1997, a 13 percent increase in three years. Over the same period, the hourly rate for tip-earners went from $5.28 to $6.05, a hike of approximately 15 percent. These increases constitute a major gain for women since, in March 1998, the latter represented 61 percent of the province's 137,000 minimum-wage earners.
Working conditions for live-in domestics have also improved. Between 1994 and 1997, minimum weekly compensation rose from $233 to $264, and the normal work week was reduced from 53 to 49 hours. Furthermore, since February 1, 1998, employers can no longer require live-in domestics to pay room and board, thus improving the working conditions of these employees even more.
On November 21, 1996, the Government of Québec passed the Pay Equity Act (S.Q. 1996, c. 43), which came into effect on November 21, 1997.
The purpose of the Act is to "redress differences in compensation due to the systemic gender discrimination suffered by persons who occupy positions in predominantly female job classes." It applies to any private or public sector firm with 10 or more employees.
This legislation contains detailed provisions for implementing the pay equity process; it provides for employee participation and stipulates how to establish a pay equity program for companies with 50 or more employees.
The Commission de l'équité salariale [Pay Equity Board] established under the Act puts a variety of tools at the disposal of employers to aid them in their endeavours. Employers have until November 21, 2001, to determine if adjustments in compensation are required, and until November 21, 2005, to pay such adjustments (in equal annual instalments). In the long run, it is hoped that the Pay Equity Act will make it possible to eliminate that portion of the wage gap, up to half, due to systemic discrimination (the other part being attributable to such factors as women's seniority, experience, lower educational level and lower unionization rate). Between 1995 and 1997, the last three years for which statistics are available, the ratio of average earnings for Québec women working full time year round varied at around 75 percent of that for men.
Over the past 20 years, in the wake of economic recessions and market and industry changes, the spectre of poverty has continued to haunt Québec despite sustained government efforts to mitigate the problem. Certain population groups are more likely than others to become and remain poor. In this regard, the status of women continues to be of concern. In 1996, according to Statistics Canada's after-tax low-income cutoff (LICO) figures(1) (1992 base), about 42.1 percent of women under 65 living alone were below the low-income cutoff point, as compared with 36.2 percent of men. This discrepancy is exacerbated for people 65 and over, with the respective rates being 47.7 percent and 27.4 percent. The proportion of female single parents under the low-income cutoff is estimated to be 41 percent.
The last Canadian Census, which took place in 1996, showed that single-parent families accounted for 16 percent of all families in Québec, and 82 percent of those were headed by women (after a breakup, women are most often given the custody of children). Between 1991 and 1996, however, there was a slight increase in the number of single-parent families headed by men (see Appendix 7).
Access to employment represents the best individual means of fighting poverty, provided that the income earned is sufficient and stable. Accordingly, any action that improves labour market integration for women helps them ward off destitution and achieve economic independence, while at the same time contributing toward the fight against social injustice.
The Québec government, aware of the seriousness of the situation, took several initiatives at the Summit Conference on the Economy and Employment in October 1996, in particular by establishing the Anti-Poverty Fund and providing support for the development of a social economy, in response to requests from women's groups.
At the October 1996 Summit, union, management and community groups suggested that a gesture of solidarity be made toward the poorest of the poor, and reached a consensus on the creation of a special $250 million fund. This Anti-Poverty Fund, to be allocated over three years, is made up of equal contributions from individuals and companies, including financial institutions. The Act to Establish a Fund to Combat Poverty Through Reintegration Into the Labour Market (S.Q. 1997, c. 28) was given assent by the National Assembly on June 12, 1997. For the first fiscal year, ended March 1998, women were the recipients of 29 percent of all jobs created by Fund-related projects. If forestry development projects are excluded, that figure rises to 64 percent. Women represented 51 percent of training program participants and 39 percent of those involved in job integration activities and private enterprise internships.
In June 1995, the "Bread and Roses" Women's March against Poverty Coalition submitted nine demands to the government, one of which was for a social infrastructure program. At the conclusion of the march, a policy and coordinating committee on social economics made up of representatives from women's groups was formed to advise the government on encouraging stable jobs in related fields. In May 1996, a report was filed and regional social economy committees were established to examine viable projects.
Province-wide, the Summit Conference on the Economy and Employment provided an impetus for the social economy through financial support for a number of specific projects. By March 1998, thanks to this initiative, 2,629 jobs had been created and 611 had been consolidated (no gender-based data on job distribution are yet available for this first year).
In 1997, concrete measures were taken to promote access to employability development, training and labour force integration for female income security recipients and single parents whose youngest child had reached the age of 5. Between May 1, 1997 and April1, 1998, 2,884 of these women took advantage of the measures in question, as part of a process based on action adapted to their needs and involving the cooperation of community and institutional agencies.
In an effort to develop a specific strategy for under-employed groups, the Québec Government has provided financial and technical support for a number of different advisory committees. The Comité aviseur Femmes [Advisory Committee on Women] was established in November 1996 to optimize the government's ability to act on women's issues. Integrating women into the labour force and keeping them there involves special considerations and demands a specific approach. The Committee, which reports to Employment Québec, includes women from all areas of the province who work in local and regional development.
As part of the reform of public housing assistance for low-income families, especially single-parent families, the Québec government, in 1997, adopted certain strategies and an action plan. This reform resulted in:
With respect to the fight against poverty, it is important to mention the basic issue of access to housing free from discrimination based on any of the criteria in the Québec Charter of Human Rights and Freedoms. The Human and Youth Rights Commission has made impressive legal gains in this regard that have particular significance for women. In a case brought before the Commission on behalf of a social assistance recipient who had been refused housing, the Human Rights Tribunal concluded that, since the landlord had not bothered to inquire as to the woman's actual ability to pay rent, the complainant had been discriminated against on the basis of her social condition (Commission des droits de la personne et des droits de la jeunesse du Québec v. J.M. Brouillette Inc. (1996), 23 C.H.R.R. D/495). Furthermore, Québec courts have recognized that the refusal to let a dwelling on the pretext that, for example, three people should not occupy a 4½-room unit, constitutes a discriminatory practice because it prevents access by families with children, thus constituting indirect discrimination based on age (of the children) (Desroches v. Commission des droits de la personne and des droits de la jeunesse, [1997] R.J.Q. 1540 (C.A.)).
Article 11(1)(e)
The Act Respecting Prescription Drug Insurance and Amending Various Legislative Provisions (S.Q. 1996, c. 32) was passed in 1996. The new drug insurance plan gives everyone in Québec reasonable economic access to prescription medication. Almost 1.5 million Québeckers who previously did not have enough coverage benefitted from this insurance when it came into effect in January 1997. The plan entitles every Québec resident registered with the provincial health insurance board to basic pharmaceutical service and drug coverage.
As part of the initiatives taken to stimulate job creation in the social economy sector, a mechanism facilitating the payment of individuals working in the home care field -- the service employment paycheque -- was implemented in 1997. The goal of this measure was to reduce paperwork for the disabled and dependent seniors, provide a social safety net for home care workers, and reduce the incidence of unreported work in the social economics sector. Because of the type of home care eligible under the program (housekeeping, direct patient care, child care, etc.), the safety net for many female home care workers should become stronger, as employers -- i.e., the disabled and dependent seniors -- are now obliged to pay employer contributions to the Québec Pension Plan and Employment Insurance.
In October 1996, Québec's Workers Compensation Board, in cooperation with the Social Affairs Sector of the Association pour la santé et la sécurité du travail [Occupational Health and Safety Association], launched a project aimed at preventing injuries related to daycare work.
The project consisted of gathering complete data on daycare personnel, conducting an awareness campaign on "How to Live in a Child's World" [Comment vivre dans le monde des petits], and developing prevention tools (brochure, video, poster, newsletter). These tools, which were distributed to 1,200 daycares, are aimed at more than 10,000 daycare workers, 98 percent of whom are women.
In 1996, 532 daycare staff received Workers Compensation benefits; for the same year, 28,500 days of work were lost because of absences stemming from a work accident or occupational illness, for an average length of 54 days per incident.
Article 11(2)(a)
During the period from April 1, 1994 to March 31, 1998 inclusively, the main legal decisions rendered in the employment sector by the Human Rights Tribunal bore on the application of s. 10 (discrimination on the grounds of sex or pregnancy) and s. 10.1 (sexual harassment) of Québec's Charter of Human Rights and Freedoms. Of the 17 cases in question, six dealt with sexual harassment, five with discrimination on the grounds of pregnancy, one with sexual discrimination, three with both sexual discrimination and sexual harassment, and two with discrimination and harassment based on sex, age and social condition. Of these complaints, the Tribunal allowed ten and dismissed seven (see Appendix 8).
Article 11(2)(b) and (c)
In June 1997, the Government of Québec published the Livre blanc des nouvelles dispositions de la politique familiale [White Paper on New Elements of the Family Policy]. This policy was designed to facilitate a reconciliation of parents' family and professional responsibilities, provide financial assistance for low-income families, develop early childhood education services, and support maternity and paternity. The policy's three main areas of action are: tax reform and family allowances, educational and early childhood services, and maternity and parental leave benefits.
With regard to educational services, since September 1997, the government has offered full-time Kindergarten to all children in the province. Although attendance is optional, 99 percent of 5-year-olds attend Kindergarten.
With respect to early childhood services, in September 1997, the Department of Child and Family Welfare (MFE) turned existing non-profit daycares and child care agencies into a network of early childhood centres providing services for children four years and under. In 1997-98, these services were available at a cost of $5 per day, and free of charge for parents on social assistance, for children in that age group. The MFE also allocated $205.7 million in operating grants to early childhood centres and $28.3 million to commercial daycares.
As of March 31, 1998, the MFE had injected almost $2.5 million into the creation of new early childhood education spaces, representing an increase of 80 percent over the budget for the previous year. Part of that sum, or approximately $650,000, went toward new spaces for 4-year-olds from disadvantaged homes in the Montréal area. An amount of $92.9 million was also paid out as tax relief and child care assistance for low-income families.
Also at the same date, the Department of Child and Family Welfare was offering a total of 82,302 child care spaces, either in daycares or private homes, and the Department of Education provided 92,721 children with school daycare.
The new family allowance has replaced or modified certain programs previously in effect. Since September 1997, the allowance has varied in accordance with family status (single- or two-parent family), family income and number of children, and represented a sum of $407.2 million for the period from September 1, 1997 to March 31, 1998.
Family allowances are not the only source of financial assistance provided by the Government of Québec -- several tax provisions are also available.
In 1997, the Act Respecting Labour Standards (S.Q. 1997, c. 10) was amended to extend parental leave from 34 to 52 weeks.
Article 11 - Links to Convention and
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In the area of women's health in November 1996, the Department of Health and Social Services (MSSS) published Derrière les apparences [Beyond Appearances], a monograph on the health and living conditions of women that takes Santé Québec 1987 survey data, the findings of other specialized studies, and the results of the social and health survey conducted by Santé Québec in 1992-93, and puts them all into perspective. The work discusses developments in women's health and living conditions as well as women's own health concerns.
The most significant finding of the surveys was the impact of social and economic conditions on health. Poor women -- i.e., single parents and elderly women living alone -- are seriously at risk from several health viewpoints. Certain key times of life, such as adolescence and old age, also seem more difficult and stressful for women. Even more significant, perhaps, are the numerous links between social status, health profile and behaviour.
The MSSS has developed a 1997-2000 action plan on women's health, wellness and living conditions that contains a number of measures designed to improve women's health and well-being. This action plan gives priority to evaluating the impact of network developments on families, relatives and workers, with the focus primarily on service organization changes and their consequences for caregivers and workers, who are mainly women. Related research projects are currently being planned or conducted.
The MSSS has also established the following measures to facilitate the task of caregivers:
These services are used 85 percent by women. A three-year, $5-million recurring budget has been allocated to reduce call waiting time and increase response capabilities.
Article 12(1)
In Canada, Québec has the highest number of cases of AIDS among women and children. It is estimated that between 50 and 60 new cases are diagnosed annually among Québec women, most of whom are between 25 and 40 years of age. At December 31, 1996, 466 cumulative cases of AIDS had been reported among women in the province. Data on risk factors show that 29 percent of cases of AIDS in adult Québec women are associated with heterosexual contact as the presumed source of infection.
In June 1997, the Department of Health and Social Services announced Phase IV of its Strategy for Combating AIDS, 1997-2002 [Stratégie québécoise de lutte contre le sida, 1997-2002]. This phase will involve the consolidation and optimization of measures that have achieved positive results and the adoption of practices that meet the needs of vulnerable groups. Action will be geared toward three priority areas: prevention, basic and clinical research, and the organization of care and services.
In May 1997, the Department announced the implementation of a program aimed at significantly reducing the transmission of HIV from mother to child by means of an effective, currently available treatment.
The goal of the program is to ensure that all pregnant women and those trying to become pregnant are provided with pertinent information on HIV antibody tests and zidovudine therapy (ZDV or AZT). All pregnant women will be given the opportunity by their physician to take such a test, free of charge and on a voluntary basis.
In Québec in 1996, according to estimates on the detection of breast cancer:
The Québec Breast Cancer Screening Program launched in October 1997 is open to all women aged 50-69. These women are urged to have a screening mammogram every two years. The program's objective is to reduce deaths due to breast cancer among Québec women in this age group (a population of some 750,000) by at least 25 percent over 10 years. The program will be implemented gradually in accordance with the specific needs, resources and problems of each region. An annual budget of $1.75 million has been allocated for the various activities involved, especially regional implementation.
In 1994, 29 percent of high school students smoked, as compared with 19 percent in 1991. This increase is especially notable among girls at all high school levels, whereas among boys the increase in prevalence is less significant.
A 1996 survey on smoking among young people showed that the habit was still on an upswing. Thirty-eight percent of all respondents said they smoked regularly or occasionally, with girls outnumbering boys 43 percent to 33 percent.
In 1994, in an effort to mount an effective campaign against smoking, Québec's Department of Health and Social Services designed and distributed an action plan centred on three main areas: prevention, protection for non-smokers and cessation. The plan is based on internationally recognized principles and strategies.
To properly understand Québec's specific situation as concerns early pregnancy, one must statistically place the phenomenon in a wider context. The rate of early pregnancies in Québec has long been lower than that in the rest of Canada. In the under-18 age group, the Canadian rate was 25.2 per 1,000 in 1980 and 25 per 1,000 in 1993. In Québec, the figure was 12.2 per 1,000 in 1980 and reached a ceiling of 19.8 per 1,000 in 1993. On the international front, at the end of the 1980s, Québec's rate for women in the 15-19 age group was 37 per 1,000, close to that of Sweden (35 per 1,000); the rate in the United States was 97 per 1,000.
A number of variables may explain the rise in the pregnancy rate among women under age 18 in Québec between 1980 and 1992. First, Québec has historically had a low early pregnancy rate because of strong condemnation from Catholic institutions. Second, the province witnessed a marked increase in the number of sexually active young people and a decrease in the average age at which sexual relations first occurred. Third, the fertility rate among teenage girls from poor homes is significantly higher; the difficult economic climate of the past few years may thus have been a contributing factor. Fourth, sex education services provided by the health and social services network and educational system have reached a plateau, if not declined.
The latest available statistics also show that the pregnancy rate among girls under 18 has stabilized, and even started to decline. For 1993, 1994 and 1995, the rate was 19.8, 19.0 and 18.5 per 1,000, respectively. This downward trend may be due in particular to the use of contraceptives such as condoms and the pill.
However, this reduction is found mainly among 16- and 17-year-olds; the rate for girls under age 15 appears to still be climbing (4.4, 4.6 and 5.4 per 1,000 in 1993, 1994 and 1995, respectively).
Although the situation is less alarming in Québec than elsewhere, the government nonetheless decided that, given the often dramatic consequences of early pregnancy, it was essential to take action to prevent such pregnancies and support teenage mothers. Accordingly, the problem is one of the priorities of the 1997-2000 Action Plan for Women Throughout Québec. A committee of representatives from the various government departments concerned was established and given a mandate to develop government-wide strategies and an action plan. The committee's goal is basically to promote joint action and coordination in all sectors.
Article 12(2)
The perinatal policy of the Department of Health and Social Services addresses the fact that needy pregnant women and future parents make such little use of the perinatal services offered by CLSCs. A pilot project was therefore carried out in 1995 in three areas of Québec (Eastern Townships, Laurentians, Montréal-Centre) to evaluate the possibility of having Labour-Québec centres and CLSCs cooperate in referring pregnant income security recipients to perinatal services provided by CLSCs and community agencies. The evaluation report, which was published in 1996, allowed the project to be extended to all areas of the province, an operation scheduled over three years.
According to 1995 MSSS statistics, approximately 30 percent of the some 27,000 women who obtain an elective abortion each year must travel to another health and social services region to obtain this service. About one third of all elective abortions are conducted at women's health care centres and specialized clinics that do not receive funding from the health network. These organizations must charge between $150 and $550 for expenses other than doctor's fees, for an average of $350 per abortion. In February 1996, the Department of Health and Social Services announced its family planning strategy, which comprised two priority objectives: a reduction in pregnancies among girls under 18, and improved access to family planning services, in particular abortions, in all areas of the province. Once these strategies had been adopted, regional health and social services boards began developing their own action plans to implement the two objectives.
In December 1997, the Conseil d'évaluation des projets-pilotes, a multi-disciplinary agency established under the Act Respecting the Practice of Midwifery Within the Framework of Pilot Projects (S.Q. 1990, c. 12), submitted its recommendations to the two government ministers concerned. The main recommendations were that:
In the spring of 1998, the Government of Québec undertook to follow up on the report and gave the Québec Professions Board a mandate to consult the stakeholders on a model for exclusive practice for midwives.
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Article 13: Economics and Social Life
According to 1994 data, nearly 50 percent of marriages end in divorce. The consequences of such breakups are numerous. At the economic level alone, in 1994, 60 percent of single-parent families lived in poverty, as compared with 13 percent of two-parent families. Women and children are particularly affected, as 82 percent of all single parents are women.
The factors behind this state of affairs include spousal failure to pay regular child support and insufficient support amounts.
In 1995, Québec passed the Act to Facilitate the Payment of Support (S.Q. 1996, c. 18). This legislation created a universal system of child support collection by the Department of Revenue, which then pays the custodial parent. The Act also respects the independence of the individuals involved: the court can, under certain conditions and if it is convinced that both parties have consented freely, exempt the non-custodial parent from the obligation to pay child support to the Minister of Revenue.
Despite the corrective measures required to reduce administrative delays, the system has proven satisfactory, allowing for an increase in voluntary child support payments from 45 percent to 74 percent, according to the Auditor General's Report, 1997-1998.
Once the Act had come into effect, a follow-up committee was established to evaluate the program, make recommendations on how to rectify the situation, where applicable, and develop indicators to monitor results. The committee is to submit a report to the government by December 1, 2000, five years after the Act came into effect.
Since January 1, 1998, child support payments ordered by the court in the case of divorce or separation, inter alia, have been indexed in keeping with the terms of the judgment, or, failing this, automatically on January 1st of every year, in accordance with the annual pension index. Annual indexation makes it possible to maintain the real monetary value of child support.
Before May 1, 1997, federal and provincial tax legislation obliged custodial parents to include child support in the calculation of their income, even though non-custodial parents could deduct support paid. This tax treatment was the subject of a dispute before the courts.
In June 1995, the Supreme Court recognized the legal validity of the tax rules in question. However, given public pressure and the problems generated by the tax treatment concerned, the government decided to make child support tax exempt -- i.e., to no longer require custodial parents to declare it as taxable income or allow non-custodial parents to deduct it from their income.
This measure became effective on May 1, 1997, and applies to any judgment or written agreement concluded after April 30, 1997, that provides for the payment of child support or revises the amount of such support after that date.
Giving child support tax exempt status means that the custodial parent (in most cases, the parent with the lower income), not the non-custodial parent, is able to make greatest use of tax advantages.
The insufficiency of child support amounts is another factor in the poverty of women and children after a marriage breakdown. Accordingly, the Québec government developed a model for determining child support payments that came into force on May 1, 1997, at the same time as the federal model.
Under the new system, the support amount is calculated in accordance with the income of both parents, the number of children involved, the nature of the custodial arrangement and certain additional expenses, where applicable (medical costs, etc.)
However, the court may, if it is of the opinion that the amount of the payment determined under the model would result in undue hardship for one of the parents, or if the parents come to some other agreement that meets the child's needs, set support at a level other than that which would normally apply.
The rules for determining child support adopted in 1997 reduce ambiguity and the likelihood of contingencies and confrontations by setting forth specific criteria and rates governing particular situations, thus resulting in more rapid settlement of disputes and less stress between parties. The Québec model also affirms the joint responsibility of parents toward their children, and makes support a top priority with respect to any expenses over and above the non-custodial parent's basic needs.
The Department of Justice, which is responsible for enforcing the model, is to submit a report within three years of its coming into force, that is, by May 2000.
In Québec, both the provincial and federal government collect income taxes. Québec is the only provincial government in the country to have its own tax collection system. Like the federal government, Québec treats individuals as tax units and enforces "progressive taxation," a system under which taxpayers with a greater ability to pay are more heavily taxed. The Québec system thus encourages the independence of individuals within the same household and a certain redistribution of the wealth of average- and high-income earners to those less affluent. Québec has also implemented several tax measures (deductions and tax credits) that are adapted to its particular aims and recognize certain special situations, such as the additional costs assumed by families with children.
Since January 1998, with the coming into effect of the tax reform for individuals, the tax burden on Québeckers has been reduced by approximately $500 million. Measures under the reform include a reduction in personal income tax, especially for low-income earners, and the promotion of labour force integration for low-income earners. If one considers that women generally earn less than men (Article 11) and that their participation in the work force is often influenced by taxation, the reform should have positive benefits for this half of the population.
The reform also completes the initiatives implemented under the new family policy (Article 11(2)) by improving financial support to families via the tax system. Income for couples with children and single parents will increase as a result of this reform. Tax assistance for families with children is aimed primarily at recognizing the additional costs involved in meeting the basic needs of children (tax credit for dependent children), encouraging parents to join the work force (child care expense credit), and reducing the tax burden on low-income families (reduced income taxes for families).
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Articles 15 and 16: Legal Rights and Women and the Family
In Québec, gender equality is fully ensured in law. One of the key moments that marked this process was in 1964, when the province put an end to the legal incapacity of married women.
In 1975, the Charter of Human Rights and Freedoms officially prohibited, for the first time, any type of gender-based discrimination. The Charter was amended in 1982 to add pregnancy and harassment, and particularly sexual harassment, as prohibited grounds of discrimination.
In the early 1980s, an in-depth reform of family law improved legal protection for married women by recognizing their complete equality to exercise their civil rights, stipulating, in particular, that spouses have joint responsibility for the moral and material direction of the family and the exercise of parental authority. The reform also provided protection for the family residence by introducing a new remedy -- the compensatory allowance -- in case of separation, divorce or death.
Lastly, 1989 saw the passage of the Act to Amend the Civil Code of Québec and Other Legislation in Order to Favour Economic Equality Between Spouses. The Act deals with the division of family assets following a marriage breakdown; such assets consist primarily of family residences, household furniture, motor vehicles used for family travel, contributions made during the marriage by each spouse to the Québec Pension Plan, and benefits accrued during the marriage under a retirement plan. These basic reforms were followed by a variety of other measures, notably those relating to employment contained in the Pay Equity Act (S.Q. 1996, c. 43).
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