1999 to 77% in 2011. Despite the considerable efforts, the latest available data from the UNESCO Institute for Statistics estimates that, for 2012, there were still 57.8 million children who were not in school. Of these, 29.6 million were in sub-Saharan Africa alone, a figure which has not changed for several years. Many sub-Saharan countries have notably included the first year of secondary school in basic education. In Rwanda, the first year of secondary school was attached to primary education in 2009, which significantly increased the number of pupils enrolled at this level of education. In 2012, the primary completion rate (PCR) – which measures the proportion of children reaching the final year of primary school – was 70%, meaning that more than three out of ten children entering primary school do not reach the final primary year. Literacy rates have gone up in sub-Saharan Africa, and internet access has improved considerably. At least 39 countries in sub-Saharan Africa have some large-scale school feeding programs, which can improve access to education. In aggregate, 16% of school-age children (and 25% of primary school-age children) in the region benefit from school meal programs, and about 82% of the funding for these programs is provided by governments. Nonetheless, a lot must yet happen for this region to catch up. The statistics show that the literacy rate for sub-Saharan Africa was 65% in 2017. In other words, one-third of the people aged 15 and above were unable to read and write. The comparative figure for 1984 was an illiteracy rate of 49%. In 2017, only about 22% of Africans were internet users at all, according to the International Telecommunication Union (ITU). Science and technology Health In 1987, the Bamako Initiative conference organized by the World Health Organization was held in Bamako, the capital of Mali, and helped reshape the health policy of sub-Saharan Africa. The new strategy dramatically increased accessibility through community-based healthcare reform, resulting in more efficient and equitable provision of services. A comprehensive approach strategy was extended to all areas of health care, with subsequent improvement in the health care indicators and improvement in health care efficiency and cost. In 2011, sub-Saharan Africa was home to 69% of all people living with HIV/AIDS worldwide. In response, a number of initiatives have been launched to educate the public on HIV/AIDS. Among these are combination prevention programmes, considered to be the most effective initiative,