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I hope that you will become strong supporters of the Social Protection Floor!
Notion of availability and accessibility both work hand in hand, are articulated
All residents have access to essential health care All children enjoy income security through transfers in cash or kind access to nutrition, education and care All those in active age groups who cannot earn sufficient income enjoy a minimum income security (transfer in cash or in kind & employment guarantee schemes)
All residents in old age and with disabilities have income security through pensions or transfers in kind
The SPF is the 1st step of the Social Vertical dimension: providing higher security staircase
levels of social security benefits
Objective 2 Higher levels of income security: Objective 3Beyond the floor
Additional contributory benefits
??? SSNs
SSNs
Type of interventions
Targeted set of nonUniversal entitlement to contributory transfers, protection through a defined basic depending on govts priorities package for all in need Graduation within the SS Staircase Minimum (levels of benefits Guaranteed at national poverty may not close the poverty gap) lines
Benefit levels
ILO, WHO, UNICEF, UNDESA, WFP, UNESCO, FAO, UN HABITAT, UNFPA, World Bank, Helpage,
Cambodia: CARDs SP strategy for the poor and the vulnerable with clear reference to the SPF including HEFs, CBHIs, Food distribution, Cash transfers, PEPs
Indonesia: Implementation of SS Law starting with health: Jamkesmas
Social Insurance (contributory) Unemployment insurance Pension Health insurance NSSF, NSSFC, SHP
Social Safety Nets (non-contributory): Public works programmes (cash for work or food for work) Cash or in-kind transfers (conditional or non-conditional) Subsidies (to facilitate access to health, education, housing, public utilities) Complementary social welfare services Basic social protection
Poor SVG
Example of Cambodia
Urban uninsured residents, i.e. economically inactive populations (elderly, children and students) Approx. 200 million people
Piloted since 2007 with a view to covering all targeted people by 2010.
Voluntary participation but significantly subsidized by the Government. The shares of subsidy as percentage of the total costs are about 36% and 56% for the elderly and children respectively in 2008.
Launched in 2003 with an aim of covering all by 2010. End 2008: NRCMC operated in all rural counties (2,729). End 2009: 830 million people covered.
Voluntary participation, high & increasing subsidies. Ratio of contribution / Government's subsidies: Y10: Y20 in 2003, Y20: Y80 in 2009 and Y30:Y120 in 2010 Hospital care and treatment of serious diseases are covered, but the benefit package is still limited (finances less than 50% of the total health expenditure on average)
Consisting of two pensions: 1- flat-rate universal pension financed by the State (CNY55 per person per month, is payable to all rural residents aged 60), and 2- A pension based on the amount of savings accumulated in the individual accounts (financed by the insured persons and local cooperatives if possible). Therefore, the principle of solidarity is applied
Benefits Ceiling =Rs. 30,000 (US$650) for a family of five for one year. Transportation charges of Rs. 1000/- (US$22) per year. Preexisting diseases covered from day 1. One day pre-hospitalisation and five day post hospitalisation covered. No age limit.
Entry point for access, at work site facilities, to other social Social Protection services (health services, safe water, etc.).
Established in 2001. Funding: General tax revenue Benefit package : - Preventive care: immunizations, checkups, premarital counseling, antenatal
care, family planning, prevention and promotion. - Ambulatory care and in-patient care (high cost treatments: cancer treatments, open heart surgery, ARVs, renal replacement ). - Few exclusions (infertility, cosmetic surgery)
Cash less system (benefits are provided free of charge) Management Information System:
A national centralized online registration database links providers to public health insurance schemes. Hospital submits electronic claims to the UCS for inpatient services.
Established in 2009.
Funding: General tax revenue
Complete the assessment by : A rapid costing exercise (estimate the cost of introducing additional social protection provisions) Comprehensive feasibility studies for the design of the new schemes
THE GAPS: FINDING Policy gaps & Implementation issues: low coverage, limited benefits low adequacy, delivery issues low accessibility
ASSESSMENT MATRIX
PRELIMINARY COSTING
Assessment matrix
SPF Existing SP What is objectives provision foreseen in the SP Strategy
Gaps
Design gaps
Health
Children
Identify design gaps (population not A consistent framework where all covered due to the lack of SP policy / institutions support Describe :the present and and UN agencies Objective Priority policy options Social Protection Floor legislation interventions can fit. planned social protection A tool to analyse to what extent existing and to be decided template: guarantees and situation, taking into account Identify implementation gaps:national planned (in the SP strategy) social of protection through Mapping & sharing responsibilities objectives SP strategy objectives dysfunction inamong existing policy and provisions fit to the social protection floor template dialogue based and activities actors and moreon schemes (entitlements not meet, results assessment specifically UN agencies
unavailability or lack of access to services) Basis for the preliminary costing