Social Protection Floor framework and assessment methodology Jakarta, 4 August 2011 Valerie Schmitt

Social security situation Informal economyNear poor Poor Civil servants Private sector Level of coverage Relatively comprehensive systems and higher levels of benefits for the formal sector Scattered programs for informal economy workers and the poor

What the ILO (and UN) recommends? Informal economyNear poor Poor Civil servants Private sector Level of coverage Provide a minimum level of coverage to the whole population: the Floor

What the ILO (and UN) recommends? Informal economyNear poor Poor Civil servants Private sector Level of coverage Based on this universal floor provide higher levels of benefits through contributory/subsidized schemes Towards higher levels of SP benefits

The SPF is not an ILO concept One of the nine initiatives of the UN CEB to face the crisis and accelerate recovery (2009) ILO, WHO, UNICEF, UNDESA, WFP, UNESCO, FAO, UN HABITAT, UNFPA, World Bank, Helpage, … The SPF is defined in terms of guarantees Not a one size fits all approach : each countries defines the levels of benefits that it can/is willing to provide to its all population

The SPF is defined in terms of guarantees (each country chooses the levels & types of benefits) Four guarantees:  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

Examples of benefits (4 guarantees)  Health care  Children  Working age  Elderly & vulnerable (that cannot work) Income security (transfers in cash or in kind) for: Targeted tax-funded schemes – Viet Nam, India, Indonesia (Jamkesmas / Jamkesda) Universal tax-funded schemes (UCS) - Thailand Scholarships, food school, school buses, conditional cash transfers (4Ps Philippines) Food distribution, Housing programs, Minimum living standard (China), Income guarantee schemes and Public Employment Progr. (India) Food distribution, Minimum pensions

India: RSBY, NREGA Thailand: UC scheme, minimum pension scheme (500 THB) Cambodia: CARD’s SP strategy for the poor and the vulnerable with clear reference to the SPF … including HEFs, CBHIs, Food distribution, Cash transfers, PEPs… Lao: extension of SHP for all Vietnam: 10 years Social security strategy There are elements of the SPF in Asia Indonesia: Implemen- tation of SS Law starting with health: Jamkesmas China: minimum living standard guarantee program; new rural corporative medical care (NRCMC); health insurance for urban uninsured residents (HIUR); rural old-age pension Philippines: 4Ps

The purpose of the assessment Answer to the questions: –Is there a SPF or some elements of the SPF in this country?  1. Inventory of schemes for the four guarantees: Health, children, working age, elderly & disabled –How far a country stands from the implementation of the floor?  2. Analysis & identification of Gaps –If the government is willing to further develop the SPF what should be done?  3. Recommendations –And how much it would cost?  4. Scenarios & costing

Assessment methodology Example for Health care What are existing programs? Inventory Is all population covered? Are benefits adequate? Other issues? Analysis Universal coverage Recommendations Coverage of all I.E HIV-treatnt & tests Reduce MTCT Creating scenarios based on assumptions Calculating & projecting the costs Scenarios & costing Implemen- tation issues Gaps

The main outputs? The Assessment matrix The Scenarios and costing The Costing tool that you can use to develop and cost new scenarios A dialogue is facilitated … the assessment is a participatory process! NATIONAL DIALOGUE

What’s after the assessment? Share the recommendations with policy makers at central and provincial level Engage in a discussion on future steps: what recommendations will be followed Start (government, UN/devlt partners) the design & implementation: –Extension of existing schemes : more people covered, higher levels of benefits –Trying to find solutions to implementation issues –Creating new schemes

Today’s workshop? Present final Assessment matrix. It includes all the schemes and identifies the gaps and implementation issues –If a major scheme is missing please mention it! Share with you the recommendations that came out from previous consultations –If some important recommendations are missing please provide inputs! Based on the recommendations we will explain how we translated the recommendations into concrete scenarios –If some scenarios realistic please provide feedback! And each scenario was costed based on assumptions (parameters) –If some of these assumptions seem un-relevant / unrealistic please provide feedback!