EXTENSION of SOCIAL PROTECTION FOR WOMEN Micro ENTREPRENEURS IN BURKINA FASO Knowledge sharing Workshop on Social Protection for Vulnerable Groups ILO STEP/SFP programmes October 15,16&17,2007 Bangkok Thailand Moussa Traore ILO/STEP-Burkina

PLAN Context and Justification Project institutional scope Objectives and expected results Intervention methodology Target group Main achievements

Context & Justification Burkina Faso is a Sahelian country situated in West Africa Population: 13 Million Situation of poverty in Burkina Faso: 46,4% - 2006 AIDS appearance worsened the situation : 4% - 2005 Women are more striken by poverty : 52% of the population At health care level we can notice a poor utilization rates (quality, financial accessibility)

Context & Justification Social Protection (SP) in BF Formal public and private sector NSSF, CSPF, Private insurance companies Services covered: retirement allowance, family allowance, occupational accident, life I… But health is weakly covered Urban and rural informal economy Traditional forms of social protection : not sufficiently performant and do not cover health care protection Develop and test different strategies: MHIS Destitutes Mainly public assistance Formal public and private sector < 10% Urban and Rural Informal Economy 80 – 90 % Destitutes < 10% ?

Institutional scope of the Project France-ILO Materialisation of a common vision from France and ILO officials about the concept of social development and increased social protection Implementation of the Copenhague Social Summit (May 1999) The project was designed in 2001. Three countries were selected to launch the pilot projects: Ethiopia, Vietnam, and Burkina Faso.

Objectives and expected results The development objective is to ensure that the people of Burkina are healthy and protected against economic adversity through a sustainable social protection system. By the end of the project, the Government of Burkina will be aware of the positive role of the extension of social protection to informal economy workers and their families on poverty reduction. By the end of the project, selected community based organizations will be effectively managing their own MHIS.

Partnership agreements Implementation sequencing Steps Activities Goals TARGET GROUP Selection of Partners 1 COMMITMENT Partnership agreements 2 ADAPTED Pedagogic materials 3 ORGANISATION’S PACE 4 Action plans Training of Partners TRANSFER 5 Feasability studies PERENNITY 6 Involvement of health care providers COOPERATION 7 Implementation sequencing

Intervention methodology Using the STEP/UNF team potential to achieve the project: quality experience, network and tools. Periodical feedback of the project’s progress to each actors who are representatives from : - The ministries involved The Embassy of France in Burkina Faso The International labour Office Micro Entrepreneurs associations NGOs (project partners and working with the target groups) Bilateral and multi lateral organizations, as well as international NGO’s.

Extension of Social Protection for Women ME in Burkina Faso: MHIS UNION MHIS MHIS MHIS MHIS ASP FSP Extension of Social Protection for Women ME in Burkina Faso: MHIS Formal public and private sector < 10% 80 – 90 % Urban and Rural Informal Economy Destitutes < 10% ?

Target Group Women Micro Entrepreneur associations (entry point) Community-based associations NGOs Government

MHIS are relevant for extension of SP since they answer to health coverage needs of the excluded populations BUT Difficulties to cover large number of beneficiaries Reasons: Work with their own resources (no subsidies) Don’t have any legislation (so difficult to contract with HC sector; problems of trust) Benefit from a weak Political support Have a manual management system - unpaid staff Difficult collaboration with health care providers, MEG Competition between to supervise MHIS; no coherence

The project has served as the basis of reflexion for: The reinforcement of Political comittment in the area of SP through: The integration of SP in the strategic framework of poverty control (PRSP) Better understanding between Min of Health and Ministry of labour

The formulation of a National Strategy on SP whose main areas are : THE IMPROVEMENT OF FORMAL SOCIAL SECURITY COVERAGE THE REINFORCEMENT OF THE SP SYSTEM FOR INFORMAL SECTOR THE INCLUSION OF THE DESTITUTES IN THE SOCIAL PROTECTION INSURANCE SCHEME THE REINFORCEMENT OF THE INSTITUTIONAL AND LEGAL FRAMEWORK

The formulation and the implementation of a priority National action plan through: The setting up of an interministry steering committee to make SP operational and pro poor oriented The experimentation of major MHIS schemes in the urban and rural area, with different partners and networks The design of possible linkages with the formal sector Starting a process of contractual arrangements between MHIS and health care providers

A legal framework for mutual health organization (WAEMU) has been designed and is ready to be implemented Management and monitoring Software developed and implemented in MHIS Development and financing plans have been drafted in order to mobilize additional resources for MHIS (subsidies of the premiums, professional management capacity)

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