1. 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

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

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

4. 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% ?

5. 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.

6. 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.

7. 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

8. 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.

9. 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% ?

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

11. 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

12. 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

13. 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

14. 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

15. 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)

16. Thank You for your attention!
« Fabulous cascades of BANFORA »