1. Support for People Living with HIV and AIDS within the Context of Establishing a Minimum Social Protection Floor for All A-105076 Trade Union Training on Occupational Safety and Health and HIV and AIDS Turin, 5 December 2012 Social Security Department, ILO

2. Outline of the presentation 1. The Background 2. The Social Protection Floors Recommendation, 2012: Consultation process, structure and content 3. Group discussion on the relevance of Recommendation No. 202 for PLHIV and their families 1

3. The Background

4. Role of social protection Y age Ymin Yt

5. Role of social protection Y age Ymin Yt Consumption smoothing over life cycle is one of the basic problems tackle by social protection but not the only one

6. Role of social protection Y age Ymin Yt Solidarity is also an integrale part of social protection

7. The origins Social security is a human right, enshrined in all major UN human rights instruments Assisting member States in realising the extension of social security measures to provide a basic income to all in need of such protection and comprehensive medical care is at the heart of the ILO’s mandate, as laid down in the Constitution, 1919, and in the Declaration of Philadephia, 1944 6

8. The origins -In spite of this, and after many years of work with its Members, the ILO notes that 80% of the world population does not have access to comprehensive social security -A the global level, important gaps are observed:  Gaps in personal coverage and in terms of social security branches/contingencies covered by existing schemes insufficient to ensure universal and comprehenisive protection  The level of benefits in often inadequate to allow a life in dignity for all, as shown by persistent levels of poverty, social exclusion and avoidable disease burdens 7

9. ILO’s two-dimensional strategy for the extension of social security: Building comprehensive social security systems 8 individual/household income Social Protection Floor: Access to essential health care and basic income security for all Social security benefits of guaranteed levels Voluntary insurance under government regulation level of protection high low Horizontal dimension: Guaranteeing access to essential health care and minimum income security for all, guided by Recommendation No. 202 Vertical dimension: progressively ensuring higher levels of protection, guided by Convention No.102 and more advanced standards floor level Outcomes can be guaranteed through different means – there is no one-size-fits-all

10. Consultation process leading to ILO strategy and Social Protection Floors Recommendation 2001-2010  New consensus 2001  Regional conferences and expert meeting 2008-10  Global Jobs Pact 2009 International Labour Conference 2011  Adoption of two-dimensional strategy (Resolution and Conclusions)  Agreement on elements of possible Recommendation Consultations 2011-12  Replies to questionnaire from governments, employers’ and workers’ organizations International Labour Conference 2012  Adoption of Social Protection Floors Recommendation 221 responses from 118 countries Global tripartite consensus: 453 votes in favour and 1 abstention from 142 countries Social Protection Floor Initiative International and regional endorsements (G20 and others)

11. The Social Protection Floors Recommendation, 2012: Consultation process, structure and content

12. The Social Protection Floors Recommendation at a glance Preamble Social security as human right and social and economic necessity Reference to various international instruments I. Objectives, scope and principles Objective and scope Definition of national social protection floors Principles II. National social protection floors Definition of basic social security guarantees Legal foundations Establishment and review ProvisionFinancing III. National strategies for the extension of social security Prioritize implementation of national SPFs Progression to higher levels of protection Building and maintaining social security systems Policy coherence ILO social security standards IV. Monitoring National monitoring National consultations International exchange of information, experiences and expertise

13. The two-fold objective of the Recommendation: National social protection floors... 12 (a) Establish and maintain, as applicable, social protection floors as a fundamental element of their national social security systems (b) Implement social protection floors within strategies for the extension of social security that progressively ensure higher levels of social security to as many people as possible, guided by ILO social security standards nationally defined sets of basic social security guarantees which secure protection aimed at preventing or alleviating poverty, vulnerability and social exclusion Provides guidance to members to

14. ... and national strategies for the extension of social security 13 (a) Establish and maintain, as applicable, social protection floors as a fundamental element of their national social security systems (b) Implement social protection floors within strategies for the extension of social security that progressively ensure higher levels of social security to as many people as possible, guided by ILO social security standards Progressively build and maintain comprehensive and adequate social security systems coherent with national policy objectives and seek to coordinate social security policies with other public policies Provides guidance to members to

15. National social protection floors: At least four nationally-defined guarantees access to a set of goods and services constituting essential health care including maternity care basic income security for children basic income security for persons in active age unable to earn sufficient income basic income security for persons in old age The social protection floors should comprise at least the following basic social security guarantees: (para. 5) national definition of minimum levels Guarantees should be provided to at least all residents and children, as defined in national laws and regulations, subject to Members’ existing international obligations. (para. 6)

16. National social protection floors: Pluralism of approaches social assistance social insurance universal schemes others 15 national choice nationally guaranteed outcomes Benefits may include child and family benefits, sickness and health-care benefits, maternity benefits, disability benefits, old-age benefits, survivors’ benefits, unemployment benefits and employment guarantees, and employment injury benefits as well as any other social benefits in cash or in kind. (para. 9(2)) Most effective and efficient combination of benefits and schemes in national context (para. 9(1))

17. Principles Universality of protection, based on solidarity Social inclusion including persons in the informal economy Universal coverage Adequacy and predictability of benefits Non-discrimination, gender equality and responsiveness to special needs Entitlements to benefits prescibed by national law Efficiency and accessibility of complaint and appeal procedures Respect for the rights and dignity of people covered Respect for collective bargaining and freedom of association Rights Progessive realization, including by setting targets and timeframes Coherence with social, economic and employment policies Regular monitoring of implementation and periodic evaluation Tripartite participation and consultation with representatives of persons concerned Implement- ation Consideration of diversity of methods and approaches Solidarity in financing and fair balance of interests Transparent, accountable and sound financial management and administration Financial, fiscal and economic sustainability with regard to social justice and equity High-quality public services that enhance delivery of social security systems Coherence across institutions responsible for the delivery of social protection Financing and delivery Overall and primary responsibility of the State

18. Group discussion on the relevance of Recommendation No. 202 for PLHIV and their families

19. The Social Protection Floors Recommendation as a Tool for the Realization of the Right to Social Security of PLHIV Social Security is a Human Right for Everyone including PLHIV Social security is a tool to prevent and reduce poverty, inequality, social exclusion, social insecurity and to promote equal opportunity and gender equality PLHIV should be covered by social security systems, without discrimination and taking into account their special needs The basic social security guarantees should ensure that over the life cycle, PLHIV and their families have effective access to essential health care and basic income security 18

20. Group discussion on the Relevance of the Social Protection Floors Recommendation for PLHIV Basic Social Security Guarantees: Access to a nationally defined set of goods and services, constituting essential health care, including maternity care, that meets the criteria of availability, accessibility, acceptability and quality - Persons in need of health care should not face hardship and an increased risk of poverty due to the financial consequences of accessing essential health care. Free prenatal and postnatal medical care for the most vulnerable should also be considered Basic income security for children, persons unable to earn sufficient income in case of sickness, unemployment, maternity and disability as well as older persons - Basic income security should allow life in dignity. Nationally defined minimum levels of income may correspond to the monetary value of a set of necessary goods and services, national poverty lines, income thresholds for social assistance or other comparable thresholds established by national law or practice, and may take into account regional differences 19

21. 20 Paragraph 13 (2): Coordination with other public policies Paragraph 13 (2): Coordination with other public policies Paragraph 14 (d): Complementarity with active labour market policies Paragraph 15: Extension strategies should apply to persons in both the formal and the informal economy Paragraph 16: Ensure support for disadvantaged groups and people with special needs Paragraph 19: Consultation with relevant & representative organizations Monitoring Paragraph 23: Protection of private individual information Group discussion on the Relevance of the Social Protection Floors Recommendation for PLHIV

22. Health Care Children Active age Older persons Possible tarteged social protection programmes for PLHIV

23. Reference documents ILO two-dimensional strategy and adoption of Social Protection Floors Recommendation ●ILO Recommendation concerning national floors of social protection (Social Protection Floors Recommendation), 2012 (No. 202), www.ilo.org/ilc/ILCSessions/101stSession/ reports/provisional-records/WCMS_183326/lang--en/index.htmwww.ilo.org/ilc/ILCSessions/101stSession/ reports/provisional-records/WCMS_183326/lang--en/index.htm ●Social protection floors for social justice and a fair globalization, Report IV(2A and 2B), 101th Session of the International Labour Conference 2012, www.ilo.org/ilc/ILCSessions/101stSession/on-the- agenda/social-protection-floor/lang--en/index.htm www.ilo.org/ilc/ILCSessions/101stSession/on-the- agenda/social-protection-floor/lang--en/index.htm ●Social protection floors for social justice and a fair globalization, Report IV(1), 101th Session of the International Labour Conference 2012, www.ilo.org/wcmsp5/groups/public/@ed_norm/@relconf/doc uments/meetingdocument/wcms_160210.pdf www.ilo.org/wcmsp5/groups/public/@ed_norm/@relconf/doc uments/meetingdocument/wcms_160210.pdf ●Report of the Committee for the Recurrent Discussion on Social Protection (including Resolution and Conclusions), 100th Session of the International Labour Conference, Provisional Records No. 24), www.ilo.org/ilc/ILCSessions/100thSession/reports/provisional- records/WCMS_157820/lang--en/index.htm www.ilo.org/ilc/ILCSessions/100thSession/reports/provisional- records/WCMS_157820/lang--en/index.htm ●Social security for social justice and a fair globalization, 100th Session of the International Labour Conference, Report VI, www.ilo.org/ilc/ILCSessions/100thSession/reports/reports- submitted/WCMS_152819/lang--en/index.htm www.ilo.org/ilc/ILCSessions/100thSession/reports/reports- submitted/WCMS_152819/lang--en/index.htm 22 More general ●ILO, 2010: World Social Security Report 2010/11: Providing coverage in the time of crisis and beyond (Geneva: International Labour Office), www.socialsecurityextension.org/gimi/gess/RessFileDownl oad.do?ressourceId=15263 www.socialsecurityextension.org/gimi/gess/RessFileDownl oad.do?ressourceId=15263 ●ILO, 2010: Extending social security to all. A guide through challenges and options (Geneva: International Labour Office), www.socialsecurityextension.org/gimi/gess/RessFileDownl oad.do?ressourceId=16152 www.socialsecurityextension.org/gimi/gess/RessFileDownl oad.do?ressourceId=16152 ●Social Protection Floor Advisory Group, 2011: Social protection floor for a fair and inclusive globalization (Geneva: International Labour Office), www.ilo.org/wcmsp5/groups/public/---dgreports/--- dcomm/---publ/documents/publication/wcms_165750.pdf www.ilo.org/wcmsp5/groups/public/---dgreports/--- dcomm/---publ/documents/publication/wcms_165750.pdf ●UNDP, Special Unit for South-South Cooperation, and ILO, 2011: Sharing Innovative Experiences: Successful Social Protection Floor Experiences (New York and Geneva: UNDP, Special Unit for South-South Cooperation and ILO), www.socialsecurityextension.org/gimi/gess/RessFileDownl oad.do?ressourceId=20840 www.socialsecurityextension.org/gimi/gess/RessFileDownl oad.do?ressourceId=20840 ●See also GESS web portal: www.social-protection.org/ www.social-protection.org/

24. THANK YOU! 23