Social protection Assessment based national dialogue in Myanmar June 18 th -20 th, 2014 Nay Pyi Taw Workshop on social protection policy options

Session 2: Converting recommendations into policy options

Key questions What are the different types of recommendation? How do we select recommendations that can be translated into scenarios?

ABND FACTSHEET Step 1 – Building the assessment matrix including the identification of priority recommendations Step 2 – Rapid Assessment Protocol to estimate the cost of implementing the social protection provisions Step 3 – Finalisation of the assessment report for endorsement and further action by the higher levels of government Steps of ABND

ABND FACTSHEET Step 1 – Building the assessment matrix including the identification of priority recommendations Step 2 – Rapid Assessment Protocol to estimate the cost of implementing the social protection provisions Step 3 – Finalisation of the assessment report for endorsement and further action by the higher levels of government Starting the second step of ABND

From Step 1 to Step 2 Not all recommendations can be costed through a simplified model Recommendations to introduce contributory benefits, work on coordination between schemes and operations, qualitative recommendations to improve quality of services We need to conduct further studies We can use the RAP Protocol Recommendations to introduce non-contributory benefits, increase non- contributory benefit amounts, extend coverage

Different types of recommendations Improved operations of existing schemes – Recommendations on the way current schemes and programmes can be improved operationally. – Ex: raise awareness among potential beneficiaries of the medical care scheme. Additional provisions – Recommendations for the creation of new provisions. – Ex: introduce a universal or targeted child support grant. Structural reforms and coordination – Recommendations on reforms of the current system. – Ex: improve the quality of the education system. Can be transformed into costable scenarios

Example – ABND Thailand

From recommendations to scenarios Recommendations may be selected for converting into scenarios based on several conditions: in line with the government’s priority strongly advocated by representatives of the persons concerned data is available for the RAP exercise assumptions can be made where data is not available

Example – ABND in Indonesia From April 2011 to November 2012 an assessment based national exercise on social protection was organized in Indonesia. The sub-working group on the social protection floor in Indonesia came up with a number of specific social protection policy options called scenarios on the basis of the recommendations of the assessment matrix.

√ √ Recommendations for “health” in Indonesia: 1.Develop a specific and clear benefit package for the new national health insurance programme 2.Extend non-contributory health insurance (currently for the poor) to the entire informal economy 3.Provide a treatment and prevention package for mother-to-child transmission of HIV and syphilis 4.Improve the database and the targeting method of the health insurance programme for the poor Which recommendations to select?

From recommendations to scenarios 1.Extend non-contributory health insurance (currently for the poor) to the entire informal economy Scenario 1: Extension of the existing non-contributory health insurance scheme to all very poor, poor, near poor and vulnerable people. Scenario 2: Extension of the existing non-contributory health insurance scheme to all very poor, poor, near poor and vulnerable people with more health services and medicine included. Scenario 3: Extension of the existing non-contributory health insurance scheme to the entire informal economy. Scenario 4: Extension of the existing non-contributory health insurance scheme to the entire informal economy with more health services and medicine included.

2. Provide a treatment and prevention package for mother-to-child transmission of HIV and syphilis Scenario 5: Inclusion of HIV testing for high-risk population, regular check-ups for all people living with HIV and ARV treatment for the ones eligible. Scenario 6: Inclusion of HIV testing for the general sexually active population (age 15-49), regular check-ups for all people living with HIV and ARV treatment for the ones eligible. Scenario 7: introduction of a universal package to reduce mother to child transmission for HIV and syphilis. From recommendations to scenarios

√ √ Recommendations for “children” in Indonesia: 1.Expand the CCT programme to more areas and more households 2.Explore merging the CCT and scholarship programmes 3.Explore and calculate the cost of a universal child allowance programme 4.Improve management and efficiency of the Raskin Food Programme Which recommendations to select?

1.Expand the CCT programme to more areas and more households 2.Explore and calculate the cost of a universal child allowance programme Scenario 1: Extension of the existing CCT programme to all poor households (not only very poor households). Scenario 2: scenario 1 + increased benefit package for children years old. Since the target group for the primary and secondary school scholarships is the same, consider having only one programme. Scenario 3: Establishment of a universal child allowance of 400,000 IDR for all children 0-15 years old. From recommendations to scenarios

√ Recommendations for “working age” in Indonesia: 1.Conduct a feasibility study for an unemployment insurance scheme and explore linkages with employment services 2.Develop a Public Employment Programme linked with skills development for workers in the informal economy 3.Extend a non-contributory minimum pension to people with severe disabilities Which recommendations to select?

1. Develop a Public Employment Programme linked with skills development for workers in the informal economy Scenario 1: Establishment of a public works guarantee of 30 days of work per person per year paid at the minimum wage linked with vocational training of 10 days every 5 years. Scenario 2: Extension of the existing non-contributory pension to all severely disabled persons. From recommendations to scenarios

√ Recommendations for “elderly” in Indonesia: 1.Extend a non-contributory minimum pension to the elderly and people with severe disabilities 2.Conduct a feasibility study to introduce a contributory pension scheme for formal sector workers 3.Create a sound database of disabled people to facilitate targeting Which recommendations to select?

1.Extend a non-contributory minimum pension to the elderly and people with severe disabilities Scenario 1: Extension of the existing non-contributory pension (JSLU pilot programme) to all the vulnerable elderly. Scenario 2: Establishment of a universal pension equal to the national poverty line for elderly of 55 years old and above (legal retirement age in the formal sector). Scenario 3: Establishment of a universal pension equal to the national poverty line for elderly of 65 years old and above. From recommendations to scenarios

Different types of recommendations You have 20 minutes Revise recommendations within your group. Reformulate some of them if necessary. Classify them within the three types of recommendations: Improved operationsAdditional provisionsStructural reforms Health Children Active Age Old Age