Le COVID-19 en Afrique : Comment les systèmes de santé peuvent-il faire face ?

Par Riku Elovainio, Consultant en santé mondiale et protection sociale et Alexander Pick, Centre de développement de l’OCDE


Ce blog fait partie d’une série sur la lutte contre le COVID-19 dans les pays en voie de développement. Visitez la page dédiée de l’OCDE pour accéder aux données, analyses et recommandations de l’OCDE sur les impacts sanitaires, économiques, financiers et sociétaux de COVID-19 dans le monde.


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(Read this post in English)

La pandémie de Covid-19 menace de submerger les systèmes de santé partout dans le monde. Le virus est désormais présent dans 52 pays africains. Les systèmes de santé de la région pourront-ils faire face, alors que beaucoup étaient déjà sous pression avant la pandémie et n’ont pas de capacité de réserve ? Un soutien international sera crucial pour aider les pays africains à réagir, mais les efforts pour renforcer les services de santé de la région à court terme se heurtent à une série d’obstacles qui vont au-delà du secteur de la santé lui-même. Même une crise de cette ampleur ne doit pas occulter les priorités à long terme des systèmes de santé africains : y répondre est essentiel non seulement pour renforcer leur capacité à gérer les besoins quotidiens, mais aussi pour faire face à la prochaine crise. Continue reading “Le COVID-19 en Afrique : Comment les systèmes de santé peuvent-il faire face ?”

Latin America and the Caribbean in the time of COVID-19: Preventing the vulnerable from falling behind

By Federico Bonaglia, Deputy Director, OECD Development Centre, and Sebastian Nieto Parra, Head of Latin America and the Caribbean Unit, OECD Development Centre


This blog is part of a series on tackling COVID-19 in developing countries.


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The necessary containment measures against COVID-19 have engendered an unprecedented global economic crisis, combining supply and demand side shocks. Now, the pandemic is affecting Latin America and the Caribbean (LAC) and countries are bracing for the ripple effects. Just months ago, many countries in the region experienced a wave of mass protests driven by deep social discontent, frustrated aspirations, persistent vulnerability and growing poverty. The crisis will exacerbate these problems.



Beyond the magnitude of the impacts on already weak health systems – some 125 million people still lack access to basic health services – the overwhelming socioeconomic impact of the crisis could disproportionately fall on vulnerable and poor households if ambitious policy responses are not put in place.

Continue reading “Latin America and the Caribbean in the time of COVID-19: Preventing the vulnerable from falling behind”

Social protection and risk: the ultimate root cause of migration?

By Jason Gagnon, Development economist / PGD coordinator, OECD Development Centre and Jessica Hagen-Zanker, Senior Research Fellow, Overseas Development Institute
 

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Receiving cash transfers in Freetown, Sierra Leone (photo: Dominic Chavez/World Bank)

According to recent estimates, 258 million people in the world were living outside of their country of birth in 2017, up from a total of 161 million in 1990. That represents an increase of 60%. Under different circumstances, most migrants would never migrate in the first place; they would choose to stay close to their family and friends, and the food, music and culture they cherish. Migration – in these cases – is the consequence of something gone wrong.

So why do they leave? Poverty and lack of opportunities for a better future are the typical culprits. But it’s more complicated than that.

Risk is another factor that pushes many people to migrate. The mere risk of falling (back) into poverty can motivate migration. Indeed, migration theory has long described migration as a coping strategy to deal with risk. Empirical evidence confirms this. A 2016 qualitative study on Bolivia found that (internal) migration was a typical response by rural households in response to risks related to land access, insufficient work opportunities and low agricultural productivity. More evidence (on China) suggests that attitude towards risk can even determine who migrates from within the household. Continue reading “Social protection and risk: the ultimate root cause of migration?”

Social protection systems that work for women’s rights

Sigi-banner-for-blogBy Shahra Razavi, Chief of Research and Data, UN Women


This blog is part of a special series marking the intersection between
the 2019 Social Institutions and Gender Index (SIGI),
the
2019 SIGI Global Report and work on Social Protection


Social-protection-women-cashGender-responsive social protection systems have been very effective in mitigating the inequalities generated by markets. Take the case of work-related benefits, such as maternity and parental leave and sickness and unemployment benefits. Thanks to these transfers, the gender gap in disposable incomes in a range of high- and middle-income countries becomes much smaller than the gap in market incomes, while affordable childcare services have been pivotal in giving women, especially mothers, a foothold in the labour market.

Globally, however, only 41% of mothers with newborns receive a maternity benefit, with coverage rates as low as 16% in Africa. Widespread labour market informality is at the root of this exclusion. Yet, in Chile, Costa Rica and South Africa, social insurance-based leave schemes have been extended to cover informal wage workers, such as domestic workers and seasonal agricultural labourers. Mongolia provides an interesting combination of contributory and non-contributory benefits, including maternity cash benefits to all pregnant women and mothers of infants regardless of their contribution to the social insurance scheme, employment status or nationality. In recent decades, child- and family-related allowances have also gained traction in developing countries. Their aim is to offset some of the costs of raising children while promoting basic income security and investing in children’s capabilities. Such schemes mostly target mothers on the premise that women are more likely than men to prioritise child-oriented spending.

Continue reading “Social protection systems that work for women’s rights”

Gender and social protection: fighting for equality and against poverty

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By Liévin Feliho, Chief Executive Officer, SOLIHO; Former Government Commissioner at the Ministry of Social Affairs and Health in France  


This blog is part of a special series marking the intersection between
the 2019 Social Institutions and Gender Index (SIGI),
the
2019 SIGI Global Report and work on Social Protection


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According to the International Labor Organization (ILO)1, only a minority of the world’s inhabitants (45.2%) enjoy at least one social protection benefit today. If this protection amounts to 84.1% in Europe, it is in Africa that the situation is most worrying with only 17.8% of the population covered. It is difficult to have a fair assessment of women’s coverage level since most of the available and disaggregated data only concern benefits provided to mothers with newborns.2 Evidence points to the fact that, regarding social protection also, women are structural victims.

The Protection and Affordable Care Act (‘Obamacare’) promulgated on March 23, 2010 by President Barack Obama and the 2011 report on the Social Protection Floor for a Fair and Inclusive Globalization by the advisory group chaired by Michelle Bachelet, set by ILO with the collaboration of the WHO, have increased awareness around the concept of social protection. After the economic and financial crisis of 2008, these initiatives allowed policy makers from poor countries to more freely defend the idea of institutional solidarity. Indeed, Africans had prioritised social protection since at least the early 2000s3 but poor governance and the conflicting requirements of donors in budgetary matters have failed to bring to fruition their ambitions in the area of social protection and health. So, what does this specifically mean for African women and social protection? Three considerations follow:

Continue reading “Gender and social protection: fighting for equality and against poverty”

Why looking at discriminatory social institutions is critical for the gender-responsiveness of social protection policies

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By Gaëlle Ferrant and Caroline Tassot, Economists, OECD Development Centre


This blog is part of a special series marking the intersection between the 2019 Social Institutions and Gender Index (SIGI)
the 2019 SIGI Global Report and work on Social Protection


The call for leaving no one behind includes extending social protection to excluded groups, such as vulnerable women, and providing all women with similar benefits as men. For instance, despite the universal provision of paid maternity leave (only 2 out of the 180 SIGI1 countries do not provide paid maternity or parental leave for mothers), only 41% of mothers with newborns receive a maternity benefit (with fewer than 16% in Africa), while 83 million remain uncovered (ILO, 2017). In Europe, the relatively narrow gender gap in old-age pension coverage (6.5 percentage points) hides extensive gender disparities in the actual benefits: women’s pensions are, on average, 40% lower than those of men (Directorate for Citizens Rights and Constitutional Affairs, 2016).

Continue reading “Why looking at discriminatory social institutions is critical for the gender-responsiveness of social protection policies”

Social protection systems: not simple, but worth the effort

By Alexander Pick, Economist, OECD Development Centre


Check out the upcoming international conference Together to achieve Universal Social Protection by 2030 for more on this topic


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School kids in Kabupaten Karimon, Indonesia. Photo: Shutterstock

A systematic approach lies at the core of universal social protection. However, it is not immediately obvious what the term means, or why it is so important. After all, do we not take other systems for granted, like the system of government or health and education systems?

A social protection system must reflect the needs of the people it covers — ideally the entire population, throughout their lives and whatever their income — and it must incorporate the full range of different programmes that exist as well as the multitude of institutions involved. It must also harness different financing mechanisms for sustained and sustainable expansion. The fundamental objective of a social protection system is to get these moving parts working together to ensure coordination and coherence – to fill gaps, avoid duplication and optimise resource allocations to provide effective coverage against the most important risks people face. Continue reading “Social protection systems: not simple, but worth the effort”

Understanding coverage: what does universal social protection really mean?

By Ugo Gentilini, Senior Economist, Margaret Grosh, Senior Advisor, and Michal Rutkowski, Senior Director, Social Protection and Jobs Global Practice, The World Bank


Check out the upcoming international conference Together to achieve Universal Social Protection by 2030 for more on this topic


wiego_accra_informalecon-e1548680858900.jpgThe notion that social protection is “universal” rests on two elements, namely that “everyone” is “covered.”

In many cases, the debate revolves around the “everyone” aspect – that is, the rationale and modalities to cover all members of society and not just some. Yet, this assumes clarity on the meaning of “coverage.” This is a big assumption.

In health insurance, for example, the goal is to provide coverage to all, so that in the event people fall sick, they get health services. For contributory pensions, unemployment or disability insurance programmes, coverage is used in an analogous way.

In most periods, people covered by such insurances will benefit from a guarantee or a promise of help when needed, but not necessarily from a payout. In pensions, people are covered for many years before they receive a payment; and many may never be unemployed and hence receive a payout for such a shock.

For social assistance, instead, coverage is often interpreted as receiving an actual transfer. This is quite a difference and a critical issue to clarify.

Such a difference in definition has implications for universal social protection in three ways.

Continue reading “Understanding coverage: what does universal social protection really mean?”