Social Protection for the Poor: A Study on Micro-Health Insurance in Bangladesh Prepared By Hedayet CHOWDHURY [First Author] Department of Economics Kazakhstan Institute of Management, Economics and Strategic Research (KIMEP) Republic of Kazakhstan & Department of Development Studies University of Dhaka, Bangladesh and Mohammed Abu Eusuf [Second Author] Department of Development Studies University of Dhaka Bangladesh Contact person: Md. Hedayet Ullah CHOWDHURY Department of Economics Kazakhstan Institute of Management, Economics and Strategic Research (KIMEP) 4 Abai Avenue Almaty 050010 Republic of Kazakhstan Tel. +7-3272-704251 Email: mhedayet@gmail.com chedayet@kimep.kz Social Protection for the Poor: A Study on Micro-Health Insurance in Bangladesh Abstract: As Households and individuals of developing countries face various risks that plunge them into poverty and vulnerability the study made an attempt to describe social protection (SP) activities, particularly to identify all programs related to Micro-health insurance in Bangladesh and to develop a Social Protection Index (SPI), which summarizes a country's SP activities. Though microinsurance is relatively a new concept in Bangladesh, it is experiencing a steady growth since its commencement in 1993. The savings of the poor people not only create fund for investment but also integrate the poor section with the national economy. Micro-insurance can be a good source of investment in industrial sector. It can be another model like micro-credit, which has already brought reputation for Bangladesh. Micro-credit and micro-insurance together can contribute to poverty reduction drive in rural areas. Due to inadequate outreach of the public services and formal health insurance provided by the private sector, different Non Government Organizations have initiated various Micro Health Insurance (MHI) schemes for the poor people of Bangladesh. The aim of the micro-insurance is to reach the poor, as a tool to fight poverty and to promote equal access to health services. MHI can be defined as a type of health insurance where accessibility to health services is ensured to individuals and families through affordable premiums and low prices for health services. Social Protection for the Poor: A Study on Micro-Health Insurance in Bangladesh 1.1 Introduction: The main challenge of the developing countries is to achieve sufficient sustainable growth to secure and ensure the inclusion of the poor and the children in the development process. The pastexperience reveals that growth alone is not sufficient for generating inclusive societies. Households and individuals face various risks that plunge them into poverty and vulnerability. Individuals are helpless, and societies have to take steps to reduce their vulnerability, cope with the shocks and gradually eradicate the poverty. Risks are of diverse nature and include natural disasters, civil conflicts, economic downturns, environmental hazards, deterioration of law & order situation and malgovernance etc. Asian Development Bank (ADB) identified four main types of risks to the poor. 1 These are: (a) those related to the individual life cycle, (b) economic, (c) environmental and (d) social and governance related. Some risks affect all groups of population equally; others have more intense impacts on the poor. The poor are, however, worst affected by all risks. They are highly vulnerable to risks and constantly fighting to minimize the adverse affects and to avoid sinking further into poverty. Social risk is a dynamic concept and perpetually strikes the affected people to push them into the conditions that are more vulnerable. The poor, poorer and the poorest are the worst victims, as they have fewer assets, reserves, opportunities and protections to cope with the multifarious risks. Coping strategies and risk reduction interventions and actions are what the poor need to help them fight against poverty. Social protection presents a variety of instruments to be put in place to reduce the risk of population, particularly of the poor. The long-term solution lies on the good social, economical and political 1 Please see the Table A1of the Appendix for details. development decisions that address the causes of vulnerability and reduction of the effect of risks. The ADB has defined Social Protection (SP) as the set of policies and programs designed to reduce poverty and vulnerability by promoting efficient labor markets, diminishing people's exposure to risks, and enhancing their capacity to protect themselves against hazards and the interruption/loss of income. Furthermore, Social Protection is defined as comprising five major kinds of activities: (1) labor-market policies and programs, (2) social insurance, (3) social assistance, (4) micro-and areabased schemes, and (5) child protection. Considering the above reality micro-insurance has gained a considerable currency in Bangladesh for reducing the risk and vulnerability of the poor. Though it is relatively a new concept, it is experiencing a steady growth since its commencement in 1993. The savings of the poor people not only create fund for investment but also integrate the poor section with the national economy. Micro-insurance can also be a good source of investment in industrial sector (Please see the figure A1 of the Appendix). It can be another model like micro-credit, which has already brought reputation for Bangladesh. Micro-credit and micro-insurance together can contribute to poverty reduction drive in rural areas. Due to inadequate outreach of the public services and formal health insurance provided by the private sector, different Non Government Organizations have initiated various Micro Health Insurance (MHI) schemes for the poor people of Bangladesh. The aim of the micro-insurance is to reach the poor, as a tool to fight poverty and to promote equal access to health services. MHI can be defined as a type of health insurance where accessibility to health services is ensured to individuals and families through affordable premiums and low prices for health services. There are twenty organizations so far we could report at present that provide thirty-six schemes. The schemes presented fall into five categories of micro insurance, namely health (39%), life (36%), loans/capital (19%), livestock (6%) and disaster (3%). 1.2 Objectives: The objectives of the present study are (i) to highlight the SP activities related to Micro-health insurance in Bangladesh and (ii) to estimate an index based on the cost, coverage and distribution of micro-health insurance and other related programs of SP activities in Bangladesh. 1.3 Sources of data and methodology of the exercise: Though Bangladesh is not particularly very strong in documenting and maintaining necessary data, this study has made a serious effort at collecting and collating the relevant data from various offices and as well as published sources. For formulating and constructing the SPI, three following elements of SP activities need to be considered: • Cost or Expenditure • Coverage and • Distribution Each of the elements needs to be measured for each of the main categories (e.g. five categories namely (1) labor-market policies and programs, (2) social insurance, (3) social assistance, (4) microand area-based schemes, and (5) child protection) of social protection programs. Ideally, the social protection programs within each category were first identified. Then for each specific program expenditure, coverage, distribution were calculated from secondary data or simulation method. The following section gives in brief the formulation of three indexes, one for each element. Social Protection Index- Cost (IEP , IE ) Total cost of pth program is denoted by EP in year. Then I EP = same year. EP where EP Total Cost for the pth program and Y is the Gross domestic product of the Y 5 IE = ∑E p =1 Y P . If instead of EP, the per capita expenditure ⎛ ⎞ E e p ⎜⎜ e p = P ; where BP = beneficiaries ⎟⎟ is known BP ⎝ ⎠ Then I EP = BP eP Y 5 IE = ∑B e P P p =1 Y Social Protection Index - Coverage (ICP , IC) Coverage is the second element of the social protection Index. The coverage is to be related to either the target beneficiaries or actual beneficiaries. The difference between the two varies from program to program. However, for convenience, beneficiaries (actual) would be preferred. The beneficiaries will be compared to the reference population for specific program and the total population for composite indicator. Let MP is the beneficiaries of pth program. N is the population, then I CP = MP N 5 IC = ∑M p =1 P N Social Protection Index - Distribution (IDP , ID) The third element of SPI is distribution. Beneficiaries are classified into two groups: poor and nonpoor. The Poor are those who fall below the poverty line and Non-poor are those who live above the poverty line. Clearly, Population Where H 1- H P NP = Poor + Non-Poor = P + NP. = HN + (1- H)N. = Head count poverty Index = complement of H, [H+(1-H)]= 1 = HN, = (1- H)N = N - P BP = beneficiaries of the program. B BP I P = no of beneficiaries who are poor. BP I P B IP = P P HN 5 B IP = I D = ∑ I DP = ∑ P P p =1 I DP = ∑B P IP HN 1.4 Social Insurance Program: An Overview of the Micro Health Insurance in Bangladesh There is no formal definition of social protection in Bangladesh. However, many poverty reductions, social security programs mention that the implementation of the program will help protect the socially disadvantaged and vulnerable groups from shocks. This is not altogether surprising as the term social protection has only been adopted by IFIS in recent years. The programs as specified in the budget Speech, PRSP document and other policy papers reveal that most departments of almost all ministries are involved in poverty reduction programs. The main Ministries involved with social protection, social security and poverty reduction are Ministry of Social Welfare, Ministry of Food and Disaster Management, Ministry of Labor and Employment, Ministry of Women and Children Affairs, Ministry of Local Government and Rural Development, Ministry of Youth etc. As per the thematic paper prepared for providing input to the on-going PRSP finalization process social insurance program includes all programs that cover the risks associated with unemployment, sickness, maternity, disability, industrial injury and old age. In Bangladesh there is no provision for social insurance schemes particularly for the poor people by the public sector. However, there are some provisions for sickness and maternity allowances for Government employees. In addition, the Government covers the following schemes for the public sector employees. However, the number of beneficiaries of these programs is not available. Moreover, it is not possible to separate the poor beneficiaries from the total employees, as the percentage of poor population in the Government service is unknown. Nor all the class of employees can be categorised as the poor. Table1: Pension and Gratuities 2002-03 (in thousand Tk.) Economic Description Budget Pensions and Family Pensions 880,20,00 Gratuities 810,45,00 Pension for Meritorious and Praiseworthy Deeds 1,10,00 Medal for good performance 1,03,00 Medical Allowance to Pensioners 80,00,00 Source: Ministry of Finance: Budget Database The following Table 2 presents various social insurance programs implemented by a number of nongovernmental organizations. Table 2: Social Insurance Program (2002-2003) Program Micro Health Insurance Bangladesh (MHIB) Micro Health Insurance (MHI) Proshika Savings Scheme (PSS) Life & Micro Health and Livestock Insurance Schemes Insurance Scheme for IGA group members Micro Insurance/ Emergency Fund Customers Security Fund (Micro-insurance) Beneficiaries Life Insurance Sajida Health Risk Fund Risk Management Scheme Welfare program for the hard-core poor Apatkalin Tahbil Apatkalin Tahbil Institution/Agency Target Beneficiaries (Number) Expenditure (Million) BRAC 10000 35200 0.394172 Poor Beneficiary (Number) 35200 Grameen Kalyan 800000 26410 1.999982 26410 Proshika NA 13010000 9.03 13010000 Dustha Shastho Kendro(DHK) 30 2258 0.026354 2258 Care Bangladesh 10000 18368 0.115 18368 Integrated Development Foundation (IDF) BURO Tangail 100000 216000 1.867139 216000 NA 106103 0.3 106103 Society for Social Services (SSS) Sajida Foundation Association of Development for Economic and Social Help Technical Assistance for Rural Development (TARD) 100000 100500 0.574 100500 10000 30005000 50035 4343 8.269028 0.012 50035 4343 30005000 6419 0.019 6419 Association for Rural Save and Human Emancipation (ARSHE) Community Development Center (CODEC) Bonaful > 3000 501 0.0039 501 30005000 3221 0.38875 3221 500010000 21830 0.05 21830 Gono Grameen Bima Delta life Insurance Co Ltd NA 757869 41.839562 757869 Total 14359057 64.888887 14359057 Source: ILO (2003), Micro Insurers: Inventory of Micro Insurance Scheme in Bangladesh Though there are number of private organizations providing health insurance program, but the cost of these services is not affordable to the poor. In this reality, in 2001 ILO launched a project named Women’s Empowerment through Employment and Health (WEEH) to empower income-poor women in Bangladesh. The objectives of this program are to increase the poor people’s access to: • • • • decent employment, income opportunities, viable community health insurance systems and quality health care services. It is assumed that introduction of this program will contribute to poverty reduction and socioeconomic development. Basically WEEH has two sub-projects: • • Micro Health Insurance for Poor Rural Women in Bangladesh (MHIB) Women empowerment through Decent Employment (WEDE) Against this background, the following sub-sections will give a brief overview of all programs related to micro-health insurance in Bangladesh initiated by different non-government organizations. 1.4.1 Micro-Health Insurance Bangladesh (MHIB) was initiated by BRAC in November 2001. The objective of this project is to contribute to the empowerment and improvement of the wellbeing of the poor women and their families by promoting access to quality health care through an affordable micro-insurance initiative. The project is designed for achieving three primary goals: (a) (b) (c) contribute to woman’s empowerment increasing access to BRAC’s health care initiatives for poor women and their families increasing awareness of preventive healthcare including The target of the project is to cover persons of various occupations (subsistence agriculture, animal husbandry, fishing, trade and crafts etc) in the 573 villages in which BRAC operates. The project insured primary health and pathological services. The scheme is in operation with technical assistance /co-operation from ILO-STEP. Benefit package and contributions of Micro-Health Insurance scheme are shown below: Package Benefits Yearly contribution Health care: general benefit package Discount prices for consultation: Tk, 8 for members (Tk. 10 for nonmembers) 50% discount on normal deliveries 10% discount on medicines Free yearly health check up Coverage of referral costs: Tk. 500 to Tk. 1,000 (Ultra poor my benefit from same services without having to pay a premium) ANC check-up at BRAC mobile/satellite clinic Monthly supply of iron tablet and folic acid Provision of Safe Delivery Kit for home delivery Support for post-delivery complications Support in the event that newborn babies suffer from diarrhea or pneumonia within 28 days of birth Tk. 100 for a family up to 6 persons (Tk. 250 for non-member) Tk. 150 for a family up to 8 persons (Tk. 300 for non-member) Tk. 200 for a family of more than 8 persons (Tk. 350 for a non-member) Health care: pregnancy related care package Tk. 50 for a member Tk. 70 for a non-member No. of Beneficiaries 30, 625 (6,125 families) plus 1,085 (217 families)covered without premium under the ultra-poor program 1,465 women 1.4.2 Grameen Bank (GB) commenced the “Micro Health Insurance” (MHI) in 1997. It is operated by Grameen Kalyan (GK), which is a member of the Grameen Family. The project was intended to provide primary health care services to GB members who involved in various occupations including subsistence agriculture, animal husbandry, fishing, trade and crafts as well as general people living within its operational areas at an affordable cost to the poor. The priority areas of the scheme are preventive and promotional health care services with special emphasis on family planning and reproductive, internal and child health care 1.4.3 PROSHIKA has a number of policies and activities to cover financial risks of its group members and health-related vulnerabilities of the society. PROSHIKA Savings Scheme (PSS) is one of these activities began in 1997 for covering risk of natural disasters, life, loans, livestock and property. Target population of this scheme is group members including landless and marginal farmers. According to the scheme if a member dies or loses the homestead through a natural disaster, she is reimbursed double the amount of her/his savings as damages. The family gets their savings deposit multiplied by the number of years of savings. A compensation fund under the PSS has been created to compensate for the death of group members, damages to their houses or homesteads caused by river erosion, tornado, etc. Two per cent of the savings balance of the groups is transferred to this compensation fund on 30th June every year. In case of destruction or damage to the homesteads and houses by river erosion, cyclone, or tornado, twice the amount of the savings deposit of the member is paid as compensation, yet the member's savings deposit remains intact. The member enjoys the same right on that deposit like other members. In case of the death of a group member, the member's family receives the savings deposit multiplied by the number of years of savings with PROSHIKA. But the amount is never less than double the deceased's savings balance. The compensation will have to be paid, completing all the related steps, within three months of the death of a member. Proshika adopted the Economic-Social Security Programme (ESSP) scheme and put into effect from July 1999 to facilitate group members for saving more money for their future benefit to ensure a secured future for the group members. This scheme will cover housing, education, health and some other facilities for the regular savers as well. In 1990, Livestock Compensation Fund (LCF) was introduced by Proshika to pay for loss caused by the sudden death of farm animals and poultry. The groups contribute 3-5 per cent of the purchase value of the animals in this fund. The fund, covers death risk of cattle, goat, and chicken and has so far paid over Tk. five crore (50 million) to the affected group members. PROSHIKA considers a disabled person very much a part of its development process and accordingly started a pilot project, Disability and Development. To raise people's awareness on disability 23,800 people have been given orientation on the issue through 1,720 discussion sessions in eight ADCs. A total of 644 disabled people and members of their families have been included in the PROSHIKA organized groups and 465 children with disabilities were admitted to the local schools and PROSHIKA-NFP schools. Besides, 879 people with physical disabilities have been provided with home therapy or exercises. Centre for Disability and Development (CDD) of Savar and Centre for Rehabilitation of the Paralyzed (CRP) provided necessary technical support and relevant training. 1.4.4 Dushtha Shastha Kendra started life & micro health and livestock insurance schemes in 1995 with a view to provide supports for primary health care especially for woman and children. The schemes targeted to poor, landless, and marginal farmers - low income groups within both informal and formal economy. 1.4.5 CARE Bangladesh introduced a micro-insurance scheme under the heading of “Insurance scheme of IGA group member” in 2000. The micro insurance scheme is a part of SHAHAR (Supporting Household Activities for Health, Assets and Revenue) project activities being managed by 14 partner NGOs, taking part in the scheme. The SHAHAR project implemented by CAREBangladesh aims to establish household livelihood security for vulnerable urban households. The target population of this insurance scheme is limited to geographical area and persons involved in trade and crafts. 1.4.6 Integrated Development Foundation (IDF) started a micro health insurance scheme in 1997 for helping the family of the group members if they are seriously sick or in case of death of an earning family member. So the target population of the MHI scheme is the IDF group members involved in subsistence and cash crop agriculture, animal husbandry, trade && crafts and fishing. IDF specifically focuses on assisting the poor, landless, destitute women and children, small farmers and disabled persons. IDF offers two types of benefits to insurance holders: a). b). grants for death of a family member and grants for medical treatment The scheme was designed to cover the risk of primary health, life, accidents and hospitalization. The Micro-health Insurance scheme provided by IDF is closely tied to IDF’s micro-credit program, and subscription to the MHI scheme is compulsory for IDF borrowers. The total number of families covered by IDF through its 26 branches in 19 thanas of 4 districs was 29,700 in 2002. The total population covered so far y the MHI is 120,000. 1.4.7 Young Power in Social Action (YPSA) introduced a Micro Health Insurance in March 2003 to cover the risk of primary health and credit (credit insurance only available to micro-credit members) of subsistence farmers, fishermen, artisans, day-labourers and landless people. Package Benefits Yearly contribution Health Subsidised medical services include:: Consultation with doctor (Tk. 5 per visit) Medicine: 40% discount Pathological tests: 30% discount Normal delivery: 40% discount Free yearly medical check-up One-time Tk. 200-500 grant in case of hospitalisation In case of death of policyholder, nominee receives Tk. 5,000 – adjusted to outstanding micro-credit debt, if any. In case of death of policyholder, outstanding debt cancelled, and total savings with YPSA is returned to nominee Tk. 75 for families up to 6 members (Tk. 100 for nonmembers) Tk. 125 for families up to 11 members (Tk. 150 for non-members0 Life Loan insurance No. Beneficiaries 2,080 Tk. 10 3,500 1% of loan amount (e.g. a 5,000 loan insurance costs Tk. 50) 4,000 of 1.4.8 Society for Social Services (SSS) promotes the socio-economic condition of the rural and urban disadvantaged and poverty stricken people through savings fund generation, credit operation, health services (preventive and curative), education, technical co-operation, development of disadvantaged rural and urban children, rehabilitation of sex worker's children and joint action. Package Benefits Life insurance Nominee receives equal amount of loan disbursed (up to Tk. 5,000) in case of death of policy holder. Nominee also exempted from repaying any upstanding debt owed by policy holder. Basic (preventive and curative)health care free of cost by medical assistants. Basic (preventive and curative) health care at 50% discount by certified MBBS doctors. Health Contributions (yearly) 0.5% of yearly loan No. of Beneficiaries 95,000 women and 6,500 men Tk. 20 1.4.9 Sajida Foundation started to work in 1999 to provide primary and secondary health care through Sajida health centre, satellite clinics and referral services for tertiary care by partnership with other institutions. The target population of this scheme is Sajida’s micro-finance groups engaged in trade and crafts and mostly within the informal economy. Package Health-Family Card Benefits Antenatal Care Free general treatment Normal delivery for Tk. 225 Free annual check-up Pathological service at 20 % discount. Interest free treatment loans up to Tk. 5,000. Hospitalisation at 30% discount. Free referrals Contribution Tk. 100-150 per year (depend on basis of loan size) No. of Beneficiaries 50,035 1.4.10 Panna Samity Sangsad (PSS) introduced loan & life insurance scheme in 2003 as a part of its regular programme activities. The target population of this scheme is limited to geographic operational area of PSS involved in cash crop farming, trade and crafts and informal economy employment. 1.4.11 Association of Development for Economic and Social Help (ADESH) initiated its MicroInsurance Scheme in July 2002 with a view to cover the risk of life and loans of trade and crafts occupations. Under the benefit package of this insurance scheme -Risk fund – in case of death of insurance holder, nominee receives Tk. 2,000. 1.4.12 Since 1995 Technical Assistance for Rural development (TARD), which is a non-profit voluntary organization devoted to promote development efforts in Bangladesh, offers life insurance under the “Risk Management Scheme” to cover the risk of life of “specific social group within the informal economy”. The premium is covered by the interest on micro-credit loans on yearly basis. The contribution for the scheme is covered with the 15% interest rate charged for micro-credit loans. In case of death of policyholder, nominee receves up to Tk. 10,000. The amount is dependent upon the amount borrowed from TARD – (Tk. 10,000 limit). Another benefit of the scheme is the cancellation of outstanding debt from micro-credit loans. 1.4.13 “Welfare Program for the Hard-core Poor” is a Micro-Insurance Scheme introduced by the Association for rural Save and Human Emancipation (ARSHE) in 2000 with a view to cover the risk of accidents and loans of “income poor of the informal economy” engaged in subsistence agriculture, animal husbandry, fishing, trade and crafts. The life insurance policy is tied to micro-credit, with a limit of Tk. 12,000. A credit member may purchase a policy up to the amount of his/her loan. In case of death of policyholder before loan recovery, ARSHE offers exemption of the rest of the loan to policyholder’s family. Premium is 0.05% of total loan amount, charged yearly. In case of accident/injury, policyholders are given a lump-sump amount of Tk. 500-1,000 for treatment. Each case is considered individually, after which the decision on appropriate amount is taken by ARSHE management. 1.4.14 Community Development Centre (CODEC) is a development NGO that has been working with the coastal poor fisher folk communities since 1985. The insurance scheme “Apatkalin Tahbil”, which is started in 1992, aims to secure the welfare of its target groups by providing facilities for health, fire hazards and family compensation in case of death. Under this scheme, the insurance holder pays Tk. 25 per year for CODECs combined package of Health and Life. In case of death policyholder, nominee receives Tk. 2,000. In case of accident/injury or need of hospitalization, policyholder receives Tk. 1,000. In case the policyholder is the victim of fire hazard, family members are entitled to food and clothing for one month. 1.4.15 In 1999 a micro-financed institution based insurance scheme was introduced by Ghashful for life risk coverage of its micro-credit members and lower/middle income groups engaged in animal husbandry, fishing, trade and crafts. Under this scheme, a life insurance policy-holder pays Tk. 10 per month. Benefits for nominee, in case of death of policy holder, are: a). b). Tk. 5,000 if death occurs after 1 year and Tk. 10,000 if death occurs after 3 years. 1.5.16 By targeting the urban folk of Chittagong in the formal and informal economy engaged in animal husbandry, fishing, trade and crafts, in 1997 Banaful started a Micro-Insurance Scheme named “Apatkalin Tahbil” for covering risk of primary health. The insurance scheme is run independently by Banaful as a part of its micro-credit activities. Package Benefits Primary health Doctor consultation: Tk. 15 Paramedic consultation: Tk. 10 Consultation on family planning contraceptives: Tk. 10 Contribution No. of Beneficiaries 1.5% of yearly 21,830 loan account and 1.5.17 In 1988, Delta life insurance company commenced a new insurance scheme named “Gono Grameen Bima” (GGB) to cover the life risk of all low income earners aimed at the low-income groups living in the villages, with clients mostly involved in small trading or other income generating activities. Initially the scheme was designed to make the service available to those who most needed insurance (low-income people) and for those who lack the financial resources or security and are unable to leave their family with financial security upon death). The objectives of the GGB are: • to promote savings habit among the low income groups in rural areas • to promote financial security to the dependents of the policy holder and • to improve the socio economic conditions of the policyholder through Micro-insurance and micro credit. "Gono-Grameen Bima” currently has 11 lakh policyholders in villages all over the country. It employs over 11,000 field organisers, 57 percent of them are women. The service creates employment and consumer base in villages. 1.5 Estimation of Social Protection Index: In this section of the study, we synthesize the information and findings obtained from review of current social protection activities in Bangladesh in order to derive SP indicators. The derived indicators are used in the construction of social protection index. In accordance with the methodology discussed in section 1.3, the following items are considered: • Annual expenditure on social protection as percent of GDP in 2002-03 FY, • Coverage of social protection programs beneficiaries as percent of reference population and • Distribution impact of SP Coverage of poor population as percent of total poor 1.5.1 Social Protection Expenditure The study identified only those programs that are targeted to the poor. Some programs are found to operate since inception and some programs are year specific. For a good number of programs, either the target population or the beneficiaries are given but the expenditures on specific programs are not given. Likewise, in most cases, the total outlay is given without referring number of beneficiaries. However, given the constraints, component wise breakdown of SP expenditure is given in Table A3. In our Tables, NA means, Not Available. 1.5.2 Coverage of Social Protection Coverage is the second proposed component of SPI. As mentioned in section 1.3, for calculation of coverage indicator, we need the following information: • Total beneficiaries in the program • Reference population of the program It is clear that exact data for the above two items are required for the construction of coverage SPI. It is to be mentioned here that data are missing for most activities. The following points are therefore important: • Quantification of number of beneficiaries for most programs is not possible • Some programs have multiple target groups • Some population are covered by multiple programs • Some programs did not mention the population targeted Table A4 presents the number of beneficiaries on social protection programs by sub component. For calculating coverage of SPI for all the programs taken together, we used the total poor as reference population (Table A5). It is seen (Table A5) that labor market programs covered nearly 40 percent of unemployed and underemployed, totaling 16.5 million in 2002-03. Social insurance program covered more than 20 percent of all the poor of the country. The Social assistance program covered nearly 10 percent of all the poor. Micro-credit covered around 18 percent of rural destitute households having land less than 0.5 acres. The performance of Bangladesh in case of child protection is very low, only 4.7 percent children of the poor families covered by the child protection programs. Taking all the beneficiaries are together, it has been found that 30.57 percent of population were covered by SP activities during fiscal year 2002-2003. 1.5.3 Distributional Impact of SPI Program This is the third proposed component of SPI. This indicator represents poor beneficiaries as percent of total poor of the country. This was done as follows: Estimated total poor of the countries = 49.8 % of all population = 66.75 million Estimated beneficiaries for each component (Table A6) Estimate poor Beneficiaries for each component (Table A6) Distributional index = Poor Beneficiaries . 100 Poor Population The indices and distributional impact indicators are shown in Table A6. Component wise distribution reveals that social insurance and micro area credit program are the two major components that account for 21.50 percent and 17.95 percent of poor beneficiaries respectively. The detailed distribution of annual social protection indicators has been presented in additional tables A7, A8 and A9. The summery of SP indicators has been presented in table 3. Table 3: Summary of Annual Social Protection Expenditure and Indicators (2002-2003) SP Component Labour Market Programs Social Insurance Programs Social Assistance Programs Micro/ Area-wide programs Child protection Programs Total Indicators of Social Protection Expenditure SP expenditure as % of GDP SP expenditure per capita (Tk.) Coverage (%) Poor beneficiary as % of total Poor population Expenditure (Tk. million) 7950.53 64.89 27643.09 61815.81 334.10 97808.42 Distribution (%) 8.13 0.07 28.16 63.20 0.34 100 3.25 729.75 30.57 55.42 Source: Authors’ estimate based on “Social Protection Index on Committed Poverty Reduction” Notes: GDP (Tk. million) Total Population (million) Total poor population (million) Total poor population as % of total population : 3005800.00 : 134.03 : 66.75 : 49.8 It is seen that the SP programs covered 55.4 percent (multiple count) of all poor (66.75 million) of the country. However, total beneficiaries constitute 30.57 percent of the total population. But from expenditure point of view, only 3.25 percent of GDP was spent on SP activities targeted for poor people. • • Total SP expenditure as percent of GDP: 3.25 Per capita SP expenditure = Tk. 729.75 = US $ 12.58 ( 1 US $ = Tk. 58.00) 1.6 Concluding Remarks Collecting information on SP activities both from the government and non-government sources has not been an easy task. The collected data were not of similar kind either. So we had to make numerous working assumptions and adjustments to make them user-friendly. We have not deliberately combined these three indicators into a single Social Protection Index (SPI). We need to first agree on the relative weight, which should be given to each indicator. Despite all the limitations indicated, the attempt at constructing SPI is in itself a laudable venture, particularly at a time when Bangladesh opted for preparing PRSP. Monitoring implementation process of PRSP will be highly desirable. SPI could be an important tool for such a monitoring effort. The vision of Bangladesh's poverty reduction strategy is to substantially reduce the poverty within the next generation, hopefully, by 2015.The government has given top-most emphasis on the poverty reduction. The prime strategy is to use all routes. With many roots and multidimensional characteristics, all routes matter for the poverty reduction strategy. The strategic elements of antipoverty policies and institutions will cover 5 broad avenues: • Accelerate and expand the scope for pro-poor economic growth for increasing income and employment of the poor • Human development of the poor for raising their capability • Support Women's advancement and closing gender gap • Provide "Social Protection to the Poor" against all kinds of shocks and vulnerability • Influence participatory governance, enhance the voice of the poor and improve non-material dimension of well-being including security, power and social inclusion by improving the performance of anti-poverty and disaster preparedness and mitigation institutions. The above interventions, as expected, will have maximum impact on poverty, especially in minimizing the severity of poverty, where these are targeted to the poor, regardless of the places where they live. 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APPENDIX Table A 1: Social Risks - Risk Assessment and Risk Reduction Measures Risk Assessment Risk Reduction Measures Type of Social Risks to Household or Informal Options for Public Sector Options for Private the Poor Mechanisms Intervention Sector mechanisms Lifecycle • Provision of health • Health nutrition • Women as family • Hunger, children's services policy/ services welfare providers stunted development • Health, disability, • Social insurance • Extended family, • Illness /injury/ life insurance, and policy; mandatory community support disease (including reinsurance insurance for illness, HIV/Aids) • Hygiene, preventive disability, life, old age; • Micro insurance • Disability health micro insurance • Old-age annuities • Asset/savings • Old age • Social assistance depletion • Death • Child protection • Debt • Migration Economic • End of source of • Diversified sources of • Sound macroeconomic • Employment livelihood (i.e., crop livelihood and sector policies to generating private failure, cattle disease) • Unemployment • Low income • Changes in prices basic needs • Economic crisis and/or transition Environmental • Drought • Flood, rains • Earthquake • Landslides Social/Governance • Exclusion, losing social status/capital • Extortion, corruption • Crime, domestic violence, social anomie • Political instability • Private transfers/extended family support, child labor • Depletion of assets/savings • Reduced consumption of basic goods • Debt • Migration • • • • promote economic opportunities Particularly, regional and rural development policies, including micro insurance Labor market policies Education and training Social funds sector investment • Agricultural/ livestock insurance, reinsurance micro insurance • Banking services to the poor, micro finance • Providing training • Migration • Community action for resource management • Private transfers/extended family support • Assets/savings depletion • Environmental policy and infrastructure investment • Catastrophe prevention, mitigation programs including insurance against natural disasters • Agricultural/livestoc k catastrophe insurance and reinsurance • Maintaining community networks (reciprocal gifts, arranging marriages, religious networks) • Community pressure • Women's groups • Migration • Promotion good governance, antidiscriminatory policies, and anticorruption practices • Public information campaigns • Providing security and equal access to justice • NGOs and CBOs • Good corporate governance securing fair employment opportunities and provision of services regardless of race, gender, age, social status or political affiliation. Legend: CBO = community based organization, HIV/AIDS = Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome, NGO = nongovernmental organization. Source: ADB (2001) Table A2: Components and Sub-Components of Social Protection Labour Market Programs Direct employment generation (micro-enterprise development and public works) Labour exchanges and other employment services Skills development and training Labour legislation (including minimum age, wage levels, health and safety, etc.) Social Insurance Programs Programs to cover the risks associated with unemployment, sickness, maternity, disability, industrial injury and old age Social Assistance and Welfare Programs Welfare and social services targeted at the sick, the indigent, orphans and other vulnerable groups Cash/in-kind transfers (e.g. food stamps) Temporary subsidies for utilities and staple foods Micro and Area-based schemes (community-based) Micro-insurance schemes Agricultural insurance Social funds (usually involving the construction, operation and maintenance of small-scale physical public utility and social infrastructure) Disaster preparedness and management Child protection Early child development activities - e.g. basic nutrition, preventative health and educational programs Educational assistance (e.g. school-feeding, scholarships, fee waivers) Health assistance (e.g. reduced fees for vulnerable groups) Street-children initiatives (UCEF) Child rights and advocacy/awareness programs against child abuse, child labour, child rehabilitation trafficly etc. Youth programs to reduce health risks (especially HIV/AIDS and drugs) and anti-social behaviour. Family allowances (e.g. in-kind or cash transfers to assist families with young children to meet part of their basic needs. Source: Extracted from Vietnam Report, (Derived from I. Qrtiz ed, Defining an Agenda for Poverty Reduction Proceedings of the First Asia and Pacific Forum on Poverty, Volume 2, p. 57, ADB, Manila, 2002; ADB, Social Protection Strategy, pp. 14-22, Manila, 2001.) FIGURE A1 GONO BANAFUL GASHFUL CODEC ARSHE TARD ADESH SATU Sajida SSS IDF CARE DSK GK 150 135 120 105 90 75 60 45 30 15 0 BRAC Micro-Health Insurance in Bangladesh: Benefit paid as % of contribution collected Table A3: Annual Expenditures on Social Protection Programs by sub-component (2002-2003) SP COMPONENT/PROGRAMS INSTITUTION/AGENCY EXPENDITURE (MILLION TAKA) LABOUR MARKET PROGRAMS Rural Social Service (RSS) MSW 202.275 Food/Cash for work MFDM 271.3472 Test Relief (TR) MFDM 165.5 Employment Generation of Women Care Bangladesh 716.154421 Through Rural Maintenance Programme State Owned Enterprise Retrenchment Ministry of Finance 6595.26 Programme 7950.536621 SUB-TOTAL SOCIAL INSURANCE PROGRAM Micro Health Insurance Bangladesh BRAC 0.394172 (MHIB) Micro Health Insurance (MHI) Grameen Kalyan 1.999982 Proshika Savings Scheme (PSS) Proshika 9.03 Life & Micro Health and Livestock Dustha Shastho 0.026354 Insurance Schemes Kendro(DHK) Insurance Scheme for IGA group members Care Bangladesh 0.115 Micro Insurance/ Emergency Fund Integrated Development 1.867139 Foundation (IDF) Customers Security Fund (Micro-insurance) BURO Tangail 0.3 Beneficiaries Life Insurance Society for Social Services 0.574 (SSS) Sajida Health Sajida Foundation 8.269028 Risk Fund Association of Development 0.012 for Economic and Social Help Risk Management Scheme Technical Assistance for 0.019 Rural Development (TARD) Welfare program for the hard-core poor Association for Rural Save 0.0039 and Human Emancipation (ARSHE) Apatkalin Tahbil Community Development 0.38875 Center (CODEC) Apatkalin Tahbil Bonaful 0.05 Gono Grameen Bima Delta life Insurance Co Ltd 41.839562 SUB-TOTAL 64.888887 SOCIAL ASSISTANCE Rural social services MSW 27.4 Vocational training, employment MSW 0.159642 generation, family welfare and social education for destitute women Old age allowance MSW 749.5455 Widowed and deserted women MSW 397.73775 Honorary allowance for hard-up freedom MSW 300 fighters Vocational training, employment generation, family welfare and social education for destitute women Old age allowance Widowed and deserted women Honorary allowance for hard-up freedom fighters Financial assistance for treatment and rehabilitation of burnt affected poor people Govt. rehabilitation center for vagabonds Treatment facilities for poor and disadvantaged patient Vulnerable Group Feeding (VGF) Gratuitous Relief (GR) Food Based Social Safety Net Program Adasha Gram Project(shelter for poor families) Housing Fund for Distressed Asrayan project (rehabilitation program for landless poor) Skill training program Slum improvement project in Dhaka City Corporation (1991-96) Urban basic service delivery project for slum dwellers by DCC (1996-2000) Support for basic services in urban (2001-02) Environmental sanitation Hygiene and water supply in urban slum and Fringe project (1999-01) Dhaka integrated flood protection project for slum dwellers (1999-00) Education program for blind and domb Integrated education program for blinds Literary program for destitute women(social welfare) Vulnerable Group Development --- Integrated Food Security ---School feeding ---Rural Development Allocation for welfare of disabled person Providing Primary health care service SUB-TOTAL MICRO AND AREA BASED PROGRAMS Grameen Bank ASA BRAC Proshika MSW 0.159642 MSW MSW MSW 749.5455 397.73775 300 MSW 4.9 MSW MSW 1.2 NA MSW MSW MFDM ML 997.13734 10 18000 1999 MFDM MH 535 570.6 MWCA DCC 11 1.14 DCC 42.9 DCC DCC 10.3 54 DCC 89 MSW MSW MSW 0.32 0.45 17.7 WFP 3802.5 MSW MSW 10 11.1 27643.09023 GB 8562.50 20014.818 20700.00 4389.22 BRAC Proshika Buro, Tangail Employment Loan KarmaSangsthan Bank (Employment Bank) RDRS Caritas 1082.665 275.00 RDRS 393.229 Caritas, Bangladesh 901.343 Thengamara Mohila Sabuj Sangha (TMSS) 1500.841 Swanirvar Bangladesh 458.30 Shakti Foundation for Disadvantaged 842.786 Women Bangladesh Extension Education Services 365.31 (BEES) Micro Finance Program MSW NA Interest Free Loan MSW NA Interest Free Loan for Destitute Women MSW 79.80 Program on Rehabilitation of Acid- Burnt MSW 150.00 Women and then Physically Handicapped Loan for Housing MSW 50.00 Micro Finance for Poor Men and Women RDD 1800.00 Through Pally Daridra Bimoson Foundation (PDBF) (Sub –total) 61565.812 Disaster Management Program on mitigating risk from natural MSW 250.00 disaster SUB-TOTAL 61815.812 CHILD PROTECTION Financial Allocation for Orphan Children MSW 124.0 Eradication of hazardous child labor MoLE 34.6 Community Learning Community Health Plan Bangladesh 175.5 Care Family Economic Security Enabling Environment SUB-TOTAL 334.1 GRAND TOTAL 97808.42 Source: Authors’ estimate based on “Social Protection Index on Committed Poverty Reduction” Table A4: Beneficiaries of Social Protection Programs in Bangladesh by sub-component (20022003) SP COMPONENT/PROGRAMS INSTITION/AGENCY Beneficiaries (Number) LABOUR MARKET PROGRAMS Rural Social Service (RSS) Self Employment for Destitute Women (Sewing Machine) Employment Creation Through LGED’s Rural Infrastrature Development Program Providing Training Program Providing Vocational Training Primary Health Care Training MSW MSW 292113 1000 MLG 259739 MSW MSW MSW 8058 66761 21682 Employment Generation of Women Through Rural Maintenance Programme Proshika- Human Development Training Practical skill Development Training Urban Power Development Program – Human Development Training and PSD National Training and rehabilitation center for blinds Education and training program for mentally disabled children State Owned Enterprise Retrenchment Programme SUB-TOTAL SOCIAL INSURANCE PROGRAMS Micro Health Insurance Bangladesh (MHIB) Micro Health Insurance (MHI) Proshika Savings Scheme (PSS) Life & Micro Health and Livestock Insurance Schemes Insurance Scheme for IGA group members Micro Insurance/ Emergency Fund Customers Security Fund (Micro-insurance) Beneficiaries Life Insurance Sajida Health Risk Fund Risk Management Scheme Welfare program for the hard-core poor Apatkalin Tahbil Apatkalin Tahbil Gono Grameen Bima SUB-TOTAL SOCIAL ASSISTANCE PROGRAMS Rural social services Vocational training, employment generation, family welfare and social education for destitute women Old age allowance Care Bangladesh 41610 Proshika Proshika Proshika 4835289 64593 963859 MSW 52 MSW 61 Ministry of Finance 41086 6595903 BRAC Grameen Kalyan Proshika Dustha Shastho Kendro(DHK) Care Bangladesh Integrated Development Foundation (IDF) BURO Tangail Society for Social Services (SSS) Sajida Foundation Association of Development for Economic and Social Help Technical Assistance for Rural Development (TARD) Association for Rural Save and Human Emancipation (ARSHE) Community Development Center (CODEC) Bonaful Delta life Insurance Co Ltd 35200 26410 13010000 2258 18368 216000 106103 100500 50035 4343 6419 501 3221 21830 757869 14359057 MSW MSW 50435 294 MSW 499662 Widowed and deserted women Honorary allowance for hard-up freedom fighters Vocational training, employment generation, family welfare and social education for destitute women Old age allowance Widowed and deserted women Honorary allowance for hard-up freedom fighters Financial assistance for treatment and rehabilitation of burnt affected poor people Govt. rehabilitation center for vagabonds Treatment facilities for poor and disadvantaged patient Vulnerable Group Feeding (VGF) Gratuitous Relief (GR) Food Based Social Safety Net Program Adasha Gram Project(shelter for poor families) Housing Fund for Distressed Asrayan project (rehabilitation program for landless poor) Skill training program Slum improvement project in Dhaka City Corporation (1991-96) Urban basic service delivery project for slum dwellers by DCC (1996-2000) Support for basic services in urban (2001-02) Environmental sanitation Hygiene and water supply in urban slum and Fringe project (199901) Dhaka integrated flood protection project for slum dwellers (1999-00) Education program for blind and domb Integrated education program for blinds Literary program for destitute women(social welfare) Vulnerable Group Development Integrated Food Security School feeding Rural Development Allocation for welfare of disabled person Providing Primary health care service SUB-TOTAL MICROCREDIT AND AREA BASED PROGRAMS Grameen Bank ASA BRAC MSW MSW 266000 50000 MSW 294 MSW MSW MSW 499662 266000 50000 MSW 7680 MSW MSW 2487 284066 MSW MSW MFDM ML MFDM MH 647664 64.97 100000 15500 15000 16000 MWCA DCC 21181 31000 DCC 200000 DCC DCC 200000 25000 DCC 100000 MSW MSW MSW 346 479 19245 WFP 2300000 250000 1200000 250000 4539 74108 6630750.97 MSW MSW GB BRAC 640796 154509 574788 Proshika Buro, Tangail Employment Loan RDRS Caritas, Bangladesh Thengamara Mohila Sabuj Sangha (TMSS) Swanirvar Bangladesh Shakti Foundation for Disadvantaged Women Bangladesh Extension Education Services (BEES) Micro Finance Program Interest Free Loan Interest Free Loan for Destitute Women Program on Rehabilitation of Acid- Burnt Women and then Physically Handicapped Loan for Housing Micro Finance for Poor Men and Women Through Pally Daridra Bimoson Foundation (PDBF) SUB-TOTAL Disaster Management Program on mitigating risk from natural disaster SUB-TOTAL CHILD -PROTECTION Rehabilitation of orphan Children through i) Marriage ii) Employment iii) Education and Training Financial Allocation for Orphan Children Rehabilitation of the Minor (0-7) Children (baby homes) Day Care Center for the Children of Low income Employed Women Training and Rehabilitation of Destitute Children Eradication of hazardous child labor Vocational Training Programme for Working Children Job Placement Programme for Working Children Employment Generation Livelihood Skill Training Advanced Vocational Training and Job placement Community Learning Community Health Care Family Economic Security Enabling Proshika KarmaSangsthan Bank (Employment Bank) RDRS Caritas 42774 36137 9185 204 38572 42125 18146 23802 17423 MSW MSW MSW MSW 4702 10259000 15726 15000 MSW RDD 2930 NA 11895819 MSW 50000 11945819 MSW MSW MSW 316 143 1440 25833 124 MSW 101 MSW 1895 MoLE Dhaka Ahsania Mission 5000 527 268 1000 UCEP Under Privileged Children Education Programme Plan Bangladesh 2192 1450000 Environment SUB-TOTAL 1488839 40.98 (million) GRAND TOTAL Source: Authors’ estimate based on “Social Protection Index on Committed Poverty Reduction” For calculating coverage of SPI for all the programs taken together, we used the total poor as reference population (Table A5). Table A5: Beneficiaries and Reference Populations of Social Protection Programs in Bangladesh (Coverage of Social Protection Indicators, 2002-2003) SP Component Labour Market Programs Social Insurance Beneficiary (Million) Reference Population (Million) Coverage (%) Comments Percent of unemployed and underemployed in the labor force Poor population, cumulative data in 14.36 66.75 21.50 case of beneficiary available Social Assistance 6.63 Poor Population 66.75 9.90 Micro/ Area-wide Rural poor population owning land 11.95 66.30 17.95 programs less than 0.5 acres Child protection 1.48 31.50 4.71 Poor children of age 18 and below All components 40.98 134.03 30.57 All population; multiple counts. Source: Authors’ estimate based on “Social Protection Index on Committed Poverty Reduction” The last column of Table A5 gives the procedure of working out reference population. 6.56 16.5 39.98 Table A6: Poverty Targeting Rates (Distributional Indicators) Component All Poor Beneficiary Beneficiary (million) (million) Distribution al index for SP* (%) Poor Beneficiary as percentage of total poor beneficiary 1. Labour market 6.56 3.50 5.24 9.47 2. Social Insurance 14.36 14.36 21.50 38.82 3. Social Assistance 6.63 5.71 8.55 15.43 4. Micro/Area –wide program 11.95 11.94 17.89 32.29 Child protection 1.48 1.48 2.22 4.01 All Component 40.98 36.99 55.4 100.00 Note: * Poor beneficiary as percent of total poor population (poor population = 66.75 million). Source: Authors’ estimate based on “Social Protection Index on Committed Poverty Reduction” Table A7: Distribution of Annual Social Protection Indicators by total beneficiary (2002-2003) SP Component Labour Market Programs Social Insurance Social Assistance Micro/ Area-wide programs Beneficiary (Million) 6.56 14.36 6.63 11.95 Distribution (%) 16.0 35.04 16.17 29.16 Child protection 1.48 3.61 Total 40.98 100.00 Source: Authors’ estimate based on “Social Protection Index on Committed Poverty Reduction” Table A8: Distribution of Annual Social Protection Indicators by expenditure (2002-2003) SP Component Expenditure (Tk. million) Distribution (%) Labour Market Programs 7950.53 8.13 Social Insurance 64.89 0.07 Social Assistance 27643.09 28.16 Micro/ Area-wide programs 61815.81 63.20 Child protection 334.10 0.34 Total 97808.42 100 Source: Authors’ estimate based on “Social Protection Index on Committed Poverty Reduction” Table A9: Distribution of Annual Social Protection Indicators by poor beneficiary (2002-2003) SP Component Poor beneficiary (Million) Distribution (%) Labour Market Programs 3.50 9.47 Social Insurance 14.36 38.82 Social Assistance 5.71 15.43 Micro/ Area-wide programs 11.94 32.28 Child protection 1.48 4.0 Total 36.99 100 Source: Authors’ estimate based on “Social Protection Index on Committed Poverty Reduction” Table A10: Economic Indicators Indicators 2000-01 GDP at Current Price (billion Taka) 2535.5 GDP at constant price (billion Taka) 2157.4 (Base Yr. 1995-96) Per Capita GDP at constant price (Taka) 16613 US$ 362 Sectoral Share of GDP at Agricultur 25.03 constant price (%) e Industry 26.20 Services 48.77 Consumption as % of GDP 82.0 Private 77.5 Public 4.5 Investment as % GDP 23.1 Total Govt. Expenditure as % of GDP 15.4 Gross Fixed capital formation (billion 585.4 Taka) Inflation Rate (base 1995/96) 2.8 Source: Bangladesh Economic Review (various years) 2002-03 2003-04 3005.8 3325.7 Annual growth percent 9.5 2371.0 2501.8 5.1 17772 389 18504 421 3.65 23.47 22.83 27.24 49.30 81.8 76.4 5.4 23.4 13.4 27.80 49.37 81.7 76.3 5.4 23.6 13.5 703.5 784.2 2.8 5.9 Table A11: Total population, labor Force, participation rate Number (millions) Indicator 1995-96 1999-2000 Total Population 120.3 127.5 Popln 15+ 69.4 74.2 Labour Force 36.1 40.7 Dependency ration (economic) - 138 percent Labour Force participation 54.0 54.9 rate 87.0 84.0 Male 15.8 23.9 Female Unemployment rate 3.5 4.8 Male 2.8 3.4 Female 7.8 7.8 Child labour as percent of Child Popln Male Female Source: LFS 1999-2000, BBS August 2002 Table A12: Incidence of Poverty Head Count Ratio (in pecent) Division National Rural Bangladesh 49.8 53.1 Barisal 39.8 40.0 Chittagong 47.7 48.4 Dhaka 44.8 52.9 Khulna 51.4 52.2 Rajshahi 61.0 62.8 Source: BBS, Household Income and Expenditure Survey 2000, BBS 2003. Annual growth rate 1.54 1.69 1.30 0.4 -0.89 10.9 8.2 5.0 0.0 7.0 9.7 4.0 Urban 36.6 37.9 44.0 28.2 47.1 48.1 Table A13: Trends in Poverty and Inequality Indicator 1991/92 2000 Change per year (in percent) National 58.8 49.8 -1.8 Headcount Rate Urban 44.9 36.6 -2.2 Rural 61.2 53.1 -1.6 National 17.2 12.9 -2.9 Poverty Gap Urban 12.0 9.5 -2.5 Rural 18.1 13.8 -2.8 National 6.8 4.5 -4.5 Squared Poverty Gap Urban 4.4 3.4 -2.8 Rural 7.2 4.8 -4.4 National 0.259 0.306 1.9 Gini Index of Urban 0.307 0.368 2.0 Inequality Rural 0.243 0.271 1.2 Source: BBS, Household Income and Expenditure Survey, 2000, & World Bank, March 2003