National Social Protection Policy Framework For Uganda Enabling all Citizens to Participate in and Benefit from Uganda’s Social and Economic Transformation DRAFT 2 Ministry of Gender, Labour and Social Development May 2013 TABLE OF CONTENTS 1.0 INTRODUCTION .............................................................................................. 1 1.1 Importance of Social Protection in National Development ................................ 1 1.2 Rationale for the Social Protection Policy Framework ....................................... 2 1.3 Legal and Policy Framework ............................................................................... 4 2.0 SITUATION ANALYSIS ...................................................................................... 6 2.1 Poverty Status in Uganda .................................................................................... 6 2.2 Life-Cycle Risks and Vulnerability........................................................................ 8 2.3 Informal and Traditional Social Protection ...................................................... 11 2.4 Existing Social Protection Interventions.......................................................... 11 2.5 Social Care Services ........................................................................................... 12 2.6 Complementary Programmes to Overcome Financial Barriers to Accessing Services.............................................................................................................. 13 2.7 Other Programmes targeting vulnerable groups .............................................. 13 3.0 GUIDING PRINCIPLES .................................................................................... 14 4.0 POLICY FRAMEWORK DIRECTION .................................................................. 14 4.1 Vision, Mission and Goal of Social Protection .................................................. 15 4.2. Policy Objectives ............................................................................................... 16 4.3 Strategies and Priority Actions .......................................................................... 16 4.4 Policy Outcomes ................................................................................................ 21 5.0 FINANCING ................................................................................................... 22 6.0. INSTITUTIONAL FRAMEWORK ....................................................................... 22 7.0 MONITORING AND EVALUATION .................................................................. 26 1.0 INTRODUCTION Social protection entails all public and private interventions that address risks and vulnerabilities associated with being or becoming poor1. It refers to all formal and informal initiatives that provide direct income support to extremely poor individuals and households; social insurance to mitigate risks and consequences of livelihood shocks; and social care to reduce social vulnerabilities and enhance the capacity of vulnerable groups to cope with and overcome social vulnerabilities. In the Ugandan context social protection comprises social security (Social Insurance and Direct income support) and social care services. These services significantly contribute to addressing economic and social vulnerabilities. Many people are poor and vulnerable due to socio-economic characteristics such as gender, age, disability, household composition, ill-health and employment status. Economic shocks and natural hazards that usually befall different communities further deepen and intensify poverty and vulnerability. Social and economic vulnerabilities often overlap and reinforce each other so that certain categories of the population are highly vulnerable to a range of risks and have limited means to cope with these risks when they occur. Poverty and vulnerability negatively affects socio-economic development as well as the welfare of individuals and households. The multiple vulnerabilities faced by certain categories of the population such as the elderly, children, women and persons with disabilities does not only directly impact on their livelihoods, but also slows national development. Social protection directly reduces poverty, supports excluded citizens to access services, provides a foundation on which to build productive livelihoods and enables citizens to live a life of security and dignity. It aims to empower all citizens to participate in and benefit from the social and economic transformation in the country. The Government of Uganda recognises that social protection is a critical pre-requisite for achieving national development goals. This Policy Framework thus aims to harmonize different social policies and promote effective coordination and implementation of multi-sectoral Social Protection interventions. 1.1 IMPORTANCE OF SOCIAL PROTECTION IN NATIONAL DEVELOPMENT Social protection provides a secure platform upon which vulnerable households can build productive and sustainable livelihoods and contribute to economic growth. Income security for all citizens helps households to avoid risky coping strategies such as selling assets or withdrawing children from school. It also reduces the burden on children participating in child labour to contribute to family income and thus enabling them to attend school. 1 National Development Plan, 2010-2015 1 Direct Income Support to the poor and vulnerable groups provides economic stimulus to the local economy by increasing the demand for local goods and services. If such income is channelled through public-works programmes, it creates short term employment for the poor and vulnerable households as well as community assets for longer-term growth. By enabling poorer households to overcome financial barriers to accessing basic social services such as education and health, social protection also builds human capital, by empowering the poor and vulnerable households to meet indirect costs of accessing the services. Evidence from existing social protection programmes in Uganda and elsewhere indicate that poor households spend most of their direct income transfers on food. This improves the nutritional status of the households thereby enabling children to attain their full potential By improving nutritional status of children, in the long run social protection contributes to productive labour force, which reduces inter-generational transmission of poverty from parents to children. Social insurance minimizes income shocks associated with ill health, unemployment or retirement. Maintaining the economic and social status of such households ensures a firmer foundation on which households can re-establish themselves and their productive activities after such shocks. Social insurance interventions also maintain demand in the economy, thus sustaining growth and national development. Social care services such as child protection interventions, care for chronically sick, or disabled children and adults or gender based violence survivors improves the quality of life of these vulnerable groups and promotes inclusive development. Protecting the most vulnerable citizens from abuse and neglect enhances their participation in socioeconomic activities and the development process. 1.2 RATIONALE FOR THE SOCIAL PROTECTION POLICY FRAMEWORK Government has been implementing various programmes to alleviate poverty, but many of these interventions have been generic in nature and still fall short of mitigating the consequences of livelihood shocks experienced by extremely poor and vulnerable groups. Existing anti-poverty interventions have largely focused on the economically active population with the capacity to work. Due to persistent poverty, a significant 2 number of households in the country require Social Protection to break intergeneration and vicious cycle of poverty. The formal social insurance system in Uganda remains very limited and largely benefits a small percentage of the population who work in the formal sector. Various organisations have also established different savings schemes for their employees which are, however, not effectively coordinated and regulated. Although the informal sector employs most of the people in the labour force, the workers are not covered by any form of social security. This renders the majority of the economically active population vulnerable to economic shocks arising from unemployment, ill-health or old age. Addressing this challenge requires specific policy reforms that will facilitate expansion, effective coordination and regulation of social insurance schemes. Uganda’s rapidly growing population has exerted extreme pressure on the existing health care delivery system. This has resulted into poor service delivery and the expansion of private health care sector to bridge the gap. However, the cost of accessing private health care services are not affordable by the majority of workers in both the formal and informal sector. Social Health Insurance therefore has the potential of providing complementary source health care financing and improve health care for all Ugandans. Uganda has formulated a number of policies, enacted some laws and designed interventions which contain aspects of social protection. Whereas these interventions address cross-cutting needs of the poor and vulnerable groups, there is no unifying framework bringing together the social protection commitments in these existing policies. As a result there is lack of a clear national vision and strategic focus of social protection, fragmentation of interventions, duplication of resources, and limited impact on the beneficiaries. Therefore there is need for an overarching comprehensive and coherent social protection policy framework to guide all social protection initiatives. This Policy Framework will harmonize the existing policies and laws relating to Social Protection and it will provide strategic direction for delivery of social protection services in the country. It will also outline the links and complementarities between social protection and other Government interventions. It will provide a basis for the development of context specific policies, laws and programmes under the three focus areas of direct income support, social insurance and social care services. These focus areas will support the gradual evolution of a comprehensive social protection system and ultimately enhance coverage for all Ugandans. 3 1.3 LEGAL AND POLICY FRAMEWORK There is a strong legal and policy basis for Uganda to formulate social protection policy framework and design programmes to enhance delivery of social protection services in the Country. First and foremost, Uganda is a signatory to the Universal Declaration of Human Rights, 1948, which guarantees everyone the right to social security in the event of unemployment, sickness, disability, widowhood, old-age or other lack of livelihood in circumstances beyond his control. Uganda has also ratified the International Covenant on Economic Social and Cultural Rights, 1966, which obliges Government to put in place measures to ensure access to social security, including social insurance, for everyone. The Convention on the Rights of the Child, 1989 compels Government to help children who are poor and in need either directly or through their guardians. According to the UN Convention on the Rights of Persons with Disabilities, 2006, Government should ensure access to social protection by persons with disabilities At the regional level, Uganda has endorsed the Livingstone Call to Action, 2006, which obliges Africa states to put in place costed plans for the implementation of direct income support programmes. Uganda is also a signatory to the African Union Social Policy Framework, 2008, which calls on member governments to recognize that social protection is a state obligation, with provisions in national legislations. At the national level, the Constitution of the Republic of Uganda provides a firm basis for social protection interventions. The relevant provisions in the National Objectives and Directive Principles of State Policy, related to social protection are as follows: Objective VII: the state shall make reasonable provision for the welfare and maintenance of the aged; Objective XI (ii): The State shall give the highest priority to the enactment of legislation establishing measures that protect and enhance the right of the people to equal opportunities in development; Objective XIV (b): all Ugandans shall enjoy rights and opportunities and access to education, health services, clean and safe water, work, decent shelter, adequate clothing, food security and pension and retirement benefits; Article 32 of the Constitution states that ‘notwithstanding anything in this Constitution, the State shall take affirmative action in favour of groups marginalized on the basis of gender, age, disability or any other reason created by history, tradition or custom, for the purpose of redressing imbalances which exist against them. Article 254 states that a 4 public officer shall, on retirement receive such pension as is commensurate with his or her rank; salary and length of service. This Policy Framework is consistent with the National Development Plan (NDP), which recognizes Social protection as one of key strategies for transforming Uganda from a peasant society to a modern and prosperous country. The NDP emphasizes diversification and provision comprehensive social protection measures for the different categories of the population as a measure to reduce vulnerability and enhance productivity of the human resource. Other relevant policies are summarized below: The National Orphans and Other Vulnerable Children Policy (2004), provides for survival, development, participation and protection of vulnerable children and obliges Government to design appropriate instruments to achieve this. The National Policy on Disability seeks to promote equal opportunities and social protection for PWDs and recognizes the fact that principle that, given the same chances and conditions, PWDs can perform to their full potential irrespective of their social, economic or cultural backgrounds. National Policy for Older Persons (2009) advocates for equal treatment, social inclusion and provision of livelihood support of older persons. It identifies provision of direct income support and social insurance as a key social protection instruments for addressing the needs of older persons. The National Youth Policy recognizes productive employment as a measure of ensuring the participation of the youth in economic growth and development. Social protection therefore provides an opportunity for unemployed youth to engage in productive activities through public works scheme. The National Employment Policy 2010 supports social insurance for workers in the formal sector, especially those who are able to contribute to social insurance schemes such as the NSSF, private pension or health schemes. It also specifies responsibilities of employers to provide contingencies for their workers such as paid maternity, paternity and sick leave. The National Equal Opportunities Policy 2006; recognizes the inherent rights of all the people of Uganda to participate in social, economic and political affairs of the country and promotes equal opportunities for all. 5 The Uganda Gender Policy of 2007 promotes gender equality in all spheres including employment, economic empowerment and provides a framework for engendering social protection interventions The National Policy for Disaster Preparedness and Management 2010 emphasizes the critical importance of restoring and maintaining the quality and overall welfare and development of human beings in their environment. It advocates for an approach to disaster management that focuses on reducing risks – the risk of loss of life, economic loss and damage to property. The draft Birth and Death Registration Policy, 2012 provides for building a civil registration system which is essential for the development of a social protection system. 2.0 SITUATION ANALYSIS 2.1 Poverty Status in Uganda The effort to eradicate mass poverty in Uganda dates back to 1997, when the Government formulated and began implementing the first Poverty Eradication Action Plan (PEAP). By 2000, the poverty rate had reduced from 44% in 1997 to 34% in 1999/00, but this trend was, however, disrupted in 2002/03 when the poverty headcount instead rose to 38% and the number of people living below the poverty line increased from 7.3 million in 1999/00 to 8.9 million in 2002/032. The proportion of people living below the poverty line again dropped to 31.1% in 2005/06 and 24.5% in 2009/10. However, in numerical terms, 7.5 million people in Uganda have incomes which are below the minimum level required to meet basic needs3 Analysis of the panel data collected by the Uganda Bureau of Statistics (UBOS) reveals that 45.3% of the households which were in poorest quintile in 2005/06 maintained the same poverty status in 2009/10. This implies that out of nearly 1.4 million poor households in 2005/06 about 624,000 households, representing over 3.2 million poor people, could not move out of the lowest quintile and may be considered chronically poor. Although 54.7% of the poorest households in 2005/06 managed to move to 2 The UNHS Report, 2005/2006 3 Uganda National Household Survey Report 2009/10 6 higher quintiles, the fact that other households which were better off dropped to the lowest quintile confirms that poverty is dynamic in nature. About 43 percent of the population, representing about 13 million people are living barely above the poverty line and are at risk of becoming poor. The poverty rate in Uganda is also highly variable across geographical areas, ranging from as low as 4.2 percent in urban areas of the Western region to as high as 49 percent in rural areas of Northern Uganda. Although 20 per cent of the population live in Northern Uganda accounts for only, it accounts for 38 percent of the poor. Furthermore, the broad regional figures hide significant variation within sub-regions with the highest poverty incidence of 75 percent being recorded in the Karamoja subregion as compared to 4 percent in Kampala sub-region. In addition, between 2005/6 and 2009/10, poverty in the Karamoja sub-region has declined by only 5 percent compared to 21 percent reduction nationally. Extreme poverty has significant implications for the wellbeing of households. Many of the poor households are unable to meet their basic needs such as adequate food, clothing and shelter, health care and education. Such households also lack access to gainful employment and are unable to participate in development programmes. The available statistics reveal that 31 per cent of household cite financial constraints as the main reason why they cannot access medical services. In addition, many of these households are unable to access resources to invest in income generating activities mainly because they cannot access credit and other financial services. When they can invest, they often employ low risk, low return strategies to minimize fluctuations in their income which could result from a failed crop or poor investment4. In spite of their age, older persons are often compelled to continue doing hard work due to lack of predictable source of income for accessing basic needs such as food, clothing, shelter, health care and education for the grandchildren under their care. The number of older persons still engaged in active employment increased by 14.5 percent between 2005/06 and 2009/10. This indicates that more and more elderly people are being obliged to work to sustain themselves and their families, as a result of poverty. 85 per cent of older persons are engaged in crop farming, which is characterised by fluctuations in produce prices, irregular income and low returns to labour, which increases their vulnerability. Over 93 percent of older persons in Uganda do not have any form of saving or access to pension or any other form of social security. 4 Evidence from the World Bank shows that the poor may sacrifice as much as a quarter of their income in return for greater economic security (reference). 7 Households with at least one severely or partially disabled member have a poverty rate of 30 per cent – well above the national average –and households headed by PWDs comprise 16 per cent of the poorest decile of the population. 2.2 Life-Cycle Risks and Vulnerability Poor people face various risks and vulnerabilities related to specific stages of either their lifecycle or covariate risks, which threaten their well-being. Children Children in Uganda are faced with multiple risks and vulnerabilities which affect their development and prevent them from achieving their full potential. These include poor nutrition, orphan-hood, child labour, neglect and other violations that require a more systematic state response mechanism through social protection. Malnutrition affects both physical, cognitive and psychosocial development of children, with significant negative implications on their education, productivity and well-being. As of 2011, about 33 percent of children under 5 years were stunted, 14 percent were severely stunted, 5 percent were wasted while 2 percent were severely wasted. The loss of a parent also impacts severely on children as they find it difficult to cope with the state of orphan-hood. In 2010, about 2.43 million children in Uganda had lost one or both parents. Out of these 395,000 children were double orphans. Older people – especially grandmothers – care for 45 percent of OVC in Uganda, which increases their vulnerability. Low household incomes and child neglect force children into child labour. Overall, 2.75 million children aged 5-17 years are child labourers, out of whom 1.48 million are males and 1.27 million are females. The majority of child labourers are aged 5-11 years, who constitute 2.24 million children or 81% of the child labourers. A significant number of children continue to be neglected by their parents or caretakers, which forces them to drop out of school and try to find livelihood options on the streets or elsewhere. Despite the existence of Universal Primary Education (UPE) and the Universal Secondary Education (USE) programmes, poor and vulnerable parents still struggle to educate their children because of their inability to provide their children with basic school requirement such as uniforms, scholastic materials and meals at school. Indeed, children born in poor and vulnerable households are much less likely to complete primary school. For example, the enrolment rate for children from poorest households is 70 percent compared to 90 percent from the wealthiest. According to 2012 Poverty 8 Status Report, while the enrolment rate at primary one stands at 96%, completion at P.7 is only 54%. Youth Youth aged 18-30 years constitute 21 percent of the total population of Uganda and 57 percent of the labour force, but as of 2010 only 19 percent were gainfully employed. An estimated 4.9 million youth were either unemployed or underemployed. The unemployment rate currently stand at 4.7 percent among the youth and yet the number of jobs created cannot match the rate of growth in the labour force, thus increasing risky behaviour and vulnerability among the youth. Apart from lack of jobs, another major reason why many youth (both educated and uneducated) are unemployed or underemployed is the fact that they lack employable skills and experience to be absorbed in the labour market. The lack of employment has increasingly made Uganda’s youth vulnerable to drug and substance abuse, causing social unrest, human trafficking, sexual exploitation, early marriages and engaging in criminal activities. Working population The majority of employed people face enormous risks which include low pay, job insecurity, limited labour mobility, discrimination, sexual harassment and poor working conditions. About 85 percent of the workforce are employed in the informal sector without formal contacts and any form of social security. As many as 33.8 percent of the workers in the private sector earn less than Shs 50,000 per month. The lowest wages are received by agricultural wage workers, which employs most of the informal sector workers. The low income of many workers cannot meet their basic needs. Working women face insecurity when they have children as maternity leave is provided for a limited period and this does not apply to the majority of working women who are in the informal sectors. Old age As people advance in age, they tend to become less productive. Therefore if they did not invest in their early working age, which is the case for the majority of Uganda’s older persons (60 years and above), they become vulnerable and unable to effectively take care of their livelihoods. Older persons face heightened risks of ill-health coupled with high costs of drugs and low availability of specialists on diseases associated with aging. As their labour capacity declines, they become dependent on others for support. 9 The vulnerability of older persons has been magnified by the impacts of HIV and AIDS, which can be devastating not just emotionally, but also financially and physically. In Uganda older persons constitute about 4 percent of the population, corresponding to about 1.4 million people. Of these, 64.5 percent, corresponding to about 903,000 older persons have old-age related disability and 10.7 percent or 150,000 older persons live alone. Up to 15.1 percent of the households in the country are headed by older persons and almost 72 percent of them have responsibilities of caring for children and the sick. Risks of old age affect women and men differently. For example 55 per cent of the older persons are women, and are less likely to access current old age pension schemes. In addition, 63.2 percent of the older women are widows compared to only 15.3 percent of older men who are widowers. In most Ugandan societies, older widows are left helpless and are often stripped off their properties left behind by their late husbands. Disability Disability is yet another vulnerability affecting people in all demographic categories from childhood to old age. Statistics indicate that 16 percent of people aged 5 years and above have a disability, while 4 percent have a severe disability. Persons with Disability (PWDs) face significant constraints in accessing services and opportunities. About 14 percent of the PWDs aged 6–24 years are permanently limited by their disabilities to attend school while 40 percent aged 14–64 permanently unable to work. Covariate risks and shocks Many people are vulnerable to natural and human induced disasters. The major disasters suffered in some parts of the country include drought, famine, floods, epidemics, landslides, collapsing civil structures and windstorms. According to UNHS Report of 2009/2010, more than 57 percent of the households in Uganda experienced climatic shocks resulting in a decline in crop production and income for more than 80 percent of the population. About 16 percent were affected by health related shocks like illness and death of household members leading to a reduction in income. These disasters have made people more vulnerable to poverty and disease. Only one percent of households which experienced shocks received support from government. This underscores the absence of formal social protection systems for those in need of such support. However, the impact of shocks affects households disproportionately, with those which are poor more likely to be exposed to higher levels of risks such as food shortage or ill health because they have limited ability to cope when these risks occur. 10 2.3 Informal and Traditional Social Protection The traditional social networks that used to protect vulnerable groups from neglect and destitution have been eroded over time. The rural-urban migration, high levels of unemployment and underemployment, HIV/AIDS pandemic, civil conflicts, widespread poverty and the struggle by everyone to survive in a cash economy has weakened family bonds and reduced the opportunities for vulnerable people to get assistance from the younger generation. The responsibility of providing for the health and material needs of the family, which has shifted from the young people to the older generations, has drained the resources of the poor and condemned them to live in conditions of chronic poverty. 2.4 Existing Social Protection Interventions Government is implementing various social protection services. However, these services are being implemented in isolation and in an un coordinated manner. i) Contributory Social Security (Social Insurance) The formal social insurance system in Uganda remains very limited, with largely those working in formal employment being able to benefit. The existing forms of social insurance in Uganda provide social security to individuals in the form of gratuity and pension for retired civil servants or lump sum payment, based on contributions made by employers and deductions from emoluments, for workers in the private sector. The two main schemes that provide social insurance services are the NSSF and the PSPS. The NSSF is the largest social security programme and currently has 400,000 active members and pays out around 1,000 applicants every month5. Products include an old age benefit, a survivor’s grant, invalidity benefit and an emigration benefit. The PSPS is currently a non-contributory scheme financed out of general tax revenues. The payments include a one-off lump sum amount given to the beneficiaries upon retirement based on the number of years of service and the final annual salary drawn and monthly pension is based on the prevailing salary of civil servants in similar positions as the retiree’s final position. There are 227,600 civil servants who could potentially benefit from the scheme in the future, but presently about 39,400 people are receiving pension through the PSPS. In addition, Government as well as private 5 Report of the Inter Ministerial Taskforce on the Reform of the Public Service Pension Scheme, MoPS, 2012. 11 sector employers pay compensation to workers who get involved in occupational hazards. Currently, Government does not have a comprehensive policy on health insurance to cover all citizens, but rather promotes the provision of health insurance by private sector service providers for organisations and individuals who can afford. ii) Non-contributory Social Security (Direct Income Support) For labour constrained households, Uganda is currently implementing a pilot Social Assistance Grant for Empowerment (SAGE) programme, which provides regular direct income support to some older persons and vulnerable households. The SAGE programme has two components: the Senior Citizens Grant (SCG) and Vulnerable Family Grant (VFG), which are expected to cover 95,000 households in 14 districts6 across Uganda by 2015. A number of public works programmes are being implemented to support poor households with labour capacity. These programme are financed by both Government and Development Partners and mainly target the youth and women. These are all implemented in the Northern Uganda and provide cash or vouchers for food and inputs7. They include Northern Uganda Social Action Fund (NUSAF), the Karamoja Livelihoods Improvement Programme, Rural Roads Project, and Community Agriculture Infrastructure Improvement Programme (CAIIP), Community Driven Development Programme, Agricultural Livelihoods Recovery Programme, Development Assistance to Refugee Hosting Areas programme and Restoration of Agricultural Livelihoods in Northern Uganda. 2.5 Social Care Services Social care services encompasses a range of support services that reduce social vulnerability, strengthen resilience and capacity of people to cope with and overcome shocks. These services include Community-based rehabilitation for persons with disabilities, institutional support to vulnerable children, resettlement of street children. 6 Apac, Kaberamaido, Katakwi, Kiboga, Nebbi, Kyenjojo, Moroto, Nakapiripirit, Amudat, Kyegegwa, Kyankwanzi, Zombo, Napak and Kole 7 Not all of these programmes have explicit social protection objectives – that is, objectives to guarantee regular and predictable minimum levels of income security for vulnerable households. However, the rationale for re-assessing and potentially re-classifying these programmes as social protection is outlined on page 17. 12 2.6 Complementary Programmes to Overcome Financial Barriers to Accessing Services Complementary programmes are those which enable families and individuals who are excluded from accessing basic government services to overcome the economic barriers to accessing these services. Examples include school feeding to enable excluded children to access UPE or grants or transport vouchers to enable expectant mothers to attend health clinics. The Karamoja Early Childhood Development Programme, which aims to increase the uptake of early childhood programmes by providing food rations is another example of complementary programmes 2.7 Other Programmes targeting vulnerable groups The government has specific programmes that provide support to poor and vulnerable persons. Some of these programmes include Special Grant for PWDs, Support to OVC households, and Support to women and youth groups. Whilst not falling into the social protection sub-sector these interventions are essential for supporting the livelihoods and wellbeing of vulnerable groups. 13 3.0 GUIDING PRINCIPLES The following principles will underpin development of the social protection policy framework 1. Human Rights Based Approach to Service delivery: social protection is a basic service and a human right that ensures dignity of people. 2. Universalism and inclusiveness: The principle of universalism will prevail during implementation of the framework to include and guarantee every citizen at some point of their lives when in need some form of social protection. 3. Progressiveness: This policy framework provides for progressive implementation of the social protection interventions in line with the country`s fiscal space and administrative capacity. 4. Comprehensiveness: This policy framework covers all the four broad sets of social protection interventions namely protective, preventive, promotive and transformative. 5. Participation: This policy framework recognises involvement of all stakeholders in the different processes of Social Protection such as formulation, implementation and legislations that directly affect their well- being. 6. Transparency & Accountability: This policy framework emphasises openness and value for money as critical in provision of social protection. 7. Gender Responsiveness: This policy framework takes into consideration the concerns of men women, boys and girls throughout the life course. All stakeholders should ensure that issues of women and men are included in planning and implementation of social protection programs. 8. Equity: This policy framework emphasizes fairness and justice in provision of social protection interventions 9. Dignity: This policy framework recognizes that poor and vulnerable persons be treated with respect regardless of their social-cultural, religious, economic and political status. 4.0 SOCIAL PROTECTION POLICY FRAMEWORK DIRECTION In the Ugandan context, social protection aims to achieve a secure and resilient population. It is conceptualized as represented in the diagram below, with two main pillars of social security for all and social care services for vulnerable groups such as children, widows, persons with disabilities, older persons. The two pillars are complemented by other sector policies. A CONCEPTUAL FRAMEWORK FOR SOCIAL PROTECTION IN UGANDA 14 FINANCIAL POLICIES 4.1 Vision, Mission and Goal of Social Protection 4.1.1 Vision A society where all individuals and families are secure and resilient. 4.1.2 Mission Provision of comprehensive and coordinated social protection interventions to address extreme poverty, risk, vulnerability, gender and social inequalities 4.1.3 Goal To reduce extreme poverty, risks and vulnerability for socio-economic transformation. 15 4.2. Policy Objectives 1) To increase access to social security for all citizens; 2) To enhance the provision of care and protection to most vulnerable individuals; 3) To strengthen policy, legal and institutional framework for provision of social protection; 4) Increase access to complementary services by social protection beneficiaries. The social protection sub-sector is comprised of two core elements: i) Social Security: This social security system is comprised of a contributory and a non-contributory pillar as follows: Direct Income Support which provides regular and predictable transfers in cash or in kind to poor and vulnerable households and individuals. Social Insurance which provides income support on the basis of previous individual and / or employer contributions to mitigate the impacts of income shocks such as unemployment, retirement, ill-health etc. ii) Social care services: This element of the social protection sub-sector includes a range of support to reduce social vulnerability and enhance the capacity of vulnerable groups to cope with and overcome social vulnerabilities, and links families and individuals to existing programmes and services. 4.3 Strategies and Priority Actions Objective 1: To increase access to social security for all citizens. Provide direct income support / non-contributory social security Every Ugandan whether employed or not needs guarantee for some form of social security to address lifecycle risks. This Policy Framework thus recognises the need to provide non-contributory social security benefits to the most poor and vulnerable citizens to enable them meet their basic needs, mitigate their livelihood shocks, access social services and facilitate their inclusion in the development and social transformation process. Direct income support will specifically target older persons who by nature of their advanced age no-longer economically active, vulnerable families with the chronically ill or persons with severe disabilities, and poor working age youth and adults without a regular source income. 16 Specifically, an older age grant will be put in place to provide a regular, predicable and reliable income support to older persons aged 60 years and above. Other vulnerable households will be supported with the grant for a specific period of time while building their capacity to improve their livelihood status and graduate from the grant. In order to achieve this beneficiaries will be linked up with complementary socio-economic programmes to facilitate their integration in the development process A public works scheme will be put in place to provide regular income to poor working age adults who have the ability and are willing to engage in improvement and maintenance of community assets. The scheme will specifically target able-bodied unemployed and underemployed semi-skilled or unskilled youth from extremely poor households who will be required to participate in activities such as afforestation, soil and water conservation, wetland restoration, watershed management and rural infrastructure development within the community in return for public works grant. Emphasis will be laid on empowering beneficiaries of the scheme to harness their full potential so that they should be able to graduate from the scheme after a definite period time. The following strategies will be pursued: Expand the scope and coverage of non-contributory social security provision to the poor and vulnerable. Expand the scope and coverage of contributory social security provision in the formal and informal sectors; Reform and Liberalise Contributory Social Security Strategy 1: provision; Expand the scope and coverage of non-contributory social security Priority Actions i. Develop and implement various direct income support schemes for priority target vulnerable groups. This includes schemes for older persons, PWDs, OVC and other labour constrained households. Other regular predictable household transfers shall be developed to support access to services and address nutrition needs for households. ii. Initiate public works schemes to provide regular income to extremely poor working age adults and youths who have the ability and are willing to engage in improvement and maintenance of community assets. Strategy 2: Expand the scope and coverage of contributory social security provision in the formal and informal sectors; 17 Priority Actions i. Extend coverage of contributory schemes to those who are not reached by existing interventions. ii. Establish a social health insurance scheme that provides adequate and affordable access for the poor and vulnerable. iii. Extend social insurance coverage in both formal and informal sector Strategy 3: Promote reforms in the provision of Contributory Social Security Priority Actions: i. Broaden access to contributory social security services and contribute to diversification of social insurance to equally benefit the informal sector as well. ii. Transform the non-contributory Public Service Pension Scheme to a contributory one. iii. Accelerate policy reform of contributory social security provision. iv. Improve governance of contributory social insurance schemes. Objective 2: To enhance the provision of social care, welfare and protection services to the most vulnerable individuals These are a range of interventions and support systems that help to identify, reduce and strengthen resilience to cope with social vulnerability, and link families and individuals to existing programmes and services. They include family and home-based care for persons with disabilities, the elderly or chronically sick, reception centres for abandoned children, psychosocial support and child protection services etc. The government shall pursue the following strategies: Strategy 1: Harmonize and expand provision of social care, welfare and protection services Priority Actions i. Promote Community Based Care and Protection Initiative This policy recognizes the fact that a household is the primary source of care and support to persons in need of care and protection and will promote household and community based care and support for vulnerable persons. This will involve empowering households and communities to provide quality care and support for vulnerable persons. Where traditional support systems have broken down, comprehensive and coherent systems that sustainably support the vulnerable persons shall be developed. ii. Revitalise and Strengthen Traditional Support Systems Traditional support systems are valuable and beneficial as they define personal and collective identity. They provide, immediate, more effective, culturally familiar support. They are institutions of first instance for support to vulnerable persons. Therefore, this Policy Framework emphasises establishment of an incentive framework to strengthen the existing traditional mechanisms. 18 iii. iv. v. Conduct studies or review existing literature on traditional social protection systems to identify those that should be revitalized and strengthened. Develop a comprehensive long term strategic framework for social care and protection services. Strengthen government capacity to deliver social care services to the most vulnerable groups. Objective 3: To Strengthen Policy, Legal and Institutional Framework for Provision of Social Protection Strategy 1: Promote evidence-based policy making, programming and legislation Evidence is essential for development of a relevant and value added policy and legislative agenda on social protection. Government shall promote evidence based policy development to ensure that policies and programmes remain relevant and responsive to the needs of the poor and vulnerable. Priority Actions i. Develop and implement a comprehensive social protection evidence agenda to inform in particular programme plans of intervention for direct income support including public works, social insurance for the informal sector, social care services for vulnerable groups, and other areas relevant to social protection. ii. Review and or develop evidence based policies, laws, programme plans of intervention, guidelines and standards for SP services delivery. Strategy 2: Strengthen the institutional framework for effective delivery of social protection services. Public and private sector institutions play a critical role in the effective delivery of social protection services both at national and local government levels. Consequently their mandates, roles, responsibilities, resources, tools and skills are essential to enhance the outcomes and impact of social protection investments. Priority Actions i. Carry out mapping and capacity assessment of institutions providing SP at national and local government levels. ii. Develop and implement an institutional development and capacity strengthening programme for institutions providing SP at national and local government levels. iii. Establish institutions/ facilities for SP services including in particular institutions to provide social care for the vulnerable. iv. Strengthen the operation of civil registration system and harmonised MISs. Strategy 3: Promote Public-Private Partnerships in the development and implementation of SP programmes 19 Priority Actions i. Integrate social protection in the education curricula at all levels ii. Build the capacity of private sector actors to appreciate and deliver SP services iii. Coordinate NGOS & FBOs involved in the delivery of social protection services Strategy 4: Establish and strengthen coordination and oversight mechanisms for social protection services. Social protection service delivery involves multiple actors at different levels requiring effective coordination and leadership. Priority Actions Government shall… i. Establish a multi-sectorial ministerial steering committee on social protection ii. Strengthen the Social Development Sector Working Group and the Social Protection Sub-Committee for SP technical stakeholders at national level iii. Build capacity of Technical Planning Committees to coordinate and integrate SP issues at sub-national level Strategy 5: Develop and strengthen M & E systems for social protection. Tracking delivery and assessing results of social protection interventions is critical for ensuring accountability and quality. Priority Actions i. Develop a national SP M&E framework linked to relevant sectoral MIS and the national statistical system. ii. Share implementation experiences and lessons learnt on SP at all levels Strategy 6: Develop sustainable, predictable social protection financing mechanisms Social protection is a basic government service. Social protection services are therefore best delivered through government financing. However, it is recognised that in the short and medium term development partner financing shall be required. As social protection develops into a coherent sub-sector of government service delivery financing mechanisms will need to evolve to ensure more sustainable, predictable and flexible financing. Priority Actions i. Develop appropriate financing mechanisms with development partners and Ministry of Finance, Planning and Economic Development Objective 4: Increase access to complementary services by vulnerable individuals Strategy 1: Strengthen linkages between social protection and complementary services. 20 Social protection and other public as well as private services are mutually complementary. Government shall promote effective access to services for beneficiaries of social protection interventions. Priority Actions i. Identify and implement the most effective ways of linking social protection beneficiaries to other services through, amongst other actions, awareness creation, policy guidance, strengthening multi-sectoral planning, information sharing, direct referral. ii. Build the capacity of service providers to appreciate and deliver social protection services iii. Develop interventions that improve access to agricultural services iv. Mainstream social protection in other sectors Strategy 2: Introduce targeted interventions to overcome financial barriers to accessing basic services Priority Actions i. Implement targeted household and individual transfers in other basic services such as health, water and education 4.4 i. ii. iii. iv. v. Policy Outcomes all Ugandans have social security a functional social care and protection all vulnerable individuals access social care and protection services. a functional legal system that guarantees the social protection needs of all citizens a well-coordinated institutional framework for delivery of social protection all vulnerable individuals have access to complementary services 21 5.0 FINANCING Programme Plans of Interventions will be developed to implement various actions identified in this policy framework. The PPIs will in particular detail the cost and financing arrangements for implementation of the commitments in the documents. This will include joint-financing arrangements between government and development partners as well as private sector actors 6.0. IMPLEMENTATION ARRANGEMENT 6.1. SYSTEMS AND FUNDAMENTALS As a prerequisite for implementation of this policy framework, Government shall put in place the following: A national single registration system and provision of national identity cards to ease identification, targeting of beneficiaries for various SP programmes and avoid multiple access to benefits; Develop and strengthen the necessary infrastructure such as telecommunication networks, financial services for effective delivery of social protection all over the country; Establish a social protection fund to facilitate sustainable financing of social protection services in both the formal and informal sectors; Establish a clear coordination mechanism for social protection Government Shall enact enabling laws to operationalize this policy framework; Provide tax incentives for employers and service provides to promote provision of social security. 6.2. INSTITUTIONAL FRAMEWORK In cognisance of the fact that different Government agencies are responsible for delivering different Social Protection services in line with their core mandates, this Social Protection Policy Framework will be implemented through a multi-sectoral approach. Government shall establish a Social Protection Subcommittee of Cabinet to provide oversight and policy direction, while the MGLSD shall provide the secretariat for coordinating the multi-sectoral responses under this Policy Framework. The matrix below presents the roles of the different agencies and stakeholders in the implementation of the Policy Framework. 22 Institution Cabinet Parliament Office of the Prime Minister Ministry of Gender, Labour and Social Development Mandate and Role Provide leadership and direction for delivery of social protection services in the country; Review and approve the institutional framework for delivery of social protection services; Approve various social protection policies to be formulated by mandated institutions; Approve legislative process for social protection laws; Monitor the delivery of social protection services Prioritise allocation of adequate resources for social protection services. Enact and amend relevant laws to operationalize social protection policies and commitments; Appropriate resources and approve the annual budgets for delivery of social protection services; Provide oversight on the planning and delivery of social protection services; Raise awareness on social protection services. Monitor and coordinate implementation of social protection interventions Monitor progress in delivery of social protection services by MDAs; Integrate social protection indicators in the National M&E Framework; Policy guidance / technical leadership for social protection Initiate reviews of laws and policies related to social protection; Establish national and decentralised structures for coordinating, monitoring and evaluating programmes for delivery of social protection; Establish linkages and mechanisms for collaboration with other stakeholders to provide complementary services; Develop programme plans of intervention to operationalize the Policy Framework in line with the sector mandate; Build capacity of other stakeholders for effective delivery of social protection services. Ministry of Justice Ministry of Internal Affairs Ministry of Finance, Planning and Economic Development Ministry of Public Service Mobilise resources for delivery of social protection services delivery in line with this framework; Monitor budget performance in line with work plans Establish appropriate institutional and human resource structures for delivery of SP services 23 Institution Ministry of Health Ministry of Education and Sports Ministry of Local Government Other line Ministries Retirement Benefits Regulatory Authority National Social Security Fund Local Governments Mandate and Role Integrate targeted interventions to overcome financial barriers to accessing health services for social protection beneficiaries. Integrate targeted interventions to overcome financial barriers to accessing education services for social protection target groups Integrate social protection in the education and training curricula at appropriate levels. Support the implementation of social protection interventions in local governments Review the Local Government Act to integrate social protection as a decentralised service; Support and facilitate local governments to develop bye-laws and ordinances for delivery social protection services; Enforcement of social protection standards in local governments; Ensure implementation of social protection guidelines in the local governments; Ensure integration of social protection interventions in District Development Plans Integrate social protection in the local government assessment tools Translate the Social Protection Policy Framework into sectorspecific strategies and activities; Build capacity of staff in social protection programming for Monitor and evaluate sector programmes for their impact on vulnerable groups Commit adequate resources for implementation of social protection Collaborate with the MGLSD on matters of mainstreaming social protection Ensure liberalization of the pensions sector Work with MGLSD on issues concerning social insurance Work with MGLSD to ensure benefits reach to more Ugandans Work with MGLSD on issues concerning social insurance Ensure that the local government development plans and budgets include social protection interventions. Monitor mainstreaming of social protection in local governments Collaborate with MGLSD on matters of mainstreaming older persons issues National Councils for vulnerable groups Development Partners Monitor social protection interventions Ensure transparency, accountability of social protection interventions Be cognizant of and use the social protection policy framework in development cooperation partnerships; Establish appropriate institutional/donor coordination mechanisms for ensuring social protection responsiveness of development cooperation; 24 Institution Mandate and Role Collaborate with MGLSD on matters of mainstreaming social protection Community Identify vulnerable groups Participate in awareness programmes Participate in planning of social protection interventions. Employers Mainstream social protection issues in their policies and programmes Create awareness on social protection Implement social protection interventions relevant to their mandates Employees Participate in social protection programmes Fulfilling their obligations relating to social protection Civil Society and faith Translate the social protection policy framework into Based Organisations organizational policies, programmes; Advocate for social protection policies and legislations. Collaborate with MGLSD on matters of mainstreaming social protection issues; Monitor the operationalization of international instruments on social protection Participate in Sector Working Groups and local government planning and budgeting processes to advance the rights of vulnerable groups. Develop and implement programmes that address key Policy intervention areas for social protection Political Organisations/Parties include social protection in all political party manifestos Collaborate with MGLSD on matters of mainstreaming social protection Private Sector Academic and Research Institutions Ensure that corporate policies and practices incorporate social protection Ensure that essential products, supplies and services are accessible to vulnerable groups Provide incentives and support entrepreneurships for vulnerable groups Collaborate with MGLSD and other appropriate institutions on matters of mainstreaming social protection Integrate social protection in the curricula identify and carry out relevant research on social protection. Institutional Context The Ministry of Gender Labour and Social Development has the mandate to spearhead social protection interventions and coordinate with other actors in the social protection sector. It has the general responsibility for social security and protection of vulnerable groups. The Ministry leads in the implementation of a range of social care services interventions, social insurance and direct income support pilot programme. The Ministry of Gender, Labour and Social Development is currently piloting provision of 25 direct income support to the poor and vulnerable. The Ministry collaborates with other MDAs handling issues of health insurance, pension services, reform of the formal pension and social security. However, there exists institutional service delivery constraints given the multi-sectoral nature of social protection services. Currently there are duplications and overlaps in the mandates of various MDA’s that deliver social protection services. This has resulted into fragmented social protection service delivery, limited scope and coverage, lack of a comprehensive social protection programme for the country, lack of specialized skills for delivery of Social protection in the various sectors. Social protection services are also not decentralized and institutionalized in the local government service delivery structures. This implies that there are no specialized social protection staff as well as financial resources in local governments to address social protection concerns. Given that the social protection interventions are in different ministries and departments of Government, it is critical that this policy framework guides the establishment of more harmonized social protection institutional framework at all levels in the country. 7.0 MONITORING AND EVALUATION 26