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Lunchtime Meeting Report
Social protection: Making
child poverty history?
Wednesday 8 June 1pm
Can low income countries
effectively deliver cash transfers which impact on child poverty?
Speakers: Armando Barrientos - CPRC; Sylvia Beales
- HelpAge Intl; Sonya Sultan - DFID
Chair: Tamsyn Barton - Plan UK trustee
Presentations: Armando
Barrientos, Sylvia Beales,
and Sonya Sultan
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The first meeting in the series was held on Wednesday 8th
June 2005. The meeting was chaired by Tamsyn Barton. The three
speakers were Sylvia Beales, Armando Barrientos and Sonya
Sultan.
1. Sylvia Beales (presentation)
argued that the right to social protection is enshrined in
international instruments and outlined the role of cash transfers
in effectively reducing poverty for the poorest. Helpage International
research showed cash transfers had helped poor households
better manage risk, offered the possibility of saving and
improved life chances of children.
2. She asserted that the poorest of the poor were being missed
by development programmes, illustrated by the UNDPs Human
Development Report 2004 that indicated the MDGs were a long
way off being achieved for the poorest in many countries (http://hdr.undp.org/mdg/default.cfm).
This had particular implications for older people and the
very young, evidenced by disaggregated data on poverty.
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3. She argued for policies that recognised the importance
of older people in providing surrogate care for disadvantaged
children and responded to the intergenerational transmission
of poverty within households, but recognised the power dynamics,
as well as the reciprocity within households.
4. Examples were drawn from Zambia, South Africa, Brazil
and Tanzania to support her case that universal cash transfers
were paid to those aged over 65 as part of national poverty
reduction strategies. She concluded universality was important
for simple administration, reduced stigma, and increased household
risk protection.
5. Sylvia Beales referred to work done by the ILO that demonstrated
the affordability of old age and disability pensions, as well
as child benefits, to low income countries. External stakeholders
were important to assist country governments explore options
and scale-up pilot programmes. Support was needed over time
to enable affordability, integration of cash transfers in
national PRSPs, and social budgets held potential for impact
assessment.
6. She concluded with a number of key questions on how to
measure the costs and benefits of providing (and of not providing)
social protection; how schemes fitted within existing forms
of provision; on effective targeting; minimised corruption;
how administrations were supported; and how longer-term donor
policy and funding were secured?
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7. Armando Barrientos (presentation)
focused on 3 points. First, cash transfers were underused
in poverty reduction. They were not the only solution but
could be used more, alongside in-kind benefits, services and
rights. He compared the use of cash transfers and public expenditure
on health and education as a proportion of GDP in different
counties, using IMF statistics. In North America this amounted
to about 10%, it was 14% in East, Central and Western Europe,
but this compared to less than 2% in Sub-Saharan Africa, and
less than 3 % in Latin America.
8. Second, cash transfers were flexible, and allowed households
to deploy them flexibly to address a range of deficits. Research
in South Africa has shown that pensions were spent on: the
Church, which was then redistributed to other members of the
community; television, to keep up to date with the news; children,
to pay school fees or medical costs; food and supplies, resulting
in improved nutrition; transport, to enable access to medical
care and on funeral funds. Thus cash transfers were important
because of the range of spending they allowed. Additionally
a steady flow of cash provided households access to credit.
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| 9. Third, the case of the Progresa/Oportunidades
programme in Mexico demonstrated that transfers supported household
investment. Targeted conditional transfers were paid to mothers,
dependent on the grade and sex of the child, along with consumption
support, on the condition of an 85% attendance rate at school
and the whole household attended health services. Although it
was too early to evaluate educational attainments, health service
utilisation had increased, there was an improvement in health
status, and increased enrolments in school were evident. |
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10. Sonya Sultan (presentation)
noted that DFID's Reaching the Poorest team almost exclusively
worked on the issue of cash transfers, in response to DFIDs
concern that the realisation of the MDGs was off-track. DFID
was committed through their aid strategy to work on child
issues, and worked on social transfers as a public action
strategy to transfer resources to deprived groups. She argued
that cash made sense in some contexts, but other forms of
transfer such as employment guarantee schemes and fee waivers
were also options.
11. She argued that there was a new willingness by donors
and developing country governments to consider transfers as
a poverty reduction option, where previously they were seen
only as a form of welfare. The MDG review had allowed opportunities
for stocktaking, and led to increased recognition of the urgent
need to address severe poverty, for interventions with longer
lasting impacts and a focus on cost-effectiveness. These factors
combined with the increasing evidence that cash transfers
worked, not only in middle income countries such as Mexico
and Brazil, but also in low income countries such as Bangladesh.
Some programmes directly targeted children, but even those
which did not also impacted on children.
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12. Sultan argued that cash transfers work best when complemented
by other interventions and suggested that countries follow
the Zambian model of starting with a simple design and scaling
up. She warned that building political support was key. The
people who benefited most from cash transfers were those without
voice and governments were often wary of making long-term
commitments. She concluded that donors needed to be encouraged
to put in place long-term funding so that governments had
confidence money was predictable and secure.
13. The discussion centred on targeted schemes for the poorest
versus universality. There was some agreement that universality
was easier to administer, ensured better coverage, and reduced
costs. Political commitment to universal coverage was not
easy to gain, and some argued that aid funds needed to be
increased. Community targeting held potential, as witnessed
in Zambia.
14. The issue of costs was complex. Not only were there programmatic
costs - transfer fees, implementation and monitoring cots,
there were also costs to households that responded to conditions
such as transport and opportunity costs of children taken
to health clinics and schools.
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15. There was some feeling that conditions on transfers displayed
a considerable lack of trust in poor people's ability to manage
their household economies. Yet, it was also acknowledged that
intra-household power relations may inhibit the benefits children
felt from household transfers.
16. Trade offs between funding transfers and funding public
expenditure were debated. It was argued that no inherent trade-off
was evident but that a need for rebalance and more attention
paid to demand for services was necessary.
17. Challenges for NGOs were identified and the need for
organisations to get out of their niches. For child-focused
NGOs this meant they needed to get involved in non-child focused
debates where they can add value. Scaled up support to national
level activities is a clear challenge to the NGO sector.
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Angela Haynes (Plan International) and Ursula Grant (ODI)
June, 2005.
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