Challenges to Rural Poverty Reduction in Viet Nam - Oxfam Blogs
Challenges to Rural Poverty Reduction in Viet Nam - Oxfam Blogs
Challenges to Rural Poverty Reduction in Viet Nam - Oxfam Blogs
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Participa<strong>to</strong>ry poverty moni<strong>to</strong>r<strong>in</strong>g <strong>in</strong> rural communities <strong>in</strong> <strong>Viet</strong> <strong>Nam</strong><br />
80<br />
3. BUILDING SOCIAL SECURITY SYSTEMS<br />
Social security (or social protection <strong>in</strong> broad terms) 22 systems <strong>in</strong>clude three circles<br />
of support: the <strong>in</strong>nermost system consists of “protective” measures through social<br />
assistance, the next circle consists of “preventive” measures through <strong>in</strong>surance<br />
schemes, and the outermost circle consists of “capacity-build<strong>in</strong>g” measures focus<strong>in</strong>g<br />
on active labour market measures. As <strong>Viet</strong> <strong>Nam</strong> becomes a low middle <strong>in</strong>come country<br />
comprehensive social security systems will be a crucial source of support for the poor<br />
and vulnerable.<br />
3.1. Target-oriented social security policies<br />
Current target-oriented criteria<br />
The target-oriented mechanism <strong>in</strong> social security policies <strong>in</strong> <strong>Viet</strong> <strong>Nam</strong> is complicated.<br />
Each policy has its own mechanism for target<strong>in</strong>g different groups. For example, social<br />
assistance policy under Decree 67 and Decree 13 comb<strong>in</strong>es two criteria for “poor<br />
people” and “poor households”: “poor s<strong>in</strong>gle parents with young children” must belong<br />
<strong>to</strong> poor households; “people with serious disabilities who are unable <strong>to</strong> work and serve<br />
themselves” do not necessarily belong <strong>to</strong> poor households. The policy of free health<br />
<strong>in</strong>surance under the Health Insurance Law comb<strong>in</strong>es three criteria “poor people”, “poor<br />
households” and disadvantaged “areas”: “children under six-year old “, or “people of<br />
poor households”, or “ethnic m<strong>in</strong>orities liv<strong>in</strong>g <strong>in</strong> areas of socio-economic difficulties or <strong>in</strong><br />
special circumstances “ (Table 3.1).<br />
TABLE 3.1. An example on the “target-oriented” social security policies<br />
Policies<br />
Social assistance<br />
(Decree 67/ND-CP<br />
and Decree 13/<br />
ND-CP)<br />
Health <strong>in</strong>surance<br />
(Health Insurance<br />
Law No. 25/2008/<br />
QH 12)<br />
Target groups receiv<strong>in</strong>g assistance<br />
People receiv<strong>in</strong>g monthly assistance:<br />
• Must belong <strong>to</strong> poor households: elderly and alone; over<br />
80 years of age without pension or social <strong>in</strong>surance allowances;<br />
people liv<strong>in</strong>g with HIV/AIDS unable <strong>to</strong> work; s<strong>in</strong>gle parents with<br />
young children<br />
• Do not need <strong>to</strong> belong <strong>to</strong> poor households: people with<br />
serious disabilities who cannot work or look after themselves;<br />
people with mental health problems.<br />
People receiv<strong>in</strong>g free medical <strong>in</strong>surance cards:<br />
• Children under six years old<br />
• Members of poor households<br />
• Ethnic m<strong>in</strong>orities liv<strong>in</strong>g <strong>in</strong> areas of socio-economic difficult<br />
conditions or <strong>in</strong> special circumstances.<br />
Limitations of the target-oriented mechanism based on the “poor<br />
household” list<br />
The M<strong>in</strong>istry of Labour, Invalids and Social Affair’s list of “poor households” is used <strong>to</strong><br />
identify households who will benefit from social security and other policies. However,<br />
observations at the moni<strong>to</strong>r<strong>in</strong>g po<strong>in</strong>ts suggests rely<strong>in</strong>g on the list of “poor households”<br />
can be problematic.<br />
22 Accord<strong>in</strong>g <strong>to</strong> ILSSA/GIZ (2011), Social protection is “the set of public (social <strong>in</strong>surance/social assistance)<br />
and private <strong>in</strong>terventions (non-statu<strong>to</strong>ry or private measures) designed <strong>to</strong> reduce poverty and vulnerability; it<br />
comprehends the enhancement of capacity of people and society <strong>in</strong> protect<strong>in</strong>g themselves aga<strong>in</strong>st hazards<br />
and <strong>in</strong>terruption or loss of <strong>in</strong>come; and assures social stability, development and equality”.