Indonesia moves toward universal system of social protection

After many years of focusing on pro-poor and targeted approach of fighting poverty, since 2004 Indonesia is shifting its SP system towards universalism of social protection. The umbrella law number 40/2004 on SJSN (Indonesian National Social Security System) was adopted to provide five benefits programmes : Universal Health care, Accident at work insurance, Old age insurance, life insurance and pension fund.

After joint pressure from the trade Unions, in 2014, 10 years after its adoption, the government started to implement the Universal health care in 2014, and other labor related programmes and pension fund in 2015. The management of SJSN will be under two non-for-profit social security administrating bodies for Universal health care (BPJS health) and other Labor related programmes (BPJS Labor). It is monitored by a national board of social security (DJSN), also responsible to formulate general policies of the system. All these three bodies include representatives from government, employers, trade unions and academic/experts.

Sustainable Development Goals 1.3 focuses on implementing nationally appropriate social protection systems and measure for all, including floors, and by 2030 achieve substantial coverage of the poor and vulnerable. In 2016, the World Bank, the ILO and world leaders launched the Global Partnership for Universal Social Protection (GP-USP 2030) aimed to help countries to reach SDG 1.3. The Global Partnership created an interim steering committee composed out of two representatives from high-income countries, two representatives from Middle-income countries (Indonesia and Mexico) and two from representatives of Low-income countries. 

Prior to the ILO Global Social Protection Week, 25-28 November 2019, Indonesia partners KSBSI with WSM took the initiative to organize a national forum on Social protection, on 6th of November 2019 in Jakarta. The key resource speakers and their topics: Mr. Maliki (Interim Steering Committee in the GP-USP2030) on Indonesia Roadmap for USP, Mr. Rekson Silaban (KSBSI/ workers’ reps in BPJS) on CSO/TU Agenda setting on SP, Mr. Subiyanto (KSPSI/ workers’ reps in DJSN) on 15 years of SP and Mr. Irham Saifuddin (ILO Jakarta) on SP Floor.
Also attending were all trade union confederations; KSBSI, KSPSI, KSPI, migrant workers organizations; SBMI and JBM, Wage Indicators, Japbusi-Plantation workers alliance, and many national federations, from garment sector to informal workers.

The forum agreed on a common national agenda:

1.  Harmonization of laws and regulation on SP; Revision of Law nr. 40/2004 and other regulations;
2. Expansion of coverage on ‘missing middle’, informal workers, migrant workers, domestic workers, workers in plantation sector, and workers in  a micro-small enterprises (who can’t afford a whole package of social security);
3. Unemployment Insurance: insurance for workers whose job are terminated or as an impact of Industrial revolution 4.0 by providing re-skilling, up-skilling and vocational training;   
4. Increasing benefits for workers on accident and life insurance and housing for workers.

With the parliament and presidential elections finished and new cabinets were established by accommodating competitors, political tensions are rapidly decreasing. It opens the possibility for various trade union and civil society organizations to jointly work and advocate for Universal Social Protection.

Indian consultation on safe migration - NDWM

National Domestic Workers Movement (NDWM), with the support of WSM, organised a National Consultation on Safe Migration in Chennai, Tamil Nadu, India on 4 Nov. 2019
to discuss the rights of overseas migrants and safe-guard them from fake agents and agencies. It aimed to work as a collective body of volunteers, gathering victimised volunteering migrants, trade unions, NGOs, social workers and representatives from government.

WSM: rebranded and relooked!

On October 16th, World Solidarity (or in Belgium known as Wereldsolidariteit in Dutch or Solidarité Mondiale in French) celebrated its 45th birthday and took advantage of this event to launch its new visual identity.

The purpose of this change is mainly to reinforce our image, according to our identity and its evolution over time:

-        We are one of the few national NGOs in Belgium.

-        As actor and facilitator of a thematic network on the right to social protection, we connect our partners in a network, within their own countries, in the continents (ANRSP) and at international level.

-        We remain, more than ever, committed to promoting the right to decent work and social protection.

-          We are not doing this on our own, but with numerous social movements and trade unions.

We now communicate with a single name, a new logo and totally revamped communication channels. To remain updated, please subscribe to them:

-          Our website www.wsm.be, unique and in four languages, referring, among others, to our continental networks’ pages (for Asia: ANRSP).

-          We are on Facebook and Youtube as wsm Belgique and wsm België

-          On Instagram, we are wsm_ongo

-          On Twitter, we use wsm_belgium

Nepal Express: experienced through the eyes of 16 Flemish

“I’m Phudoma (35) and I’ve been working as a trekking guide since I was 27. Coming to Kathmandu, I really didn’t know where to start. I first worked in hotels, making very little money. Then I went abroad for two years to work as a housekeeper. When I came back, I got an arranged marriage. My husband is also a trekking guide. Initially, I accompanied him on treks as assistant guide, making 5 EUR per day. After three years of marriage, I got a daughter. I didn’t get any maternity leave, because trekking is a seasonal activity. As a woman, I don’t get a lot of offers, maybe once or twice a season, making 1.700 NPR (17 EUR) per day. The months I do not work as guide, I often go back home to help my parents farming. Trekking is dangerous business and not a season goes by without some of us getting injured or dying. I was lucky enough never to have had any accident. Seven years ago I joined the trade union UNITRAV, affiliated to GEFONT, to improve my salary. Later I was elected as secretary of UNITRAV. They asked me to try to organize more female members, by training them as guides. We also try to organize the ladies working in the tea houses along trekking routes, as they can be potential guides or porters”.

This testimony was collected during the Nepal Express, a group trip organized by WSM in Nepal with 16 Flemish people from 21 Sept till 6 Oct. 2019. The trip, unlike many other immersion trips, focused on empathy, experience and challenges. Before even their arrival, each participant collected 2.000EUR to support WSM's Nepali partners. One of the portraits used by them to explain the realities in Nepal to their friends and family was of Doma Sherpa, a guide with UNITRAV, affiliated to GEFONT.

Having talked so often about her, the group was thrilled to have Doma be one of the guides while trekking. She explained that the bargaining power of guides used to be very little. Guides and porters would accept any offer. Since they became organized, they have made demands from the Travel Tours Association from Nepal (TAAN), which led to improvements in terms of salaries, insurance, shelter etc. In 2011, the salary for an assistant guide was 500 NPR (3,78 EUR). Since 2017, through negotiations, they obtained a minimum wage of 1.700 NPR (12,87 EUR) for guides and porters. Also the insurance for guides and partners had to be negotiated. Now, besides hospitality expenses, they have obtained fixed amounts per injury or death, which should apply automatically.

Afterwards one of the participants of the Nepal Express wrote this: “With mixed feelings, we return home. Happy for so many unforgettable experiences, but also a bit melancholic to leave this wonderful country and its incredibly friendly people. One thing is certain: each of us has a piece of Nepal in us for the rest of our lives.” See their pictures and updates form the trip on their Facebook page.

Inequality in South Asia - SAAPE

South Asian countries have failed to make the use of economic growth in the region to improve the lives of the poor and marginalized people of the community, mostly women, girls and marginalised communities and reduce inequalities the region is facing. Extreme inequalities are destroying the region putting a threat to democracy, culture and security, and most seriously posing a threat to women’s human rights, says the report “Growing Inequality in South Asia” launched by South Asia Alliance for Poverty Eradication (SAAPE) today on its official website.

The report reveals the seriousness of growing inequality in the region as a result of government policies and programmes that benefit a handful of the rich and leave behind a large number of people who are denied access to basic human rights and needs. It analyses the causes and drivers of inequality and demonstrates concrete evidence of widening inequalities in the region.

In South Asia:

• share of the global poor increased from 27.3 per cent to 33.4 per cent in between 1990 and 2013, leaving behind only Sub-Saharan Africa, which accounts for the largest (50.7 per cent) share of the global poor.
• governments are competing with each other on tax exemptions to the rich and powerful. The two countries in the region, India and Pakistan, feature in the list of top 10 countries losing the most tax revenue. While India loses around USD 41.2 billion in taxes annually, Pakistan tops the list forgoing around USD 10.4 billion, equivalent to 3.5 per cent of its Gross Domestic Products (GDP).
• the health expenditure as a percentage of GDP is low (3.5 per cent) while a global average stands at 10.02 per cent. The quality of primary care is often poor. Total government expenditure on healthcare in 2015 was in the range of 0.4-2 per cent of the gross domestic product, which was among the lowest ones globally.
• private health expenditure (PHE) accounts for about two thirds of the total health expenditure (THE), similar to the trends in low and low middle-income countries but much higher than the global average (42.4 per cent).
• over 134 million people still do not have access to improved drinking water. It is currently estimated that people in the region drink from 68 to 84 per cent of contaminated sources of water. Likewise, 600 million people still practise open defecation (over 60 per cent of the global burden).
• the gender pay gap is 35 per cent for women with children compared to 14 per cent for those without.
• women perform 80 per cent of the total hours of unpaid care work, on average 4.1 times more than men, across Asia and the Pacific.
• working poverty remains high and this high incidence of informality continues to undermine the prospects of further reducing working poverty. Out of the total workforce, 90 per cent are in the informal sector.
• in South Asia, the Middle East and North Africa, men perform the lowest share of unpaid care work (1 hour and 4 minutes). The regional average for women is 4 hours and 22 minutes.
• Gini coefficient approaching 40.0 of all South Asian countries indicates that inequality is alarming.
• informalisation of labour is the highest in the region. It is 90.7 per cent in India and Nepal, 48.9 per cent in Bangladesh, 60.6 per cent in Sri Lanka and 77.6 per cent in Pakistan.
• the basic literacy rate of the population aged 15 years and above lags behind all other regions except Sub-Saharan Africa, in spite of the literacy rate rising from 60.84 per cent in 2004 to 71 per cent in 2016.

A day in the life of two GK paramedics caring for the elderly in Bangladesh

Follow a day in the lives of two paramedics from Gonoshasthaya Kendra (GK) in Bangladesh. 


From the early morning on the GK campus in Savar, their day starts with the community work done in the fields by all GK staff.  Then they get dressed for work and their visits, have breakfast and set out on their iconic bicycles, after receiving their assignments.
Most elderly people are not economically solvent and depend on their family or relatives. Many elderly also have various kind of illnesses and aches. GK provides primary care services for the elderly at their doorstep, services such as: checking blood pressure, personal hygiene, nail cutting, etc.  Those cases needing more attention are brought to the GK hospitals, for services like physiotherapy, or prescribing affordable medication if necessary.
All this is done for GK with a rights based approach, since elderly have equal right for health care services. 

UN High-Level Meeting on Universal Health Coverage

In exactly one week, leaders of the world’s nations will gather for the UN High-Level Meeting on Universal Health Coverage. After months of tough negotiations, they have reached consensus on a political declaration – which you can read here – that will be adopted on Monday, 23 September.  

The response, as expected, has been mixed. On one hand, the extensive document touches on many core messages and important issues, including mentions of migration and SRHR that were debated until the end. At the same time, weakened or murky language in places will make it easier to loosely interpret the fundamental principles of UHC: equity, social justice and the right of every single person to get the quality health services they need without financial hardship.

One thing is certain: whether you feel skeptical, optimistic or fired up, this is probably the largest global spotlight on universal health coverage to date, and another unanimous pledge that leaders will be on the hook for. We cannot afford not to speak up for what we believe and demand the urgent actions we need to see.

That’s why UHC Coalition, UHC2030 and the Civil Society Engagement Mechanism are teaming up for a 7-day Twitter Storm running from tomorrow, 17 September until the High-Level Meeting, with one focus theme per day:

·       Tuesday, 17 Sept: Leave No One Behind

·       Wednesday, 18 Sept: Commit to Gender Equality & Women’s Rights, including SRHR

·       Thursday, 19 Sept: Invest More, Invest Better

·       Friday, 20 Sept: Uphold Quality of Care

·       Saturday, 21 Sept: Regulate & Legislate

·       Sunday, 22 Sept: Move Together

·       Monday, 23 Sept: Ensure Political Leadership Beyond Health

More resources to join the Twitter storm can be found in today’s edition of UHC2030’s newsletter. As always, UHC Coalition will be tweeting from @UHC_Day, along with @UHC2030 and @CSOs4UHC, and you can join and follow the conversation with #HealthForAll, #HLMUHC and #Asks4UHC.

                                                                                                                     

UN meetings and resolutions are always only as transformative as we make them. It’s up to us to hold leaders accountable in our countries and communities once they have signed on the dotted line.

India passes two of the four proposed and controversial labour codes, with dire consequences for workers, especially informal

From the Working Peoples Charter:
On July 4, the Economic Survey argued that a higher national minimum wage is central to addressing inequality and widespread poverty in the country. A couple of weeks later, the government of India trashed its own analysis by proposing a “starvation wage” of Rs. 178 a day. The Central government hit the nadir with a minimum wage hike of Rs. 2! Experts allege that it is a precursor of what is in store for millions of workers as the cabinet passed two of the four proposed labour codes – Code on Wages as well as the Code on Occupational Safety, Health and Working Conditions.

 Working people are a national asset - undermining their well-being is the biggest anti-national act. Need based Minimum Wage should be guided by Supreme Court jurisprudence laid down in Raptacos case, which is based on principles and test laid down by judiciary, and if any committee, any advisory board decided below this, has to give reason and recommendation.

The two codes were tabled for discussion yesterday by Sri. Santosh Gangwar, Minister of Labour and Employment. With this the Parliament has struck the proverbial hammer on the fate of millions of workers, robbing them of the possibility of decent work and wages, omitting the principles of determining minimum wages, an equal workplace and avenues for access to justice. Primarily driven by the interests of the industry, this predatory piece of legislation is all set to alter the labour protection landscape in India beyond repair and reclaim. It clearly shows that there is a clear drive to `informalise the formal` or `levelling down` which has been central to the overall architecture of the emerging labour regime.

This predatory piece of legislation is all set to alter the labour protection landscape in India beyond repair and reclaim.  With this the Parliament strikes the proverbial hammer on the fate of millions of workers, robbing them of the possibility of decent work and wages, an equal workplace and all avenues for access to justice.

Putting an end to contractualization in Philippines

Contractualization, while in most cases illegal, is a commonly used practice in Philippino companies to give workers temporary employment for just less than 6 months preventing them to be regularized. Short-term contract workers do not have the same benefits as regularized workers, such as social security, health insurance (Philhealth), unpaid leaves, a 13th month bonus. Moreover, contractual workers will be less eager to become a union member as they risk not having their contract renewed. While the Philippino president had vowed to phase out contractualization and has signed an executive order to that end, in reality the practices of labour-only contracting and job contracting are still omnipresent in Philippino companies. 

KMU decided to focus their campaign against contractualization on mass filings for regularization, which appeared to be much more effective than individual legal aid to the workers. Contractual workers would file a document to the Department of Labour and Employment that they want their company to be investigated on compliance with the regulations on contractual work and security of tenure and that they want to be regularized as permanent workers. The lists that were filed contained some 2.900 to 3.000 companies with 300.000 workers which could be up for regularization. In some cases (Coca Cola, Magnolia), several hundreds of workers managed to become permanent workers, while others were not granted such status.

Due to the attention that was given to the campaign against contractualization, the All Workers’ Unity (an alliance of labour centers advocating for a national minimum wage and for an end to contractualization), could not make substantial progress on the demand for higher minimum wages. 

Act against the privatization of public hospitals in the Philippines

Political, economic and social context

In 2018, the political situation in the Philippines still deteriorated in comparison to the previous year, as the Philippino government, under the guise of an all-out war against drug lords and terrorists, continued its crackdown on civil society organisations, human and labour rights activists and indigenous people. The martial law which was imposed in Mindanao in 2017 was extended to the whole region of Visayas and to Bicol (as the so-called ‘State of Lawlessness’), raising concerns that soon it will cover the whole of the Philippino territory. Heavy military operations have also been expanding, while military officials have been placed in key government positions. 

Social activism, mobilization and organising of workers becomes increasingly difficult and dangerous, due to a climate of indiscriminate violence and extrajudicial killings. The administration passed the Tax Reform for Acceleration and Inclusion Act (TRAIN), which sparked a lot of protest from progressive labour and pro-poor organisations, as the excise tax on oil products contributed to the rise of inflation in 2018 (up to 6,7% in October 2018). The tax reform and subsequent sharp rise in the price of basic commodities affected mostly poor workers who have to get by on a daily minimum wage (in Manila) of 512 pesos (±8,2 euro).

Medical staff in Manila hospital

"My name is Rose Ann. I have been employed as a laboratory technician grade 1 for four years now but by training am a medical technologist. While I was applying for a better suited and paid position of medical technologist 2, I was charged with a case to pay 35.000PHP (600€) for some spilled reagent. The Alliance of Health Workers’ union in our hospital met with the head of the laboratory and found out that the chief of the department wanted to give the position I was applying for to his niece, who was still had to pass her final exams. It seems he didn’t want to give me, the current laboratory technician, the position but he wanted to wait for his niece to pass the board exam and give it to her.AHW filed a complaint and notified the director of this potential abuse, and four of us health workers got promoted to medical technologist grade 2. The hospital also acquitted me of the 35.000PHP, determining the real cause was a malfunctioning of the machine indicator, while I had correctly followed the Standard Operating Procedure."

Act against the privatization of public hospitals, health facilities and health services

In three hospitals, AHW could negotiate an ‘end-of-the-year-incentive’ of 25.000 pesos (±430 euro). In two other hospitals, 475 health workers – nurses as well as administrative staff – could be regularized.

Health workers and their organizations, among which the Alliance of Health Workers, obtained a (small) success in the House of Representatives with the passing of the ‘Act prohibiting the privatization and corporatization of public hospitals, public health facilities and public health services’ which states that “the State has to ensure the protection and promotion of the right to health of the people and to make essential goods, health and other services available to all people at affordable cost”. No public hospital, health facility or health service shall be privatized and 90% of total bed capacity in public hospitals has to be allocated to indigent/poor patients. However, the law can only be enacted when a similar bill is being introduced and passed in the Senate.

Nepal to start guaranteeing employment

Over 100,000 unemployed people are set to get paid work as part of the Prime Minister Employment Programme (PMEP), the new Nepal wage-employment scheme launched in February 2019 that aims to provide minimum days of work for unemployed citizens. While starting up in 2019, the programme has calculated that a minimum 30 days of work can be ensured to a total of 106,872 people this fiscal year. However, the goal is to provide minimum 100 days of work for unemployed citizens of the working age (18 to 59 years). The government plans to provide citizens with guaranteed sustenance equal to half of the agreed upon wage for 100 days, should it fail to provide employment. “They can repair playground or schools, do plantation, work for dam and canal building,” said Prakash Dahal, the programme chief and joint secretary at the Ministry of Labour, Employment and Social Security. Most jobs available seem to be in the construction sector.

The government plans to collect information on the unemployed through the newly set-up Employment Service Centres, which have been created in all 753 local units of the country. The centres are supposed to have information, through an online database, on locally available jobs, and can match registered job seekers to suitable employment.


Coordination among the three levels of government is crucial for an effective implementation of the scheme to provide jobs for the poor and unemployed sections of the society. A minimum amount of R300,000 to maximum Rs10 million has been sent to all the local units for implementation of the scheme. The amount for each local unit has been distributed after calculating three factors—number of households with poverty, the total population of the local unit, and its remoteness. Local, provincial and federal governments have started signing tripartite agreements for the implementation of the Prime Minister Employment Programme. This is linked to an ambitious plan to create 500,000 jobs in the next fiscal year.

Every year nearly 500,000 workers enter the job market and end up jobless in the country, and more than 4,3 million Nepali have chosen to migrate abroad. Youth unemployment rate is estimated at 35.8 percent.

Internationalising elderly: exchanges in Bangladesh and Belgium lead to elderly clubs set up by GK

GK has also been exchanging since 2016 with OKRA, a Belgian member organisation of WSM for, by and with elderly, regarding the ageing population and the implications this has for social protection.

Dr Kadir: “This reflection and activities have made many changes inside GK. While we already treated many elderly through our health outreach, we are now switching this to a movement for and by the elderly, which is a major difference. The exchanges and joint statements from GK and OKRA for instance on the International Day for Elderly prompted us to think globally but act locally. GK has initiated ten elderly clubs that gather at least monthly and offer a space for elderly to get health advice, but more importantly to interact and feel less alone.  They can talk about the current political situation, meet with authorities and demand the pensions elderly should be entitled to, and also do sport activities at their level of comfort. The clubs also annually organize elderly festivals, which are important to have the rest of the village think about how elderly are treated and to ensure they are respected. Besides loneliness however, the main fear of these elderly is that they feel they are a burden for the rest of the family. Many Bangladeshi move from the rural areas to the city or even abroad, so the traditional care system for elderly is collapsing. Hence, we are also looking into possibilities of income generating activities these elderly clubs can set up."

Philippines in numbers in 2018: Main results

Labour standards:
Health workers: In 2018 the AHW reached out to some 110.920 health workers and Philippino patients (of which 54 % women and 51% young people). Through social media and campaign materials some 100.000 health workers  were informed about the issues of public sector health workers, such as contractualization and privatization of hospitals. In four hospitals, a new collective negotiations agreement has been ratified with another hospital, negotiations are ongoing, potentially creating better union rights for 5.127 health workers. Bill n°7437 prohibiting the privatization of public hospitals and public health services was passed in the House of Representatives.
Young workers: In 5 locations (Manila, Negros, Ilo-ilo, Cebu, Camarines Norte) 1.488 young people (young workers, students, of which 39 % women) were organized and trained by the YCW on basic labour rights, contractualization, the TRAIN – law, social and economic problems of youth and how to overcome them.
National minimum wage and social protection for workers in the private sector: Trade union confederation KMU raised the awareness of 44.298 Philippino workers (of which 49% women and 49% young people) on the need for a national minimum wage and the end to contractualization. 1.062 workers, some of them working in expert-processing zones or multinational companies,  participated in different activities: basic training, mobilizations, legal assistance.
Joint advocacy: The three WSM partner organisations are key partners in the All Workers’ Unity, an alliance of different labour centers who are advocating for a national minimum wage of 16.000PHP/month in the public sector, 750PHP/day in the private sector and against contractualization. In 2018, the campaign of the alliance reached some 40.000 workers (of which 25% women and 30% young workers).

Partner organizations in the Philippines: AHW (Alliance of Health Workers’ unions), KMU (trade union confederation), YCW Philippines (young workers’ organisation), Philippines Synergy network (core organisations of the AWU – All Workers’ Unity)
Budget 2018: 75.627,76 euro
Donor: DGD, LBC-NVK
Program: 2017-2021

Indonesia in numbers in 2018: Main results of the programme

Minimum wage and wage scale structure:
- 1.163.435 staff and members of KSBSI (of which 41 % women and 50% young people) were involved in awareness raising activities, trainings and advocacy actions to inform the workers  and to give advocacy on the system to set the annual minimum wage, the level of the minimum wage and the implementation of the new wage scale structure.
- Garment workers: In 2018 GARTEKS, the garment federation of KSBSI, has organized and raised the capacity on labour rights and the Freedom of Association Protocol in the garment sector for 2.631 garment workers (of which 55% women and 63% young people). This included legal assistance and grievance handling. In the process GARTEKS could affiliate 1.750 new members.
- Migrant workers: SBMI reached out to 2.963 people (of which 66% women and 62% young people) by raising the capacity of SBMI trainers to assist the migrant workers and by handling migrant workers’ grievance cases in 10 provinces over Indonesia.
- Social security:70.651 staff and members of KSBSI (of which 35% women and 63% young people) were given  training on the Indonesian health insurance system, the social security for workers (working accident scheme, death insurance, pension) and the state of affairs with regards to the concrete implementation of these different schemes by  the companies and by the Indonesian government.
- Advocacy in synergy: Through training and advocacy actions KSBSI and SBMI involved 10.850 migrant workers and politicians (of which 12% women and 8% young people) in their efforts to explain the Indonesian Migrant Workers’ Act (Law 2017/n°18) and to negotiate the implementation of local regulations for migrant workers. Village- or district-level regulations were adopted in two provinces (Lampung and West-Kalimantan).

Partner organizations in Indonesia: K-SBSI (trade union confederation), GARTEKS (garment union federation), SBMI (migrant workers’ union), Indonesia Synergy network
Budget 2018 : 125.000 euro
Donors: DGD, ACV-CSC BIE, LBC-NVK
Programme: 2017-2021