Indonesia: Social Protection for Informal Workers - ILO refers to KSBSI and SBMI for good practice

The ILO published a Condemium of Practice which compiles examples of how trade unions have reached out to workers in the informal economy, improved their working conditions, and supported their transition into the formal economy, as linked to ILO Recommendation 204. In it, they refer for Indonesia to WSM partners KSBSI and SBMI.

The ITUC was involved in helping the ILO identify good examples for inclusion in this publication, and the final result can be a very valuable resource because it provides a large number of concrete examples to contradict claims from some that ‘’trade unions are not representative of informal workers’’. Download the full publication here. 

BACKGROUND INFORMATION ON THE INFORMAL ECONOMY AND GENDER:
In Indonesia, the proportion of informal employment amounts to 83.5 per cent of total employment (including agriculture).

For 2018, applying this proportion to total employment results in an estimated number of 104 million informal workers in Indonesia. All contributing family workers are in informal employment by definition. Own-account workers have the next highest percentage of informality.

Many people in the informal economy are employees (47,8 per cent of total informal employment). Over 84.8 per cent of Indonesia’s total female workforce is employed in the informal economy, against 82.7 per cent for men. A significant portion of these women are unpaid workers.

MAIN ACHIEVEMENTS IN TERMS OF REPRESENTATION, SERVICES AND INCLUSIVENESS OF SOCIAL DIALOGUE:
• Improved trade union organization, representation and provision of services to informal workers.
• Extended social security for informal workers, including migrant workers.

THE STORY:
The Confederation of Indonesia Prosperity Trade Union (KSBSI) is a national trade union centre in Indonesia. It was founded in 1992 and has 2.1 million members. From 2017 until 2021, KSBSI and the General and Informal Construction Federation (FKUI), (the federation organizing informal economy workers) will be offering a training programme for workers in the informal economy (street vendors, motor taxi drivers working for the Go-Jek online package delivery application, and others). In this training programme, the trade union is raising the awareness of informal economy workers about the Indonesian social security system, which includes universal health insurance for all and different social security schemes covering workers, such as working accident insurance, a pension scheme and an old age and death allowance.

In addition to training, KSBSI also conducts campaigns, workshops and advocacy to improve the concrete implementation of the social security system, to make sure that workers in the informal economy are able to claim their social security rights.

Both the KSBSI and the FKUI have recorded significant progress in organizing informal economy workers in the construction industry, home-based and domestic workers, on-line drivers and street vendors. Bringing them into the trade union fold has contributed to the union’s strength, in particular addressing decent work deficits in the informal economy. One of the greatest achievements of their campaigns is that the central government is committed to attaining universal health coverage by 2019.

Another big achievement for KSBSI, in partnership with the Indonesian Migrant Workers’ Union SBMI, was the adoption by the Indonesian Parliament of the new Migrant Workers’ Act on 25 October 2017, which creates the legal basis for the inclusion of millions of Indonesian migrant workers in the social security system, which should increase their access to social insurance significantly. The new law came after years of campaigning by migrant workers’ rights groups to end exploitation and modern slavery. The new law places the responsibility on regional and local administrations to oversee their residents who want to migrate abroad for work. As a part of this shift towards local governance, regional administrations are now in charge of providing pre-departure vocational training and ensuring that workers receive proper placement, thus taking away much of the unchecked power of private recruitment companies to charge exorbitant fees, often trapping workers in debt bondage.

RESULTS:
Better representation, improved skills and enhanced social protection for informal workers, through their participation in trade union activities, will contribute to formalization and decent work.

ACCESS TO INFORMATION:
• Bureau for Workers’ Activities (ILO-ACTRAV): actrav@ilo.org
• ILO COOP Unit: coop@ilo.org
• ILO Country Office: jakarta@ilo.org
• Konfederasi Serikat Buruh Sejahtera Indonesia KSBSI: denksbsi@gmail.com
• ITUC Asia-Pacific: gs@ituc-ap.org

A one man show on elderly in Belgium and Bangladesh at the Flemish Parliament

Aren’t we happy? That is the title of Peter Lambert’s piece, looking at how elderly live in Bangladesh and in Belgium. Addressing the audience, he started: “You all look good, at least for your age. Shows you are healthy, which is the most talked about topic among elderly. You all managed to get here, so you are all still getting around. We are all here together, so not alone. And you managed to pay the entrance fee, so not too tight with money. Those are the same issues Bangladeshi elderly worry about: health, mobility, loneliness and finances.”

But while ageing is increasingly drawing more attention from policy makers and the ILO, “We talk a lot about elderly, but how often do we talk with elderly?” underlined Marc DeSoete from OKRA. So he asked the invited parliamentarians two questions: do you realize the importance of ageing in the world, and do you recognize the necessity of social movements like OKRA to ensure our voices are heard? “My father lives in a rural area, and OKRA is really the only thing that still gets him out of the door. Of course, we also visit him, but often, there are only caregivers that come to see him during the week. His most social events are, sadly, funerals...” shared Ann De Martelaer from Groen. “We can learn a lot about the respect for greet hairs from other countries, to keep the connection between generations.” said Joachim Coens, CD&V.
Even at 27, the youngest political party president in Belgium, Conner Rousseau from Sp.a, explained how, through his mother who studied gerontology and wrote a book “Grijs is wijs” (grey is wise), the importance of taking care of elderly was emphasized to him since the earliest years.

While most of the time, audience was laughing and giggling, the play also had moments of silence and respect. Peter explaining how his mother struggled to communicate in the last years of her life. An allegory of all the elderly of a village having to climb in a tree and hang on for dear life while the rest of the village shakes it draws a frightening image of what happens when a society has no social safety nets and we push survival of the fittest too far.

The one man show will tour many OKRA meeting points in order to provoke thoughts and discussion about elderly and international solidarity, as OKRA partners through WSM with GK in Bangladesh to set up elderly clubs.

Going global: the next step! Founding meeting of our international network on the right to social protection

As part of its efforts to achieve the decent work agenda and to promote access to social protection, WSM and its partner organizations in Africa, Asia and Latin America have been creating a real network involving different social movements (trade unions, youth organizations, women's movements, social organizations).

Since 2008, this strategy has led to the gradual and progressive development of an international thematic network on the right to social protection. This network is organized first at the national level, in 18 countries, then at continental level, in Africa, Asia and Latin America. And this, through the participation of representatives from each partner organization from the same country, then from the same continent, who meet, work together and reinforce each other during key meetings and sharing. In this way, partner organizations interact, learn from each other and jointly carry out advocacy. The principle of the network is based on a conviction: together, we are stronger!

At the international level, the network partners were already active and collaborated with WSM, ACV-CSC and Christian Mutualities in order to influence different political processes. For many years, they have participated jointly in the International Labor Conferences (ILC), which take place annually, to develop the ILO's normative framework. WSM and its partners have, as such, made a valuable contribution:

• negotiations on decent work for domestic workers (C189 and R201),
• on social protection thresholds (R202),
• on the transition from the informal economy to the formal economy (R204)
• and on workplace violence (C190).

It is within the framework of this dynamic that WSM organized, on 29 and 30 November 2019 in Geneva, the very first meeting of an international thematic network. The delegation composed of 35 partners from Asia, Africa, Latin America and Belgium has thus achieved its objective by reaffirming the desire to work together, globally in solidarity, in favor of the right to social protection. This meeting took place on the sidelines of the ILO's 'Global Social Protection Week' (25-28 November), to which the delegation also actively participated.

Like a true founding meeting, this meeting laid the groundwork for an 'International Steering Committee'. The latter will facilitate the organization, between continents, of effective and concerted international actions designed to create a world that offers more protection to its citizens.

35 people from WSM and its partners in the world take part in the ILO Global week on social protection in Geneva

Four days of high-level conference on universal social protection (# USP2030) allowed to share a lot of key information and to network. Many high-level personalities talked about the importance of social protection and how it will be achieved by 2030. So many changes await us: climate - demography - globalization - growing inequalities – changing labor markets. A transition is needed and social protection must be part of this transition! You can find the outcome document here.

Currently, social protection as a human right is far from being a reality.
Barely 29% of the world's population has access to comprehensive social protection systems, 55% are totally deprived, while the global economy is worth over $ 100 billion. This means there is enough money to send all the children of the world to school, to provide everyone in the world with quality health care, to ensure that everyone in the world has adequate social protection. But, here is the catch: “there are 2.000 billionaires!”, says economist Jeffrey Sachs: “There is enough, it is just not distributed properly." So don’t point your finger at low-income countries, but blame the Donald Trumps, Bill Gates or Mark Zuckerbergs.

For social protection to be possible for all, for it to be affordable, that it is not perceived as a cost but as an investment depends on political priorities. Over and again, the same messages came back during the Global Social Protection Week in Geneva. The International Labor Organization (ILO) brought together over 600 people from governments, private companies and social movements to chart the way to universal social protection. It invites us to accelerate to increase the likelihood of reaching the goal by 2030. That being said, there is still a lot to do!

"It exists on paper, but practice is different!"

The goal of the Sustainable Development Goals (SDGs), specifically number 1.3, is to put in place social protection systems that protect everyone, including the poorest and most vulnerable sections of the population. Social protection starts with social dialogue, a necessary exchange between employees, employers and government. Many social protection systems are based on the labour relationship and their legal status (employed or self-employed). These systems must evolve to adapt to changing contexts around the world.

"There is already a social protection system in the Dominican Republic - at least on paper - the practice is somewhat different, since more than half of the working population is employed in the informal sector, they are not entitled to benefits when they become ill". Altagracia Jimenez, representative of our union partner AMUSSOL, immediately tackles one of the many problems. Setting up an official social protection system is one thing, covering the whole population is another.

Moreover, it should not be forgotten that there is no single universally applicable social protection system, it needs to be adapted to the realities of each country. Therefore, social protection should be seen by states as a global investment and not a cost. Investing in social protection contributes to peace, more equality and more democracy, it is a public investment in social justice. And, when rolled out, it shows a clear multiplier effect for many of the other Sustainable Development Goals.
However, let us not forget that there is a financial gap, namely that the poorest countries alone can’t fund it. Solidarity is therefore needed from richer countries, as well as from the rich, towards the poorest countries. According to experts, "comprehensive social protection" is needed, and goes well beyond the "safety nets" that many countries rely on. The best systems are "universal"!

Will we solve this problem simply by organizing an International Conference?
In the end, it seems difficult to formulate a global answer while each continent, each country, each region has its own realities. According to Koen Detavernier, Advocacy Officer at WSM, such a conference is still relevant: "A conference like this can reinforce the belief that it is possible. If a country like Mexico in one year is able to provide pensions in one year and thus make a great leap for universal social protection, other countries will be convinced that they, too, can make it happen. This conference really encourages countries to invest in social protection and prioritize it in their international cooperation."

The network supported by WSM
WSM was very present at this Social Protection Week in Geneva. Our delegation of 35 people was mainly composed of representatives of our many partner organizations from Africa, Asia and Latin America. According to Koen Detavernier, there are two main reasons for being here. "On the one hand, we are here to learn more about the topic: experts present their points of view, explain future strategies, give concrete examples and share the results of their research." But the idea is also to do and achieve things. "We are looking for new collaborations, for example, to work on very concrete aspects of social protection on the ground, through informal conversations, meetings in the corridors, etc. Being seen and heard in this conference makes a difference and helps get things moving."

Nepal: WSM to involve civil society for EU project with ILO and UNICEF on social protection floors

WSM has been mandated to involve Nepali civil society in an EU funded pilot project in which ILO and UNICEF work with the Nepali government to promote the social protection floors. These floors focus on four main aspects from the ILO R202: access to health, child allowances, elderly and income for the active population. While the WSM longstanding partners in Nepal, the trade unions, have worked very hard in the past years on the contributory social security act which focuses on the fourth part, this project is the opportunity to reach out to other civil society organisations and social movements to truly adopt the multi-stakeholder approach WSM is known for.

What has happened so far?
After some initial introductory meetings with ILO and UNICEF, WSM convened two stakeholders meetings on 18th and 26th of November with two main partners:

1. the Social Protection Civil Society Network (SPCSN), gathering 19 CSOs and 
2. ITUC-NAC: umbrella organisation of the three Nepali trade unions affiliated to ITUC, which is already the WSM partner in charge of the Nepal synergy.

With the slogan "From bottom to top, from floor to ceiling!", during the first meeting with 34 participants, we explained the context of this project, and they agreed on a number of values and vision regarding social protection, which came from the ANRSP Position Paper on Social Protection. They made suggestions of priorities for advocacy (what the Nepali government should do) and activities (what CSOs could do that is most relevant).  They also designated a steering group of eight people (two per cluster: health, children, active population and elderly). This Steering Group met twice to draft a work plan that was then shared during the second stakeholders meeting on 26th of November with 42 participants.

The next day, 27th of November, Nepal's National Day of Social Security, the trade unions mobilised for an event with the Nepali government regarding the contributory Social Security Fund, which fell right in the middle of the ILO Global Week on Social Protection where WSM also attended with 35 delegates.

At the level of Nepal, at the request of UNICEF, WSM also provided feedback on draft ToR for a consultant to be hired by UNICEF at the request of the National Planning Commission to work on an Integrated Framework for Social Protection.

Who has been involved?
This is the list of some of the 54 organisations attending, stakeholders of the (still informal) Nepal Network on the Right to Social Protection: Action Aid Nepal, Alliance for Social Dialogue, ANTUF, Children and Women in Social Services and Human Rights (CWISH), Collective Campaign for Peace (CoCAP), Anamnagar, Community Self Reliance Center (CSRC), Dalit NGO Federation, Federation of Community Forestry Users Group, Food-first Information and Action Network, Freelancer, Friedrich Ebert Foundation (FES), General Federation of Nepalese Trade Unions (GEFONT), Himalayan Nepal Foundation, Home Based Workers Concern Society Nepal, HomeNet Nepal, Integrated Development Society - Nepal, International Trade Unions Confederation - Nepal Affiliated Centers (ITUC-NAC), Jagaran Media Center, Jagriti Child and Youth Concern Nepal, Japan International Labour Foundation, Loo Niva, Khokana, MAG, Mahila Atma Nirvarta Kendra (MANK), Media Advocacy Group, MWCSN, Nari SewaKendra (NSK), National Labour Academy, National Senior Citizens Federation (NASCIF), NDWA, Nepal Disability Women Association, Nepal Participatory Network (NEPAN), Nepal Public Health Foundation, Nepal Trade Union Congress (NTUC), Nepal Youth Foundation, NFWLHA, NGO Federation of Nepal, Niti Foundation, NNDSWO, Oxfam UK Nepal, Plan International Nepal, PossibleHealth, SAAPE, Sankalpa Nepal, SARTUC, Save the Children, Shakti Samuha, Social Protection Civil Society Network (SPCSN), Sustainable Nepal Management Consultancies, Swatantrata Abhiyan Nepal, Tuki Association Sunkoshi and Women for Human Rights (WHR).

India partners show in a video why social protection is so important for agricultural workers

A short video made regarding the importance of social protection for the agricultural workers in India, by the WSM partners.

Garment Workers Rally Demand for ratification of ILC102 and 190

From the National Garment Workers Federation (NGWF) 
Bangladesh is transforming from LDC to middle income country and at the same time the rate of GDP and average life expectancy of people have increased tremendously. Currently the total GDP is 317.47 Billion USD, the average income is 1.909 USD and GDP increases by 7.2%. Much of this comes from the hard work of the garment workers. Unfortunately, the government of Bangladesh has yet to ratify the ILO Convention 102 regarding Social Security of Workers and workers, including in the garment sector, are deprived of social security system.
Next to the need for social protection, women workers are the victim of different violence, including sexual harassment in the workplace. The government of Bangladesh also still has to ratify the ILO Convention 190 regarding Violence and Harassment.
On Friday 8th November  2019, NGWF arranged a garment workers’ rally demanding the ratification of the ILO Convention 102 and 190 which started with a brief assembly in front of the national press club. The rally then headed to the High Court, and ended at the central office of the Federation.

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.