Disclaimer: The views expressed in this paper/presentation are the views of the author and do not necessarily reflect the
views or policies of the Asian Development Bank (ADB), or its Board of Governors, or the governments they represent.
ADB does not guarantee the accuracy of the data included in this paper and accepts no responsibility for any
consequence of their use. Terminology used may not necessarily be consistent with ADB official terms.
Presentation Overview
1. Adequate Social Protection for all
Reduces poverty fast
Contributes to MDGs and human development
Generates economic growth and political stability
Social security is a human right
Source: UNICEF, based on Zhang, Thelen & Rao, 2010
Beyond Crisis: Distribution of World Income
- Apartheid at a global scale?
Distribution of world GDP, 2000
(by quintiles, richest 20% top, poorest 20% bottom)
Source: Caminada & Goudswaard, 2009, EUROSTAT data
Poverty Reduction: Senegal
Proven results:
Source: UN, 2009, World Population Prospects (medium variant projections)
Importance of Investing in Children
NOW
• Number of children
• Early years critical for physical, cognitive and
psychological growth
• Malnutrition and missed schooling have long-
term costs: negatively impact adult productivity
and adult earnings.
• E.g. Malnutrition in pre-school children leads to
a loss of lifetime earnings of approximately 12%.
• Aggregate consequences: wage losses in India
due to malnutrition $2.3 billion, or .4 percent of
GDP annually
Social Protection, Human Development & Children:
Early childhood development - Rates of return
Pre-school
Intervention
Brain
Growth
Schooling
Job Training
Age
Michael Samson, 2008, based on Heckman & Carneiro, 2003 and Handa, 2007
Yet Cash Transfers have clear impacts:
Nutrition (MDG 1, 4, 6)
• Nicaragua cash transfer programme reduced
stunting by 5.3 % points among children 6-59
months; stronger among poorer families.
• Reductions in stunting - South Africa, Mexico,
Malawi, and Colombia
• Children in South African households receiving a
pension have on average 5cm greater growth -
equivalent of ½ year’s growth
• Cash transfers improve quantity & diversity of
food consumption, and protect during shocks
Yet Cash Transfers have clear impacts:
preventative health care (MDG 4 & 5)
• Cash transfer programmes decreased incidence
of illness, particularly younger children (where
data, except Jamaica)
• In Mexico,17% decline in rural infant mortality (8
% points)
• In Kenya, cash transfers were used to increase
ARV treatment for children and adults
• Uganda 2001 - uptake of immunisation services
doubled after public health services were made
free
Yet Cash Transfers have clear impacts:
enrollment & attendance (MDG 2 & 3)
• 2002-2005, gross enrollment rate in Kenya
increased from 88 percent to 112 percent due to the
abolition of school fees
• Transfer programmes in Ethiopia, South Africa,
Malawi, Mexico, Nicaragua, Brazil, Ecuador,
Cambodia, Pakistan and Turkey all demonstrate
significant % point increases in enrollment and/or
attendance.
• Design features, size of transfer and previous levels
of attendance, appear to affect size of changes
among different ages and between girls and boys.
Key Policy Issues:
Unconditional or Conditional Transfers?
• Mostly conditional in Latin America and unconditional in Africa
• Both conditional & unconditional achieve positive outcomes –
unclear effects due to conditionality
• Arguments for: behavioral incentives, maximize links with services
However, serious questions about value-added:
• Costs and difficulty of ensuring compliance & administrative
burden, particularly where limited administrative capacity
• If service supply is weak or unequally distributed, conditionality
may impose large costs for beneficiaries and unintentionally
exclude those most in need
• Is conditionality consistent with principles of empowerment and
human rights, or does it betray attitudes that ‘the poor’ cannot
make wise choices?
Key Policy Issues:
Universal vs. Targeted Social Policies
Social policy approach 1980s-90s:
• Public services only for the poor
• Privatizing/commercializing services for middle and upper classes
• Means-testing was central to this approach
Source: UN DESA, 2007: World Economic and Social Survey 2007, United Nations
Estimated cost for package of basic transfers
old-age and disability pensions, child benefits,
unemployment support
Affordability
• Social expenditures generally grow with fiscal space
• Countries at same level of economic development differ
significantly in terms of social spending
• Affordability is an issue of political will: how much society is
willing to redistribute
80
R2 = 0.3756
Social expenditure (% of total)
70
60
50
40
30
20
10
-
0 10 20 30 40 50 60 70
G o v e r n m e n t e x p e n d it u r e ( % o f G DP )
What are the costs of keeping 80% of the
world’s population excluded?
Thank you