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Social security --- Insurance, Social --- Insurance, State and compulsory --- Social insurance --- Insurance --- Income maintenance programs --- Finance --- Law and legislation --- France.
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Taxing Wages provides unique information on income tax paid by workers and on social security contributions levied upon employees and their employers in OECD countries. In addition, this annual publication specificies family benefits paid as cash transfers. Amounts of taxes and benefits are detailed programme by programme, for eight household types which differ by income level and household composition. Results reported include the marginal and effective tax burden for one- and two-earner families and total labour costs of employers. These data on tax burdens and cash benefits are widely used
Income -- OECD countries -- Statistics. --- Income tax -- OECD countries -- Statistics. --- Income tax. --- Taxation. --- Social security. --- Insurance, Social --- Insurance, State and compulsory --- Social insurance --- Insurance --- Income maintenance programs --- Duties --- Fee system (Taxation) --- Tax policy --- Tax reform --- Taxation, Incidence of --- Taxes --- Finance, Public --- Revenue
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This is a first for Indonesia: Program Keluarga Harapan (PKH) is the only household-targeted social assistance initiative to have designed randomized impact evaluation into the initial allocation of the program. This brings three major benefits for policymakers: 1) the evidence available for evaluating the impacts of the PKH program on household welfare is extensive and sound; 2) the program design and the impact analysis design have generated additional excitement, both nationally and internationally, about the program, its goals and social assistance initiatives in general; and 3) the results and underlying data will be made publicly available, which has already spurred interest in additional evaluations that will stock the shelves of social assistance policy research libraries. PKH's success in delivering real benefits to the very poor and in changing behaviors deserves further support and encouragement. PKH's initial weaknesses in implementation and delivery deserve continuing attention and thoughtful solutions for greater effectiveness. The Government of Indonesia (GOI) plans on expanding the PKH program to as many as three million households; while it is doing so, it should continue to refine implementation, coordinate and collaborate with affiliated service providers in health, education, and local government services, and continue developing a corps of organized, enthusiastic, and skilled facilitators who can assist very poor households in achieving healthier behaviors.
Breastfeeding --- Child Labor --- Civil Society Organizations --- Communities --- Decentralization --- Economic Development --- Economies of Scale --- Empowerment --- Financial Crisis --- Health Education --- Health Insurance --- Health Monitoring & Evaluation --- Health Outcomes --- Health, Nutrition and Population --- Housing --- Human Capital --- Human Resources --- Inflation --- Information Technology --- Mortality --- Nurses --- Nutrition --- Postnatal Care --- Poverty Reduction --- Pregnancy --- Public Health --- Public Sector Development --- Purchasing Power --- Quality of Education --- Revenue Sharing --- Sanitation --- Scholarships --- Social Insurance --- Social Protections & Assistance --- Social Protections and Labor --- Social Safety Nets --- Urban Areas --- Vulnerable Groups --- Youth
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Direct cash transfers for vulnerable elderly and disabled populations have been provided by the Ministry of Social Welfare (Kementerian Sosial, Kemensos) since 2006; a similar cash transfer for at-risk youth was inaugurated in 2009. The Government of Indonesia's (GoI) pro-poor development initiatives, international agreements and domestic laws and regulations, and considerable experience delivering more general social assistance programs led to the creation of cash transfers for these historically neglected and difficult-to-reach groups. These programs Jaminan Sosial Lanjut Usia (JSLU), Jaminan Sosial Paca Berat (JSPACA), and program Kesejahteraan Sosial Anak (PKSA) for the elderly, disabled, and youth respectively transfer cash directly to beneficiaries. They account for increasing shares of the Kemensos overall budget, but subsidies directed to care and rehabilitation facilities as well as direct provision of institutional care still account for a noticeable portion of the Kemensos budget for these groups. Program support operations socialization and outreach; allocation, targeting and prioritization; monitoring and evaluation; and complaints and grievances have very small budgets and depend crucially on cooperation and enthusiasm from local governments and facilitators. A full range of safeguarding activities is spelled out in program guidelines but these have not been institutionalized at the local implementation level. There is variation in the content, methods, frequency, completion rates, and outcomes in all safeguarding activities, and no easy-to-use reporting process that would ensure information from implementation level reaches the central funding and policy agency, Kemensos. The note summarizes quantitative and qualitative evidence in order to build a sound foundation for evaluating the cash transfer programs JSLU, JSPACA, and PKSA provided by Kemensos. The evidence on which the evaluation is based here is composed primarily of first-hand observation of the programs in operation. Where possible information collected from administrative records, including monitoring and evaluation reports, and from Kemensos itself, is summarized. Design features, efficiency and effectiveness of program implementation and operation, and impacts (intended or not) the program produces for beneficiaries are all analyzed in as much detail as possible. Current policy planning within Kemensos assumes expansion of these programs in the coming years, so an evaluation of the programs' features is relevant for Indonesian policymakers and stakeholders.
Administrative Costs --- Bank Accounts --- Capital Expenditures --- Cash Transfers --- Child Care --- Cost of Living --- Data Collection --- Debt --- Developing Countries --- Development Policy --- Drugs --- Economies of Scale --- Expenditures --- Family Health --- Governance --- Gross Domestic Product --- Household Surveys --- Housing --- Human Resources --- Inflation --- Macroeconomics and Economic Growth --- Mortality --- Nutrition --- Penalties --- Public officials --- Public Sector Development --- Purchasing Power --- Quality of Life --- Racial Discrimination --- Savings --- Self-Confidence --- Social Insurance --- Social Networks --- Social Protections & Assistance --- Social Protections and Labor --- Urban Areas --- Vulnerable Groups --- Wages
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Comparing this repeat Public Expenditure and Financial Accountability (PEFA) assessment with the original 2007 assessment reveals overall improvement across most Performance Indicators, with slippage in some areas and no change in rating for others. This 2012 PEFA report also takes place at a time of considerable transition as various PFM reforms are either newly implemented or in the process of being implemented and close to being implemented (e.g. a new chart of accounts; a new supreme audit act; adoption of the medium term expenditure framework and the implementation of a Public Financial Management (PFM) Reform Program). The purpose of the assessment is to assess the PFM system performance of the Government of Tajikistan, using the PEFA assessment methodology, and to gauge progress in strengthening performance since the last PEFA assessment conducted in 2007. The results of the assessment will principally be used by the Government to determine whether the Public Financial Management Economic Management Modernization Program (PFMMP) that it is currently implementing should be refined.
Access to Information --- Accounting --- Capital Expenditures --- Civil Service --- Data Collection --- Debt --- Debt Management --- Exchange Rates --- Expenditures --- Finance and Financial Sector Development --- Financial Crisis --- Financial Institutions --- Financial Regulation & Supervision --- Fiscal Policy --- Governance --- Inflation --- Macroeconomics and Economic Growth --- Medium-Term Expenditure Framework --- Private Sector --- Public Debt --- Public Expenditure, Financial Management and Procurement --- Public Investment --- Public Procurement --- Public Sector --- Public Sector Development --- Public Sector Governance --- Public Sector Management and Reform --- Reserve Funds --- Revenue Forecasting --- Social Insurance --- Tax Administration --- Tax Policy --- Transparency --- Uncertainty
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Macroeconomic growth and incomes have been on the rise since the Asian Financial Crisis (AFC), but health service utilization and health outcomes in Indonesia have been slower to improve. Jamkesmas could provide valuable benefits by allowing cardholders to acquire preventative, curative, and catastrophic health care services without fees. When it promotes healthy households, keeps students active, alert, and participating in their education, returns adults to work sooner, and saves households from the high costs of healthcare, Jamkesmas' sizeable individual benefits should be matched by increased social benefits resulting from a healthy and productive population. Jamkesmas has been provided to poor households, but many non-poor have also received Jamkesmas benefits due to dual central and local targeting processes which have led to frequent mismatches and errors in coverage. Health service providers find Jamkesmas difficult and costly to implement resulting in fewer services provided, and funds spent, on Jamkesmas beneficiaries. Local regulations regarding public health center management often conflict with Jamkesmas mandates, leaving health service providers confused and unwilling to use Jamkesmas funds to provide Jamkesmas beneficiaries with planned services. The future costs of an improved Jamkesmas program have not been adequately publicized and Jamkesmas' financial, fiscal, and political sustainability is uncertain.
Cash Transfers --- Communities --- Data Collection --- Disasters --- Doctors --- Drugs --- Economies of Scale --- Epidemics --- Exchange Rates --- Expenditures --- Family Planning --- Financial Crisis --- Financial Management --- Health and Poverty --- Health Care Costs --- Health Insurance --- Health Monitoring & Evaluation --- Health Outcomes --- Health Systems Development & Reform --- Health, Nutrition and Population --- Hospitals --- Natural Disasters --- Private Sector --- Public Health --- Public Hospitals --- Public Sector Development --- Referrals --- Rehabilitation --- Sanitation --- Social Insurance --- Social Protections & Assistance --- Social Protections and Labor --- Surgery --- Unemployment --- Urban Areas --- Villages --- Workers
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This report analyzes equity and financial protection in the health sector of Zambia. In particular, it examines inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Data are drawn from the 2007 Zambia demographic and health survey, the 2006 Zambia living conditions monitoring survey, the 2003 Zambia world health survey and the 2003 Zambia national health accounts. All analyses are conducted using original survey data and employ the health modules of the ADePT software. Overall, health care financing in Zambia in 2006 was fairly progressive, id est the better-off spent a larger fraction of their consumption on health care than the poor. The financing sources that contribute to the overall progressivity of health care finance are general taxation, which finances 42 per cent of domestic spending on health, and contributions made by private employers, which finance 9 per cent of spending. An additional contribution to overall progressivity is made through pre-payment mechanisms, but this remains fairly limited given that they only represent 1 per cent of total health finance. Out-of-pocket health payments, which account for 47 per cent of total health financing, appear to be proportional to income, with only slight and not statistically significant evidence of progressivity.
Breast Cancer --- Cervical Cancer --- Child Health --- Cost-Effectiveness --- Diabetes --- Diarrhea --- Disease Control & Prevention --- Doctors --- Employment --- Gender --- Health Economics & Finance --- Health Finance --- Health Insurance --- Health Monitoring & Evaluation --- Health Outcomes --- Health Systems Development & Reform --- Health, Nutrition and Population --- Hiv/Aids --- Hospitals --- Human Resources --- Infant Mortality --- International Comparisons --- Living Standards --- Malaria --- Measles --- Mortality --- Nutrition --- Obesity --- Physicians --- Polio --- Poverty Reduction --- Private Health Insurance --- Private Sector --- Public Health --- Public Hospitals --- Public Sector --- Social Health Insurance --- Social Insurance --- Specialists --- Tuberculosis --- Violence --- Workers
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The health equity and financial protection reports are short country-specific volumes that provide a picture of equity and financial protection in the health sectors of low-and middle-income countries. Topics covered include: inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Pakistan's government is committed to improving the equity of health outcomes and the ability to offer financial protection in the health sector through the implementation of the National Health Policy. Pakistan spends 2.62 per cent (2009) of its gross domestic product (GDP) on health. This is far lower than the average spending levels in other countries in the South Asia Region, which have spent an average of 5.3 per cent (2009) of their GDP on health.
Breast Cancer --- Burden of Disease --- Cervical Cancer --- Child Health --- Communicable Diseases --- Diabetes --- Diarrhea --- Disease Control & Prevention --- Economies of Scale --- Gender --- Health Economics & Finance --- Health Insurance --- Health Monitoring & Evaluation --- Health Outcomes --- Health Policy --- Health Systems Development & Reform --- Health, Nutrition and Population --- Hospitals --- Infant Mortality --- Insurance --- International Comparisons --- Living Standards --- Malaria --- Measles --- Mental Health --- Mortality --- Nutrition --- Obesity --- Physicians --- Polio --- Population Policies --- Poverty Reduction --- Private Sector --- Public Health --- Public Hospitals --- Social Insurance --- Specialists --- Tuberculosis --- Violence
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Public expenditure on household-based social assistance (SA) in Indonesia has increased significantly since 2005. From a low base in the early 2000s, Indonesia's aggregate national public expenditures on SA permanently increased from 2005 after the central government allocated a portion of the savings from fuel subsidy reforms to a number of SA initiatives. In 2010, national expenditures on SA are estimated at Rp 29,709 billion (USD 3.3 billion), equivalent to 2.6 percent of total national expenditures and 0.5 percent of gross domestic product (GDP). Indonesia's strong fiscal position leaves Indonesia well placed to further increase SA expenditures. Declining debt payments and subsidy reductions have opened up fiscal space over the past decade and supported a general increase in social sector and SA spending. With debt-to-GDP of just 25 percent in 2010, Indonesia could further increase expenditure on both items without raising debt levels. Nonetheless, current expenditures on SA are dwarfed by spending on regressive energy subsidies which in some years consume over 20 percent of total national expenditures. The increase in spending after 2005 primarily reflects greater central government investment in programs to protect poor households from fuel and food shocks as well as large health and education expenses. The central government is the dominant player in the SA sector, accounting for almost 90 percent of total expenditures. In years when the government has increased regulated fuel prices (2005-06 and 2008-09), the largest compensatory SA response has been an unconditional cash transfer program (BLT) to vulnerable households to help cushion them from the inflationary shock.
Accounting --- Administrative Costs --- Baseline Scenario --- Capital Expenditures --- Cash Transfers --- Conflict --- Debt --- Decentralization --- Electricity --- Energy Subsidies --- Financial Crisis --- Food Subsidies --- Gross Domestic Product --- Health Insurance --- Housing --- Human Rights --- Macroeconomics and Economic Growth --- National Security --- Natural Disasters --- Nutrition --- Poverty Reduction --- Public Debt --- Public Health --- Public Sector Development --- Public Spending --- Rural Development --- Rural Poverty Reduction --- Savings --- Social Insurance --- Social Protections & Assistance --- Social Protections and Labor --- Social Security System --- Subnational Governments --- Technical Assistance --- Uncertainty --- Urban Poverty --- Villages
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With declining fertility and rising life expectancy, the Vietnamese population is expected to age rapidly, making the development of a modern social security system a pressing priority for Vietnam. The current system faces a number of major challenges, including low coverage rates in both the formal and informal sectors, inequities between different participant groups, lack of financial sustainability, and weak capacity for management and implementation of social insurance programs. Reforms are needed urgently to expand coverage, promote fairness, improve financial sustainability, and modernize the social security administration in order to help ensure income security for Vietnam's aging population in the coming decades. This note aims to contribute to the policy discussions around possible revisions to the social insurance code foreseen for 2013 by reviewing some of these challenges and possible reform options.
Accounting --- Adverse Effects --- Aging Population --- Commercial Banks --- Contribution Rates --- Debt --- Dependency Ratio --- Early Retirement --- Females --- Fertility --- Financial Management --- Financial Sector --- Foreign Direct Investment --- Fund Management --- Gender --- Global Economy --- Good Governance --- Human Resources --- Inflation --- Information Technology --- Interest Rates --- Investment Horizon --- Job Creation --- Labor Market --- Labor Mobility --- Labor Policies --- Life Expectancy --- Occupations --- Pensions & Retirement Systems --- Regulators --- Retirement --- Risk Management --- Savings --- Small Businesses --- Social Insurance --- Social Protections and Labor --- Social Security System --- Telecommunications --- Transparency --- Unemployment --- Younger Workers
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