Comprehensive Social Protection Research Articles

Preferences for long-term care insurance in China: Results from a discrete choice experiment

Rapid population aging has led countries to consider the introduction of long-term care insurance (LTCI) as an essential component of a comprehensive social health protection package. Limited evidence, however, exists on people's preferences for such insurance products, especially in countries where their availability is still restricted. Using a discrete choice experiment (DCE), we investigated preferences, willingness to pay, and heterogeneity in preferences for attributes of a social LTCI among community members in China. We adopted a multi-methods approach, combining information across different data sources to identify five DCE attributes: individual premium, benefit package, coverage ceiling, government subsidy for participants, and reimbursement of home-based care provided by family caregivers. We constructed our experiment using a D-efficient design and ran the DCE survey among 1067 community members in urban and rural areas in Shenyang and Dalian, Liaoning Province from Dec 2019 to Jan 2020. We relied on a panel mixed logit model to analyze the data. Our findings indicated that people had significantly higher preferences for the LTCI product with a higher coverage ceiling, a lower individual premium, a higher government subsidy, a reimbursement of home-based care provided by family caregivers, and an expansion of the benefit package to also include necessary daily assistance. The coverage ceiling was found to be the most important attribute, followed by the reimbursement of home-based care provided by family caregivers and the individual premium. Our findings also revealed that the area of residence, prior commercial insurance ownership, age, having children, and income were the factors that drove heterogeneity in preferences for LTCIs. These findings bear important policy implications, as they provide clear guidance on product design, enabling decision-makers to increase the attractiveness and sustainability of LTCI.

Social Protection, Covid-19, and Building Back Better

The Covid-19 pandemic has brought sweeping changes for economies and societies, with the most devastating consequences for individuals and groups with pre-existing vulnerabilities. As attention shifts from addressing urgent humanitarian needs to long-term response, it is time to think about the role of social protection as part of a longer-term solution to living with Covid-19, as well as supporting efforts to build back better. This article considers how social protection can offer support and be supported in short‑, medium-, and long-term responses, under different scenarios for how the pandemic might unfold. Based on a secondary literature review, we argue that planning must anticipate the possibility of an enduring pandemic and that the expansion of social protection should not be limited to a short-term response. Rather, Covid-19 presents a necessity and opportunity to establish firm foundations for more comprehensive social protection systems for years to come, including leveraging greater domestic expenditure and international assistance.

Welfare solidarities in the age of mass migration: evidence from European Social Survey 2016

Welfare opinion research has traditionally viewed migration as a potential hazard for welfare solidarity. In this article, we argue that while increased presence of foreigners can indeed make some people less supportive of public welfare provision in general or trigger opposition to migrants’ social rights, the link between migration and solidarity is not universally a negative one. Instead, many people can combine support for migration with high preferences for comprehensive social protection; others can endorse migration while they are not particularly supportive of an all-encompassing welfare state. Based on this line of reasoning we construct a taxonomy of four ideal types of welfare solidarity that are present in contemporary European welfare states. To illustrate the usefulness of this heuristic tool, we apply Latent Class Factor Analysis to European Social Survey round 8 data. We find that the majority of Europeans (56%) combine strong support for both migration and the welfare state (extended solidarity). However, exclusive solidarity is also widely spread as over a quarter of respondents (28%) oppose migration while expressing strong support for the welfare state. People who oppose migration and have relatively low preference for the welfare state (diminished solidarity) represent a small minority (5%). A little more than a tenth (11%) of Europeans endorse migration, but express relatively low support for the welfare state, which we assume to be a reflection of cosmopolitan solidarity. Despite considerable variation in the incidence of the four solidarities across countries, the preference structure is the same for all. Further, we find that at the individual level, the propensity to hold one of these types of solidarities is influenced by social trust, citizenship and country of birth, financial situation, education, and residence type. However, the extent of migration and social spending do not appear to be related with the propensity of holding either type of solidarity as the liberal’s dilemma and the welfare chauvinism theories would predict.

БЕДНОСТЬ И НЕРАВЕНСТВО В СТРАНАХ ЛАТИНСКОЙ АМЕРИКИ

The article examines poverty and inequality as serious long-term and widespread problems in society. Research on poverty has been mainly conducted from the perspective of economics, now the focus has shifted to psychological aspects with an emphasis on the causes and consequences of poverty. The overall economic disaster that COVID-19 will leave in Latin America and the Caribbean remains to be seen, but its impact on social well-being portends a bleak future. After seven years of slow growth, the region's GDP fell 5,3%, the largest drop in a century. According to a joint report submitted by the Economic Commission for Latin America and the Caribbean (ECLAC) and the Food and Agriculture Organization of the United Nations (FAO), the impact of the pandemic could plunge an additional 16 million people into extreme poverty in 2020, resulting in 83,4 million Hispanics will live in complete poverty. These organizations warn that hunger will be the biggest problem facing the region, where 53,7 million people are already surviving severely food insecure. The purpose of this study is to examine the relationship between poverty and inequality as economic categories in the context of their impact on the countries of Latin America. To do this, the authors examined the key factors affecting poverty and inequality, analyzed trends in poverty and inequality in Latin America and the Latin Basin. The article is based on research on poverty and inequality in macroeconomic theory. In particular, the works of Y. Amiel, F. Cowell, T. Buhard, P. Wizard, the study of socio-economic inequality and the fight against poverty – G. Babeuf, I. Bentham, J. M. Keynes, V. Paret, G. Spencer, L. Erhard, K. Arrow, D. Rocardo, A. Pigou and many others are devoted to the problem of inequality. Significant results of studies of poverty and welfare are given in the works of prominent foreign researchers: P. Townsend, A. Sen, D. Sachs, M. Orshan-sky, T. Marshall, F. Hayek, thanks to which the system of ideas about poverty was formed. The importance of poverty and its impact on government discourses, policies and programs has fueled much research on a Latin American scale. Publications on this topic have been rolled out over the past three decades and have created a veritable battlefield. Poverty reduction is a key development challenge facing Latin America and the Caribbean. Inequality is one of the historical problems in Latin America, one of the factors that most paralyzes the eco-nomic and social aspirations of most countries in the region. Poverty reduction can be understood in both a limited and a broad sense. The first involves a focus on programs and projects that target the poor – vocational training programs for low-income people, food stamps, productivity projects in the informal sector, and care for mothers and children in communities that do not have access to this service, etc. These programs are usually funded from so-called emergency funds and social investments, although they may also be specialized activities of the minis-tries or secretariats that make up the “social sector”. On the other hand, the broader definition of poverty reduction includes economic policies and traditional social policies (especially education and health). One of the main ways to solve this problem in the medium and long term obliges countries to move towards a universal basic income, giving priority to families with children and adolescents, and to maintain universal, comprehensive and sustainable social protection systems, increase their coverage as a central component of the new welfare state. A broad and lasting consensus and political commitment are required to make significant improvements in education, health and well-being. Unfortunately, some Latin American coun-tries have serious governance problems that hinder the effective functioning of democratic systems due to fragmentation and lack of policy consensus. For this reason, stability and continuity of economic and social policies are an indispensable element for the development of nations and the progress of peoples.

TRENDS OF HUMAN CAPITAL ACCUMULATION IN UKRAINE DURING THE PERIOD OF INDEPENDENCE

The article is devoted to the characteristics of trends in the accumulation of human capital in Ukraine over the period of independence. The purpose of the article is to study the key factors that caused the existing trends in the accumulation of human capital during the period of independence of Ukraine. The novelty of the study lies in the application of a systematic approach to establishing the influence of the main factors on the accumulation of human capital in the country over the past twenty years.The expediency of the study of factors that directly affect the course of the processes of accumulating human capital at regional and national levels has been substantiated. The relationship between the quality of life of the population, the socio-economic development of the country and the volume of human capital has been established.The conditions (the number and structure of the current population; the number of live births and deaths per year and per 1000 people of the population; natural population decline, the number of marriages registered per year; total annual fertility rate, average life expectancy at birth), typical for Ukraine at the time of its independence in 1991, in the dynamics of demographic and socio-economic processes in Ukraine during the period of its independence have been analyzed.The tendencies that have been achieved by Ukraine in the nineteen years of independence in the field of socio-economic development, such as: the annual decline in the population and the total fertility rate; an increase in the mortality rate of the population; drop in GDP per capita and human development index are established. The key aspects of stabilizing the situation in the field of human capital accumulation in Ukraine, which should be based on the intensive development of the business environment, improving the quality of education, and comprehensive social protection of the population, have been substantiated.

Efetivação das políticas públicas em saúde protetivas às crianças com síndrome congênita do zika e o impacto na judicialização da saúde

A síndrome congênita do zika fez surgir no Brasil um universo de crianças que necessitam de medicamentos, exames médicos e consultas especializadas, além de uma vigilância rigorosa de seu crescimento e desenvolvimento neuropsicomotor (DNPM). No entanto, nem todas conseguem receber o tratamento adequado e acabam buscando o Poder Judiciário para ter seus direitos efetivados. Nesse contexto, o presente artigo objetivou apresentar as principais demandas que chegam ao Poder Judiciário por parte das famílias que têm filhos com essa síndrome, bem como avaliar o alcance das políticas de saúde instituídas para garantir a integralidade da atenção e a proteção social dessas crianças e suas famílias. Verificou-se que, apesar de o direito à saúde ser assegurado constitucionalmente e imputar ao poder público, em todas as suas esferas, o dever de fornecer assistência médica e farmacêutica com equidade e universalidade, a alocação de recursos e a atenção à saúde dispensadas a essas crianças demonstraram-se insuficientes e precárias, gerando assim, uma transferência de atribuições do Poder Executivo para o Poder Judiciário, que se torna a última esperança das famílias.

Vulnerable Women in a Pandemic: Paid Domestic Workers and COVID‐19 in Peru

Paid domestic workers (PDWs) in Peru, who are predominantly women, are one of the most vulnerable labour sectors in the country. We argue that an important factor explaining this is linked to national legislation that grants only partial rights to the sector, thus maintaining inferior labour conditions for such workers. Here we share our analysis of a survey of 314 PDWs, conducted between April and May 2020, confirming that PDWs in Peru are highly unprotected, particularly during the COVID pandemic, in which there has been a lack of comprehensive social protection schemes.

Social protection response to the COVID-19 crisis: options for developing countries

The public health response to COVID-19 in many countries has involved strict restrictions on movement and economic activity which threaten the livelihoods of economically vulnerable households. In response, governments are adopting emergency economic measures to provide households with some safety net. We provide an overview of the policies that could form a comprehensive social protection strategy in low-income and middle-income countries, with examples of specific policies that have been adopted. Our core argument is that these countries can cast an emergency safety net with extensive coverage if they use a broader patchwork of solutions than higher-income countries. These strategies could include expanding their social insurance system, building on existing social assistance programmes, and involving local governments and non-state institutions to identify and assist vulnerable groups who are otherwise harder to reach.

Investing in early years: The importance of protecting children through comprehensive social protection during the critical first 1,000 days of life

Investing in early years: The importance of protecting children through comprehensive social protection during the critical first 1,000 days of life

Youth between Labour Market and NEET - Critical Review on the Foresighted Challenges

This paper critically reviews the challenges and the opportunities of youth in the labour market based on the work of Halvorsen and Hvinden (2018) and synthesis of the author on the subject. The conditions of the labour market in relevance to youth today is reviewed with a specific focus on the issue of Not in Employment, Not in Education and Not in Training NEET. Then the role of social regulations in closing youth NEET gap is investigated. The challenges of the labour market on youth today and the foresighted future are explored to see the best possible solutions.The critical review recommends further focused comprehensive social protection system that brings in solutions that meet and close the increasing gap of the contemporary and future market demand and dynamics on youth and their economic contribution opportunities.

LET US WALK THE TALK: THE RIGHT TO SOCIAL SECURITY AND SOCIAL PROTECTION – THE CASE FOR A NEW INTERNATIONAL CONVENTION

This paper focuses on the actions of the ILO towards Global South, with Brazil as a focal point. As the International Labour Organization has changed its paradigm during one hundred years of existence, the policies toward Global The human right to social security entered into international law in the middle of the last century. In 2012 the International Labour Conference took the latest step towards the concretisation of this right when it adopted its recommendation No. 202 (R202) concerning national fl oors of social protection. Shortly thereafter, in 2015, the global community of nations adopted the Sustainable Development Goals (SDG) which contain a comprehensive social protection agenda. Together, these two instruments set clear global objectives of social protection accessible to all people. It is argued here that the ILO or the UN have to take the next step and transform “soft” instruments of recommendation and goals into “hard” ones and develop a new convention on universal access to at least fl oor of social protection to a create true safeguard for the right to social security and make it more diffi cult to reverse achieved social progress.

Social Protection for All: The Next Step for the Malaysian Welfare

This report aims to support policymakers, program designers, and evaluators to develop a comprehensive social protection mechanism. The past decade has seen a marked spike in policy momentum around the importance of social protection policies and programs yet there has been very little attention to social protection’s role in tackling experiences of poverty and vulnerability. Social protection is recognized as a key policy tool to help achieve the Malaysia Development Goals; as a policy approach underpinned by rigorous evaluation evidence; as a critical mechanism to cushion the poor and newly poor from the worst effects of the global recession; and as a core human right. At the same time, the 2010s have seen a renewed interest in the role that addressing gender inequalities can play in achieving broader development objectives. The post-2015 Malaysia development agenda requires a new approach to national development, taking the multiple interlinked domestic and global challenges that exist even more into account. It is therefore of paramount importance that, in view of the multiple roles that social protection can play in social and economic development, the post-2015 Malaysia development agenda will acknowledge the critical role extending adequate social protection plays in furthering key outcomes, ensuring the inclusion of all groups in development and society as a means to combat inequality, vulnerability, and poverty. The post-2015 debate needs a renewed and comprehensive focus on poverty, inequality, income distribution, and social inclusion. Fiscally sustainable social protection programs based on strong legal and regulatory frameworks should be an integral component of national development strategies to achieve inclusive, equitable sustainable development. In setting out its point of departure for the study of poverty reduction, the Proposal makes the following significant observations: • It is crucial to develop a coherent and consistent framework for connecting discussions of poverty and its reduction to strategic links among different dimensions of development, including governance, economic growth, stabilization, and security. • Policy recommendations should draw substantially from the ideas, theories, and experiences available from more successful records of poverty reduction, notably those attained by the Nordic late industrializers and the East Asian developmental states. • It is necessary to go beyond measuring things that people lack without understanding why by investigating such aspects of poverty as self-reinforcing vertical and horizontal inequalities, and the impact of orthodox macroeconomic policies and the disproportionate tendencies of market forces on these inequalities. • Equity being an integral component of poverty reduction, it is necessary not to isolate social policy from economic policy, but to analyze the macroeconomic policy and growth strategy that should be pursued in tandem with ‘poverty alleviation’ social policy. • The notion of participation in current poverty reduction strategies, stresses process rather than substance. By restricting the agenda of participation to empowerment at the micro-level without tackling dis-empowerment or exclusion at the macro level, the notion ignores the dilemma that poverty is lived at the micro level but its reproduction, intensification or amelioration depend crucially on macro-level policies.

HIV risk among young women who sell sex by whether they identify as sex workers: analysis of respondent-driven sampling surveys, Zimbabwe, 2017.

IntroductionAcross sub‐Saharan Africa, selling sex puts young women at high risk of HIV. Some young women who sell sex (YWSS) may self‐identify as sex workers, while others may not, having implications for how to reach them with HIV prevention. We describe characteristics, sexual behaviours and health service use of YWSS in Zimbabwe, comparing women who identified as female sex workers (FSW) and women who did not (non‐identifying‐YWSS), and explore factors associated with HIV infection.MethodsWe analysed data from respondent‐driven sampling (RDS) surveys among YWSS aged 18 to 24 implemented in six sites in Zimbabwe from April to July 2017. RDS was used to enrol YWSS into an impact evaluation of the multi‐country DREAMS (Determined, Resilient, Empowered, AIDS‐free, Mentored and Safe) Partnership, which provides comprehensive HIV prevention programming to adolescent girls and young women. Women completed an interviewer‐administered questionnaire and were offered HIV testing services. We used logistic regression (RDS‐II‐weighted, normalized by site) to identify factors associated with prevalent HIV infection.ResultsForty‐four seeds recruited 2387 YWSS. RDS‐adjusted HIV prevalence was 24%; 67% of women identified as FSW. FSW were older and had lower educational attainment than non‐identifying‐YWSS. While 40% of FSW reported 10+ clients in the previous month, 9% of non‐identifying‐YWSS did so. FSW were more likely to have accessed HIV‐related services, including HIV testing in the last six months (FSW: 70%; non‐identifying‐YWSS: 60%). Over half of all YWSS described selling sex as their main financial support (FSW: 88%; non‐identifying YWSS: 54%). Increasing age, lower educational attainment, younger age of first selling sex and higher number of clients in the previous month were associated with prevalent HIV.ConclusionsYWSS in Zimbabwe have a high prevalence of HIV, reported high numbers of sexual partners and depend financially on selling sex. Non‐identifying‐YWSS differed socio‐demographically to FSW, yet factors associated with HIV risk were similar for all women. Women not identifying as FSW were less likely to access services, suggesting they should be prioritized for HIV prevention. Network‐based recruitment may enhance their inclusion in programmes, like DREAMS, which aim to reach young women at highest‐risk with comprehensive health, HIV prevention and social protection services.

The role of micro-insurance in the field of public health

Abstract Issue/problem It is recognized that is very important to have an instrument to mitigate risks and reduce the vulnerability of poor and low-income households, especially in disasters. Health risks are often identified by the poor people as the greatest and costliest risks they face. Millions of people worldwide fall into poverty as a result of excessive healthcare costs because the state doesn’t provide them health insurance. Health problems not only impact household budget, but also reduce the productivity and reduce the opportunity for growth. Therefore the reform of social systems poses a considerable challenge. Description In order to remedy the situation, global actors like World Health Organization (WHO, International Labour Organization (ILO), the World Bank (WB) advocate for a special category of insurance, health micro-insurance (HMI), as a medium term solution for health care financing, that tends to access equitable and quality health care. HMI was created to promote insurance coverage among economically vulnerable sections of society. It is one of the potential ways that might provides the protection of low-income people against specific perils in exchange for regular premium payment proportionate to the likelihood and cost of the risks involved. Results As a health care financing mechanism, HMI has a short history, but offers the following benefits: it can improve the access of certain vulnerable populations to healthcare, develop more suitable services, facilitate the participation of civil society and limit fraud, educate populations about social security. Lessons This instrument has not been conceptualized to compete or replace public social protection. Rather, it is most effective when embedded into a comprehensive social protection framework which includes informal, private and other risk management strategies of preventive measures, mitigation and suitable coping strategies. Key messages HMI can mitigate the risks of population and groups, ill health and provides hope that the poor will receive reliable and adequate access to affordable health care. HMI can be seen as a tool for better public health in vulnerable and poor communities.

Exploring the determinants of distress health financing in Cambodia.

Borrowing is a common coping strategy for households to meet healthcare costs in countries where social health protection is limited or non-existent. Borrowing with interest, hereinafter termed distress health financing or distress financing, can push households into heavy indebtedness and exacerbate the financial consequences of healthcare costs. We investigated distress health financing practices and associated factors among Cambodian households, using primary data from a nationally representative household survey of 5000 households. Multivariate logistic regression was used to determine factors associated with distress health financing. Results showed that 28.1% of households consuming healthcare borrowed to pay for that healthcare with 55% of these subjected to distress financing. The median loan was US$125 (US$200 for loans with interest and US$75 for loans without interest). Approximately 50.6% of healthcare-related loans were to pay for the costs of outpatient care in the past month, 45.8% for inpatient care and 3.6% for preventive care in the past 12 months. While the average period to pay off the loan was 8 months, 78% of households were still indebted from loans taken over 12 months before the survey. Distress financing is strongly associated with household poverty—the poorer the household the more likely it is to borrow, fall into debt and unable to pay off the debt—even for members of the health equity funds, a national scheme designed to improve financial access to health services for the poor. Other determinants of distress financing were household size, use of inpatient care and outpatient consultations with private providers or with both private and public providers. In order to ensure effective financial risk protection, Cambodia should establish a more comprehensive and effective social health protection scheme that provides maximum population coverage and prioritizes services for populations at risk of distress financing, especially poorer and larger households.

Perlindungan Hukum Terhadap Hak Pekerja Atas Perolehan Jaminan Sosial Tenaga Kerja

Social security is a right of everyone, without exception, including workers / laborers as the provisions of Article 28H paragraph (3) of the Constitution of 1945, which reads; "Everyone is entitled to social security that allows development of his or her self as dignified human beings," as well as the mandate of the Declaration of the United Nations (UN), 1948 on Human Rights, and has also affirmed in the Convention on the International Labour Organization (ILO) No. 102 of 1952, which recommends that all States to provide minimum protection to all workers. In the decree of the People's Consultative Assembly of Indonesia Number X / MPR / 2001, to determine the tasks the President to form the National Social Security System in order to provide a comprehensive social protection and integration. On February 17, 1992, the government put forth Law No. 3 of 1992 on Social Security Workers (State Gazette of the Republic of Indonesia Year 1992 Number 14, Additional State Gazette No. 3468), to provide protection to every worker / laborer as the right of every person without exception. However, the right of workers / laborers to obtain workers' social security that provides protection against occupational accidents, illness, pregnancy, maternity, old age and death, is only obtained if the employer where workers / laborers to the Organizing Body, namely PT. Social Security, as stipulated in the provisions of Article 4 paragraph (1), which determines that; "Program of social security referred to in Article 3 shall be realized by companies for workers who perform work in labor relations in accordance with the provisions of this law."

Introduction: Reflecting on the human right to social security

AbstractThe United Nations Universal Declaration of Human Rights of 1948 asserts that social security is an inalienable human right. Realizing this human right is often considered, simply, as a matter of political will and of administrative aptitude. In these terms, the progressive realization of the human right to social security may be viewed as the outcome of an appropriately‐resourced political and bureaucratic process. Such a perspective, however, is clearly inadequate. Characteristically, bureaucracies are designed to cater to the needs of all, based on common procedures and common deliverables designed for the “typical” case. Yet such approaches often lack the necessary flexibility and resources to make a distinction between individuals, which acknowledge their respective differences and needs. To meet the international commitment to progressively realize universal social security coverage, social security administrations are key actors. However imperative this role may be, if the pursuit of this commitment fails to respect people's differences this will put at risk the meeting in full of what is envisioned by the human right to social security. To this end, this special issue aims to foster an understanding that the goal of universal coverage must necessarily also respect and respond to the individual needs of each and every person.

Mitigating Financial Burden of Elderly through Social Protection Schemes: Issues and Challenges for Pakistan

The study on social protection programs for elderly in Pakistan indicates an absence of concrete and clear frameworks developed by government. Most social security and cash assistance programs for the elderly are ad hoc arrangements which are made in response to circumstantial demands or advocated by international donor organizations which usually have their own agenda and priority. Ageing is the reality of every individual’s life therefore it is important to save the social status of elderly people & ensure a progressive life. It is also observed that there are programs and frameworks but contains duplication and overlapping that create hurdles in designing a comprehensive and purposeful social protection strategy for elderly in Pakistan. The lack of such initiatives can cause difficulty for elderly people in planning their future. This paper presents a review of available programs offered for elderly in Pakistan in order to reduce the financial burden and what challenges are faced by them in accessing information about these programs. The paper also looks at identifying gaps and suggests a “way forward” for future contribution towards this important yet ignored issue. The paper recommends that social protection have been categorized in policies process, design and delivery & financing and they must be planned, monitored& evaluated effectively to improve the quality of life of elderly people in Pakistan.

Targeted social protection in a pastoralist economy: case study from Kenya.

Social protection programmes are designed to help vulnerable populations - including pastoralists - maintain a basic level of well-being, manage risk, and cope with negative shocks. Theory suggests that differential targeting according to poverty status can increase the reach and effectiveness of budgeted social protection programmes. Chronically poor households benefit most from social protection designed to help them meet their basic needs and make vital investments necessary to graduate from poverty. Vulnerable non-destitute households benefit from protection against costly temporary shocks, but do not necessarily need regular assistance. Welfare gains occur when a comprehensive social protection programme considers the needs of both types of households. The authors use evidence-based understanding of poverty dynamics in the pastoralist-based economy of northern Kenya's arid and semi-arid lands as a case study to discuss and compare the observed impacts of two different social protection schemes on heterogeneous pastoralist households: a targeted, unconditional, cash-transfer programme designed to support the poorest, and an index-based livestock insurance programme, which acts as a productive 'safety net' to help stem a descent into poverty and increase resilience. Both types of social protection scheme have been shown to decrease poverty, improve food security and protect child health. However, the behavioural response for asset accumulation varies with the type of protection and the household's unique situation. Poor households that receive cash transfers retain and accumulate assets quickly. Insured households, who are typically vulnerable yet not destitute, protect existing herds and invest more in the livestock they already own. The authors argue that differential targeting increases programme efficiency, and discuss Kenya's current approach to implementing differentially targeted social protection.

Oil, Local Content Laws and Paternalism: Is Economic Paternalism Better Old, New or Democratic?

Although paternalism has long been studied, the ‘new paternalism’ has received relatively little attention, and much less attention in the oil and gas industry where interferences into preferences centre more strongly on the supply, rather than on the demand, side. The ‘choice architects’ in Ghana have succeeded in nudging local businesses to go into the provision of services for the oil industry and the supply of goods and services needed in the petroleum sector. Yet, the new paternalism in the petroleum industry has had major limitations too, including re-enforcing systemic inequality and labour exploitation, while paying scant attention to the destruction of local content. These problems can only be addressed through systemic redistribution, structural transformation of the economy, comprehensive social protection and deliberate interventions for ecological sustainability. In this process of social change, an embrace of old paternalism will not do neither will asserting a new paternalism as the philosophy behind local content laws and policies. A philosophy and praxis of democratic paternalism provide a surer path for more effective transformation.