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The State of Human Development in the Pacific I THE STATE OF HUMAN DEVELOPMENT IN THE PACIFIC: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME OF RAPID CHANGE EXECUTIVE SUMMARY Empowered lives. Resilient nations.

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Page 1: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the Pacific I

THE STATE OF HUMAN DEVELOPMENT IN THE PACIFIC: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME OF RAPID CHANGE

EXECUTIVE SUMMARY

Empowered lives. Resilient nations.

Page 2: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the PacificII

Copyright © 2014

by the United Nations Development Programme

3DFLF�&HQWUH�Private Mail Bag, Suva, Fiji

All rights reserved. No part of this publication may be reproduced, stored in

a retrieval system or transmitted, in any form or by any means, electronic,

mechanical, photocopying, recording or otherwise, without prior permission.

Report Team

Editors/Lead Authors$KPHG�0RXVWDID��81'3�3DFLF�&HQWUH�'DYLG�$EERWW��&RQVXOWDQW�

Contributing Authors6RSKLH�%XWFKHU��&RQWULEXWLQJ�$XWKRU�DQG�/HDG�5HVHDUFKHU��&RQVXOWDQW�

UNDP$VLI�&KLGD��81'3�3DFLF�&HQWUH��6XYD�)HUGLQDQG�6WUREHO��81'3�3DFLF�&HQWUH��6XYD�6LPRQH�7UROOHU��81'3�3DFLF�&HQWUH��6XYD�

UNFPA$QGUHDV�'HPPNH��81)3$��6XYD�0DKD�0XQD��81)3$��6XYD�

UNESCAP6DQMHVK�1DLGX��81(6&$3��6XYD�6LRSH�9DNDWDNL�2ID��81(6&$3��6XYD�

UNICEF%MRUQ�*HOGHUV��81,&()��6XYD�

ILO(GZDUG�%HUQDUG��,/2��6XYD�.HH�%HRP�.LP��,/2��%DQJNRN�6DWRVKL�6DVDNL��,/2��6XYD�6RSKLD�.DJDQ��,/2��6XYD�

Copy Editing/LVD�+LOOHU�*DUYH\��&RQVXOWDQW�

Cover photos: © Thomas Lynge Jensen; UNDP/Sheryl Ho

Page 3: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

Empowered lives. Resilient nations.

THE STATE OF HUMAN DEVELOPMENT IN THE PACIFIC: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME OF RAPID CHANGE

EXECUTIVE SUMMARY

Page 4: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the PacificIV

FOREwORD

3DFLF�,VODQG�FRXQWULHV��3,&V��DUH�IDFLQJ�HQRUPRXV�FKDOOHQJHV�UHODWHG�WR�SURIRXQG�FKDQJHV�XQGHUZD\�DFURVV�WKHLU�VRFLHWLHV�and economies. Climate change, migration, monetization, slow and volatile economic growth and the transition from traditional

subsistence-based economies to market-based ones, together with the erosion of natural and social capital, and the diminution

RI�WUDGLWLRQDO�VRFLDO�VWUXFWXUHV�DUH�DPRQJ�VRPH�RI�WKH�IDFWRUV�VKDSLQJ�QHZ�ZD\V�RI�OLIH�LQ�WKH�3DFLF��'HVSLWH�WKH�IDFW�WKDW�PRVW�PICs are middle-income countries, and are ranked as having medium-to high human development, and are among the highest

per capita aid recipients in the world, progress on achieving the MDGs is mixed, and only two PICS - Niue and Cook Islands - are

on track to achieve all of the MDGs by 2015.

7KLV�UHSRUW�SURYLGHV�DQ�XSGDWHG�SLFWXUH�RQ�WKH�VWDWH�RI�KXPDQ�GHYHORSPHQW�LQ�WKH�3DFLF��GUDZQ�IURP�QHZ�GDWD�DQG�DQDO\VLV�IURP�+RXVHKROG�,QFRPH�DQG�([SHQGLWXUH��+,(6��VXUYH\V�FRQGXFWHG� LQ�YDULRXV�3,&V��DV�ZHOO�DV�RWKHU�UHFHQW�UHVHDUFK��:KLOH�81'3V�3DFLF�&HQWUH�KDV�OHG�WKH�SURGXFWLRQ�RI�WKLV�UHSRUW��PDQ\�81�DJHQFLHV��DQG�RWKHU�GHYHORSPHQW�SDUWQHUV�ZRUNLQJ�LQ�WKH�3DFLF�KDYH�DOVR�PDGH�VXEVWDQWLDO�FRQWULEXWLRQV�WR�LWV�FRQWHQW�DQG�DQDO\VLV��81'3�LV�JUDWHIXO�WR�DOO�WKHVH�DJHQFLHV�DQG�SDUWQHUV�for their support in helping to produce this report. The report examines the dimensions and drivers of economic exclusion

�LQFRPH�SRYHUW\�DQG�LQHTXDOLW\��DQG�WKH�FDXVHV�DQG�FKDUDFWHULVWLFV�RI�VRFLDO�H[FOXVLRQ�DQG�YXOQHUDELOLW\�LQ�WKH�3DFLF�IURP�D�human development perspective. Much of the data and analysis presented in the report particularly relating to social exclusion

has not been previously considered from a regional perspective, and the report therefore adds value in the context of a renewed

LQWHUHVW�LQ�WKH�VRFLDO�GLPHQVLRQV�RI�VXVWDLQDEOH�GHYHORSPHQW�LQ�WKH�3DFLF��

7KH�UHSRUW�VKRZV�WKDW�SRYHUW\��KDUGVKLS���YXOQHUDELOLW\��LQHTXDOLW\�DQG�H[FOXVLRQ�DUH�RQ�WKH�ULVH�LQ�PDQ\�3,&V��DQG�WKDW�WKH�PRVW�vulnerable people are likely to be women, youth, the disabled and the elderly, as well as those living in the outer islands and rural

areas. Dealing with the challenge of reversing this rising tide of vulnerability and exclusion while also providing safety nets and

VRFLDO�SURWHFWLRQ�IRU�WKRVH�DW�ULVN�ZLOO�UHTXLUH�3DFLF�JRYHUQPHQWV�WR�DGRSW�QHZ�SROLF\�DSSURDFKHV�DQG�PDNH�VRPH�GLIFXOW�choices. This report also provides policy options and insights for decision-makers, development partners and communities on

KRZ�WR�IRVWHU�PRUH�LQFOXVLYH�DQG�VXVWDLQDEOH�KXPDQ�GHYHORSPHQW�LQ�WKH�3DFLF�GXULQJ�D�WLPH�RI�FKDQJH�

7KH�QGLQJV�SUHVHQWHG�LQ�WKLV�UHSRUW�DOVR�FRPH�DW�DQ�DSSURSULDWH�WLPH��$V�D�UHVXOW�RI�WKH�UHFHQW�3DFLF�3ODQ�UHYLHZ�SURFHVV��UHJLRQDO� OHDGHUV� KDYH� UHDIUPHG� WKDW� WKH� FXOWXUH� DQG� YDOXHV� RI� WKH� 3DFLF� WUDQVODWH� QDWXUDOO\� LQWR� WKH� LGHD� RI� VXVWDLQDEOH�GHYHORSPHQW�� DQG� WKDW� 3DFLF� ,VODQGHUV� KDYH� D� ULFKHU�PRUH�PXOWLGLPHQVLRQDO� YLHZ� RI� SRYHUW\� DQG� GHYHORSPHQW� WKDW� JRHV�beyond measuring income and reflects the value they place on protecting and promoting culture, family, social cohesion, and

the environment, upon which all Islanders depend.

In September 2014, the Third International Conference on Small Island Developing States will be held in Apia, Samoa. The fact

WKDW�WKH�FRQIHUHQFH�LV�EHLQJ�KHOG�LQ�WKH�3DFLF�ZLOO�IRFXV�JOREDO�DWWHQWLRQ�RQ�WKH�PXOWLSOH�GHYHORSPHQW�FKDOOHQJHV�FRQIURQWLQJ�3,&V��ZKLOH�DW� WKH�VDPH�WLPH�DOORZLQJ�3DFLF�FRXQWULHV�WR�PDNH� LQSXWV� LQWR�WKH�SRVW������JOREDO�GHYHORSPHQW�DJHQGD�WKDW�UHIOHFW�WKHLU�VSHFLF�FRQFHUQV�LQ�WHUPV�RI�DGGUHVVLQJ�LVVXHV�RI�SRYHUW\��YXOQHUDELOLW\��H[FOXVLRQ�DQG�VXVWDLQDEOH�GHYHORSPHQW�$W�WKH�VDPH�WLPH��WKH������+XPDQ�'HYHORSPHQW�5HSRUW��+'5��IRFXVHV�RQ�WKH�WRSLF�RI�5HGXFLQJ�9XOQHUDELOLWLHV�DQG�%XLOGLQJ�5HVLOLHQFH��WKXV�FRPSOHPHQWLQJ��DQG�SURYLGLQJ�D�JOREDO�SHUVSHFWLYH��RQ�WKH�QGLQJV�RI�WKLV�UHJLRQDO�UHSRUW��7KH�+'5�LQWURGXFHV�the idea of life cycle vulnerabilities, and explores in some detail those risk factors that make people vulnerable, and what can be

done to mitigate these risks. It also urges governments to commit to the universal provision of basic social services and social

protection to build resilience, especially for the poor and the vulnerable.

The twin issues of poverty and inequality are at the heart of UNDP’s new strategic plan for the period 2014-2017. The organization

UHPDLQV�FRPPLWWHG� WR�KHOSLQJ�FRXQWULHV�� LQFOXGLQJ� LQ� WKH�3DFLF�� WR�DFKLHYH� WKH�VLPXOWDQHRXV�HUDGLFDWLRQ�RI�SRYHUW\�DQG�D�VLJQLFDQW�UHGXFWLRQ�RI�LQHTXDOLWLHV�DQG�H[FOXVLRQ��

$V�WKH�3DFLF�UHJLRQ�VHHNV�WR�DGGUHVV�WKHVH�FKDOOHQJHV�RI�YXOQHUDELOLW\�DQG�H[FOXVLRQ�LQ�D�WLPH�RI�SURIRXQG�FKDQJH��,�KRSH�WKDW�the analysis as well as the recommendations from this report will be useful to all decision makers, not only in the countries of

WKH�3DFLF��EXW�DOVR�WR�WKHLU�PDQ\�GHYHORSPHQW�SDUWQHUV��)RU�LW�LV�RQO\�E\�DGGUHVVLQJ�YXOQHUDELOLW\�DQG�H[FOXVLRQ�WKDW�KXPDQ�development can become more equitable and sustainable.

Haoliang Xu 81�$VVLVWDQW�6HFUHWDU\�*HQHUDO�DQG�81'3�$VVLVWDQW�$GPLQLVWUDWRU�DQG�'LUHFWRU��5HJLRQDO�%XUHDX�IRU�$VLD�DQG�WKH�3DFLF

Page 5: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the Pacific V

ACkNOwLEDgEmENTS

7KLV�UHSRUW�LV�D�FROOHFWLYH�HIIRUW�RI�YH�81�DJHQFLHV��81'3��81)3$��81(6&$3��,/2�DQG�81,&()��OHG�E\�81'3V�3DFLF�&HQWUH�based in Suva, Fiji. My sincere thanks to David Abbott and Ahmed Moustafa for their vision and commitment in leading the

SURGXFWLRQ�RI�WKLV�UHSRUW��DQG�WR�WKH�FROOHDJXHV�LQ�WKH�3DFLF�DQG�DURXQG�WKH�ZRUOG�IURP�WKH�YH�81�DJHQFLHV�ZKR�KDYH�SURYLGHG�invaluable inputs into the preparation of this report.

,Q�DGGLWLRQ�WR�WKH�UHSRUW�WHDP��,�ZRXOG�OLNH�WR�VSHFLFDOO\�WKDQN�,RVHID�0DLDYD��81(6&$3��6XYD���'DYLG�6PLWK��81(6&$3��6XYD���7KRPDV�-HQVHQ��81'3�3DFLF�&HQWUH��6XYD���0RRUWD]D�-LZDQML��81'3�3DFLF�&HQWUH��6XYD���-HQQLIHU�1DPJ\DO��81'3�3DFLF�&HQWUH��6XYD���.HYLQ�3HWULQL� �81'3�3DFLF�&HQWUH��6XYD���7KDQJDYHO�3DODQLYHO�DQG�6FRWW�6WDQGOH\�DQG�WKH�SROLF\�WHDP�DW�WKH�81'3�%XUHDX�IRU�$VLD�DQG�WKH�3DFLF� LQ�1HZ�<RUN��$OHVVDQGUD�&DVD]]D�DQG�-RVHSK�'&UX]�DQG�WKH�,QFOXVLYH�*URZWK�WHDP�DW� WKH�81'3�$VLD�3DFLF�5HJLRQDO�&HQWUH� LQ�%DQJNRN��$NLNR�)XMLL� �81'3�0XOWL�&RXQWU\�2IFH�6XYD���$QWKRQ\�:RRG� �81'3�0XOWL�&RXQWU\�2IFH�$SLD���-RUJ�6FKLPPHO��81'3�&RXQWU\�2IFH��3RUW�0RUHVE\���0DVVLPLOLDQR�5LYD��3RYHUW\�*URXS��%XUHDX�IRU�'HYHORSPHQW�3ROLF\��81'3�1HZ�<RUN���DQG�1DQGD�.UDLULNVK�� �'LUHFWRU��6RFLDO�'HYHORSPHQW�'LYLVLRQ��DQG� WHDP�DW�(6&$3��%DQJNRN��IRU�WKHLU�XVHIXO�VXJJHVWLRQV�DQG�FRQWULEXWLRQV��ZKLFK�KDYH�FHUWDLQO\�LPSURYHG�WKH�TXDOLW\�RI�WKH�UHSRUW�

The report was reviewed by an external peer review panel that provided very useful comments on earlier drafts. I would also like

WR�DFNQRZOHGJH�FRPPHQWV�UHFHLYHG�IURP�*DUU\�:LVHPDQ��6HLQL�2&RQQRU��3DFLF�,VODQGV�)RUXP�6HFUHWDULDW���3URIHVVRU�9LMD\�1DLGX��8QLYHUVLW\�RI�WKH�6RXWK�3DFLF��3DWULFLD�6DFKV��6HFUHWDULDW�RI�WKH�3DFLF�&RPPXQLW\��DQG�6HWDUHNL�0DFDQDZDL��3DFLF�'LVDELOLW\�)RUXP��

Finally, special thanks to Sheryl Ho and Mahezabeen Khan and our interns Deniz Firat and Madeline Stoeri and to all the staff of

WKH�81'3�3DFLF�&HQWUH�IRU�WKHLU�VXSSRUW�LQ�SUHSDULQJ�WKH�UHSRUW�IRU�SXEOLFDWLRQ�

Peter BatchelorManager

81'3�3DFLF�&HQWUH

Page 6: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the PacificVI

Page 7: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the Pacific 1

INTRODUCTION7KLV�UHSRUW�H[DPLQHV�WKH�VWDWH�RI�KXPDQ�GHYHORSPHQW�LQ�WKH�3DFLF�GXULQJ�D�WLPH�RI�UDSLG�FKDQJH��(FRQRPLHV�DUH�VKLIWLQJ�IURP�WUDGLWLRQDO�V\VWHPV�EXLOW�RQ�WKH�H[FKDQJH�RI�RZQ�SURGXFWV�WR�PDUNHW�OHG�FDVK�EDVHG�RQHV��<RXQJ�SHRSOH�DUH�PLJUDWLQJ�IURP�WKHLU�YLOODJHV�WR� QG�MREV�LQ�FLWLHV�DQG�DEURDG��FKDQJLQJ�WKH�GHPRJUDSKLFV�DQG�OHDYLQJ�GHSHQGHQWV�EHKLQG��7UDGLWLRQDO�IDPLO\�DQG�community social protection systems are increasingly under strain. Climate change is threatening agricultural production and

WUDGLWLRQDO�OLYHOLKRRGV��DQG�LQWHQVLI\LQJ�WKH�IHURFLW\�DQG�YRODWLOLW\�RI�QDWXUDO�GLVDVWHUV��,Q�UHFHQW�\HDUV��3DFLF�,VODQG�&RXQWULHV��3,&V��KDYH�DOVR�IHOW�WKH�LPSDFW�RI�JOREDO�HFRQRPLF�VKRFNV��ZKLFK�DUH�VWLOO�EHLQJ�WUDQVPLWWHG�WR�WKH�3DFLF�

In this context, new data and analysis presented in this report suggests that in many PICs, poverty, vulnerability and exclusion

are on the rise. In terms of basic-needs poverty – where people lack income to meet their daily needs – it is now estimated

WKDW�RQ�DYHUDJH�RQH�LQ�IRXU�SHRSOH�LQ�WKH�3DFLF�DUH�QRZ�OLYLQJ�EHORZ�WKHLU�QDWLRQDO��EDVLF�QHHGV��SRYHUW\�OLQHV��

At the same time, limited access to basic social services to scattered small populations living on outer islands or in rural areas,

PHDQV�WKDW�PDQ\�3DFLF�,VODQGHUV�DUH�PLVVLQJ�RXW�RQ�DGHTXDWH�education, health and other human development opportunities.

Those most vulnerable to poverty and exclusion are children and

youth, women, the elderly and disabled, as well as people living in

rural areas and outer islands.

7KLV�UHSRUW�H[DPLQHV�WKH�FRPSOH[��DQG�RIWHQ�LQWHUOLQNHG��QDWXUH�RI�SRYHUW\��YXOQHUDELOLW\��LQHTXDOLW\�DQG�H[FOXVLRQ�LQ�WKH�3DFLF��,W�reviews the most recently available information and data from

+RXVHKROG� ,QFRPH� DQG� ([SHQGLWXUH� 6XUYH\V� �+,(6��� DQG� RWKHU�relevant data, to identify the broad causes and characteristics

of vulnerability and exclusion from a human development

perspective. It acknowledges that these conditions are not

caused by any single factor.

The recently launched UNDP 2014 Global Human Development

5HSRUW� �+'5�� RQ� 6XVWDLQLQJ� +XPDQ� 3URJUHVV�� 5HGXFLQJ�Vulnerabilities and Building Resilience’ takes a broader

approach, and applies the human development perspective to

assess vulnerability. The HDR introduces the concepts of life

cycle vulnerabilities and structural vulnerabilities. Life cycle

vulnerabilities refer to threats that individuals face across different

stages of their life, whereas structural vulnerabilities are often the

manifestation of poverty and inequalities among the various social groups. The poor, women, minorities, indigenous people,

people living in areas, among others, tend to face comparatively higher barriers. The HDR therefore urges governments to

commit to the universal provision of basic social services and strengthen social protection to build resilience, especially for the

poor and vulnerable groups. The HDR also highlights that lack of decent, well paid jobs especially for youth is a major challenge

LQ�$VLD�DQG�WKH�3DFLF��,Q�WKLV�UHJDUG��WKH�+'5�XUJHV�JRYHUQPHQWV�WR�IDVW�WUDFN�HGXFDWLRQ�UHIRUP�SROLFLHV�DQG�WR�DFFHOHUDWH�broad based economic growth to create decent and well paid jobs that are essential to improving living standards.

'HQLQJ�+DUGVKLS�DQG�3RYHUW\�LQ�WKH�3DFLF

7KH� ZLGHO\� DFFHSWHG� GHQLWLRQ� RI� KDUGVKLS�� SRYHUW\�DQG� H[FOXVLRQ� LQ� WKH� 3DFLF� WDNHV� DFFRXQW� RI� WKH�GLYHUVLW\�RI�3,&V�DQG�LV�GHQHG�DV�DQ�LQDGHTXDWH�OHYHO�of sustainable human development, often manifested

E\�WKH�IROORZLQJ�

a lack of access to basic services (e.g. Education,

+HDOWK��7UDQVSRUW�DQG�&RPPXQLFDWLRQV���

a lack of opportunities to participate fully in

the socio-economic life of the community (e.g.

HPSOR\PHQW��RWKHU�HFRQRPLF�DFWLYLW\���DQG�

� D� ODFN� RI� DGHTXDWH� UHVRXUFHV� �LQFOXGLQJ� FDVK��to meet the basic needs of the household and/

or customary obligations to the extended family,

village community and/or the church.

6RXUFH��+DUGVKLS��3RYHUW\�LQ�WKH�3DFLF��$EERWW��'��3ROODUG�6��$'%�3DFLF�6WXGLHV�6HULHV�����

Page 8: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the Pacific2

Identifying the Vulnerable and Excluded7KH�3DUWLFLSDWRU\�$VVHVVPHQW�RI�+DUGVKLS��3$+���FRQGXFWHG�IRFXV�JURXSV�LQ�YDULRXV�FRPPXQLWLHV�RI�QLQH�3,&V�D�GHFDGH�DJR�DQG�LGHQWLHG�WKH�IROORZLQJ�VHW�RI�FKDUDFWHULVWLFV�WKDW�GHQH�WKH�YXOQHUDEOH�DQG�H[FOXGHG�LQ�WKH�3DFLF���� � Lack of jobs and other ways to earn cash - this factor was seen as the most critical issue for all communities in both

urban and rural areas.

�� �� Poor quality and/or the lack of access to basic or essential public services, including education and health services,

was seen to be an important cause of hardship for many communities.

�� �� )DPLOLHV�ZLWK�WRR�PDQ\�GHSHQGHQWV�DQG�RU�FKLOGUHQ��ZKR�VWUXJJOHG�WR�HDUQ�VXIFLHQW�FDVK�WR�PHHW�EDVLF�QHHGV����� �� Limited access to land for subsistence or cash-based farming, especially for migrants from rural to urban areas.

�� ��High cost of goods and services.

�� �� Burdensome family, church, and community obligations.

�� �� Poor health and/or having family members living with a disability, including the elderly.

�� Poor family budgeting.

�� �� Increased individualism of the educated youth.

�� ��Migration of youth and adults to urban areas and/or overseas, leaving behind the elderly in rural areas with additional

responsibility of taking care of their young children.

�� �� Poor relocation sites for squatter communities or those hit by calamities was also said to contribute to hardship,

�� vulnerability and exclusion, primarily in urban areas.

7KH� UHFHQW� JOREDO� 0\� :RUOG� VXUYH\� VSRQVRUHG� E\� WKH� 8QLWHG� 1DWLRQV� JHQHUDOO\� YDOLGDWHG� WKH� 3$+� QGLQJV� E\� LGHQWLI\LQJ�HGXFDWLRQ��MREV�DQG�KHDOWK�VHUYLFHV�DV�WKH�WKUHH�PRVW�FULWLFDO�LVVXHV�IRU�SRRU�IDPLOLHV�LQ�WKH�3DFLF��

The Economic and Social Dimensions of Vulnerability and Exclusion in the 3DFLFIncreasing numbers of people in PICs are struggling to meet their basic needs. The proportion of the poor falling below the

�EDVLF�QHHGV��SRYHUW\�OLQH�YDULHV�ZLGHO\�DFURVV�WKH�3,&V��IURP����SHUFHQW�LQ�9DQXDWX�WR����SHUFHQW�LQ�)LML�DQG����SHUFHQW�LQ�31*�:KLOH�WKH�SURSRUWLRQ�RI�SRRU�SHRSOH�KDV�GHFOLQHG�LQ�)LML�DQG�9DQXDWX�RYHU�WKH�ODVW�WHQ�\HDUV��LW�KDV�LQFUHDVHG�LQ�6DPRD��7RQJD�and Tuvalu and remained generally at the same level in the rest of the region. In most cases, though, the national incidence of

basic-needs poverty masks considerable disparities prevailing within a country. For example, rising rates of urban basic-needs

poverty are evident in Solomon Islands, Kiribati, Tuvalu and Vanuatu, while rural populations have been left behind in Fiji, Palau,

Samoa and Tonga.

0RUHRYHU��EDVLF�QHHGV�SRYHUW\�UDWHV�DUH�VLJQLFDQWO\�KLJKHU�LQ�KRXVHKROGV�ZLWK�PRUH�FKLOGUHQ��$V�FKLOGUHQ�FRQVWLWXWH�D�KLJK�VKDUH�RI�WKH�SRSXODWLRQ�DFURVV�WKH�UHJLRQ�����SHUFHQW�RQ�DYHUDJH���DQG�IHUWLOLW\�UDWHV�UHPDLQ�UHODWLYHO\�KLJK�LQ�PRVW�3,&V��ODUJH�QXPEHUV�RI�FKLOGUHQ�ZLOO�FRQWLQXH�WR�JURZ�XS�LQ�SRYHUW\��$FURVV�D�VDPSOH�RI�IRXU�FRXQWULHV��)LML��.LULEDWL��9DQXDWX�DQG�7XYDOX���WKH�SRYHUW\�UDWH�DPRQJ�KRXVHKROGV�ZLWK�WKUHH�RU�PRUH�FKLOGUHQ�ZDV�IRXQG�WR�EH����WR����SHUFHQW�KLJKHU�WKDQ�WKH�QDWLRQDO�DYHUDJH��

$QDO\VLV�RI�UHFHQW�+,(6�GDWD�VKRZV�WKDW�LQFRPH�LQHTXDOLW\�LQ�WKH�3DFLF�LV�PRUH�SURQRXQFHG�WKDQ�KDG�EHHQ�SUHYLRXVO\�WKRXJKW��,W�LV�REVHUYHG�WKDW�ZHDOWK�LQ�WKH�UHJLRQ�LV�GLVWULEXWHG�PRUH�XQHTXDOO\�WKDQ�LQ�PDQ\�SDUWV�RI�$VLD��7KH�FRXQWULHV�LQ�WKH�3DFLF�that have the highest levels of inequality also tend to have the highest levels of basic-needs poverty. However, the case of Fiji

is an exception where the degree of inequality has risen, despite a reduction in poverty levels. The trend of rising poverty and

inequality is occurring in spite of the high value placed on redistribution and equality.

Page 9: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the Pacific 3

7KH�GHPDQG�IRU�FDVK�LQFRPHV�LV�LQFUHDVLQJ�ZLWK�WKH�JURZLQJ�XUEDQLVDWLRQ�DQG�WUDQVLWLRQ�RI�3DFLF�HFRQRPLHV�WR�PDUNHW�OHG�FDVK�EDVHG�V\VWHPV��<HW��LQ�UHFHQW�\HDUV��3,&V�KDYH�JHQHUDOO\�UHFRUGHG�ORZ�DQG�YRODWLOH�JURZWK�DQG�KDYH�EHHQ�XQDEOH�WR�FUHDWH�adequate wage employment opportunities. For many people, especially those in rural areas, the opportunities to earn cash

remain limited.

Many PICs struggle to deliver basic services, particularly in rural and remote areas, including outer islands. A large proportion

RI�3DFLF�,VODQGHUV�ODFN�DFFHVV�WR�VDIH�GULQNLQJ�ZDWHU��VDQLWDWLRQ�DQG�UHOLDEOH�VRXUFHV�RI�HQHUJ\��7KH\�ODFN�DGHTXDWH�HGXFDWLRQ��KHDOWK�DQG�RWKHU�RSSRUWXQLWLHV��7KXV��PXOWL�GLPHQVLRQDO�KXPDQ�SRYHUW\� LV�VLJQLFDQWO\�KLJKHU�WKDQ� LQFRPH�SRYHUW\� LQ�PDQ\�PICs.

3URJUHVV�DPRQJ�3,&V�RQ�DFKLHYLQJ�WKH�0LOOHQQLXP�'HYHORSPHQW�*RDOV��0'*V��LV�PL[HG��0'*����UHGXFLQJ�SRYHUW\��UHPDLQV�D�NH\�FKDOOHQJH��DV�RQO\�WZR�3,&V��1LXH��&RRN�,VODQGV��DUH�RQ�WUDFN��0RVW�DLG�GHSHQGHQW�3,&V��6RORPRQ�,VODQGV��7XYDOX��)60��50,�DQG�7RQJD��DUH�QRW�RQ�WUDFN�WR�DFKLHYH�0'*��E\�������0RVW�3,&V�DUH�VXFFHVVIXOO\�UHGXFLQJ�FKLOG�PRUWDOLW\�DQG�LPSURYLQJ�maternal health, and are on track to achieve universal primary education, although the quality of education remains a challenge.

'HVSLWH�LQFUHDVLQJ�DLG��DQG�ODUJH�LQYHVWPHQWV�LQ�VHUYLFH�GHOLYHU\��SXEOLF�VSHQGLQJ�E\�3DFLF�JRYHUQPHQWV�LV�JHQHUDOO\�QRW�OHDGLQJ�to better development outcomes. Only Niue and the Cook Islands are on track to achieve all the MDGs by 2015, while PNG, the

region’s largest economy, is not on track to achieve any of the MDGs.

Dimensions of Vulnerability and Exclusion

Vulnerability:– (FRQRPLF��H[WHUQDO�DQG�ORFDO�VKRFNV��H�J��XQHPSOR\PHQW��ORVV�RI�LQFRPH�IURP�RWKHU�VRXUFHV�LQFOXGLQJ�UHPLWWDQFHV��

– 6RFLDO��LOOQHVV�RU�GHDWK�RI�VSRXVH�RU�EUHDGZLQQHU��XQPDUULHG�SUHJQDQF\��FULPLQDOLW\�DQG�RU�YLROHQFH�LQ�IDPLO\�

– 6SDWLDO�� UHPRWHQHVV�DQG� LVRODWLRQ�� ODFN�RI�DFFHVV� WR� WUDQVSRUW��FRPPXQLFDWLRQV��EDVLF�VHUYLFHV�DQG�RU�HFRQRPLF�opportunities.

– 1DWXUDO�GLVDVWHUV�DQG�FOLPDWH�FKDQJH��ORVV�RI�KRXVLQJ�DQG�RWKHU�DVVHWV��ORVV�RI�LQFRPH�DQG�RU�VRXUFHV�RI�OLYHOLKRRG�LQFOXGLQJ�FURSV��VKLQJ�JURXQGV�DQG�RWKHU�UHVRXUFHV�

Exclusion can be in the form of economic exclusion (discrimination in economic opportunities leading to lower monetary

LQFRPH�DQG�RU�ZHDOWK��ZKLFK� LV�FDSWXUHG�� IRU�H[DPSOH��E\�GLVSDULWLHV� LQ� WKH� LQFLGHQFH�RI�SRYHUW\�DPRQJ�GLIIHUHQW�JURXSV�RU�JHRJUDSKLF�ORFDWLRQV�DV�ZHOO�DV�FRQYHQWLRQDO�PHDVXUHV�RI�LQFRPH�LQHTXDOLW\��H�J��*LQL�&RHIFLHQW��UDWLRQ�of upper to lower expenditure/income deciles and/or quintiles, the share of lower income/expenditure deciles in total

KRXVHKROGV�LQFRPH�DQG�RU�H[SHQGLWXUH���6RFLDO�H[FOXVLRQ�HQFRPSDVVHV�H[FOXVLRQ�IURP�DQG�GLVSDULWLHV�LQ�VWDQGDUGV�of living and abilities to participate in social life and access to social and basic services.

Basis for exclusion:– Based on gender through legal discrimination and lack of empowerment.

– Based on religion.

– Migrants experiencing lack of access to land, housing and services.

– Based on ethnicity.

– Based on social status, disability, poverty and inability to meet community obligations.

– %DVHG�RQ�JHRJUDSKLF�ORFDWLRQ��H�J��XUEDQ�YV��UXUDO���HWF�

Page 10: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the Pacific4

Vulnerability and exclusion have many dimensions. These dimensions impact individuals, families and particular groups in a

variety of ways depending on the local circumstances and social environment.

Vulnerability often stems from the threat or impact of external forces over which people may have little direct control, but which

can often be mitigated, or perhaps adapted to by the individual, family or group.

The causes of exclusion tend to be entrenched in cultural or social norms, traditions and customs. They are frequently

inconsistent with or in direct contravention of legal provisions in national constitutions and/or laws. In yet other cases, exclusion

PD\�EH�VSHFLFDOO\�PDQGDWHG�LQ�QDWLRQDO�ODZV�WKDW�DUH�LQ�FRQWUDYHQWLRQ�WR�81�WUHDWLHV�DQG�FRQYHQWLRQV��

Social and economic exclusion are the antithesis of traditional concepts and values such as equality, social cohesion and

inclusivity. Discussions of social and economic exclusion have a clear overlap with discussions on poverty, particularly if poverty

is understood as multi-dimensional. The multiple deprivations described by the concepts of exclusion and of poverty capture an

important reality. Both concepts have economic and social components, which need to be addressed simultaneously.

The Seeds of Poverty are Sown at a Young Age 7KH�VHHGV�RI�SRYHUW\��YXOQHUDELOLW\�DQG�H[FOXVLRQ�DUH�VRZQ�DW�D�\RXQJ�DJH��<RXWK���������FRPSULVH�RQH�WKLUG�RI�WKH�3DFLFV�WRWDO�population. It is critical that this population has greater access to quality education and training linked to expanding sectors

of the economy. They also need sexual and reproductive health information, education and services. Their participation in the

development and evaluation of programmes designed to assist them is also key.

The importance of education for ensuring that young people are not caught in the poverty trap is clear. The cycle of poor

education, poor job prospects, low income and perpetual hardship is clear from the HIES and census data. In four PICs, the

proportion of youth falling in the bottom two or three income/expenditure groups declines steadily as the level of educational

DWWDLQPHQW�LQFUHDVHV��+RZHYHU��RQO\�DURXQG�RQH�TXDUWHU�WR�RQH�WKLUG�RI�DOO�WKRVH�QLVKLQJ�VFKRRO�DUH�OLNHO\�WR�QG�UHJXODU�MRE�LQ�the formal sectors of their home economies.

(GXFDWLRQ�LV�D�PDMRU�FRVW�IRU�PDQ\�SRRU�KRXVHKROGV�RI�WKH�3DFLF��+RXVHKROG�VXUYH\�GDWD�VXJJHVWV�WKDW�WKH�FRVWV�WR�SRRU�households are proportionately much greater than wealthy households. Although primary schooling is generally free, or highly

subsidised by governments or churches, there are often many other charges levied by schools to cover the costs of books,

maintenance and other related expenditure. Secondary school fees remain a major barrier for the children of poor families.

Household survey data indicates a clear link between poor levels of educational attainment and status of hardship at individual

and household level.

Gender, Vulnerability and Exclusion:RPHQ�DUH�RIWHQ�PRUH�YXOQHUDEOH�DQG�OLNHO\�WR�H[SHULHQFH�VRFLDO�H[FOXVLRQ�ZKHQ�VWUXFWXUDO�DQG�DWWLWXGLQDO�EDUULHUV�WR�JHQGHU�HTXDOLW\�H[LVW��:RPHQ�DUH�PRUH�HDVLO\�VWLJPDWLVHG�GXH�WR�VRFLR�FXOWXUDO�YDOXHV��DQG�WKH\�IUHTXHQWO\�IDFH�GLVFULPLQDWLRQ�LQ�WKH�labour force. In many PICs, women lack equal property rights but bear heavy responsibilities with regard to the household and

the community and, particularly in Melanesia, subsistence farming.

6RPH�FRXQWULHV�LQ�WKH�3DFLF�KDYH�PDGH�SURJUHVV�WRZDUGV�JUHDWHU�JHQGHU�HTXDOLW\�DQG�WKH�HPSRZHUPHQW�RI�ZRPHQ�WKURXJK�legal and policy reform, including by making education free and by establishing special measures to support women’s

SDUWLFLSDWLRQ�LQ�SROLWLFV��<HW��WKH�SDFH�RI�FKDQJH�KDV�EHHQ�VORZ�DQG�LQFRQVLVWHQW��$PRQJ�3,&V��RQO\�&RRN�,VODQGV��1LXH�DQG�3DODX�DUH�RQ�WUDFN�WR�DFKLHYH�0'*���DQG�WKH�EURDGHU�JRDO�RI�SURPRWLQJ�JHQGHU�HTXDOLW\�DQG�ZRPHQV�HPSRZHUPHQW�

There are still a number of examples where discrimination and exclusion are clearly related to gender norms. For example,

women have lower rates of participation in non-agricultural labour, despite near gender parity, and in some cases higher rates

of enrolment and completion by girls in primary and secondary schooling. As a result, women work mostly in the informal

sector and in markets which are often unprotected, and where labour rights are not enforced, and/or there is no social security

RU�ZHOIDUH��,Q�VXFK�FLUFXPVWDQFHV�WKH\�EHFRPH�VLJQLFDQWO\�PRUH�YXOQHUDEOH�WR�H[SORLWDWLRQ�DQG�DEXVH��ZKLFK�FDQ�WKHQ�OHDG�WR�stigmatisation and exclusion.

Page 11: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the Pacific 5

9LROHQFH�DJDLQVW�ZRPHQ�LV�FRPPRQ�DFURVV�WKH�3DFLF�DQG�FDQ�DGG�WR�WKH�EXUGHQ�RI�YXOQHUDELOLW\�DQG�H[FOXVLRQ��7KH�DVVRFLDWLRQ�between intimate partner violence and negative health outcomes is clear in a number of national studies. The direct costs

resulting from gender-based violence (e.g. provision of health care, criminal justice system response, social services, legal aid,

FRXQVHOOLQJ��FDQ�EHFRPH�D�EXUGHQ�IRU�JRYHUQPHQW�EXGJHWV�DV�ZHOO�DV� LQGLYLGXDOV��/LNHZLVH�� WKH� LQGLUHFW�FRVWV��H�J��UHGXFHG�SURGXFWLYLW\�� ORVV�RI�ZDJHV�RU�HPSOR\PHQW��UHGXFHG�SHUIRUPDQFH��QHJDWLYH�LPSDFW�RQ�FDUHHU�DFKLHYHPHQW��HWF���PD\�GHSULYH�them of opportunities to lift themselves out of poverty and exacerbate their vulnerability.

Health and Disability are Increasingly Important Factors1RQ�FRPPXQLFDEOH�GLVHDVHV��1&'V��KDYH�DQ�LQFUHDVLQJ�LPSDFW�RQ�WKH�KHDOWK�RI�3DFLF�,VODQGHUV�DQG�FRQWULEXWH�WR�DQ�HVFDODWLQJ�EXUGHQ�RI�GLVDELOLW\��7KHVH�GLVHDVHV��QRWDEO\�GLDEHWHV��FKURQLF�UHVSLUDWRU\�GLVHDVHV��FDQFHU�DQG�FDUGLRYDVFXODU�GLVHDVHV��UHVXOW�IURP�WKH�UDSLGO\�FKDQJLQJ�OLIHVW\OHV�DQG�JUHDWHU�H[SRVXUH�WR�WKH�IRXU�PDLQ�EHKDYLRUDO�ULVN�IDFWRUV�IRU�1&'V��XQKHDOWK\�GLHWV��harmful use of alcohol, tobacco use and physical inactivity. These behavioral risk factors have underlying determinants that can

be traced to economic, political and cultural factors as well as policy choices.

Disability and premature death as a result of NCDs are now amongst the primary causes of vulnerability pushing families into

poverty. The high cost of treatment and higher mortality amongst men, inadequate social safety nets and lack of access to

pension for women increases the vulnerability of widow or single women headed households and their dependents.

7KH�3DFLF�LV�DOVR�IDFLQJ�D�GRXEOH�EXUGHQ�RI�PDOQXWULWLRQ��ZLWK�WKH�FRH[LVWHQFH�RI�ERWK�XQGHU�QXWULWLRQ�DQG�RYHUZHLJKW��2YHUDOO��LW�LV�HVWLPDWHG�WKDW�RQH�LQ�WKUHH�3DFLF�FKLOGUHQ�XQGHU�YH�\HDUV�RI�DJH�DUH�VWXQWHG�DV�D�UHVXOW�RI�FKURQLF�XQGHU�QXWULWLRQ�GXULQJ�FULWLFDO�SHULRGV�RI�JURZWK�DQG�GHYHORSPHQW�LQ�HDUO\�OLIH��3DSXD�1HZ�*XLQHD�KDV�WKH�KLJKHVW�UDWH�RI�VWXQWLQJ�����SHUFHQW���IROORZHG�E\�6RORPRQ�,VODQGV�����SHUFHQW���9DQXDWX�DQG�1DXUX�����WR����SHUFHQW�UHVSHFWLYHO\��DQG�7XYDOX�����SHUFHQW���8QGHU�QXWULWLRQ�early in life contributes to an increased propensity for overweight and non-communicable diseases in adulthood.

$W�WKH�RWKHU�HQG�RI�WKH�VSHFWUXP��PRUH�WKDQ����SHUFHQW�RI�WKH�SRSXODWLRQ�LQ�DW�OHDVW����3DFLF�,VODQGV�FRXQWULHV�DQG�7HUULWRULHV�LV�RYHUZHLJKW��2EHVLW\�SUHYDOHQFH�UDQJHV�IURP�PRUH�WKDQ����SHUFHQW�LQ�)LML�WR����SHUFHQW�DPRQJ�ZRPHQ�LQ�$PHULFDQ�6DPRD��3DFLF�FRXQWULHV�KDYH�DPRQJ�WKH�KLJKHVW�GLDEHWHV�SUHYDOHQFH�LQ�WKH�ZRUOG��(DUOLHU�RQVHW�RI�GLDEHWHV�W\SH���DIIHFWLQJ�FKLOGUHQ�is being observed in some countries, and the prevalence of disability resulting from chronic NCD conditions leading to

amputations, vision impairment and blindness is increasing. These conditions are placing a growing burden on government

health and welfare budgets, and on the families and individuals.

&RPPXQLFDEOH�GLVHDVHV�QRWDEO\�SQHXPRQLD� �DIIHFWLQJ� LQIDQWV�DQG�\RXQJ�FKLOGUHQ���ZDWHUERUQH�GLVHDVHV� �LQ� UXUDO�DQG�SHUL�XUEDQ�VHWWOHPHQWV��� VH[XDOO\� WUDQVPLWWHG� LQIHFWLRQV� LQFOXGLQJ�+,9�� DV�ZHOO� DV� WXEHUFXORVLV�� GHQJXH�DQG�PDODULD� �LQ�6RORPRQ�,VODQGV��9DQXDWX�DQG�31*��DUH�VWLOO�SUHYDOHQW�DQG�GLVSURSRUWLRQDWHO\�DIIHFW�WKH�SRRU��,OO�KHDOWK�LQ�FKLOGUHQ�LV�FORVHO\�OLQNHG�ZLWK�poor educational achievement and consequently a greater risk of poverty, vulnerability and exclusion in the later part of life.

There are also important linkages between poverty reduction and addressing sexual and reproductive health and population

dynamics. Evidence shows that the unmet need for family planning is high in most PICs, especially among marginalized or

vulnerable groups and young people. Contraceptive prevalence rates have remained below 50 percent and, in some countries,

OHVV�WKDQ����SHUFHQW��ZKLOH�SUHYHQWDEOH�PDWHUQDO�GHDWKV�FRQWLQXH�WR�RFFXU�LQ�VRPH�3,&V�ZLWK�UHFRUG�KLJK�OHYHO�LQ�3DSXD�1HZ�Guinea. Even though teenage fertility rates have declined in eight PICs, rates continue to be well over 60 per 1000 women aged

������IRU�YH�3,&V�LQFOXGLQJ�31*��7KH�KLJK�WHHQDJH�IHUWLOLW\�UDWH�LQ�VRPH�3,&V�PD\�EH�OLQNHG�WR�KLJKHU�SRYHUW\�DQG�YXOQHUDELOLW\�through poor educational attainment and unemployment, together with a higher-than average risk of maternal mortality.

Caring for the Elderly is a Growing Challenge7KH�GHPRJUDSKLF�SUROH�RI�WKH�3DFLF�LV�FKDQJLQJ��2Q�DYHUDJH�HOGHUO\�SHRSOH��DJHG����\HDUV�DQG�RYHU��QRZ�PDNH�XS�����SHUFHQW�of the population in PICs, and this trend is rising. At the same time, the prevalence of NCDs means that the health care needs of

WKH�HOGHUO\�DUH�LQFUHDVLQJ�LQ�WHUPV�RI�IUHTXHQF\�DQG�GXUDWLRQ��7KLV�DGGV�WR�WKH�QDQFLDO�DQG�FDUH�EXUGHQ�RQ�IDPLOLHV�DQG�LV�DOVR�putting pressure on government health budgets.

7KH�HOGHUO\�ZHUH�UHFRJQLVHG�DV�EHLQJ�DPRQJ�WKH�PRVW�SRRU�DQG�YXOQHUDEOH�JURXSV�LQ�WKH�3$+�FRQGXFWHG�LQ�3DFLF�FRXQWULHV��In seven of the nine PICs, for which data is now available, the elderly were proportionately over-represented in the lower two

and three income/ expenditure decile groups. Only in Samoa and Tonga were the elderly under-represented in the bottom three

LQFRPH�H[SHQGLWXUH�JURXSV��,Q�.LULEDWL����SHUFHQW�RI�WKH�HOGHUO\�IHOO�LQWR�WKHVH�ORZ�HQG�JURXSV��ZKLOH�LQ�7XYDOX�WKH�SURSRUWLRQ�UHDFKHG������SHUFHQW��)60�������SHUFHQW��DQG�3DODX�������SHUFHQW��IROORZHG�FORVHO\�

Page 12: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the Pacific6

$FFRUGLQJ� WR� JRYHUQPHQWV� DFURVV� WKH� UHJLRQ�� LQ� WKH� DEVHQFH� RI� QDWLRQDO� VRFLDO� SURWHFWLRQ� VFKHPHV�� 3DFLF� ,VODQGHUV� DUH�LQFUHDVLQJO\�UHO\LQJ�RQ�SRRUO\�UHVRXUFHG�FRPPXQLW\�JURXSV��H�J��FKXUFKHV�DQG�FLYLO�VRFLHW\�RUJDQL]DWLRQV��WR�PHHW�WKH�QHHGV�of elderly people.

Drivers of Vulnerability and ExclusionIn recent years PICs have experienced lower and less inclusive economic growth; a worsening economic outlook; a heavier

reliance on external budget support and increasing basic-needs poverty. Income inequality also appears to be rising in some

3,&V��H�J��)LML��7XYDOX��6DPRD��EDVHG�RQ�WKH�ODWHVW�+,(6�GDWD��

The factors driving poverty, vulnerability and exclusion in PICs are varied and include low rates of economic growth, migration,

external shocks and the profound economic and social transition underway across the region today. This is mainly linked to

monetization and the decline of traditional social protection systems. As a consequence, PICs have collectively fallen behind

WKHLU�$VLD�3DFLF�QHLJKERXUV�LQ�WHUPV�RI�KXPDQ�GHYHORSPHQW�SURJUHVV�DQG�VWDWXV��

PICs in general have had volatile and low rates of economic growth over the last decade and this has placed strain on national

budgets. Generally the creation of new employment opportunities, especially in rural areas and outer islands, has failed to keep

pace with the increasing number of young people entering the labour force.

Although small and geographically isolated, PICs have very open economies and are therefore well integrated into the global

economy. External economic shocks are felt through volatility in remittances and tourism revenues, export revenues and

resource rents and royalties, and consequently in reduced domestic demand and low economic growth rates. These factors

KDYH�H[DFHUEDWHG�WKH�YXOQHUDELOLWLHV�RI�3,&V�DQG�WKH�UHFHQW�JOREDO�QDQFLDO�FULVHV�KDYH�WDNHQ�WKHLU�WROO�RQ�PDQ\�3DFLF�,VODQG�countries.

Migration is also on the rise. This is driven largely by poor economic performance, a lack of domestic employment opportunities

�HVSHFLDOO\�IRU�\RXQJ�SHRSOH���DQG�SRRU�OHYHOV�RI�HGXFDWLRQDO�DWWDLQPHQW�E\�PDQ\�\RXQJ�PHQ��<RXQJ�SHRSOH�DUH�PLJUDWLQJ�IURP�UXUDO�DUHDV�DQG�WUDGLWLRQDO�YLOODJH�FRPPXQLWLHV�WR�XUEDQ�FHQWUHV�LQ�VHDUFK�RI�HGXFDWLRQ��ZRUN�DQG�VRFLDO�RSSRUWXQLWLHV��:LWK�WKH�opening of the temporary seasonal work schemes in New Zealand and Australia, in particular, more young people, primarily

young males, have been leaving for overseas. This is having a profound impact on the demographics of the region. Dependency

ratios are rising in many rural areas, while unemployment especially amongst the young, is increasing in many urban centres.

Traditional Social Protection Systems are Under StrainPICs have a history of informal and traditional social protection systems that have helped to meet the basic needs of most

3DFLF�,VODQGHUV��7KHVH�WUDGLWLRQDO�IRUPV�RI�VRFLDO�SURWHFWLRQ�KDYH�DOZD\V�SOD\HG�DQ�LPSRUWDQW�UROH�LQ�PLWLJDWLQJ�WKH�LPSDFW�of economic pressures on households. The kinship system, referred to as veiwekani in Fiji, fa’a Samoa in Samoa or wantok in

PNG and Solomon Islands, sustains individuals and groups on both a daily or occasional basis. These systems are now under

VLJQLFDQW�VWUHVV�IURP�D�ZLGH�UDQJH�RI�IDFWRUV��

Many of these factors are associated with the transition in most PICs from a traditional subsistence economy to a market-

based one. For example, monetization of bride price, a traditional practice in some Melanesian countries, has become skewed

away from any initial notions of protection it might have afforded, and instead has become associated with violence experienced

by women in their homes and families. The effectiveness and reach of traditional social protection systems that supported the

extended family and/or village community are further weakened as demographics change and migration increases.

7KHUH�DUH�D�JURZLQJ�QXPEHUV�RI�SHRSOH�EHLQJ�OHIW�EHKLQG��ERWK�OLWHUDOO\�DQG�JXUDWLYHO\��7KRVH�ZKR�DUH�OHIW�EHKLQG�WHQG�WR�EH�WKH�young, the elderly, the less well-educated, internal rural-to-urban migrants as well as those who have poor-health or who live

with a disability. In some countries there is a gender dimension to vulnerability and exclusion as families are split by migration,

DQG�LQFUHDVLQJ�UDWHV�RI�\RXQJ�ZRPHQ�DUH�IRUFHG�LQWR�SUHFDULRXV�LQIRUPDO�HPSOR\PHQW��LQFOXGLQJ�SURVWLWXWLRQ���

Those who are left behind may also share certain other characteristics including being among the poorest in the community;

KDYLQJ�SRRU�DFFHVV�WR�ODQG��RU�LQDELOLW\�WR�XWLOLVH�WKH�DYDLODEOH�ODQG���EHLQJ�HVSHFLDOO\�YXOQHUDEOH�WR�QDWXUDO�GLVDVWHUV�RU�FOLPDWH�change; having a lack of access to safe water supplies and/or improved sanitation facilities. Lack of access to, and/or active

exclusion from employment or other economic opportunities may also be critical factors leading to social exclusion and/or

vulnerability.

Page 13: A REPORT ON VULNERABILITY AND EXCLUSION IN A TIME …

The State of Human Development in the Pacific 7

:LWK�WKH�ZLGHQLQJ�VFRSH�RI�WKH�YDULRXV�WHPSRUDU\�ZRUNHU�VFKHPHV�LQ�$XVWUDOLD�DQG�1HZ�=HDODQG��WRJHWKHU�ZLWK�WKH�FRQWLQXLQJ�JOREDOLVDWLRQ�RI�HPSOR\PHQW�RSSRUWXQLWLHV�JHQHUDOO\��WKH�QXPEHU�RI�3DFLF�,VODQGHUV�PLJUDWLQJ�LQ�VHDUFK�RI�EHWWHU�HPSOR\PHQW�opportunities and higher incomes will continue to increase.

These changes are eroding the PICs’ natural and traditional social capital, including social protection systems. This process is

RFFXUULQJ�IDVWHU�LQ�VRPH�FRXQWULHV�WKDQ�RWKHUV��EXW�LW�LV�D�3DFLF�ZLGH�SKHQRPHQRQ�

The way Forward – Inclusive ‘green growth’7KH� 3,&V� FOHDUO\� IDFH� XQLTXH� JURZWK� FRQVWUDLQWV�� 7KHVH� LQFOXGH�� OLPLWHG� UHVRXUFH� HQGRZPHQWV�� VXVFHSWLELOLW\� WR� H[WHUQDO�economic shocks; dependence on imported fuel and a high proportion of food needs; small size and geographical isolation;

FOLPDWH�FKDQJH�DQG�KLJK�VXVFHSWLELOLW\�WR�QDWXUDO�GLVDVWHUV��7KHVH�IDFWRUV�PDNH�LW�LPSHUDWLYH�IRU�3,&V�WR�SXUVXH�JUHHQ�JURZWK��7KLV�DOVR�HPEUDFHV�WKH� LGHD�RI�D� EOXH�HFRQRP\��ZKLFK�HPSKDVLVHV�WKH�VXVWDLQDEOH�PDQDJHPHQW�RI� WKH�UHJLRQV�YDVW�DQG�valuable marine resources.

0DQ\�RI� WKH� IDFWRUV� WKDW�PDNH� LW� LPSHUDWLYH� IRU�3,&V� WR�DGRSW� JUHHQ�JURZWK�SDWKZD\V�DOVR�FRQVSLUH� WR� OLPLW�GHYHORSPHQW�SRWHQWLDO��,QGHHG��SURJUHVV�WRZDUGV�PHHWLQJ�WKH�0LOOHQQLXP�'HYHORSPHQW�*RDOV�KDV�EHHQ�PL[HG��7KH������3DFLF�5HJLRQDO�0'*V�7UDFNLQJ�5HSRUW�VWDWHG�� HOLPLQDWLQJ�H[WUHPH�SRYHUW\�DQG�KXQJHU��0'*����LV�WKH�3DFLFV�ELJJHVW�FKDOOHQJH��ZLWK�RQO\�WZR�3DFLF�HFRQRPLHV�RQ�WUDFN�IRU�������3URJUHVV�PDGH�DJDLQVW�WKH�UHPDLQLQJ�VHYHQ�0'*�LQGLFDWRUV�E\�3,&V�DOVR�UHIOHFWV�PL[HG�UHVXOWV��,Q�OLJKW�RI�WKH�PL[HG�VRFLR�HFRQRPLF�SHUIRUPDQFH�RI�3DFLF�,VODQG�HFRQRPLHV�LQ�UHFHQW�WLPHV��WKLV�UHSRUW�DGYRFDWHV�IRU�D�JUHHQ�JURZWK�SDWKZD\�WKDW�LV�DOVR�LQFOXVLYH�

One of the general principles of pro-poor or inclusive growth is that it should aim to improve the utilisation and productivity of

DVVHWV�WKDW�DUH�OLNHO\�WR�EH�DYDLODEOH�WR�WKH�OHDVW�ZHOO�RII�SHRSOH��,Q�UXUDO�DUHDV�DFURVV�WKH�3,&V�PRVW�SHRSOH�KDYH�DFFHVV�WR�DQG�many are reliant on land and/or marine resources. In urban areas, people have their labour.

Sustainable and Inclusive GrowthConsuming goods or services produced using methods that harm the environment, through pollution or depletion of natural

resources, is both unsustainable and exacerbates the vulnerability of those whose resources are depleted or damaged. An

inclusive green-growth approach therefore aims to shape economic incentives to ensure that consumption and production are

sustainable and do not adversely impact the poor and vulnerable.

Investing in and Valuing Natural Capital,QYHVWLQJ�LQ�QDWXUDO�FDSLWDO�LPSURYHV�VXVWDLQDEOH�PDQDJHPHQW�RI�WKH�HFRV\VWHP�DQG�FRXOG�VLJQLFDQWO\�SURWHFW�WKH�YXOQHUDEOH��)RU�H[DPSOH�� LQVKRUH�DQG�FRDVWDO�VXEVLVWHQFH�VKHULHV�WUDGLWLRQDOO\�SURYLGH�VRXUFHV�RI� IRRG�DQG� OLYHOLKRRG�IRU�PDQ\�3DFLF�Islanders. Despite this, little has been done to protect this critical natural capital.

Green Business and the Market7KH�SULYDWH�VHFWRU�LV�ZLGHO\�UHFRJQLVHG�DV�EHLQJ�WKH�UHTXLUHG�HQJLQH�IRU�JURZWK�LQ�WKH�3DFLF��:LWK�DSSURSULDWH�LQFHQWLYHV�DQG�a genuine business-enabling environment, the private sector could play a much greater role in pursuing green-growth in many

PICs. New opportunities are emerging for innovative entrepreneurship and small business development based on investment

in natural capital; the production and use of green goods and services; reliance on green energy; and the creation of green jobs.

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The State of Human Development in the Pacific8

Sustainable InfrastructureFinally, developing sustainable infrastructure will be key for the PICs. For example, dependence on non-renewable energy

UHVRXUFHV�KDV�DOZD\V�EHHQ�D�PDMRU�LVVXH�ZLWK�3DFLF�OHDGHUV�UHFRJQLVLQJ�WKH�FULSSOLQJ�HIIHFW�RI�D�KHDY\�UHOLDQFH�RQ�LPSRUWHG�fuels. The high costs of this dependence were directly linked with the depth of the impact of the global fuel crisis and

DFFRPSDQ\LQJ�LQIODWLRQDU\�DQG�PDFURHFRQRPLF�SUHVVXUHV�RQ�3DFLF�HFRQRPLHV��5HGXFLQJ�GHSHQGHQFH�RQ�IRVVLO�IXHO�WKURXJK�LPSURYLQJ�HQHUJ\�HIFLHQF\�DQG�WKH�DGRSWLRQ�RI�UHQHZDEOH�HQHUJ\�VRXUFHV�ZLOO�KHOS�SURWHFW�QDWLRQDO�GHYHORSPHQW��HVSHFLDOO\�WKH�SRRU�DQG�YXOQHUDEOH��IURP�IOXFWXDWLRQV�LQ�JOREDO�HQHUJ\�SULFHV�DQG�FRXOG�WUDQVODWH�WR�HFRQRPLF�RSSRUWXQLWLHV�DQG�MRE�FUHDWLRQ��

Summary of Policy Recommendations 7KH�UHSRUW�SURYLGHV�D�QXPEHU�RI�SROLF\�UHFRPPHQGDWLRQV�IRU�3DFLF�JRYHUQPHQWV� �DQG�RWKHU�NH\�QDWLRQDO�VWDNHKROGHUV�� WR�address the challenges of poverty, vulnerability and exclusion and thereby promote more inclusive and sustainable human

GHYHORSPHQW��3DFLF�JRYHUQPHQWV�QHHG�WR�GHQH�DQG�DUWLFXODWH� WKH�EURDG�SROLF\� IUDPHZRUNV�DQG�GHWHUPLQH�WKH�QHFHVVDU\�governance and regulatory environments for these frameworks. They need to identify and fund those policies and programmes

WKDW�DUH�DSSURSULDWH�IRU�SXEOLF�QDQFLQJ��7KHVH�ZLOO� LQFOXGH�HGXFDWLRQ��KHDOWK�DQG�FDUH�VHUYLFHV�IRU�WKH�YXOQHUDEOH��+RZHYHU��government action alone is not enough. Development partners, and civil society organizations, together with communities and

individuals also have a role to play in addressing these multiple and interconnected development challenges.

Key Recommendation One: Develop a better Understanding of Vulnerability and Exclusion Governments working with civil society organizations and development partners need to gain a better understanding of

WKH� GLPHQVLRQV�RI� YXOQHUDELOLW\� DQG� H[FOXVLRQ� LQ� WKHLU� UHVSHFWLYH� FRXQWULHV�� 3DFLF� VSHFLF� LQGLFDWRUV� DUH� QHHGHG� WR� UHIOHFW�multidimensional human poverty, vulnerability and exclusion. Benchmarks of those who are most likely to experience

conditions of vulnerability and exclusion need to be established through census and specialist surveys and through a continuing

programme of dialogue with communities themselves.

Key Recommendation Two: Put Social Protection on top of the Policy Agenda6RFLDO�SURWHFWLRQ�PXVW�EHFRPH�D�WRS�SULRULW\�IRU�3,&V�DW�ERWK�D�QDWLRQDO�DQG�UHJLRQDO�OHYHO��DQG�DV�SDUW�RI�3DFLF�LQSXWV�LQWR�the UN’s Post-2015 development agenda discussions. This will be key to combating poverty and reducing vulnerabilities and

inequalities, especially for women, the elderly and the disabled, and accelerating human development in PICs.

:HOO�GHYLVHG�� WDUJHWHG�� DQG� DGHTXDWHO\� IXQGHG� QDWLRQDO� VRFLDO� SURWHFWLRQ� SROLFLHV� DQG� VWUDWHJLHV� VKRXOG� EH� DLPHG� DW�complementing and, where possible, bolstering current traditional social safety nets. Such schemes could also assist youth in

JDLQLQJ�XVHIXO�VNLOOV��WR�PDNH�WKHP�PRUH�OLNHO\�WR�QG�MREV�LQ�WKH�IXWXUH��,Q�LPSOHPHQWLQJ�VXFK�SROLFLHV�DQG�VWUDWHJLHV��FDUHIXO�consideration should be given to the types of social protection initiatives being undertaken and the potential negative (or

XQLQWHQGHG��HIIHFWV�WKDW�VRPH�PD\�KDYH�RQ�VSHFLF�FRPPXQLWLHV��

6RFLDO�3URWHFWLRQ�FDQ�EH�DIIRUGDEOH�DQG�HIIHFWLYH��$�UHFHQW�VWXG\�VKRZV�WKDW�XQLYHUVDO�FDVK�JUDQWV�WR�DOO�FKLOGUHQ�XQGHU�YH�would cost 1.7 percent of GDP in Kiribati, Samoa and Solomon Islands and 0.7 percent of GDP in Vanuatu. It would lead to a 10

percent reduction in the proportion of households living in poverty. Successful models of social protection include Brazil’s Bolsa

)DPLOLD�DQG�6RXWK�$IULFDV�FKLOG�VXSSRUW�JUDQW���,Q�WKH�3DFLF��)LMLV�3RYHUW\�%HQHW�6FKHPH��SUHYLRXVO\�WKH�)DPLO\�$VVLVWDQFH�Scheme and the�)RRG�9RXFKHU�3URJUDPPH���SURYLGHV�D�3DFLF�H[DPSOH�IRU�D�VRFLDO�SURWHFWLRQ�VFKHPH�WDUJHWHG�DW�SRYHUW\�reduction.

2QH�\DUGVWLFN�XVHG� WR�PHDVXUH� WKH�EDVH�FRVW�RI�VRFLDO�SURWHFWLRQ� LV� WKH� SRYHUW\�JDS�RU� WKH�FRVW�RI� EX\LQJ�WKH�SRRU�RXW�of-poverty’. This amounts to an estimate of how much it would cost to provide every poor person with regular targeted cash

WUDQVIHUV��ZKLFK�ZRXOG�EULQJ�WKDW�SHUVRQ�XS�WR�WKH�QDWLRQDO�EDVLF�QHHGV�SRYHUW\� OLQH��%13/���$GGLQJ�WRJHWKHU�WKH�HVWLPDWHG�SRYHUW\�JDS�WUDQVIHUV�IRU�HYHU\�SHUVRQ�EHORZ�WKH�%13/�JLYHV�D�WRWDO�QDWLRQDO�FRVW�RI�OOLQJ�WKH�SRYHUW\�JDS��)RU�3,&V�WKH�FRVW�RI�OOLQJ�WKH�SRYHUW\�JDS�LV�HVWLPDWHG�WR�UDQJH�IURP���SHUFHQW�RI�*'3�LQ�9DQXDWX�WR�����SHUFHQW�RI�*'3�LQ�6RORPRQ�,VODQGV��+RZHYHU��JLYHQ�WKH�GLIFXOWLHV�RI�WDUJHWLQJ�DQG�PDQDJHPHQW��VLPSO\� OOLQJ�WKH�SRYHUW\�JDS�LV�QRW�JHQHUDOO\�UHJDUGHG�DV�D�SUDFWLFDO�or viable social protection policy option. Furthermore, the social costs of ignoring the poor, vulnerable and marginalized cannot

be underestimated.

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The State of Human Development in the Pacific 9

&KRRVLQJ�WKH�PRVW�DSSURSULDWH�VRFLDO�SURWHFWLRQ�PHDVXUH�WR�PHHW�DQ�LGHQWLHG�QHHG�PXVW��D��FOHDUO\�LGHQWLI\�WKH�LQGLYLGXDOV��JURXS��RU�IDPLOLHV�WR�EH�WDUJHWHG�DQG�VWDWH�WKH�UHDVRQV�IRU�WDUJHWLQJ��E��VHW�WKH�SD\PHQW�DPRXQWV�RU�WKH�QDWXUH�RI�WKH�EHQHWV�WR�EH�SDLG�RU�PDGH�DYDLODEOH��FOHDUO\�GHQLQJ�WKH�DFWXDO�SXUSRVH�DQG�QDWXUH�RI�WKH�EHQHW��H�J��FDVK�WUDQVIHUV��FRQGLWLRQDO�RU�XQFRQGLWLRQDO���XQLYHUVDO�RU�PHDQV�WHVWHG�EHQHWV��IODW�UDWH�RU�VFDOHG��D�FRQWULEXWLRQ�WR�IDPLO\�LQGLYLGXDO�EXGJHWV�RU�VXIFLHQW�WR�PHHW�DOO�EDVLF�QHHGV��F��PDNH�FOHDU��DQG�ZHOO�GHQHG�HVWLPDWHV�RI�WKH�OLNHO\�FRVWV�DQG�LPSOLFDWLRQV�RI�WKH�SURJUDPPH�IRU�WKH�IXWXUH��LQFOXGLQJ�WKH�FRQVLGHUDWLRQ�RI�SRVVLEOH�XQLQWHQGHG�FRQVHTXHQFHV�DQG�SHUYHUVH�LQFHQWLYHV��G��HVWDEOLVK�WKH�LQVWLWXWLRQDO�IUDPHZRUN�WKURXJK�ZKLFK�WKH�SURSRVHG�SURJUDPPH�LV�WR�EH�GHOLYHUHG�WR�WKH�WDUJHWHG�JURXS��DQG�H��PDQDJH�WKH�SURJUDPPH�LQ�D�WUDQVSDUHQW�DQG�DFFRXQWDEOH�ZD\�WR�DYRLG�FRUUXSWLRQ�DQG�GHOLYHU�PRUH�EHQHWV�WKDQ�WKH�FRVWV�RI�LPSOHPHQWDWLRQ��

Support for the poor, vulnerable and excluded cannot be one dimensional. Recognizing the multiple dimensions of vulnerability,

initiatives have already commenced in some PICs focusing on the needs at the broad family level. This includes mobile teams

that deliver a combined package of health, sanitation and nutrition assessment, education and assistance. Similarly in respect

of domestic and gender violence, as well as violence against children, initiatives are now becoming focused on achieving

FKDQJHV�LQ�EHKDYLRUV��DWWLWXGHV�DQG�SUDFWLFH�WKURXJK�D�PXOWL�VHFWRUDO�DSSURDFK��KHDOWK��MXVWLFH��SROLFH�DQG�VRFLDO�ZHOIDUH���ZKLOH�drawing together women and child protection programming.

Key Recommendation Three: Cautious Utilization of Cash Transfer Programmes :KLOH�FDVK�WUDQVIHUV��FRQGLWLRQDO�RU�XQFRQGLWLRQDO��VKRXOG�FHUWDLQO\�EH�LQFOXGHG�DV�DQ�RSWLRQ�LQ�D�EURDGHU�WRRONLW�IRU�VFDO�SROLF\��WKHLU�VXFFHVV�GHSHQGV�XSRQ�VRPH�VSHFLF�ORFDO�FRQGLWLRQV�DQG�WKH�LQWHQWLRQ�RI�WKH�WUDQVIHUV�DQG�UHTXLUHV�FHUWDLQ�SUHFRQGLWLRQ�LQ�RUGHU�WR�EH�HIIHFWLYH�b�2WKHUZLVH�WKH\�FRXOG�GR�PRUH�KDUP�WKDQ�JRRG��LQFOXGLQJ�EXLOG�D�VHQVH�RI�PLVSODFHG�FRPSODFHQF\�DQG�lower public policy attention on the primary imperative of providing adequate basic services. In the realm of basic public services

such as education and healthcare, conditional and/or unconditional cash transfers only address demand-side constraints.

Contrary to beliefs held by market-led development and neoclassical policy advocates, monetary demand created by cash

transfer schemes will not create its own supply. In the presence of supply-side constraints, as in most PICs, such programmes

will only create or enhance existing demand for services and without increasing the supply of services to adequate levels will,

ultimately, fail to achieve the intended results. In recent times, cash transfers programmes have worked well in countries such

as Brazil and Mexico where the basic conditions are already in place, most notably adequate infrastructure and capacity to

supply the basic services that the demand will be boosted though the programmes.

Recommendation Four: Foster Wider Access to Basic Education for Children and YouthImproving access to education, particularly for children, youth, the poor and excluded, together with investing in technical and

vocational training, are critical for addressing the issues of vulnerability and exclusion. Making public secondary education free,

or less costly, would greatly assist lower-income families. It might also encourage more children to remain at school for longer.

This is an important issue as household survey data indicates a clear link between poor levels of educational attainment and

individual and household poverty status.

$V�DJUHHG�ZLWKLQ� WKH�&DLUQV�&RPSDFW�� DQG�H[HPSOLHG� LQ� WKH�PDQ\� MRLQW� HGXFDWLRQ�VHFWRU�SURJUDPPHV�DFURVV� WKH�3DFLF��development partners are to be encouraged in their efforts towards the harmonisation of assistance within government

V\VWHPV�DV�D�PHDQV�RI�LPSURYLQJ�DLG�HIFLHQF\�DQG�HIIHFWLYHQHVV���/DVWO\��D�FRQWLQXHG�IRFXV�RQ�HQVXULQJ�OHDUQLQJ�RXWFRPHV�are met in primary education is essential, with greater dedication within Ministry of Education budgets for the implementation

of evidence based school literacy and numeracy initiatives.

The creation of more opportunities for the acquisition of technical and vocational skills is a form of social protection for

youth; programmes that promote trade skills can be useful in both the formal and informal sectors. This can be regarded as a

preventative measure against possible future vulnerability and/or unemployment. The availability of technical and vocational

skills will help to foster the development of small and micro-level enterprises as alternatives to formal employment.

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The State of Human Development in the Pacific10

Recommendation Five: Broaden Employment Opportunities, especially for Youth and Women7KH� WUDQVLWLRQ� IURP�HGXFDWLRQ� WR�HPSOR\PHQW� LV�D�FULWLFDO� LVVXH� IRU�DOPRVW�DOO� \RXQJ�SHRSOH� LQ� WKH�3DFLF��:LWKRXW�D�PRUH�market-oriented and investment friendly economic structure, the growth rates of most PICs will remain very limited. Improving

skills and educational attainment should enable households to increase their number of employed persons. It would also help to

deepen the employment base encouraging more young people to create their own enterprises or move to higher-skilled, higher-

paid employment. This is becoming an increasingly important issue with the growing availability of opportunities for working

overseas on temporary labour schemes. Programmes that promote trade skills can be useful in both the formal and informal

sectors. This can be regarded as a preventative measure against possible future vulnerability and/or unemployment, compared

to a curative measure to address the unemployment once it is experienced.

To fully tap women’s labour potential and to help reduce their vulnerability, greater opportunities to enter traditionally male-

GRPLQDWHG�HOGV��VXFK�DV�HQJLQHHULQJ�DQG�VFLHQFH��PXVW�EH�PDGH�DYDLODEOH�WR�ZRPHQ��1HZ�DUHDV�RI�ZRUN��LQFOXGLQJ�YRFDWLRQDO�WUDLQLQJ�LQ�LQIRUPDWLRQ�WHFKQRORJ\��ZKLOH�LPSURYHPHQWV�LQ�DFFHVV�WR�QDQFH�DQG�FUHGLW�PXVW�EH�PDGH�DYDLODEOH�WR�ZRPHQ�

<RXWK�HPSOR\PHQW�VWUDWHJLHV�DQG�QDWLRQDO�DFWLRQ�SODQV�DOVR�QHHG�WR�EH�GHYHORSHG�ZLWK�VXFK�SRVVLELOLWLHV� LQ�PLQG�� ,QFOXVLYH�JUHHQ�JURZWK�SROLFLHV�VKRXOG�VHHN�WR�FUHDWH�D�IDYRXUDEOH�HQYLURQPHQW�IRU�JHQHUDWLQJ�QHZ�JUHHQ�HPSOR\PHQW�DQG�HFRQRPLF�opportunities for the low skilled or unskilled labour force, which constitutes the majority of the urban poor.

Recommendation Six: Provide Adequate Health Services for Prevention and Care Health, like education, is a critical factor in causing vulnerability and exclusion. The challenge is also to address the underlying

causes of poor health and to provide adequate care and treatment for those already affected. In working towards developing a

healthier population, a number of actions need to be considered by governments and national health authorities. These include

LPSURYLQJ�LQIDQW��FKLOG�DQG�PDWHUQDO�KHDOWK�E\�VWUHQJWKHQLQJ�SULPDU\�KHDOWK�FDUH�SURJUDPPHV��DQG�WKHLU�HTXLW\�DQG�HIFLHQF\�dimensions. Also, improving access to emergency obstetric care, expanding immunisation programmes and strengthening

sexual and reproductive health services including prevention programmes against HIV and other STIs with particular attention

WR�WKH�QHHGV�DQG�ULJKWV�RI�PDUJLQDOLVHG�DQG�XQGHUVHUYHG�SRSXODWLRQV��\RXWK�LQ�SDUWLFXODU���*LYHQ�WKHLU�EXUGHQ�DQG�FRQVLGHUDEOH�impact, addressing the increase and earlier onset of NCDs needs expanded and more multi-sectorial efforts, including through

targeted and high impact interventions, the promotion of healthy eating habits and healthier life style combined with policy-

related changes that directly impact the socio-economic behaviour of communities and individuals. Other considerations

LQFOXGH��LPSURYLQJ�DFFHVV�WR�VDIH�ZDWHU�DQG�VDQLWDWLRQ��UHFRJQL]LQJ�WKH�FDUH�QHHGV�RI�WKH�LQFUHDVLQJ�QXPEHU�RI�HOGHUO\�SHRSOH��HVSHFLDOO\�WKRVH�ZLWK�1&'�UHODWHG�GLVDELOLWLHV��DQG�QDOO\�DGGUHVVLQJ�WKH�FRQWLQXLQJ�DGYHUVH�HIIHFWV�RI�PDODULD�DQG�7%�RQ�WKRVH�most at risk of infection.

Key Recommendation Seven: Adopt a new Generation of Multidimensional Poverty Reduction Programmes for those most in needThe next generation of policy reforms should address the various dimensions of human poverty, rather than narrowly

concentrating on income poverty. They should focus on inclusive growth and innovative policy and sound economic governance

to meet the wider needs of the low-income population. These policies should focus on delivering high quality essential services

DW�ORZ�FRVW��RU�DIIRUGDEOH�SULFHV��WR�WKRVH�SHRSOH�ZKR�DUH�PRVW�LQ�QHHG��L�H��WKH�SRRU�DQG�YXOQHUDEOH���

The wealth of information provided by HIES and Domestic Household Survey Data, particularly the location and key characteristics

of the poor in PICs, should be utilized to guide poverty reduction policies and programmes. If interventions to reduce poverty

DUH�WR�EH�HIIHFWLYH�DV�ZHOO�DV�QDQFLDOO\� IHDVLEOH�� WKH\�PXVW�EH�EDVHG�RQ�SURYHQ�DQG�FRVW�HIIHFWLYH�PHFKDQLVPV�WR�DOORFDWH�UHVRXUFHV�DQG�DVVLVWDQFH�GLUHFWO\��HIFLHQWO\�DQG�HIIHFWLYHO\�WR�SRRU�KRXVHKROGV��UDWKHU�WKDQ�UHO\LQJ�RQ�LQGLUHFW�HIIHFWV��VXFK�DV�VSLOO�RYHUV��H[WHUQDOLWLHV�DQG�PDUNHW�IRUFHV�LQ�DOORFDWLQJ�EHQHWV�IURP�HFRQRPLF�JURZWK��$OWKRXJK�WKH�H[SOLFLW�JRDO�RI�PDQ\�W\SHV�RI�LQWHUYHQWLRQV�LV�WR�UHGXFH�SRYHUW\��WKH\�DUH�DOVR�OLNHO\�WR�EHQHW�VRPH�QRQ�SRRU�DV�ZHOO��*LYHQ�WKH�OLPLWHG�IXQGLQJ�IRU�SURJUDPPHV��LW�LV�SUHIHUDEOH�WR�GLUHFW�DYDLODEOH�UHVRXUFHV��DQG�WKHUHIRUH�EHQHWV��DV�HIIHFWLYHO\�DV�SRVVLEOH�WRZDUG�WKRVH�ZKR�need them most.

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The State of Human Development in the Pacific 11

A social and economic policy package to accelerate poverty reduction will need to simultaneously address challenges at

the macro and micro levels through micro-level and local people-centred development initiatives that complement overall

macroeconomic policies and are geared towards balanced, sustainable and inclusive growth and widening the economic base.

Recommendation Eight: Use Innovative Policies and Technology to Help Reduce Geographic Inequalities,QQRYDWLYH�SROLFLHV��FRPELQHG�ZLWK�WKH�XVH�RI�QHZ�WHFKQRORJLHV��FDQ�LPSURYH�WKH�TXDOLW\�RI� OLIH�IRU�3DFLF�,VODQGHUV�LQ�PDQ\�ZD\V��1HZ�WHFKQRORJLHV��H�J��,&7��FDQ�EH�XVHG�WR�SURYLGH�LQQRYDWLYH�DQG�ORZ�FRVW�VHUYLFHV�WR�SHRSOH�LQ�RXWHU�LVODQGV�DQG�UXUDO�DUHDV��H�J��DFFHVV�WR�QDQFLDO�VHUYLFHV�WKURXJK�RQOLQH�DQG�PRELOH�EDQNLQJ��RQOLQH�HGXFDWLRQ�DQG�WUDLQLQJ��

Innovative policies can also help reduce inequality. For example, one option to address geographical income disparity and poverty

�ZKLFK�LV�SUHYDOHQW�LQ�PDQ\�3,&V��LV�WKURXJK�ORFDO�HFRQRPLF�GHYHORSPHQW�LQLWLDWLYHV��/(',V���/(',V�DUH�EDVHG�RQ�D�SDUWLFLSDWRU\�process in which local people from all sectors work together to stimulate local commercial activities. This approach encourages

SXEOLF��SULYDWH�DQG�FLYLO�VRFLHW\�VHFWRUV�WR�HVWDEOLVK�SDUWQHUVKLSV�DQG�QG�ORFDO�VROXWLRQV�WR�VKDUHG�HFRQRPLF�FKDOOHQJHV��$�/(',�strategy is a process-oriented and non-prescriptive endeavour incorporating local values (such as poverty reduction, basic

QHHGV��ORFDO�MREV��LQWHJUDWLQJ�VRFLDO�DQG�HQYLURQPHQWDO�YDOXHV���HFRQRPLF�GULYHUV��YDOXH�DGGHG�UHVRXUFH�XVH��ORFDO�VNLOOV�WUDLQLQJ��ORFDO�LQFRPH�UHWHQWLRQ��UHJLRQDO�FR�RSHUDWLRQ���DQG�GHYHORSPHQW��WKH�UROH�RI�VWUXFWXUDO�FKDQJH��TXDOLW\�RI�GHYHORSPHQW��

Recommendation Nine: Adopt a more Inclusive ‘Green-Growth’ Framework for DevelopmentAll the recommendations outlined in the report largely depend on governments being able to allocate scarce budget resources,

or to secure the necessary funding for the broad range of proposed social protection programmes from external resources.

The recommendations also require that governments take bold decisions to improve the economic structures on which their

economies function. In particular this means SOE reforms and a strong determination to improve the general business and

investment environment.

7KH� HPHUJLQJ� JUHHQ�JURZWK� SDUDGLJP� VKRXOG� EH�PRUH� SUR�SRRU� LQ� LWV� RXWFRPHV� WKDQ� WKH� VWDQGDUG� JURZWK�PRGHOV�� )RU�example, land management decisions should be based on the environmental and social costs of, for example, mining and

GHIRUHVWDWLRQ��7KHVH�VKRXOG�EH�FDUHIXOO\�DVVHVVHG�DQG�EDODQFHG�DJDLQVW�WKH�HFRQRPLF�EHQHWV�RI�H[SORLWLQJ�D�QDWXUDO�UHVRXUFH�and providing employment for rural workers. Effective regulations that recognise land and forests as having ecological value for

carbon storage, biodiversity and water conservation are vital for reducing this trend towards greater exploitation. Landowners

need education on the importance of long-term forest sustainability and, in some circumstances, may need to be supported or

compensated for maintaining forests for the greater good of all.

The concerns of the least well-off, the vulnerable and the excluded should therefore become a priority for those governments

that have tended to ignore these issues in the past. This means thinking carefully about development strategies in a more

holistic way that seeks to understand the linkages and the possible unintended consequences of policy decisions on the poor

and vulnerable segments of the population.

* * *

Efforts to promote more inclusive and sustainable human development in PICs will need to take into account the dynamic

DQG�SURIRXQG�FKDQJHV�WKDW�DUH�XQGHUZD\�WRGD\�DFURVV�WKH�3DFLF��$OO�SROLF\�FKRLFHV�WR�DGGUHVV�LVVXHV�VXFK�DV�YXOQHUDELOLW\�and exclusion will also need to be based on a strong understanding of the changing political economy of the region, and the

dimensions and drivers of economic and social exclusion. The issues are clear, but can only be addressed with strong political

FRPPLWPHQW�DQG�FOHDU�DFWLRQV�RQ�WKH�SDUW�RI�3DFLF�JRYHUQPHQWV��WRJHWKHU�ZLWK�VXSSRUW�IURP�GHYHORSPHQW�SDUWQHUV�DQG�RWKHU�concerned national stakeholders.

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The State of Human Development in the Pacific12

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The State of Human Development in the Pacific 13

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The State of Human Development in the Pacific14Empowered lives. Resilient nations.