Tel: +856 21 241 280-1; Fax: +856 21 241 279, Website: www.ssolao.gov.la, email: [email protected], 1
SOCIAL SECURITY ORGANIZATION
LAO PDRMINISTRY OF LABOUR AND SOCIAL WELFARE
Country PresentationBy: Manola DaravongVeomany Khamphay
Presentation Outline
Country profile and health indicators
Challenges
Social Security principle
Social Security Schemes in Laos
Benefits package of SSS
Women entitlement under SSS benefits
Other benefits and social protection development
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Country profile and Health indicators
Country profile:
- Population 6.7 Million
- Country area 236,800 sq.km
- Pop. Informal Eco. 75%
- Poverty 25%
- GDP per capita $ 1,645
- GDP growth 8.1%
Health indicators:- MMR/100,000 375
- IMR/1,000 48
- U5MR/1,000 61
- Life expectancy at birth
68 year:
- Males: 66.5
- and Females: 69.2
Source: world Bank and WHO 2012
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3
Challenges
Poor maternity protection for women in rural areas High vulnerability to loss of income and maternity related cost Limited access to qualified health care provision (economic,
physical, cultural) Maternity Mortality Rate (MMR) remains very high compared
in the region Lack of awareness and limited access to information and
counseling Gender inequalities
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Social security principle
Promote gender equalities Improving access to quality health care Better condition /environment of working Reducing vulnerability to income loss and social
economic empowerment of women Improving access to information, prevention and
counseling Promoting breastfeeding arrangement or
opportunities
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5
Social Protection Systems in Lao PDR
The social protection system in Laos is formed by three social security
schemes and one safety net
The four schemes are implemented in a fragmented way whereby two are
run by Ministry of labour and two by Ministry of Health, as follows:
- State Authority for Social Security (SASS)
- Social Security Organization (SSO)
- Community-Based Health Insurance (CBHI)
- Health Equity Fund (HEF)
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State Authority for Social Security (SASS)
Established in 2008 and a compulsory scheme
Under Ministry of Labour and Social Welfare
Covers civil servants and their dependant spouse and children
under 18 years or 23 if continue to study
Health care benefit is 1 of 8 benefits provided by the scheme,
including health insurance, working injury benefit and short
and long term benefits.
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Social Security Organization (SSO)
Established in 2001
under Ministry of Labour and Social Welfare
Covers private and state-own enterprise employees and their dependant spouse
and children under 18 years or 23 if continue to study
Provide 8 benefits (short and long term benefits)
It’s a so-called mandatory scheme, therefore very low compliance with approx.
36% of targeted employers enrolled
From F.Y 2014-2015 the SASS & SSO will be merged to be the National Social
Security Fund
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Community-Based Health Insurance (CBHI)
Lunched as pilot project by Ministry of Health in 2002
It is a voluntary social health insurance scheme for informal
economy
Members are eligible for health package obtained from primary
health care providers and referral hospital at provincial level
Low enrolment and high drop-out rate
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Health Equity Fund (HEF)
Financed by government and donors launched in 2004
Targeted at the poor
Run by Ministry of Health and some HEFs are administered by
Non-state Partners (e.g: the lao Red Cross/Swiss Red Cross)
Using either reimburse providers or a combination of
capitation and case-based reimbursement
Utilization of services trend to increase
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System Target Source of fund Benefits
State Authority Social Security
(SASS)
Public sector Contributions:
- 8% from state employee
- 8.5% from Government8 type of benefits
Social Security Organization
(SSO)
Private sector Contributions:
- 5.5% from employee
- 6% from employer
8 type of benefits
Community Based Health
Insurance (CBHI)
Community Contributions based on family size in a fixed amount, (13,000 to 33,000 LAK/month/family
Health Insurance
Health Equity Fund
The poor Government and NGOs
pay capitation to CBHI
Health Insurance
Social Security Systems in Laos
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6.38%2.22%
11.82%
2.05%
77.53%
Social health Protection in Laos 2012
SASS
SSO
HEF
CBHI
Non
Source: National Health Insurance Bureau, MOH
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Benefit Package
1. Employment injury and occupational disease;
2. Health Insurance;
3. Sickness benefit;
4. Maternity benefit; Short-term benefits
5. Funeral grant;
6. Old age pension;
7. Survivor pension; Long-term benefits
8. Unemployment benefit.
Women entitlement under social security benefits
Health care services including pregnancy and delivery services Sickness benefit Maternity benefit:
- replacement of income of an insured working woman for a
period before and after confinement
- Qualify period : Have contributed to the SSO fund at least 8
months within the last 12 months
- Calculation of maternity Benefit: equivalent of 100% of the
insured salary for a period of three months
- Survivor benefit
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Other benefits
Exemption of charges for MNCH Equality for health care services (rich and poor) 1 hour/day for breastfeeding Women entitle to maternity leave of 105 days
per child (if twin will be 120 days)
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However, the coverage of all schemes is still low about 22.47% of total population
Maternal, neonatal and child health services is still limit in some areas.
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Social protection development
The government committed to extend social protection universally by 2025
Expand the exemption of charges for MNCH national wide
Merging social security schemes in to the national social security fund
Expand the scope of social security coverage to informal sector including self employed and common people.
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Tel: +856 21 241 280-1; Fax: +856 21 241 279
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MANY THANKS
FOR YOUR ATTENTION