targeted and universal social protection
DESCRIPTION
Paper explores the reasons for contextual application of social protection selection criteria.TRANSCRIPT
TARGETED AND
UNIVERSAL SOCIAL
PROTECTION: CHANCE
FOR A MIDDLE
COURSE?
ARCHITECTUREOFAID(809AF)
�CANDIDATENUMBER:47274APRIL 19, 2010.
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
1
INTRODUCTION
The distribution of economic outputs of any nation has always been a concern to
governments whether on a minimal or extensive scale. The industrial revolution marks the
inception of the presently held idea of a middle‐class when non‐royalty connected
individuals began to have access to wealth accumulation on a greater scale than ever
before. The increased wealth of nations through the industrial process no doubt brought
about the decline of poverty levels and increased health standards from the European
territories to the New World. Accompanying this success was the realisation of capitalism’s
potential to create a new classification of poverty, one that is established and perpetuated
through a tight control of capital and the production process by a minority. Indeed, the
threat of such power to the underlining fabric of society building led to various postulations
that only institutions working on behalf of the general population should be vested with
such authority and control. This was an opposite extreme but rooted in the abuses of the
production process by the new capitalist class. It was not until the mid‐twentieth century,
exactly after the stock market crash and Second World War that states embraced the idea
of protecting against the possible excesses of capital‐controlled production process.
The high rate of growth required for the sustainability of the welfare state was not forth
coming in many of these new states and by the mid‐1980s when the debt crisis hit, many
had to abandon the that model as pre‐condition for economic help. Social risks were
altogether abandoned with the introduction of economic reforms as a condition for
recovery. Subequently, social policy debate in realtion to developing countries focused on
one thing: economic risk and cost. The failures of Structural Adjustment Programs (SAP)
highlighted the vulnerability of many individuals in these states to economic liberalization
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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prompting attention towards addressing poverty related economic risks. The focus on
poverty alleviation brought the ascendancy of programs which exclusively target the poor.
The proliferation of this approach across many developing countries has pitched existing
universal programs against the new push to give special attention to the most vulnerable.
Some universal programs have been subsequently modified to exclude rich beneficiaries as
means of bridging socio‐economic inequalities. However, targeting has not proven to be a
‘magic bullet’ for poverty alleviation and has raised more questions about addressing the
phenomenon than the answers it claims to provide. This essay is situated within an
argument that social programs must combine the need to aggressively reduce socio‐
economic inequalities through targeting with the morality of leaving no individual
uncovered whether rich or poor. Replacing universal programs with targeting weakens the
ability of governments to adequately provide strong measures to ensure that all citizens are
treated equally in the delivery of social services. At the same time, universalism without
direct intervention in addressing existing inequalities will only mean that the poor and
vulnerable only remain slightly above poverty levels rather than taken out of poverty
completely.
The arguments begin by focusing on the ascendancy of targeting programs in the next
section. The literature, in which the debates between universalism and targeting are
situated, is presented before addressing the limitations of choosing one over the other.
These limitations are presented in the third section through the analyses of one of the
biggest targeting programs in the world. The Bolsa Familia Program (or BFP) is the Brazilian
cash and asset transfer scheme targeting the very poor and ensuring use of social services
through a set of conditionalities. The fourth section presents some examples of the need to
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
3
conceptualize, design and implement social protection programs with a vision of a using
targeting as a means towards achieving universal coverage rather than an end in itself.
Lastly, attention is turned towards concluding remarks that re‐iterate the dangers of
centralizing social protection debate on whether the poor deserve a special attention or
should be provided for as part of a larger population. What matters ultimately is that
poverty alleviation must utilize social protection measures across economic, political,
cultural, racial and indeed social causes and must be implemented as a socio‐economic right
and not a privilege.
POVERTY ALLEVIATION AS AN OBJECTIVE OF SOCIAL PROTECTION
Social Protection discourse is steeped in notions of universality and targeting with respect to
which individuals to be covered and for how long. The origins of the debate can be traced
primarily to the role of governments in providing social services either through taxes and
redistributive measures (in developed countries) or through channelling of various forms of
development assistance (Gentilini, 2009; Timmer, 2007). Further contributing to this debate
is the discussion on the best possible use of development assistance towards the alleviation
of poverty (Barrett & Swallow, 2006; Easterly, 2006; Sachs, 2006; Sachs, 2009). Poverty
alleviation has thus taken the centre stage as the default objective of social protection. The
centrality of poverty alleviation stems from the increased attention the phenomenon has
received in the last two decades as one of the major impediments to development. Its
multi‐dimensional nature extends beyond economic conditions to underlining structural
contributions to the vulnerability of more than 1 billion people around the globe to both
man‐made and natural disasters (Zupi, 2007; Qizilbash, 2004). There is however, much
debate about the best possible way to address poverty in its multifaceted nature through
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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social programs. Suggestions have included the need to focus on the economic and labour
market causes of poverty (Holzmann & Grosh, 2008; ILO , 2004), health risks associated
poverty (GTZ, 2007) and natural disaster induced poverty (Davies et. al., 2008; Vakis, 2006).
Others have advocated for focusing on the relationship between the unreliability of
agricultural practices ‐ i.e. seasonality ‐ (Longley et. al., 2006; Farrington et. al., 2007) and
the importance of addressing poverty related disempowerment and rights denial (Devereux
& Sabates‐Wheeler, 2004). Common to all these various ideas on addressing poverty has
been the debate on the level of coverage for the poor under each proposition. Some of
these arguments are steeped in the need to target available resources to the most affected
by these poverty‐inducing factors while others have advocated for total coverage of all
citizens towards addressing the vulnerabilities of the poor and ensuring that the rich are
also guarded against falling into poverty (for example, in the event of natural disasters).
Informing this direction of the debate is the need to balance resources with capacities of
developing countries to deliver on ensuring adequate social support for their citizens
whether rich or poor. Essentially, how can these countries ensure that they can meet the
short‐term needs of the poor and yet have enough resources to plan for long‐term
investments in qualitative social services (Devereux, 2003)? Universalism has been the basis
for the welfare state model that permeated almost every corner of the globe between the
1950s and the late 1970s. It promotes equal distribution of resources by ensuring that the
rich helps to subsidise the cost of providing social services/programs for the poor.
Ultimately a reduction in inequality should result in increased national productivity because
the risks associated with labour production are mitigated against by the assurance that
labourers would be looked after in the event of undesired loss of wages (Lautier, 2006).
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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Universalists maintain that this trade‐off need not occur because access to social services
and social protection programs should be a matter of right for every individual and not a
privilege from their governments. Their argument is rooted in the Universal Declaration of
Human Rights which states that “Everyone, as a member of society, has the right to social
security” and that “…the right to security in the event of unemployment, sickness, disability,
widowhood, old age or other lack of livelihood in circumstances beyond [an individual’s]
control” must be protected by the state (UN, G.A. res. 217A (III), 1948, Art. 22 & 25). These
clauses form the basis of the claim that the existence of poverty is inherently a violation of
fundamental human rights and its eradication must be pursued with such vigour. This can be
ensured through the adoption of social minimum standards that ensure that individuals’
livelihoods do not deteriorate beyond a certain set standard (Thomson, 2007).
This process of entitling individuals to social programs has however been on the decline
since the neo‐liberal assault on the role of the state due to fiscal constraints and change in
conditions for development aid and attention is more pronounced towards targeted
approaches (Mkandawire, 2005). Some of the reasons for this decline are not limited to
over bloated budgets especially in developing countries. Some universal programs
entrenched levels of inequality through discrimination both within individual and
community social service users (Lisenda, 2004; Bategeka et. al., 2004). Also, many universal
programs failed to adequately address issues of poverty and inequality in a comprehensive
manner. Programs were established within different ministries, many of which lacked inter‐
ministerial cooperation to address areas where services overlap and complement each
other. Therefore, alleviating poverty cannot be reduced simply to universal access to social
programs but must include dealing with areas where poverty and vulnerability factors are
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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inter‐related. Opposed to the idea of universalism, a notion that sounds more ideal than
practicable, targeted social programs advocate that poverty and inequality may only be
removed if limited resources can be directed towards individuals most affected and thus
most vulnerable to poverty related shocks.
The stock of targeted programs rose as many developing countries were forced to scale
back their social spending as a condition for development assistance under the SAP
arrangements of the 1980s and 1990s. The idea is rooted in the believe that governments
can focus their limited resources on the most needy by subsidising private sector managed
social services like healthcare and education (Besley & Kanbur, 1990; van de Walle, 1998;
Ravallion, 2009). Delivering poverty reduction to the poor can also be done with more
precision and accuracy by pin‐pointing beneficiaries through means‐testing (Akhter & Bouis,
2002; Gelbach & Pritchett, 2002), self‐targeting (Kevane & Conning, 2002) and geographic
targeting (Baker & Grosh, 1994; Elbers et. al. , 2008). Targeting programs have thus become
increasingly popular from Latin America to Sub‐Saharan Africa and South Asia and form the
basis for many poverty reduction schemes like the Millennium Development Goals (MDGs),
Poverty Reduction Strategy Papers (PRSP) and direct development assistance (Maxwell,
2003). However, these programs have been criticised because of the varying results from
different types of targeting and the possibility that the underlying cost‐saving assumptions
may not hold true as most of these programs work best in richer countries (Coady, Grosh, &
Hoddinott, 2004). The most popular targeting programs engage in one form of asset
transfer or the other, be it cash, livestock, agricultural input or any form of assets that can
guarantee a form of income generation. The biggest of the asset transfer programs are
Bangladesh Rural Advancement Committee (BRAC) in Bangladesh and the Bolsa Familia
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
7
program in Brazil. As the Bolsa Familia or BFP (which is further analysed below) indicates,
targeting has the potential of zeroing in on the poor to provide social protection (or
services) on both a large scale and a comprehensive manner. It also subsequently is not free
of the limitations of targeting and its role in enhancing neo‐liberal ideas into social service
provision.
CONDITIONAL TRANSFERS: THE BOLSA FAMILIA IN DEPTH AND SCOPE
The most popular targeting social protection programs have been some form of transfers or
the other to selected vulnerable groups. Brazil’s history with targeted social protection
programs dates back to the early 1990s when SAP debilitated the country’s capacity for
social services provision (Hall & Midgley, 2004). The austere measures required that the
government cut back on such spending which further damaged its capacity to fully address
the new socio‐economic vulnerabilities created by an overreach of economic liberalization.
Facing financial crises, budget cuts and increasing incidence of poverty levels both before
and more so after the introduction of the SAP agreements (Conway, de Haan, & Norton,
2000), universal social programs were out of the question. The government’s response was
to adopt the thinking along the line of its benefactors (the Washington institutions). A shift
to targeted, measured and more calculated social programs was affordable under the
budget cut proposals but more so, would allow for “means‐tested approach for addressing
mass poverty” (Hall, 2006, p. 2). The poor in Brazil thus became test subjects, in a “natural
laboratory” (Lindert et. al. 2007, p. 7), for the Washington Consensus' poverty reduction
strategy through conditional cash transfer (CCT) programs.
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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BFP was launched in October 2003 as a consolidation of pre‐existing CCT programs to take
advantage of their complementarity. Specifically, it was meant to improve targeting
mechanisms, reduce overlapping inefficiencies and most importantly, take advantage of the
complementarity that exists among those CCTs and the social services they utilize (Lindert
et. al., 2007). The Bolsa Familia is a conditional cash transfer program that requires
beneficiaries to uphold certain responsibilities to fully qualify for cash receipts with the
hope of addressing both immediate and intergenerational poverty‐related vulnerabilities.
Included in the new mega but more comprehensive program were the Bolsa Escola (or
conditional grant based on school attendance), the Bolsa Alimentacao (food subsidy
conditioned upon health services use like maternity care), the Programa de Erradicao do
TrabalhoInfantil (to eliminate use of child labour), the Cartao Alimentaqcao (gas subsidy)
(MDS, 2006). BFP included changes to the administration of these programs beginning with
the merging of the Ministry of Food Security and Fight Against Hunger and the Ministry of
Social Welfare to create a new Ministry of Social Development (MDS) which now housed the
administrative headquarters of the scheme. Additionally, the scheme changed its focus from
individual beneficiaries to family group and family earning as a base indicator for selecting
beneficiaries.
Qualification as a beneficiary of BFP is premised on being identified as either being ‘poor’ or
‘extremely poor’. The extremely poor (who are automatically included in the program) are
classified as families who earn at most R$70 per capita per month while the poor are those
earning between R$ 70.01 and R$140 per capita per month. Whether families become
beneficiaries by automation or by qualification, all beneficiaries are required to be listed in
the Unified Register for Social Programs (MDS, 2006). Qualified beneficiaries receive cash
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transfers per family member up to a maximum of five children only three of which can be
between the ages of 0‐15 while the rest are between 16‐17 years of age. Extremely poor
families receive a minimum of R$ 68 and a maximum of R$ 200 depending on the age
distribution of the children within the family. The minimum transfer is R$ 22 per month for
poor families reaching a maximum of R$ 168 also contingent on the number and age
structure of children within the household. The conditionalities as set out in the legislative
act that created the scheme and enforced through the MDS according to the government
(MDS, 2006) are:
i. Education: school attendance of at least 85% for children and adolescents aged 6 to
15 years and a minimum of 75% for adolescents between 16 and 17 years.
ii. Health: Monitoring the immunization schedule and the growth and development for
children less than 7 years and prenatal monitoring of pregnant women and nursing
mothers aged 14 to 44 years.
iii. Social Assistance: frequency of at least 85% of the workload on services for children
and adolescents up to 15 years at risk of, or withdrawn from child labour
The government claims to have monitoring procedures in place to assess whether families
follow these conditions or not though the receipt of funds by families depends on monthly
qualification for the program (MDS, 2006).
Brazil is not new to heavy social spending but the profile of BFP belies the trend in the total
ratio of its social spending as a percentage of its GDP. In the period immediately after the
BFP consolidations (from 2004 to 2006), the total share of social spending a percentage of
the GDP fell from 14.1% to 12.7%, though figurative spending rose from R$ 249 billion to R$
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293 billion (Hall, 2008, p. 802). As the GDP allocation for social spending dropped, the BFP
scheme received increased funding and became the major recipient CCT program. It
jumped from 26% to 36% of the total social assistance budget between 2003 and 2004
before climaxing at 38% which further represented a 0.03 point increase in total social
spending as a percentage of GDP, i.e. from 0.2% to 0.5% (Lindert, 2005). Funding is provided
through a partnership of the Brazilian government and international development agencies.
The initial budget for the program was R$ 3.4 billion in 2003 which quickly expanded to
more than R$ 8.2 billion as at 2006. The government was also able to secure a funding
instrument from the World Bank (WB) to the tune of US$ 570 million spread between 2004
and the 2009 ending. The interest of the WB may in fact be an important factor to explain
why the funding for BFP has been on the increase while spending for overall social spending
declined. The Bank’s interest may be motivated by the sheer size of beneficiaries under the
scheme. When launched in 2003, BF brought together a total of four million families which
quickly rose to 6.5 million by December of 2004 (Hall 2006, 2008).
There are gains in terms of the program’s reach through a robust system of task sharing
coordinated by MDS. The scheme is implemented over all 5,564 municipalities in the
country through an agreement between municipal governments and the MDS. The
agreement requires that “municipalities maintain a local BFP coordinator (local point‐of‐
contact), register potential beneficiaries [and supervise information consolidation on
conditionalities compliance” (Lindert et. al., 2007, p. 25). A key component of the
agreement which acts to solidify the comprehensive aspect of BFP is that beneficiaries are
granted priority access in the demand and use of complementary social services (schools
and health centres in this instance) to facilitate a horizontal integration. Remarkably, the
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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result of the decentralization has been a rapid increase in the number of beneficiaries to
11.6 million families representing more than 44 million Brazilians. It currently stands as the
most elaborate, wide reaching and most funded CCT in the world (Lindert et. al., 2007;
Glewwe & Kassouf, 2008). The World Bank and the Brazilian government presently tout the
successes of the BFP program towards the reduction of poverty and income inequality. Most
of these are measured through the rise in the demand for social services and increase in per
capita income of beneficiary families (Hall, 2008). Similarly, MDS reports that as at 2006,
three years after the launch of BFP, 4.9% of beneficiaries were no longer classified as being
‘poor’ while 31.1% moved from being ‘extremely poor’ to being ‘poor’ (MDS, 2006). A 2006
assessment of the Bolsa Escola component of the scheme to assess school attendance rates
concludes that the school attendance rate increases as at 2005 indicate a potential long run
effect of 0.7% among the target population and 0.3% among the populations as a whole
(Glewwe & Kassouf, 2008). Despite the scope and reach of BFP, there are certain questions
that must be answered particularly relating to how much structural change it has brought to
about 44 million Brazilians since inception.
A close examination of these merits reveals that BFP in particular and CCTs in general leave
more questions about issues of poverty than they tend to answer. First, the program does
little to address structural causes of poverty. An increase in social service demand like the
school attendance rates for instance says little about any possible improvements in quality
of education received. The potency of inter‐service linkages in fighting poverty is only
measurable when beneficiaries’ lives are meaningfully impacted by services received.
Indeed BFP has been bogged down by serious supply‐side impediments (Rocha, 2009).
Second, the horizontal complementarity touted by the program amounts to a half‐baked
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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cookie scenario. BFP exists without close consultations with other social security
arrangements under the supervision of the MDS. The Beneficio Prestacao Continuada (BPC)
pension scheme for disabled and over‐65 individuals for example, is operationalized
separate of the BFP but overseen by the same ministry (Glewwe & Kassouf, 2008). This
creates a very serious problem in the selection criteria for beneficiaries because transfers
from the BPC may have been counted as a source of income creating the possibility of
exclusion for disabled families whose per capita receipts lies above the BFP threshold
(Madeiros, Britto, & Soares, 2008). These are families with disabled and retired members
who can’t earn enough and yet may have been excluded from the biggest program in the
world designed to take care of folks in such conditions.
Sustainability also presents an issue for BFP. Its legal status is effectively tied to the political
situation and therefore susceptible to political manoeuvring and positioning. The BFP was
created by President Lula upon assuming office in 2003 and though ratified by an act of
parliament and a presidential decree (MDS, 2006), it does not carry a constitutional status.
It is in fact established as a program within the presidency (Madeiros, Britto, & Soares,
2008). As a result, the ‘extremely poor’ and the ‘poor’ in Brazil are receiving privileged
assistance and not one based on a right to survival. Unlike the constitutionally enshrined
BPC, the BFP is not a ‘rights’ based program and has in fact been subjected to political
manipulation at the local level and has been used as a propaganda scheme at the federal
level (Hall, 2008). Its financial sustainability is also unpredictable and is thus vulnerable to
fiscal adjustments, and economic downturns.
Other questions that remain include, where the increase in service providers is coming from
since government’s social spending as a percentage of GDP has continuously declined since
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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BFP began. Are social services being provided by the private sector as part of the ‘mini
economies’ created around the scheme? If this increase can be accounted for through the
rising budget of the BFP, what does that translate into for the rest of the population who
are not on BFP benefits but yet require access to educational, health and home heating
services? What are the provisions being put in place to ensure that for example, a young
school graduate who was a BFP beneficiary is not encouraged to start a family so as to keep
receiving BFP benefits as a way out of joblessness? In other words, are children who go
through the program guaranteed of suitable jobs upon graduation? The answers to these
questions may come in the near future as further studies are carried out on the BFP but can
targeted social programs be reconciled with universal principles of coverage? Universal
programs focus on setting minimum standards that define levels of acceptable living
standards for the entirety of the population. In this regard, social programs are regarded as
entitlements and become rights which every citizen must have access. This principle is
missing in targeting programs and seriously undermines their long‐term sustainability. The
lack of certainty for citizens’ access to social protection as a matter of right exposes
targeting programs to various forms of manipulation.
TARGETING AS A FOUNDATION TOWARDS UNIVERSALISM
Social policy however remains a contested ground for both universal and targeting
programs. Most programs incorporate aspects of both though there are no clear admissions
from either governments or policy theorists. The BFP case discussed above for example
covers all ‘extremely poor’ and ‘poor’ people in Brazil and is backed up by a legislative act,
though the act does not make it an entitlement program. Beneficiaries cannot legally ask for
the cash transfers if denied to them through an act of government policy. On the other
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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hand, universal programs which are established as entitlements have been subjected to
targeting strategies as well. For example, the Canadian pension system is listed as universal
but in fact restricts the payment of pension to retired individuals with certain ceilings of
income by taxing their pension entitlements at 100% (Hoddinott, 2007). Similarly, the
Namibian Old Age Pension Scheme which is a constitutionally instructed program has since
been amended to allow for means‐testing. The amendment added that income and assets,
in addition to the age, residency and citizenship requirement, would determine the
entitlement of any individual to the pension scheme.The amendments were inspired by
costs more than an ideological push towards granting poor Namibian retirees special
attention (Devereux, 2001). The close linkages and traces of elements of both approaches in
some programs inform two crucial lessons:
First, there is a need to implement social policies as a means towards achieving universal
coverage of all citizens. Only by focusing on the need to address underlying structural
causes of poverty (in its various manifestations) will social programs achieve the necessary
transformative conditions essential for the success of universal social policies. The focus
towards the implementation of universal social programs as a right for every individual must
begin somewhere. Targeted programs offer such starting points presently. Their existence
will immensely benefit existing universal programs if structurally overlapping areas of social
services are jointly operated. Targeting if done properly also allows for the improvement in
social service quality if the increase in demand is not simply augmented by increased
personnel but further matched with infrastructural provision. This can be done by targeting
resources as a start (Hoddinott, 2007) to improve on existing levels of poverty and
inequality before opening up access to every citizen.
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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Secondly, but even more to the heart of the debate is that social programs may not always
follow the ideological presentations in the policies that inspire their creation. The
implementation of such programs, if to be successful will need to conform to certain
conditions which may or may not be important, or indeed be politically expedient for
governments. Therefore, there is a need to assess local conditions including the level of
inequality and poverty that exists, the level of social service access, possible history of the
country with any form of social protection and affordability of entitlement schemes. The
focus of the debate on issue of definition (Barrientos & Holmes, 2007)(Sabates‐Wheeler &
Haddad, 2005) impact on growth (World Bank, 2007) and ultimately cost/sustainability
(Devereux, Marshall, MacAskil, & Pelham, 2005; ILO, 2008) belittle the varying experiences
of countries with different forms of social protection programs. These debates also fail to
address the often occurring phenomenon of both targeted and universal social programs
within the same country. Botswana for instance has a Universal Primary Education which
entitles all its citizens to a minimum of primary level schooling (Lisenda, 2004) but at the
same time operates the vulnerable groups feeding and Destitute Persons programs (Banjo,
2009). Consequentially, social programs should be highly contextual, designed and
implemented according to the dynamics of the vulnerability issues being tackled (Gentilini,
2009).
CONCLUSION
The decline of universal social programs premised on the argument of cost ineffectiveness
has partly brought about the need to pay more attention to poor and vulnerable individuals
as recipients of social assistance. Targeting programs have also been instituted on the claims
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
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that they are the best way towards reducing socio‐economic inequalities and achieving
poverty alleviation, and perhaps eradication. However, debating the moral underpinnings of
social policy and potential costs must be accompanied by a debate on how best to deliver
qualitative social policies either to a general population or selected beneficiaries. It is
important for social programs to be centrally concerned about the quality of delivered
services and buoyancy of social protection methods to cover the complexity and multiple
linkages of social issues with wider political and economic issues. Targeting seems to be able
to address these linkages and complexity by increasing the demand for social services
through conditioning recipients of government assistance to utilize multiple services at the
same time. The result is like a cocktail of prescriptions which an individual must go through
before qualifying for relief even if his/her socio‐economic condition presents a serious level
of vulnerability. The Brazilian Bolsa Familia presents a good case for such multidimensional
approach but it also falls short of improving the quality of services received by its
beneficiaries though it succeeds in raising the number of users. It therefore, gives some
reason to pause and re‐think the assumption of targeting programs as the ultimate solutions
in solving the poverty question.
The program’s impressive reach – 44 million people to be precise – and its attempt to tackle
poverty from many fronts – cash, healthcare, cooking gas, food access and education – has
no doubt achieved certain successes. Those successes include increase in school attendance
rate, more frequent maternity visit by nursing mothers and perhaps improved markets for
food and gas distribution. The questions that it leaves unanswered however overshadow
those successes and more generally point to the need to reconsider the assault on universal
approaches. Universalism is not free of its problems and in fact (as noted above) may have
TARGETED AND UNIVERSAL SOCIAL PROTECTION: CHANCE FOR A MIDDLE COURSE?
17
contributed to increases in levels of inequality in certain circumstances but it does offer
dignity and a tolerance level for poverty and inequality situations. Social protection and by
extension policies may therefore benefit from a strategy of implementing targeting
programs as bridging schemes to address existing levels of inequality and poverty incidence
before expanding coverage to the general population. This approach will also benefit from a
strategy of contextualising the conceptualization, design and implementation of social
protection programs in particular and policies in general to ensure adaptability to localised
conditions. The failure of the universalism/targeting debates to capture this nuance reveals
an obsession over idealisation rather than practicality and may undermine the possibility of
finding appropriate solution to specific incidences of poverty and inequality in quite often
distinct localities across developing countries. In this respect, a system of listening to the
poor and intended beneficiaries like those proposed by the participatory approaches must
become essential elements of social policy planning and implementation to build bottom up
solutions and not ideologically dictated ones. If we fail to listen to those we seek to help, we
can be sure of the very high possibility of compounding their worries rather than
dismantling them.
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