MEDIUM-TERM DEVELOPMENT PLAN 2001-2004
 
 
 
 
 
 
 
 


Chapter 13

PROTECTING VULNERABLE GROUPS

Protecting the vulnerable groups is a requisite to conquering poverty and transforming Philippine society so that each Filipino can enjoy a better and dignified quality of life. However, persistent income and asset inequities, and the slow reduction of poverty limit the access of the poor to resources and opportunities and exclude them from fully participating in development. These constraints bar the poor and vulnerable groups from fully realizing their potentials.

Social assistance and welfare, social safety nets, and social security are necessary to reduce vulnerabilities and to prevent the poor from falling below an acceptable standard of well-being. Interventions will enable them to attain a certain level of economic status, welfare and disposition so that they may participate in and benefit from the development process.]

 

POLICY FRAMEWORK

Sustaining economic development is not only ensuring market efficiency; it calls for the equitable distribution of the benefits of growth so that everybody can participate in the development process. The poor and marginalized groups in the Philippines face various risks – temporary and permanent loss of employment, inability to cope with abrupt changes in the prices of basic commodities, illness and physical injury, violence and the lack of peace and order, old age, etc. Occasionally, they are confronted with shocks arising from natural disasters and abrupt swings in the macroeconomy. Furthermore, the new economy and greater global integration, while offering opportunities and income growth, also pose risks such as job displacement, income insecurity, widening income disparity, and financial volatility. Unless the poor and vulnerable groups overcome these risks, it is unlikely that they can contribute to and benefit from development. It is important that effective social sector policies — which include safety nets for groups affected by globalization — are put in place so that risks of deepening poverty are reduced. Protecting the poor and vulnerable groups is imperative in winning the battle against poverty within the decade.

To complement the regular antipoverty programs, the government is also committed to implement temporary but result-oriented measures that are meant to bring the poor and vulnerable back to the mainstream development process. These social protection interventions are of three types: social assistance and welfare, social security, and social safety nets. Social assistance or welfare programs are regular government programs that involve actual resource transfers to the poorest groups in order to prevent their economic dislocation arising from violence, illness, disability, old age, unemployment, resettlement and harvest failure. Social security, on the other hand, consists of social insurance programs that reduce the risks of the poor due to old age, work-related injury, illness and disability. Social safety nets are short-term bridging mechanisms to disadvantaged and vulnerable groups that are meant to protect them and strengthen their capacity to cope with the effects of economic dislocation, disasters and calamities, and structural adjustments.

ASSESSMENT AND CHALLENGES

Status of the Poor and Vulnerable Groups

Poverty incidence in the Philippines remains one of the highest in the Association of Southeast Asian Nations (ASEAN) at 34.2 percent in 2000. The gap between the rich and the poor remains, as indicated by the rising Gini coefficient1  from 1994 to 1997 (Table 13.1). However, a reduction in the income gap was noted in 2000 based on the preliminary results of the FIES.

The 1998 financial crisis and El Niño phenomenon did not only slow down the decline of poverty but also aggravated the situation of the poor. More than half (56.7%) of the poorest families experienced a reduction in income; and about a third (37.5%) increased their working hours. More so, government interventions were not felt, as only a tenth of the poor claimed they received a form of assistance from the government. Thus, it is not surprising that a greater proportion of poor families consider their situations as worsening (Table 13.2).

The poor now save very little of their income, spend two-thirds of their money on food, rely more on public and private income transfers, and are less likely to belong to a cooperative or even a people’s organization. They receive public basic education but have less tertiary schooling. Figures from the National Statistics Office (NSO) show that poverty incidence is highest among those who did not finish elementary education (37.8%) and those who only finished grade six (30.8%).

Most of the poor are unable to visit a hospital, or benefit from government subsidy/programs on health, public housing, livelihood and credit (Table 13.3). Access to public infrastructure is also low in poor areas. A peculiar finding is the higher poverty incidence for the self-employed than the unemployed.

The urban-rural differential of poverty incidence can be seen as a reflection of the urban bias of development. Majority of the poor (47.4%) were in the rural areas; and a disproportionate number lived in the least developed regions — Bicol, Central Mindanao, and Autonomous Region of Muslim Mindanao (National Statistical Coordination Board, 1997). Two-thirds of them (67.8%) depended on agriculture for their incomes as lessees, tenants and small owner-cultivators. Yet, when compared to cities, poverty in the countryside declined at a much slower pace because growth was not sustained and unemployment remained high (Table 13.4).

However, urban poverty is also an issue that cannot be ignored. Urban poor households mostly live in slum and squatter settlements and, like their rural counterparts, have inadequate access to health, education and sanitation services. They have very little assets, mainly housing materials and some household implements. Majority of urban poor housing contained two or more households.

Financing Social Services

Government has started rationalizing public spending for social services and slowly began to exit from activities that are best implemented by the private sector. Inefficient or regressive spending and subsidies are being phased out and instead, markets are made to work better for poor people. These reforms have become significant in view of current initiatives to strengthen the linkage between planning and budgeting so that subsidies are efficiently channeled to the intended beneficiaries.

For the next three years, more effective targeting mechanisms will be developed so that priority human development services will directly go to the poor and marginalized sectors. With the rationalization of spending, the policy of earmarking funds in support of affirmative action policies will be revisited. Resources will be maximized, without altering the efficient distribution of resources. Ultimately, the challenge for government is to improve service delivery, fasttrack the pace of reforms, rationalize spending, and more conscientiously target interventions for the poor and vulnerable groups.

Propoor Policies, Programs and Projects

The recent years saw the implementation of policy reforms to improve service delivery and rationalize the role of government in the provision and financing of social services. Two main strategies were implemented to protect the poor and vulnerable groups: (a) affirmative action by setting minimum targets for women, senior citizens and persons with disabilities; and (b) assimilation of the vulnerable by expanding socioeconomic services and increasing their participation in economic, social and political activities.

The Comprehensive Agenda of Action (CAA) for the 20:20 Initiative for the 21st Century was formulated to outline the strategies for resource mobilization and efficient delivery of basic social services. More so, the state reaffirmed its commitment to attain social development through poverty eradication, employment expansion, and social integration in the 2000 World Summit for Social Development + 5 (WSSD+5).

As expected, government made gains in social welfare services by reaching more ultrapoor families than what were initially targeted in 1999 and 2000 (Table 13.5). This was due to the numerous programs implemented for disadvantaged and vulnerable groups.

Social assistance

The Lingap Para Sa Mahihirap Program

The Lingap Para Sa Mahihirap (Caring for the Poor) Program was granted a P2.5 billion allocation from the national budget to deliver medical assistance, livelihood, socialized housing, potable water supply, food subsidy, and protective programs or services to the 100 poorest families in every city and province nationwide (Table 13.6). In 1999, the project reached 16,100 households in 644 barangays.

The Lingap Program, however, had several major weaknesses: (a) lack of program ownership by the LGUs which were not given adequate time to identify the 100 poorest families in their areas; (b) low targeting effectiveness and welfare impact which may be expected from a nationwide program that is spread over a wide area and to nonpoor beneficiaries; (c) lack of beneficiary consultation and monitoring; and (d) politicized process of beneficiary selection.

The Comprehensive and Integrated Delivery of Social Services (CIDSS)

The CIDSS addresses the minimum basic needs of families in the poor areas using the five-pronged approach of community organizing, family development, focused targeting, localization, and convergence.2  Utilizing the total family concept, the project became a tool for empowering communities by enjoining people to identify their problems and work together to achieve the solutions.

CIDSS produced favorable results during the last two years. It has reached 493,132 poorest families for the 1999-2000 period, which is 83 percent of the 593,834 target families. Moreover, the program extended its services not only to the 909 fifth and sixth class municipalities but also to the poor barangays in third and fourth class municipalities and urban poor communities.

Microfinance programs

Efforts to mainstream microfinance in the country produced good results. Providing credit to the poor through microfinance institutions has been an important component of the government’s poverty alleviation program. The government granted funds to NGOs engaged in microcredit with market on lending rates, and established a council of microfinance institutions composed mostly of private practitioners.

There were also several self-employment and livelihood assistance programs implemented by the Department of Social Welfare and Development (DSWD), Department of Labor and Employment (DOLE), National Youth Commission (NYC) and People’s Credit and Finance Corporation (PCFC) for the youth, farmers, rural women and persons with disability (refer to Box 13.1 for the program for women). In 2000, the number of beneficiaries reached by self-employment and livelihood assistance was 50 percent above target. The benefits from microfinance – including those extended by private finance institutions and nongovernment organizations– can be estimated to be more than double that of PCFC’s.

BOX 13.1


FIGHTING POVERTY BY SUPPORTING WOMEN

It only took the People’s Credit and Finance Corporation (PCFC) to believe in the entrepreneurial skills and good paying habits of women to organize a successful credit facility. Starting 1997, the Rural Microenterprise Finance Project (RMFP) has been providing credit and capability-building support to women using the Grameen bank system. These women are mostly in the informal sector and are engaged in vending, and small-scale home-based agricultural processing, among others.

The RMFP has organized 136 conduits — composed of rural and thrift banks — loaning to investors, cooperatives and NGOs. It now maintains 365 branches nationwide. In 2000, P832 million were released for investment and institution-building, reaching more than 145,000 clients. At market rates, the repayment of conduits to the PCFC is 100 percent, while the repayment of end-users/subborrowers averages 96.6 percent. The program has generated savings for the borrowers in the amount approximately 10 percent of the cumulative loans extended.

In the last three years, reforms were undertaken through the National Credit Council (NCC) focusing on: (a) terminating inefficient subsidized credit programs; (b) creating a policy and regulatory environment for sustainable microfinance; and (c) setting performance standards for microfinance institutions in availing government funding. Still, there are challenges that should be addressed to further improve the present microfinance system, such as: (a) poor absorptive capacity of microfinance institutions (MFIs); (b) presence of the last few subsidized credit programs that unfairly compete with these MFIs; and (c) lack of emphasis on savings utilization to sustain the microcredit operations of these institutions.

Self-Employment Assistance Kaunlaran (SEA-K)

The SEA-K capacitates people’s organizations to self-administer the provision of socialized credit through community organizing, training in microfinance development, and lending seed capital to its members. From 1999-2000, 42,022 individuals have benefited from the program. Around P53,946,511 million seed money was loaned to women scavengers, out-of-school youth, street children, persons with disability (PWDs), poor families, single parents, unemployed and senior citizens. However, the implementation of the SEA-K Program, being the only welfare-oriented government livelihood program, needs to be revisited to prepare beneficiaries to eventually avail of credit from existing microfinance institutions at market rates.

Assistance to specific vulnerable groups

Children. There were various initiatives that came in parallel with the global movement of upholding the rights of children. The Philippine National Strategic Framework for Plan Development for Children, 2000-2025 (CHILD 21) and the Framework for Action Against Commercial Sexual Exploitation of Children were crafted to guide government and civil society in addressing the pressing problems of Filipino children. To enlist LGU support in the promotion and protection of children’s rights, the Search for Child-Friendly Cities and Municipalities (EO 184) was launched.

Two major laws on children’s concerns were also passed: (a) Republic Act (RA) 8980, or the Early Childhood Care and Development (ECCD) Act, which institutionalizes an ECCD program; and (b) RA 8972, or the Solo Parents Welfare Act of 2000, which provides government support for solo parents and their children.

The government also paid attention to the growing number of street children in the metropolitan areas. Covering 25 cities and seven urban municipalities nationwide, the National Program on Street Children provided various programs and services to about 90,000 street children. The Street and Urban Working Children Program was launched to enhance the effectiveness of interventions made by the national and local governments, and NGOs.

Despite these developments, child labor is still prevalent in the Philippines. The 1997 National Survey of Working Children revealed that one out of six children aged 5-17 years was engaged in child labor (16% of the total population in 1997). Many of them were boys (65%), unpaid family workers (60%), exposed to hazardous environment (60%), and not attending school (30%). Under the National Child Labor Program, several efforts were undertaken such as rescue operations and welfare services in the form of education, health and medical assistance, counseling, and livelihood. The Philippines also ratified the International Labor Organization (ILO) Convention 138 (Minimum Age Convention) and 182 (Prohibition and Immediate Elimination of the Worst Forms of Child Labor). While it is difficult to totally eliminate child labor, the immediate challenge is to eliminate the worst forms of child labor within a specified period of time.

Youth. Welfare and development projects for the youth focused on education, training and community-based information, education and communication (IEC) campaigns on antidrug abuse, environmental protection and preservation, leadership, governance, and work ethics. The National Youth Commission (NYC) reported that 20 government agencies have implemented 116 youth-related programs. A private consortium is at present pilot-testing various programs and projects for out-of-school children and youth in four regions.

Women. Government continued to ensure that programs and projects financed by the national budget and official development assistance (ODA) appropriately integrate women and gender concerns. To promote Gender and Development within the bureaucracy, the National Commission on the Role of Filipino Women (NCRFW) continued to implement the Institutional Strengthening Project Phase II. This project aims to strengthen the capabilities of oversight, implementing, statistical, and subnational agencies in mainstreaming gender concerns in planning, policy formulation, program development and implementation, and monitoring and evaluation. There were also a number of programs that addressed violence against women (VAW) and women’s lack of economic empowerment: National Family Violence Prevention Program; and Productivity Skills and Capability Building Program.

Indigenous peoples (IPs). There are about 110 ethnolinguistic groups in the country and assistance to IPs remains inadequate. The government would have to provide economic opportunities to uplift majority of them from poverty. A comprehensive plan is currently being drafted to address the issues of IPs, and strengthen the National Commission on Indigenous Peoples (NCIP) as the main machinery for plan and program implementation.

Elderly. The Philippine Plan for Older Persons was adopted to ensure that the rights of older persons are upheld, their needs and concerns addressed, and their roles as active participants in nation-building are fully recognized.

Persons with disability (PWDs). Since 1999, a certain percentage of the national budget has been assigned for projects and facilities that will enhance the mobility, safety and welfare of persons with disability. To support this affirmative action, Administrative Order (AO) No. 101 was passed directing the Department of Public Works and Highways (DPWH) and Commission on Higher Education (CHED) to provide architectural or structural features for PWDs in schools and other establishments. For 1999 and 2000, DPWH undertook construction of access facilities in 21 schools, 20 government buildings and seven state universities and colleges. The government also launched the Assistance Package for Disabled Persons Program.

Poor and disadvantaged families. Many Filipino families are unable to provide minimum basic needs to its members and are incapable of performing expected roles to maintain healthy and harmonious relationships. In view of their socioeconomic contribution to national development, the poor and disadvantaged families need to be empowered and their social functioning enhanced through: (a) access to assets and resources; (b) access to all forms of social protection interventions and services; and (c) improved opportunities for participation in critical decision making.

The DSWD exerted efforts to strengthen the family as the basic social institution. Through the Department’s programs and services including its flagship program, the CIDSS, it utilized the total family approach in addressing the needs of the poor and disadvantaged families which include victims of disasters and social conflicts.

Social security

Social security

The ILO Convention No. 102 identifies nine areas of contingencies for social security coverage — old age, death, disability, sickness, maternity benefits, employment-injury benefits, medical care, family allowances and unemployment benefits. The Philippines covers all these except for the last two.

The Social Security System (SSS), the Government Service Insurance System (GSIS), and the Philippine Health Insurance Corporation (PHIC) carry out the social security programs in the Philippines. The SSS provides social security protection to all private sector workers, the self-employed, and other voluntary members such as housewives and agricultural workers. The GSIS covers all government workers, except the armed forces. The PHIC administers the National Health Insurance Program (NHIP), which provides health insurance coverage and ensures access to health care services for the general public. All three security systems are contributory, although the PHIC has an indigent component as it provides free medical care for the poor.

Social security coverage increased by 5.8 percent, frsom 22.8 million in 1999 to 24.1 million in 2000 (Table 13.7). Workers with social security represented 78 percent of the total labor force in 2000. To enhance the quality of social protection in the country, the Presidential Retirement Income Commission (PRIC) is proposing reforms to sustain the financial viability of mandatory pension institutions and make pension plans and other forms of social security more affordable and work better for people.

To assist vulnerable groups manage crisis, social security coverage was continuously provided to nonworking spouses, house helpers, overseas Filipino workers (OFWs), and those in the informal sector. However, part of the challenge is the need to come up with clear-cut social security systems specific to vulnerable groups. For instance, security coverage for informal sector workers is patterned after that of the formal workers. Thus, social security cost for the informal sector is high in the absence of employers who share a portion of the security contribution.

Socialized health insurance

Appropriate health care remains beyond the reach of indigents because it is costly and inaccessible. Inadequate health funding and inefficiency in program management especially at the local level aggravated the situation. In response to these concerns, the Philippine Health Insurance Commission (PhilHealth) continues to implement the Medicare Para sa Masa under the National Health Insurance Program. Likewise, the PhilHealth in partnership with LGUs subsidized the annual premium contributions of 550,000 indigent families in 2000.

Some of the issues and concerns that affect the sustainability of these programs are: (a) budgetary constraints faced by LGUs in managing devolved health services; (b) poor delivery of medical services and supplies; (c) inability of indigent members to pay excess hospital bills when full coverage is not provided; and (d) high administrative cost in beneficiary selection. Policy gaps also caused implementation bottlenecks. For one, there is a big disparity in the contribution rates between third- and fourth-class municipalities. Premium schedules should also be adjusted to conform to the National Health Insurance Law (RA 7875). Insurance and members and dependents should be clearly defined so as not to exclude particular groups of people.

Social safety nets

Programs established by government to mitigate the effects of the financial crisis on employment include: (a) the programs of the Public Employment Service Offices (PESOs) which assisted a total of 3,530 displaced workers who found new jobs and 895 displaced workers who were retrained; (b) the programs of the Employment Compensation Commission (ECC) which extended emergency loans costing P500 million to some 60,000 displaced workers; and (c) programs on enterprise development, welfare program for sugar workers and credit assistance to unemployed and displaced workers.

Reducing the vulnerability of the poor in times of crises is about protecting basic social services from budget cuts and having a ready and feasible system of time-bound social safety nets. More so, to address the shortfalls in outcomes and access, the quantity and quality of basic social services should be improved. Changes should be made in policy formulation, program design and service delivery. Institutions will work better for people if they improve their capacities and enjoin other stakeholders to partake in the responsibility. Government must be willing and capable of raising revenues and devoting a significant share of resources to social development.

Thus, the sector must continue providing preferential access to the poor, and vulnerable and disadvantaged groups; exert greater reliance on targeting mechanisms; and wherever possible, redistribute transfers to help the poor improve their welfare.

National Food Authority food subsidy program

The National Food Authority (NFA), through its mandate of stabilizing palay and rice prices, has been implementing a food subsidy program since its establishment in 1981. Under the Lingap Program which started in May 1999 up to June 2001, the NFA was able to: (a) distribute rice at subsidized rate in poor barangays benefiting 16,100 families; (b) set-up 805 retail stores and additional 4,344 stores for the legislator-identified beneficiaries that generated sustainable employment; and (c) provide production loans of P14,000/hectare in the form of farm inputs benefiting 1,500 farmer-beneficiaries and distribute 3,511 units of post-harvest portable sheds to marginal farmers;

However, unintended beneficiaries also benefit from the NFA rice subsidy. To redirect the thrusts of the government to serve the majority of the disadvantaged sector of the society, the NFA developed new food subsidy programs. These programs are called the Targeted Rice Distribution Program (TRDP) to cater to the poorest sector of the community identified by the DSWD/LGUs, the Coconut Farmers Food Access Program (CFFAP) to cater to the coconut farmers, and the Focus Rice Distribution Program (FRDP) in areas not covered by the TRDP but are listed by the DSWD among the poorest of the poor. All the three programs have a target of 200,000 family-beneficiaries each for the year 2001. Also, the set-up of retail outlets for these programs called the Greater Market Access Tindahang Bayan Para sa Mamamayan provided additional job opportunities.

For the first semester of 2001, TRDP had served some 154,312 families distributing 100,180 bags of rice at P14.00/kilo in 1,440 TRDP outlets. CFFAP which started last April 2001 had served 272,324 families with a total of 92,914 bags of rice distributed in 2,968 outlets. In areas not served by the TRDP but are listed by DSWD among the poorest of the poor, some 4,759 FRDP sari-sari stores were accredited to ensure the availability of cheaper basic commodities like rice.

TARGETS AND STRATEGIES

Targets

Social Assistance

Table 13.8 and Table 13.9 present the targets for social assistance and social welfare programs and the targets for social security respectively.

Activities to attain social security include the followingy:

1. Improve benefits through an increased share of the NHIP to P60 billion of total national health expenditures by 2004; and

2. Enroll 3.8 million households nationwide under the Indigent Program of the NHIP.

 

Strategies

In the next four years, the following strategies will be implemented to address the remaining challenges and ensure the protection of the poor and the vulnerable groups:

Social assistance

Convergence

1. Develop and implement the Kapit-Bisig Laban sa Kahirapan (or KALAHI), a comprehensive and integrated convergence strategy to improve delivery of services for the poorest municipalities and provinces in the country, that will:

¨ Target geographic areas and population groups where social development needs are greatest;

¨ Strengthen collaboration and mobilize national government agencies, LGUs, NGOs, POs, cooperatives and other private organizations to coordinate delivery of targeted programs and resources through partnerships, joint venture and effective utilization of volunteer services;

¨ Enable LGUs to empower communities to address their minimum basic needs through the convergence approach with focus on the poor municipalities, disadvantaged, IP communities and urban poor communities; and

¨ Develop an effective monitoring and evaluation system that will assist the government and private organizations in assessing the impact of the convergence strategy and derive lessons from field implementation that will result in mid-term corrections to the strategy;

2. Assist the LGUs in preparing local poverty action programs that will assess the poverty situation in their respective localities and identify services needed to alleviate poverty in their area;

3. Review and rationalize affirmative action programs for vulnerable groups that provide a minimum proportion of public funds for specific sector in order to improve the efficiency and effectiveness of the use in public funds in targeting the poorest groups in society; and

4. Develop mechanisms to involve the private sector actively in the provision of services and other assistance to the poverty areas identified by government using innovative and sustainable models available both locally and internationally.

Assistance to vulnerable groups

1. Promote community- and center-based social welfare interventions for the poor, vulnerable and disadvantaged groups by focusing on family-oriented programs and projects that utilize preventive and proactive approaches, such as rehabilitation of street children and youth offenders, protection of abused women and children, care for persons with disabilities and for older persons, reform of dysfunctional parents, relief for calamity victims, and grassroots organization for self-reliance in depressed communities;

2. Develop and implement programs for IPs — considering their unique culture — to protect and promote their welfare, end their political and economic marginalization and sociocultural displacement;

3. Intensify participation in governance and institution building and facilitate the inclusion of civil society groups and basic sectors in policy-making at the national and local levels;

4. Ensure the creation of an enabling and child-friendly society by: (a) strengthening the capability of families and communities in nurturing children, providing them with full support for the survival, protection, development and participation of children; and (b) advocating a paradigm shift that prioritizes children in the use of the resources of the family, community and society within the framework of rights-based and life-cycle approach consistent with the Philippine National Strategic Framework for Plan Development for Children, 2000-2025 or CHILD 21;

5. Improve the implementation of existing sectoral laws such as the Women in Development and Nation-Building Act, Accessibility Law, and Senior Citizens’ Act;

6. Implement an area management and development plan for IPs that will ensure that ancestral domains are conserved, protected and developed; and

7. Strengthen policy environment to facilitate the implementation of intervention for women, children and youth in especially difficult circumstances by legislating bills on juvenile justice administration, antitrafficking in Filipino women and minors, antiprostitution, antidomestic violence, and antichild labor.

Microfinance

1. Support the capability building of microfinance institutions, especially the People’s Credit and Finance Corporation, in order to enhance their services, particularly the poor women and those in the informal sector so that 300,000 new borrowers particularly poor women, are targeted to benefit each year from the microfinance program;

2. Develop models for banking with the poor and promote savings utilization; and

3. Work for an appropriate regulatory framework for microfinance which can lead to, among others, the simplification of rules and processing requirements of credit facilities.

Social security and health insurance

1. Improve access of low-income informal sector workers to social security through: (a) promoting awareness of the need for social protection; (b) extending SSS coverage to small employers and the self-employed; (c) developing alternative schemes for those outside the scope of SSS; (d) targeting those without capacity to self-finance their social protection; (e) developing alternative collection systems to encourage participation in the program; and (f) establishing special social protection schemes for certain industry groups;

2. Design/Operationalize provident fund schemes for OFWs that will ensure their protection upon retirement, disability, loss of job, among others, (e.g., the SSS Flexi-Fund which is a voluntary provident fund for OFWs that supplements the mandatory retirement program of the SSS);

3. Activate and strengthen community participation in implementing a national health insurance program to reduce health and nutrition risks of the poor, and improve the design of its component programs to enhance access of the poor to basic facilities in their community;

4. Adopt an integrated approach in the implementation of the National Health Insurance Program’s Indigent Program otherwise known as "Medicare para sa Masa", with the support of the DSWD, DOH, NAPC, DAR, Philippine Amusement and Gaming Corporation, Philippine Charity Sweepstakes Office, DILG, DECS, among others;

5. Tap private sector and other sources to support the LGU counterpart for premium payment, review and revise the formula on contribution to allow an equitable premium for indigent members, and allow automatic access of indigent members to hospital welfare funds to help address the problem of excess hospital billings; and

6. Improve PhilHealth systems and procedures to enhance barangay information campaign, billing and collection, fraud control, marketing and program packaging, database administration, networking and negotiations.

Social safety nets

1. Develop the capacity to institutionalize an early warning indicator system aimed at detecting the onset of socioeconomic disruptions which will provide sound basis in designing and implementing social safety net programs;

2. Improve access of the poorest households to subsidized rice, especially in the rural areas and Mindanao by mobilizing 1,000 rolling stores and accrediting sari-sari stores that offer subsidized rice, and review entitlement levels of rice supply to each household;

3. Improve the efficiency of rice subsidy programs by integrating them in targeted employment/public works schemes;

4. Improve the impact of targeted nutrition programs for school children in poor rural areas, and pregnant and lactating mothers;

5. Encourage private sector to provide emergency cost of living allowance to workers in times of economic crisis;

6. Ensure accessibility to public employment facilitation and marketing services by displaced workers especially those in the informal sector;

7. Improve design, targeting and implementation of labor-based infrastructure programs to generate more employment for displaced workers and job seekers; and

8. Strengthen the capacity of LGUs, NGOs and the community to improve preventive, emergency and rehabilitative assistance/services to cope with effects of disaster/calamities.

Poverty statistics generation and cross-sectoral issues

1. Review the current system of collection and analysis of poverty statistics, and rationalize or improve current indicator systems for monitoring poverty particularly at the local level;

2. Ensure participatory process in program targeting at the local level;

3. Provide statistical agencies with resources to regularly gather and analyze sex-disaggregated poverty data and its annual correlates, including those on the marginalized groups; and

4. Develop the database for monitoring the situation of the poor and vulnerable groups and harmonize this with the monitoring systems for social development interventions at the national and local levels.


1 The Gini coefficient is a measure of the inequality of income distribution, i.e., income and wealth,w ith values of zero for perfect equality and one for perfect inequality.

2 A strategy of pooling the human and material resources of government organizations, NGOs, and people's organization.


Chapter 10 ] Chapter 11 ] Chapter 12 ] [ Chapter 13 ] Chapter 14 ] Chapter 15 ]

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