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Social protection: at the intersection of
transnational ideas and domestic
politics
Tom Lavers and Sam Hickey
Global Devel...
Case selection
Coverage of main social assistance
programme
Coverage of health
insurance (population)
Ethiopia 8% (popn)
2...
Social assistance:
Ethiopia and Rwanda
• Commitment to rapid socioeconomic progress
• Perceived existential crises
– Food ...
• Stronger donor-driven agenda
• Initial resistance from key political
elites
• Bottom-up pressures for expansion
of pilot...
• Strength of potential opponents key barrier
– Private sector, employers, trade unions, medical
associations, MoF
• In te...
• Ideas
– Commitment to rapid development
– Necessity of ‘productivist’ social policy
– Self-reliance – national and indiv...
• Donors matter, but are not enough
• Elections haven’t (yet) generated
strong commitment to SP
• Political settlement dyn...
All papers available at: http://www.effective-states.org/publications/
Ethiopia
• Tom Lavers (2016). ‘Social protection in...
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Social Protection: At the Intersection of Transnational Ideas and Domestic Politics

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PSA 2017 Presentation by Tom Lavers

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Social Protection: At the Intersection of Transnational Ideas and Domestic Politics

  1. 1. Social protection: at the intersection of transnational ideas and domestic politics Tom Lavers and Sam Hickey Global Development Institute (GDI), University of Manchester 10th April 2017
  2. 2. Case selection Coverage of main social assistance programme Coverage of health insurance (population) Ethiopia 8% (popn) 28% (nat. poverty line) 7% Kenya 3% (popn) 7% (nat. poverty line) 11% Rwanda 6% (popn) 13% (nat. poverty line) 75% Uganda 0.3% (popn) 2% (nat. poverty line) 2% Zambia 5% (popn) 9% (nat. poverty line) 1%
  3. 3. Social assistance: Ethiopia and Rwanda • Commitment to rapid socioeconomic progress • Perceived existential crises – Food / distributional crisis in Ethiopia – Poverty and inequality in Rwanda • ‘Social protection’ – Donor ideas and finance – Integrated into existing strategies – Strong ‘productivist’ orientation
  4. 4. • Stronger donor-driven agenda • Initial resistance from key political elites • Bottom-up pressures for expansion of pilot projects, incl elections • Tendency to prioritise visibility • Standalone programmes Social assistance: Kenya, Uganda, Zambia
  5. 5. • Strength of potential opponents key barrier – Private sector, employers, trade unions, medical associations, MoF • In tension with past electoral giveaways – removal of user fees (Uganda) • Poor fit with expectations of a patronage- based political system (Kenya) • Absence of strong donor coalition in favour Health insurance: Kenya, Uganda, Zambia
  6. 6. • Ideas – Commitment to rapid development – Necessity of ‘productivist’ social policy – Self-reliance – national and individual • Political settlement dynamics – Long-term vision – Opponents are politically weak – ‘Infrastructural power’ key to high enrolment rates Health insurance: Ethiopia and Rwanda
  7. 7. • Donors matter, but are not enough • Elections haven’t (yet) generated strong commitment to SP • Political settlement dynamics key • ‘Ideational fit’ vital determinate of policy adoption Conclusions
  8. 8. All papers available at: http://www.effective-states.org/publications/ Ethiopia • Tom Lavers (2016). ‘Social protection in an aspiring ‘developmental state’: The political drivers of community-based health insurance in Ethiopia‘, ESID Working Paper 71. • Tom Lavers (2016). ‘Social protection in an aspiring ‘developmental state’: The political drivers of Ethiopia’s PSNP‘, ESID Working Paper 73. Kenya • Fredrick Wanyama and Anna McCord (forthcoming) ‘The politics of scaling up social protection in Kenya’, ESID Working Paper. Rwanda • Tom Lavers (2016). ‘Understanding elite commitment to social protection: Rwanda’s Vision 2020 Umurenge Programme‘, ESID Working Paper 68. • Benjamin Chemouni (2016). ‘The political path to universal health coverage: Elite commitment to community-based health insurance in Rwanda‘, ESID Working Paper 72. Uganda • Sam Hickey and Badru Bukenya (2016). ‘The politics of promoting social cash transfers in Uganda‘, ESID Working Paper 69. Zambia • Kate Pruce and Sam Hickey (2017). ‘The politics of promoting social protection in Zambia‘. ESID Working Paper 75.

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