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Nepal presents a critical case where well-designed social safety nets can provide the much needed support to vulnerable segments of the population, in order to avoid entrampment in the spiral of poverty or social exclusion. In its 2005 report (ILO, 2005), the ILO identified social protection as one of the three key elements "of a secure social safety net for those affected by crisis". Social protection through basic pensions, basic health care and basic education are key elements in alleviating and preventing poverty, and can help mitigate the adverse effects of chronic poverty (ILO 2001; 2002).
Following an analysis of the development of social security and its implications for poverty reduction in OECD countries, a recent ILO report (Townsend, 2007) notes that "... social security schemes involving entire populations and categories of the population like young children and disabled people in developing countries, i.e. social insurance and tax-financed "universal" group schemes, deserve priority, even if for reasons of limited resources they have to be phased in by stages...".

Well designed social security provisions are a necessary component of measures put in place to attain the targets of the Millennium Development Goals, set by the international community. Parly as a result of the conflict in Nepal, the country's progress towards meeting the Millennium Development Goals has fallen well behind the targets.
The UNDP in its 2006 report on the assessment of needs for Nepal, indicated that in order to achieve the MDG targets in Nepal, more than US$ 6.3 billion is needed for reducing hunger, improving education and developing infrastructure (UNDP, 2006). A well-designed social security system has a central role to play in overcoming the plight of poverty and social exclusion in which so many of the country's people remain trapped.

Overview

Between 1995-96 and 2003-04, Nepal’s poverty rate has declined from 42% to 31%. GDP has grown by almost 5% per annum and disposable income of households has been growing even faster due to the large inflows of remittances. However, 7.5 million people remain in poverty in Nepal and there is significant inequity across geography and caste.
A broad range of risks affect Nepali households, including health shocks, disability, widowhood, globalization, old age, children at risk, and risks stemming from conflict. The main determinants of vulnerability are socioeconomic factors, discrimination, and the conflict.

Social Protection Challenges

While the government does have some social protection programs - including civil service pension system and safety nets, including social pensions, food-for-work, micro-credit, micro-insurance, etc., the overall reach of the programs, as measured by the number of beneficiaries and budget is small.
The key social protection issues are primarily that government expenditures on social protection is low. However, the recent Government budget has significantly expanded the breadth of social protection programs and their planned expenditure on social protection. For example the Government is considering a workfare program, expanding school meals and putting in place a food distribution system.

Given the expansive nature of these programs, and to ensure effective delivery, it will be important to ensure that their design and institutional and implementation arrangements are in place prior to roll out. Second, aside from basic income support, there is a need to consider social services assist households fleeing their residences and protect women and children from exploitative labor arrangements and human trafficking.
Finally, to promote peace, the Government is considering how to expand short term employment programs to consolidate peace, including re-integrating combatants and affected populations back into the economic and social life.
Statistics on NEPAL:
Total population: 29.9 million
(UN Population Division | World Population Prospects, 2010)
GDP per capita (PPP US $): 1156
(World Bank | WDI, 2009)
GDP growth (in %): 4.7
(World Bank | WDI, 2009)
GDP Current in national currency: 960.0 billion
(World Bank | WDI, 2009)
Human Development Index Value: 0.428
(UNDP | Human Development Indicators, 2010)
HDI Rank: 138
(UNDP | Human Development Indicators, 2010)
Total expenditures on health as % of GDP: 4.9
(WHO | WHO Statistical System, 2008)
Govt. expenditure on health as % of total govt. expenditure: 9.20
(WHO | WHO Statistical System, 2006)
Public Social Protection and Health Expenditure as percentage of GDP: 1.78
(IMF, 2007)
Public Social Protection and Health Expenditure as percentage of General Government Expenditure: 9.21
(IMF, 2006)


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