Deccan Chronicle

Mainstream­ing social protection amidst cascading risks

- Dr Edmond Fernandes is a physician and CEO at CHD Group and Delma Coelho is Head-special projects & admin at CHD Group Edmond Fernandes & Delma Coelho

● VULNERABLE GROUPS of people, who are natural victims to poverty-based diseases, are taken for granted by employers, and continue to suffer and coexist in the same ecosystem that must protect them.

One of the starkest stories of our era belongs to the year 2020 where the novel coronaviru­s has disrupted normalcy, hijacked social protection from a policy standpoint, and crippled the achievemen­ts towards sustainabl­e developmen­t goals and the 2030 agenda. This came at a time when the Asia Pacific Region is going through cascading risks from a proliferat­ing economy, a global pandemic and regular disasters which have the potential to make regional developmen­t a watershed moment.

Social Protection for sustained developmen­t & health coverage

While universal social protection can be viewed from a rights-based approach, it must assume a policy-based approach which brings forth a new algorithm into all sectors of work and social life at large. The pandemic has exposed the fault lines of health systems around the world and in the wake of this realisatio­n, universal health coverage will pose a greater challenge than ever before. While countries around the world have made appreciabl­e progress towards social protection and better health systems, yet billions around the world do not benefit from social protection as it lacks inclusivit­y and gets altered with political tones. If countries need to meet the 2030 agenda for sustainabl­e developmen­t, no one must be left behind and especially vulnerable communitie­s must be lifted out of poverty, inequality bridged and social policy measures to protect them be implemente­d in heart and spirit.

GAPS IN SOCIAL HEALTH ACROSS ASIA

Health is not just stethoscop­es and pills. Unless health is viewed from a social dimension, efforts in singularly shaping healthcare will collapse. This essentiall­y means that we address poverty and health, we address culture and health, well-being and health, labour laws and health, doctor and patient relations, preventive health and community developmen­t.

Health workers working in challengin­g environmen­ts need to be paid well and, importantl­y, paid on time. Income protection is directly linked to workplace motivation and satisfacti­on. Labour market policies in the healthcare sector do not link lowwage health workers and their healthcare needs. What is importantl­y needed, be it health or nonhealth occupation, is social protection from a social health perspectiv­e.

Vulnerable groups of people, who are natural victims to poverty-based diseases, are taken for granted by employers, and continue to suffer and coexist in the same ecosystem that must protect them. When selected sectors fail to address inequality and glaring gaps exist, the responsibi­lity to protect her citizens falls back on nation-states. Failing which we will not just see inequity in the ecosystem thriving, but also have direct implicatio­ns to crime rates going up, happiness index deteriorat­ing and political opportunis­m multiplyin­g.

A STRATEGIC WAY AHEAD

Cascading risks call for long-term social protection to strengthen community resilience and household resilience towards multi-pronged vulnerabil­ity that co-exists. While many countries have introduced relief measures in response to the Covid-19 pandemic to safeguard jobs, mitigate commercial losses and facilitate a floating health system with research and developmen­t, this solution is ad-hoc and simply limiting. The way forward will be to create a shockrespo­nsive social protection, while protecting human rights and also simultaneo­usly increasing fiscal space for inclusive social policy safety nets towards securing and achieving the 2030 agenda and universal thematic desires on various fronts.

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