First published in 1948, the International Social Security Review is the principal international quarterly publication in the field of social security.
In many European countries, greater importance is accorded to labour market policies in which employers are involved in activating unemployed people. Such employer-oriented policies target employers’ demand for labour and attempt to influence their willingness to hire, train or guide (often disadvantaged) unemployed groups. Using data from a qualitative interview study of an employer-oriented programme in a medium-size city in Sweden, the present article aims to develop knowledge about how these policies are used to influence employers to hire unemployed workers and how jobs created in this context differ from regular jobs. The article argues that creating jobs through new arrangements for the division of labour, with the promise of relieving regular staff of unskilled tasks, may influence employers’ willingness to hire the unemployed when used alongside other kinds of policy instruments. However, the article also shows that this new division of labour, with programme participants performing mainly unskilled tasks, has been difficult to realize, as new staff gradually come to perform an increasing number of regular working tasks.
This article explores the nature of innovative employer-oriented activation policies, which aim to influence employers' willingness to hire or possibly train and guide the unemployed. These policies may focus on responsibilities with regards to activation, which offer services to employers or provide incentives to influence employers' involvement. Employers may take up a role as client or as co-producer during policy implementation. Qualitative empirical data from two Dutch cities show that employers have diverse motives to become involved: to hire new workers, to lower costs or to enact social responsibility. Actual practice shows mixed results in terms of labour market participation and employer satisfaction. It appears that the active involvement of employers as co-producers increases their willingness to be more flexible concerning their demands and leads to greater satisfaction with outcomes. The consequences of this model for the governance of activation policy are discussed.
This article assesses the effectiveness of pension provision and health insurance in preventing ill health among older people in developing countries. It argues that, until recently, social protection agendas devoted insufficient attention to health risk prevention, instead focusing on the reduction of income poverty through cash transfers. The article shows that there is little reliable evidence to indicate that providing older people with pension benefits enhances their health status and that these effects should not be taken for granted by policy‐makers. The article then focuses on the effect of inclusion in health insurance schemes on health outcomes for older people, with specific reference to outcomes related to hypertension. Drawing on newly‐available data from the World Health Organization for Ghana, Mexico and South Africa, it shows that older people with health insurance are marginally more likely to be aware of health conditions such as hypertension and more likely to have them under control. Nevertheless, the great majority of hypertensive older people, insured or uninsured, are not effectively treated. The chief barriers to treatment are shown to be mainly related to awareness and service provision, rather than financial ones. Consequently, the capacity of pensions or health insurance to enhance health outcomes for older people in such countries, including in rural areas, is heavily contingent upon health education, health screening and adequate health service provision. These interventions should be viewed as an integral element of mainstream social protection strategies, rather than adjuncts to them. Yet, in practice, social protection and health promotion continue to be treated as almost entirely separate spheres, thus presenting substantial institutional barriers to developing combined interventions.
Managing employer social insurance compliance is a particularly difficult governance challenge in emerging economies that have weak regulatory regimes. Utilizing qualitative evidence from eight case studies conducted in Shanghai, the People's Republic of China, this article details how employers respond to attempts by the State to manage social insurance behaviour. Five concerns arose from employers' perceptions and responses to the established policies and regulatory structures: construction of an effective policy, level playing field, cost control, firm reputation, and recruitment and retention. Further, the findings indicate that there are three enterprise features that could affect compliance behaviour: risk factors, skill composition of the workforce, and form of ownership. It was anticipated that firm size may affect compliance behaviour, but no clear pattern emerged.
Amongst all the topics addressed in the world of work, none, perhaps, reflect the principles of tripartism and social dialogue better than social security. It is natural, therefore, to ask how effectively these key instruments of sound governance have been and are being used in addressing significant challenges presently facing social security systems in many countries. The process of social security reform, notably in pension provision, has been high on the agenda of many countries in recent decades, reflecting the impact of factors such as globalization and demographic ageing. More recently, fresh strains have arisen as a result of the global financial and economic crisis. The International Labour Office (ILO) has sought to analyse and understand these questions, and the ILO Departments of Social Dialogue and Social Security have jointly undertaken studies both before and in the aftermath of the crisis. The evidence shows mixed outcomes. In a range of countries with strong traditions of effective social dialogue, their value has been reiterated. Disappointingly, however, in other countries, often under the pressures of severe economic strains and urgent demands of the international financial institutions (IFIs) and other agencies, governments have acted unilaterally, sometimes with rather little heed of constitutional responsibilities. The authors conclude that there is both the need and scope for a renewed focus to secure an appropriate degree of political will and commitment to the process of tripartite social dialogue in addressing what are often complex and sensitive policy issues in the field of social security.
This article examines a sample of employer programmes in sub‐Saharan Africa that supplement government efforts to prevent and treat human immunodeficiency virus (HIV). Some of these programmes provide workers with in‐house education, voluntary HIV testing and antiretroviral treatment. Others rely on new forms of employment‐based group health insurance that include an HIV treatment package. In addition, some enterprises use the workplace as a platform for launching efforts into neighbouring communities to reach spouses, children, sex workers, secondary school students and others. Early evidence suggests that employer programmes maintain the health of large fractions of workers living with HIV who are served by them. They further enable enterprises to avoid productivity losses and turnover costs associated with HIV. At the same time, they take pressure off government agencies that face demands for treatment far exceeding their capacity. The article identifies features of successful employer programmes including “elite appeal”, which mobilizes community leaders and role models to deconstruct stigma, change perceptions and call for behavioural change; and “collateral linkage”, which extends the reach of HIV workplace programmes by linking them to related community concerns: e.g. alcohol abuse, malaria and domestic violence. Looking forward, the potential for expanding employer programmes as well as the restrictions associated with the limited scale of formal‐sector employment within sub‐Saharan African economies is assessed. Actions by which governments, employer associations, trade unions and international organizations can encourage further development of such programmes and extend their reach are suggested.