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Restitution du groupe de travail Targetting the poor. Rapporteurs: Nouria Brikci. Leçons opérationnelles principales (1). Difficult + context specific but not impossible Definition of who is poor and poorest a challenge, particularly poorest
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Restitution du groupe de travail Targetting the poor Rapporteurs: Nouria Brikci
Leçons opérationnelles principales (1) Difficult + context specific but not impossible Definition of who is poor and poorest a challenge, particularly poorest Targetting of poor (larger group) /indigent (poorest of poor) done by whom? • Central level: National level/ MoH • social agents led by MoH (enquete sociale) (Mali) (Benin) – gives certificate – Benin: resources going to those less poor – BIA shows poorest not benefited. • Strict criteria? Working in Ghana (identify poor at national level – consumption indicators used), not working in Burkina
Leçons opérationnelles principales (2) • community level • Criteria: age (old, young people with no family -Chad) geographical barriers(Mali), means poverty ie no land, (Mali), disability(physical or mental) (Mali) • Put in place a community group (comites de gestion) without any criteria pre-given (Burkina) – cty able to identify –- very low selection though – why? Cost recovery used – lesson: yes cty able to identify but did not identify everyone (3 per 1000 vs 5 per 100)
Leçons opérationnelles principales (3) • Easier to define poor at community rather than urban level • Issue of stigmatisation of being identified as poor in some countries not others • Management of funds to subsidise poor is an issue
Recommandations aux décideurs politiques • Any mechanism needs to be tested/ piloted before national scale up • Take community into consideration as crucial to identification of the poor • Ensure central level oversight of selection criteria – ie creation of working group • How are the poor going to subsidised by central level? CBHI can’t so total central level subsidisation essential
Recommandations aux PTF/ donors • Provide resources for action oriented research, research generally and M&E • Provide resources to target the poor in collaboration with the state if possible/ adequate • Provide technical assistance • Indicators to ensure that poorest are included in supported programmes
Priorités pour les experts • combine selection by community (gives a list) with definition of very clear criteria/ means testing (Ghana and Mali soon) done by central level ie community works as filter • Poverty changes over time: list of beneficiaries must be flexible as what happens changes all the time • Improvement of management and evaluation of selection methods • Need to be careful how define community • Systematically measure impact on poor in programme evaluation