United Nations Development Programme Europe and the CIS Bratislava Regional Centre Grosslingova 35 81109, Bratislava

Slovak Republic 2011 June http://europeandcis.undp.org Published by Development Programme Regional Bureau for Europe and CIS

Bratislava 2011 Copyright © 2011 UNDP Regional Bureau for Europe and the Commonwealth of Independent States All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission. This is an independent publication commissioned by UNDP. Its analysis and policy recom- mendations do not necessarily reflect the views of UNDP, its Executive Board or United Nations Member States. ISBN: 978-92-95092-31-0

The Social Exclusion Survey conducted for this report was cost-shared by the UNICEF Regional Office for Central and and the Commonwealth of Independent States. The Survey was administered by TNS Slovakia. Cover design and layout: Yassen Panov Printing: Valeur (Slovakia) Authors and contributors

Report authors and data experts (in alphabetical order): Branka Andjelkovic, Andrey Ivanov, Balázs Horváth, Sheila Marnie, Dotcho Mihailov, Susanne Milcher, Mihail Peleah, Tatjana Peric, Sevinc Rende, Max Spoor, Paul Stubbs, Shahrbanou Tadjbakhsh Contributors: Annie Demirjian, Monjurul Kabir, Jaroslav Kling, Piotr Krosniak, John Macauley, Koh Miyaoi, Clare Romanik, Kamil Wyszkowski Critical readers: Balázs Horváth, Gina Lucarelli, Kori Udovicki, Jens Wandel Peer review: Sabina Alkire, Rafkat Hasanov, Eva Jespersen, Orsolya Lelkes, Gordana Matkovic, Roman Mogilevsky, Milorad Kovacevic Country teams: Kazakhstan: Bakhyt Abdildina (coordinator), Ainur Baimyrza, Natalia Baitugelova, Kassymkhan N. Kapparov, and Janar Jandosov; Republic of Moldova: Iulia Sevciuc (coordinator), Petru Bogatu, Varvara Buzilă, Viorica Craievschi-Toarta, Dorin Vaculovschi and Maria Vremis; Serbia: Jelena Tadzic (coordinator), Marija Babovic, Slobodan Cvejic, Danilo Vukovic and Gazela Pudar; Tajikistan: Rustam Babajanov (coordinator), Margarita Khegai, Saifullo Safarov, Mavjuda Yuldasheva and Kibriyo Djumaeva; The Former Yugoslav Republic of Macedonia: Magdalena Saldeva and Aferdita Haxhijaha Imeri (coordinators), Jovan Ananiev, Petar Atanasov, Maja Gerovska-Mitev, Miroslav Shukarov and Aleksandar Stojkov; Ukraine: Katerina Rybalchenko (coordinator), Anna Gvelesiani, Victor Kotygorenko, Yuriy Levenets, Ella Libanova, Olena Makarova, Natalia Sitnikova and Tatyana Bolila; Uzbekistan: Kakhramon Yusupov and Elena Danilova. Language editor: Peter Serenyi Project Board (in alphabetical order): Ann Marie Ali, Ilaria Carnevali, Matilda Dimovska, Balázs Horváth, Sukhrob Khoshmukhamedov, Steliana Nedera, Kyoko Postil, Jens Wandel Advisory board (in alphabetical order): Bakhyt Abdildina, Diana Alarcon, Gordon Alexander, Mahmood Ayub, Ainur Baimyrza, Elena Danilova, Joost Delaat, Annie Demirjian, Adriana Dinu, Teresa Durand, Esther Forgan, Elena Gaia, Petra Hoelscher, Kibriyo Jumaeva, Erika Kvapilova, Marie Laberge, Sheila Marnie, Koh Miyaoi, Joachim Nahem, Simon Narbeth, Paola Pagliani, Ziyodullo Parpiev, Anuradha Rajivan, Lovita Ramguttee, Katerina Rybalchenko, Magdalena Saldeva, Tim Scott, Iulia Sevciuc, Shombi Sharp, Ben Slay, Jelena Tadzic, Luis Francisco Thais, Kori Udovicki, Moises Venancio, Louisa Vinton, Danilo Vukovic Technical support: Michaela Matichova Communications support: Zoran Stevanovic, Blythe Fraser Foreword

eceived wisdom has favoured broad-stroke economic reforms for transition Eu- rope and since the fall of the Berlin Wall. Many have argued that priva- R tization and deregulation would unleash the productive energy of the market and attract foreign capital. This advice was seen to bear fruit. Following the transition reces- sion of the early 1990s, and especially after the crisis of 1998, the region saw a decade of broad-based and uninterrupted recovery. Livelihoods improved, and poverty declined on average in every country. This report builds on evidence that, despite these gains, a significant number of people in transition Europe and Central Asia continue to feel dejected, and believe that their position in society has declined. While some of these feelings may be rooted in the uncertainty that has accompanied market relations and greater freedoms, something more fundamental is at play. Even in the decade of recovery and growth, inequalities continued to widen— especially between central and peripheral regions. The recovery failed to lift significant segments of the population out of poverty. Many people fell further behind. Fundamental to this analysis is the concept of social exclusion. This report links the social exclusion/inclusion paradigm, as developed in the European Union context, with the hu- man development paradigm, as articulated by Amartya Sen. It starts from the premise that people value not only consumable goods and services but also things that cannot be consumed—activities and abilities that reinforce human dignity and self-respect. For example, we value employment not only because the income derived increases our pur- chasing power, but also because it makes us feel like worthy members of society. Human development is about a growing number of people leading lives that they increasingly value. Few of us, however, can engage in all that we value. We find ourselves deprived in one or another dimension. When deprivations accumulate, and especially when they start to reinforce one another, social exclusion occurs. This concept of social exclusion is broad and unabashedly relative. A deprivation occurs if an individual does not have the capability of consuming a basic basket of goods, or per- haps even accessing the internet, when this is expected in his or her social environment. While social exclusion is relative, this does not mean that it is subjective, in the sense that individuals perceive themselves to be excluded. Exclusion takes place when people don’t have the capability of doing well-defined things. The report emphasizes that social exclusion is not particular to any specific group. It can happen to anyone—and it has happened to many in the turmoil of transition, given cer- tain circumstances and policies (or their absence). At its extreme, social exclusion becomes marginalization. This happens all too often for groups, such as ethnic minorities—espe- cially Roma—or for people with disabilities. However, this report does not equate social exclusion with marginalization; nor does it associate social exclusion with specific groups. The report captures the complexity of social exclusion through a multidimensional Social Exclusion Index, a measure that is based on 24 types of deprivations. The Index is used to quantify and compare social exclusion in six countries in the region—ranging from Serbia to Tajikistan, with their different levels of development. The threshold at which the number of deprivations amounts to social exclusion is a matter of definition, but the report shows that the levels are significant in all the countries under any plausible threshold. More important, through ample analysis and numerous examples, the report illustrates how social exclusion occurs, and how it can be countered through deliberate, inclusive policies. For example, a deprivation such as low education level can interact with national or local policies—for example, the discontinuation of public transport connecting a vil- i lage to markets—to deprive an individual of employment. If no other family member has a significant source of income, this individual runs a high risk of being excluded. The report also makes a convincing case that, in the absence of deliberate and inclusive policies, too many people will become excluded, even if sustained growth returns. The report presents evidence of the strong linkages between exclusion and local charac- teristics—such as the size and economic structure of the area, the degree to which the area is connected to a major economic centre, and the quality of the local environment. This speaks to the marked spatial disparities in the region, especially between capital cities and remote locations. Social inclusion requires the coordination of national and local policies, and most importantly, needs a strong popular voice and participation in identifying the right policy choices. The report argues that achieving social inclusion is feasible, but it should be pursued sys- tematically. It requires deliberate, comprehensive solutions that are tailored to specific cir- cumstances, especially in diverse localities. It also argues that the tailoring is best done when those who benefit are included in the policy process. There is no silver bullet. The global financial crisis of 2008 has spelled an end to the relatively simple, broad-stroke, model of growth that had propelled many countries of the region in the previous decade. Looking ahead, a return to sustained growth rates will require more fine-tuned govern- ment policies aimed at greater competitiveness and productivity. In designing such poli- cies, one should remember that people’s capabilities are our greatest resource. Growth should focus on enhancing those capabilities. A major component of the policy mix should be the promotion of social inclusion. This will help to unleash the potential embodied in the high levels of human capital that characterize the region.

Kori Udovički Assistant Administrator and Regional Director UNDP Regional Bureau for Europe and the CIS

ii Acknowledgements: the making of this report

any people have contributed to this Regional Human Development Report. Kori Udovički, Director of the UNDP Regional Bureau for Europe and the Common- M wealth of Independent States (CIS), and Jens Wandel, Deputy Bureau Director and Bratislava Regional Centre Director, deserve special thanks for their vision and support. They enriched the process by giving crucial feedback, posing fundamental questions, and challenging several initial findings. Everyone involved deserves appreciation. The inclusive process behind the Report is worth documenting, given its complexity. It started with a brainstorming and discussions at the UNDP Regional Centre in Bratislava. Social inclusion was chosen as the subject of the Re- port in order to respond to increasing government demand for evidence-based policy guidance on the topic. Dorothy Rosenberg and Sevinc Rende drafted the concept note, and Susanne Milcher took on the role of project manager, deftly steering the Report through all phases of development. The authors first met in Bratislava in May 2009 for an inception workshop to discuss the concept and numerous other issues. At this meeting it was agreed that Max Spoor would be responsible for the economic dimensions of social inclusion, Shahrbanou Tadjbakhsh for the links between human development and social inclusion; Branka Andjelkovic for exclusion from political life; Tatjana Peric for exclusion from cultural life; Paul Stubbs for exclusion from social services and social assistance. Andrey Ivanov supervised the data collection group that carried out the Social Exclusion Survey, which serves as the main source of data for this Report. The data collection group consisted of Dotcho Mihailov (responsible for the sample de- sign and questionnaire), Mihail Peleah (responsible for the quantitative datasets, both from the Survey and secondary data), Sevinc Rende (who advised on the selection and construction of indicators) and Jaroslav Kling (responsible for managing the contract with TNS, the company that conducted the Survey). In parallel, national teams were put together in the six countries covered by the Survey to prepare background studies and conduct focus groups meetings, the findings from which contributed to this Report and to various National Human Development Reports. Bakhyt Abdildina coordinated Kazakhstan’s country team. Magdalena Saldeva and Aferdita Haxhijaha Imeri coordinated the team in the former Yugoslav Republic of Macedonia. Iu- lia Sevciuc was responsible for the team in the Republic of Moldova. In Ukraine, the team was coordinated by Katerina Rybalchenko, in Serbia by Jelena Tajic and in Tajikistan by Rustam Babajanov. (The Social Inclusion Survey did not cover Uzbekistan, but research led by Kakhramon Yusupov and Elena Danilova in Uzbekistan were reflected in the Re- port.) In June 2009, the national teams met in Istanbul to agree on the methodology and to discuss the data sources. Many of the inputs from the national teams were used in the re- gional analysis. The quotations that appear throughout the Report come from focus group meetings conducted in each of the surveyed countries. The national teams consulted extensively with local partners on the Social Exclusion Sur- vey, the sampling, and the other aspects of the research. One criterion for selecting coun- tries to participate in the Survey was that their national statistical offices would agree to provide statistical data and accept the administration of an independent survey. The Survey was conducted in the fall of 2009. The national background papers were ready by March 2010. Then the Report authors met again at the Bratislava Regional Centre to discuss the inputs and agree on the structure of the Report. In May 2010 Max Spoor con- iii solidated the first draft of the Report while Susanne Milcher integrated the results of the Survey. A thorough consultation and editorial process came next. In June-July, a group of peer re- viewers (Rafkat Hasanov, Orsolya Lelkes, Gordana Matkovic and Roman Mogilevsky) provided detailed comments. The Project Board and the Advisory Board followed with their own comments. By August 2010 Andrey Ivanov had put together a second draft that buttressed the data findings with ‘secondary source contextualization’.Jaroslav Kling and Daniel Skobla con- tributed to the quantitative data analysis and drafted key text boxes, and Mihail Peleah ran numerous recalculations and tests. They were assisted by Justin Kagin and Christian Brueggemann. The Report also benefited from critical comments from many colleagues. Within UNDP,An - nie Demirjian provided valuable insights on the role of governments; Koh Miyaoi gave ideas on how to strengthen the gender analysis; Monjurul Kabir and Clare Romanik helped to finalize the local governance aspects; Dan Dionisie elaborated the links be- tween corruption and social exclusion. Piotr Krosniak and Kamil Wyszkowski distilled the experience of social enterprises in Poland. From outside UNDP, Milorad Kovacevic made valuable comments on the statistical aspects of the survey and data analysis. In November-December 2010 Balázs Horváth and Gina Lucarelli edited and streamlined the Report, creating the third draft. Eva Jespersen and Sabina Alkire made a series of extremely helpful comments in January-February 2011. Peter Serenyi conducted a ma- jor linguistic edit of the Report in February-March. Blythe Fraser and Giulio Quaggiotto created the web platform. Zoran Stevanovic, together with Andrey Ivanov, produced a short documentary on homelessness in . Finally, Michaela Matichova, Eunika Jur- cikova and Veronika Kalousova provided invaluable administrative support. In sum, the process benefitted from the contributions of many people. Everyone involved has learned a great deal, and the hope is that the networks and partnerships established in the process will continue to flourish. The authors thank all of those involved in the process, while acknowledging sole responsibility for any errors found herein. All materials employed in the preparation or promotion of this Report (including back- ground papers, focus groups reports, project descriptions and national reports) can be found at http://europeandcis.undp.org/poverty/socialinclusion.

iv Table of contents

Foreword...... i Access to Energy...... 28 Acknowledgements: the making of this report...... iii Mobility and transportation...... 29 List of figures...... vii ICT and the digital divide...... 29 List of tables...... viii Exclusion from social networks and civic participation ...... 30 List of boxes...... viii Civil society participation...... 30

Levels of trust, participation in civic Executive summary...... 1 networks and social capital...... 31 Human development and social inclusion: Major findings of this chapter...... 33 key linkages...... 1 Measuring social exclusion...... 2 Chapter 3: The multidimensional What the new methodology reveals...... 3 social exclusion measure...... 35 Recommendations...... 4 How to quantify social exclusion?...... 35 Level and depth of social exclusion in the region ...... 38 Chapter 1: Social exclusion, social inclusion, Structure of deprivation...... 39 and human development ...... 7 Social exclusion and the Human Definitions and terminology...... 7 Development Index...... 42 Human development: Individual characteristics and their A people-centred approach...... 7 impact on social exclusion...... 42 Social exclusion: denied participation...... 8 Limitations of the index...... 47 Social inclusion: expanding opportunities...... 9 Major findings of this chapter...... 48 Social exclusion, social inclusion and human development ...... 10 Chapter 4: Drivers of social exclusion...... 49 Monitoring social exclusion...... 11 Structures and institutions as drivers Dimensions of analysis...... 11 of social exclusion and inclusion ...... 49 The social exclusion chain...... 12 The legacies of the past...... 49 Major findings of this chapter...... 14 Institutional transition and governance...... 51 Rule of law and social inclusion...... 53 Chapter 2: Dimensions of exclusion Labour market institutions...... 53 in the region...... 15 Policies as drivers of social exclusion or inclusion ...... 55 Transition in the Europe and Central Asia region ...... 15 Growth models ...... 55 Exclusion from economic life...... 16 Social policies as drivers...... 58 Income poverty...... 17 Decentralization policies as drivers...... 59 Unemployment...... 18 Values and behavioural patterns as drivers of social exclusion ...... 60 Access to assets and capital...... 20 Gender...... 61 Exclusion from social services...... 20 Minorities...... 62 Early childhood, education and training, and life-long learning...... 21 Alienation and withdrawal from society ...... 65 GDP per-capita, 2008 ...... 21 Major findings of this chapter...... 66 Universal education?...... 22 Affordable health care?...... 23 Chapter 5: The local context and social exclusion...... 67 Social protection ...... 24 The local context...... 67 Housing and living conditions...... 27 v Mono-company towns versus Diversifying growth opportunities ...... 87 the knowledge economy...... 67 Optimizing the scope of government The impact of environmental disasters involvement in economic activity ...... 88 on social exclusion ...... 68 Changing mindsets: towards tolerant societies...... 88 Individual risks and local context...... 69 Realistic approaches to anti-discrimination ...... 88 Food and housing risks ...... 69 Inclusive education and labour markets...... 89 Local schooling...... 70 Fine-tuning policies to the local context...... 90 Tolerance of corruption ...... 72 Strengthening community capacities When local context aggravates individual risks ...... 72 and integrative social planning...... 90 Disability and the local context ...... 73 Individual entrepreneurship and sense of community ...... 90 Education, location and job prospects...... 73 Integrating monitoring and evaluation into Age, location and environmental disasters ...... 74 the social inclusion policy process...... 91 Major findings of this chapter...... 74 Evidence-based policies, data and indicators...... 91 Chapter 6: Towards inclusive societies...... 75 A sub-regional open method of coordination...... 91 Main conclusions of the report...... 75 Recommendations: the strategy level...... 76 Methodological annexes...... 93 Genuine policy commitment Annex 1: Social Exclusion Survey (2009)...... 93 to social inclusion...... 77 Methodological note...... 93 Learning from experience 1.1. Background...... 93 in the European Union...... 79 1.2. Coverage and timing...... 93 Towards pre-emptive policies: decreasing individual risks to social exclusion...... 80 1.3. Unit of observation and analysis, sample size and sampling method ...... 94 Inclusive social services...... 80 1.5. Characteristics of the sampling clusters...... 95 Education, health and basic services accessible to all...... 80 1.6. Qualitative aspects of social exclusion...... 95 Improving the employability Annex 2: Multidimensional social exclusion of the labour force...... 81 measurement...... 96 Revisiting social protection...... 82 2.1. Construction of the index and selection of the indicators ...... 96 Services for the elderly...... 83 2.2. Robustness checks of indicators Child benefits...... 83 for the Social Exclusion Index ...... 98 Social services for vulnerable families...... 84 2.3. Constructing the multidimensional Unemployment benefits...... 84 Social Exclusion Index...... 101 Turning drivers of social exclusion 2.4. The selection of thresholds...... 102 into drivers of inclusion ...... 84 2.5. Regional averages – Towards inclusive institutions...... 85 weighted or unweighted?...... 103 Defining an appropriate role for the state ...... 85 Annex 3: Social exclusion profiles of individual countries...... 106 Improving government effectiveness ...... 85 Annex 4: List of abbreviations...... 108 Local councils and inter-municipal cooperation...... 86 Building social capital...... 86 Bibliography...... 109 Economic policies for inclusive growth...... 87 Redefining growth in a human development context...... 87

vi List of figures

Figure 1.1: The relationship between human Figure 4.3: Effective governance reduces development, social exclusion and social inclusion...... 10 social exclusion...... 52 Figure 1.2: The ‘social exclusion chain’...... 13 Figure 4.4: ...So does a friendly business environment...... 52 Figure 2.1: GDP per-capita trends 1990-2008 Figure 4.5: Improved rule of law mitigates (as а percentage of 1990 values) ...... 15 social exclusion...... 53 Figure 2.2: Employment ratios (in percent), 1990-2008....16 Figure 4.6: Disappointed by transition...... 54 Figure 2.3: The Human Development Index, 1990-2007..16 Figure 4.7: Insecure employment and social exclusion.....55 Figure 2.4: Income inequality as measured Figure 4.8: Labour market institutions by the Gini coefficient, 1989-2005...... 16 foster social inclusion...... 55 Figure 2.5: Income versus inequality, 2005...... 17 Figure 4.9: The questionable benefits of informal Figure 2.6: The percentage of households with employment ...... 57 per capita consumption below three poverty lines...... 17 Figure 4.10: Declining solidarity goes hand Figure 2.7: Percentage of children living in in hand with social exclusion...... 59 households with daily per capita Figure 4.11: Should children with disabilities consumption below 2.50 US$ PPP in 2005...... 18 attend mainstream schools?...... 64 Figure 2.8: Unemployment rates of the working Figure 4.12: What school should children age population (15-64) in Serbia ...... 19 with disabilities or HIV attend?...... 64 Figure 2.9: The percentage of children enrolled Figure 4.13: Share of people who have experienced in pre-school rises with income...... 21 prejudice in the past three months...... 65 Figure 2.10: Government health expenditure as Figure 5.1: Multiple employment opportunities a percentage of GDP (1995-2008)...... 22 decrease the risk of social exclusion...... 67 Figure 2.11: Share of respondents saying Figure 5.2: Areas with multiple employers unofficial payments are needed are more resilient to crisis ...... 68 for medical treatment (in percent)...... 24 Figure 5.3: Better infrastructure promotes Figure 2.12: Number of children in institutional social inclusion...... 69 care per 100,000 people 18 years or younger (2006)...... 26 Figure 5.4: Environmental disasters contribute Figure 2.13: Percentage of urban and rural to social exclusion in three dimensions...... 69 populations living in dwellings not connected Figure 5.5: The risk of hunger, and eviction persists...... 70 to a public water network, 2005-2006...... 27 Figure 5.6: Subsistence agriculture helps Figure 3.1: Composition of the economic to decrease exclusion...... 70 dimension ...... 39 Figure 5.7: Social exclusion leads to inferior education....71 Figure 3.2: Composition of the ‘social services’ dimension...... 40 Figure 5.8: …but how much so depends on location...... 71 Figure 3.3: Composition of the ‘civic’ dimension...... 40 Figure 5.9: Social exclusion is lower in communities that do not tolerate corruption...... 72 Figure 3.4: Social exclusion is the product of a wide range of deprivations...... 41 Figure 5.10: Disability increases the risk of social exclusion, but not universally...... 72 Figure 3.5: Human development and social exclusion...... 42 Figure 5.11: Individual risks and local specifics Figure 3.6: Social exclusion and age...... 43 interact to produce social exclusion ...... 73 Figure 3.7: Location matters...... 44 Figure 5.12: Youth and the elderly living in villages are Figure 3.8: Employment is critical for avoiding especially vulnerable to social exclusion...... 74 social exclusion...... 45 Figure A.1: Different thresholds but a similar outcome. 102 Figure 3.9: Good education matters ...... 45 Figure A.2: Testing the robustness of the adjusted Figure 3.10: Vulnerable groups and social exclusion...... 46 social exclusion headcount, M0 for cut-offs k...... 103 Figure 3.11: Similar levels of social exclusion Figure A.3: Social exclusion headcount - regional averages but different structures...... 47 (population-weighted and non-weighted)...... 104 Figure 3.12: Actual exclusion is different Figure A.4: Average deprivation index - regional averages from perceived exclusion… ...... 47 (population-weighted and non-weighted)...... 104 Figure 3.13: Social exclusion correlates with Figure A.5: Multidimentional Social Exclusion people’s dissatisfaction with their living standards...... 48 Index - regional averages Figure 4.1: Connections mattered then… (population-weighted and non-weighted)...... 105 and matter now...... 50 Figure A.6: Social exclusion and age...... 105 Figure 4.2: Differences in governance across the region ...... 51 vii List of tables

Table 2.1: Spatial distribution of consumption Tables in Annexes poverty (1998-2003) (in % of population)...... 18 Table А1. Survey respondents by country and sex...... 94 Table 2.2: Percentage of people by employment status (November 2009) ...... 19 Table А2. Indicators for the multidimensional social exclusion index and distribution of population Table 2.3: Lack of Access to Utilities (in %)...... 27 by indicator and country...... 96 Table 2.4: The percentage of people Table А3. Factor loadings (pattern matrix) who cannot afford electronic equipment...... 29 and unique variances...... 98 Table 2.5: Percentage of people who disagree with Table А4. Partial correlation matrixes...... 100 the statement: “Most people can be trusted”...... 31 Table А5. Final working sample for the construction Table 3.1: Social exclusion in the six surveyed of the Social Exclusion Index...... 101 countries...... 38 Table А6. Testing the robustness of the Social Table 3.2: Sources of social exclusion for Roma, Exclusion Index for cut-off threshold k = 9...... 103 IDPs and the general population in Serbia (percentage contribution of each dimension Table A.7: Social exclusion and education...... 105 to social exclusion by group)...... 46 Table A8: The contribution of individual deprivations.... 106 Table 4.1: Adapting to a new life in Ukraine...... 54 Table 4.2: Official aid and remittances...... 56

List of boxes

Box 1: UNDP’s body of research on Box 10: Influencing local policies social exclusion and social inclusion...... 9 that impact women in Albania...... 61 Box 2: A rights-based approach to social exclusion – Box 11: Inclusion in community structures versus the what, who and how of social inclusion...... 11 the individual right to choose in Tajikistan...... 63 Box 3. The definition of the region...... 15 Box 12: Social Exclusion of people living with HIV in Eastern Europe and the CIS...... 65 Box 4: The homeless...... 28 Box 13: Adults and Children with Disabilities ...... 73 Box 5: The ties that bind...... 32 Box 14: How the European Union seeks Box 6: The EU approach to measuring poverty to achieve social inclusion...... 78 and social exclusion...... 35 Box 15: Social enterprise: U Pana Cogito Inn in Poland...... 82 Box 7: Promising approaches to collecting data on social exclusion...... 36 Box 16: Conditional cash transfers can promote social inclusion ...... 83 Box 8: What it means to be deprived: Clarifying the survey methodology...... 37 Box 17: The Shared Society Project...... 86 Box 9: Social exclusion in Central Asia Box 18: Social inclusion in Turkey: and the impact of legacies...... 50 the Dreams Academy project...... 89

viii

Executive summary

nderstanding the concept of so- of added social protection, policing and cial exclusion is critical for assess- prisons. A society with higher levels of so- U ing the transformations that have cial exclusion is not only less vibrant and taken place in the post-socialist countries cohesive, but also less safe, productive and of Europe and Central Asia (ECA).1 Social ex- dynamic. Devoting efforts and additional 1/ For the purposes of this clusion deprives people of the opportunity resources to enhancing social inclusion report, the ‘ECA’ region – or to participate in economic, social and civic ought therefore be a critical policy priority. simply ‘the region’ – refers processes, and limits their ability to lead to the former socialist coun- productive, creative lives in accordance Human development and tries that have undergone with their needs and interests. Socially ex- social inclusion: a dramatic political and eco- cluded persons find themselves confined to key linkages nomic transformation since the fringes of society. To paraphrase Adam 1989-1991. This report does Smith, they are not able to appear in pub- not explicitly refer to Cyprus, This report confirms that income-based lic without feeling shame. Social exclusion Malta and Turkey – which measures of poverty are insufficient for cap- occurs in part because growth does not al- are also covered by UNDP’s turing the depth and breadth of the depri- ways translate into increased job opportu- Regional Bureau for Europe vations in the region today. Analysing the nities, improved social services, and greater and the Commonwealth of transformations through the broader prism opportunities for civic participation. Independent States – as of human development becomes critical. they do not share the social- The changes that followed the collapse of Human development assesses people’s ist legacy or the experience the socialist system have fundamentally well-being beyond income and includes of transition. However, the redefined people’s lives, values and be- people’s ability to live long, healthy and report’s underlying analyti- haviour. Transition has brought freedoms creative lives; to advance other goals which cal framework and many of and choices to many, but deprived many they have reason to value; and to engage its conclusions are relevant others of the ability to live long, healthy in shaping development equitably and sus- for these countries as well. and productive lives. These deprivations tainably on a shared planet. have wider social consequences. When a medical commission in Moldova rejects a This report integrates the social inclusion 44-year-old woman’s application to work and human development – two people- on the grounds that she has rheumatic ar- centred concepts that governments in- thritis; when a municipality in Kazakhstan creasingly view as integral for addressing denies a rural resident the chance to com- persistent poverty and shortfalls in educa- mute to work by cancelling a bus route; or tion and health. While human development when schoolchildren in the former Yugo- is recognized as the goal of development, slav Republic of Macedonia shun an orphan social inclusion is important because, as a because they think she is dirty, society as a process for removing the obstacles pre- whole loses. Not only do the victims suffer venting people from realizing their capa- increased risk of social exclusion, but also bilities, it offers a map for how policy can society experiences a loss of human re- be employed to achieve higher levels of hu- sources and productive gains. If high levels man development. of social exclusion lead to increased social Given that people are the centre of devel- tensions, society must also count the cost opment, this report breaks new ground by

1 looking at social exclusion from the per- Measuring social exclusion spective of risks faced by individuals–rath- er than risks faced by vulnerable groups. A The report not only advances the concept key message of this report is that anybody of social exclusion, but also proposes a new can be excluded. We assume that individu- approach for quantifying it. The approach is als have a number of characteristics that reflected in the Multidimensional Social Ex- can put them at risk of social exclusion. We clusion Index, which captures the complex define those characteristics as social exclu- nature of social exclusion. It is based on the sion risks. Being disabled, a workaholic, or multidimensional poverty methodology of inadequately educated are just a few char- Alkire and Foster which has been employed acteristics that can put a person at risk of in UNDP’s 2010 Global Human Develop- social exclusion. ment Report. The index assesses the status Not all risks produce social exclusion. of people and their households along three Whether social exclusion occurs depends dimensions: economic exclusion, exclusion how risks interact with ‘drivers’ such as in- from social services, and exclusion from civic 2/ The survey, which was stitutions, norms, policies and behaviours. participation. The social exclusion index em- carried out in 2009, was For example, anti-discriminatory legisla- ploys 24 indicators – eight for each dimen- cost-shared by the UNICEF tion can decrease a disabled person’s risk sion – that reflect the ways in which people Regional Office for Central of social exclusion. Legislation banning gay are denied access to labour markets, educa- and Eastern Europe and the marriage increases a homosexual couple’s tion and health systems, as well as to civic Commonwealth of Inde- risk of social exclusion. Peers who don’t and social networks. An individual is defined pendent States. In Serbia value knowledge increase the risk of social as socially excluded if he or she is deprived the survey sample included exclusion for a bright child who is willing in at least nine indicators. Since a dimension internally displaced persons to study. These are just a few examples il- contains only eight indicators, to be consid- as well as members of lustrating a larger theme: social exclusion ered socially excluded a person must be de- the Roma minority. The is not just a problem for disadvantaged or prived in at least two dimensions. The index survey was carried out by marginalized populations. It is a concern reflects both the share of people that experi- TNS Slovakia and its local for everybody, as everybody faces risks. ence at least nine out of 24 deprivations, and branches in the countries the depth (how many deprivations socially The local context also influences individual covered and employed the excluded people experience on average). risks. Local factors that could augment in- same methodology for all dividual risks and affect social exclusion The report then applies this methodology countries, thus permitting include available employment opportuni- through nationally representative house- cross-country comparisons. ties, distance to urban centres, the state of hold surveys that were conducted in 2009 in Qualitative information basic infrastructure, or whether a locality the framework of a regional survey,2 hereaf- from focus-group discus- has been hit by conflict or environmental ter referred to as the ‘Social Exclusion Survey’. sions and individual degradation or both. Individual risks could Some 2,700 persons were surveyed in each interviews with vulnerable result in social exclusion if a member of the of six countries: Kazakhstan, the Republic of groups complement the majority population lived in an area domi- Moldova, Serbia, Tajikistan, the former Yu- quantitative data and nated by an ethnic minority, particularly goslav Republic of Macedonia, and Ukraine. provide valuable insights if that locality had a history of ethnic con- Such analysis is important because in order into the experiences of flict. Likewise, a person who works to fight to design more socially inclusive policies socially excluded persons corruption yet whose mayor takes bribes we must first understand the breadth and that are difficult to capture might find that his risk of exclusion could depth of social exclusion. through traditional be higher. survey techniques. Finally, The Multidimensional Social Exclusion Index important information The report addresses the process of social introduced in this report is relevant beyond comes from seven country exclusion in its entirety, integrating the in- the six countries covered by the survey. The studies (carried out in the dividual vulnerabilities and risks, the driv- measurements can be adapted to national six surveyed countries and ers of exclusion and the specifics of the circumstances. The indicators selected are in Uzbekistan). These have local context into a comprehensive social not etched in stone; rather, they are intend- been prepared in close exclusion chain. Addressing its individual ed to be a point of departure for national de- consultation with national components only will not bring about tan- bates on how best to measure social exclu- stakeholders (government, gible and lasting results. In order to achieve sion. Nationally relevant indicators should civil society, academia) social inclusion, concerted interventions be selected in an inclusive and participatory who helped to shape both targeted at the entire social exclusion chain way. The index can also contribute to EU- the regional and country are necessary. level analysis of social exclusion, which has reports. focused mainly on income-based measures of poverty and social exclusion.

2 What the new methodology Who are most at risk of exclusion? reveals Applying the methodological framework described above and the social exclusion This methodology shows that social exclu- measurements, the report goes beyond sion is pervasive in the Europe and Central an aggregated headcount of excluded Asia region. According to the analysis, one populations and brings the reader closer out of every three persons is socially exclud- to answering the question, ‘Who are the ed. One out of 10 is socially excluded in the socially excluded?’ The data suggest that in former Yugoslav Republic of Macedonia, the case of elderly persons, children, youth, while seven out of 10 is socially excluded rural dwellers, and of the unemployed and in Tajikistan. Furthermore, the report con- undereducated, the probability of individ- firms the hypothesis that economic indica- ual risks leading to social exclusion is much tors of social exclusion only partly explain higher than for the population as a whole. this phenomenon. Two other factors – lack The elderly experience levels of social ex- of access to social services, and lack of ac- clusion that are often twice as high as for cess to civic and social networks – contrib- the country as a whole. In Ukraine, for ex- ute equally to social exclusion. ample, social exclusion among the elderly is 43 percent, some 23 percentage points Diverse headcounts but similar patterns higher than the national average. In the for- Surprisingly, the analysis reveals that, de- mer Yugoslav Republic of Macedonia, social spite the diversity of the region, the depth exclusion among the elderly is 22 percent, of social exclusion is remarkably similar some 10 percentage points higher than the across the six countries surveyed. In other national average. On average, 42 percent words, a person in the former Yugoslav of children (aged 0-15) and 35 percent of Republic of Macedonia faces the same in- youth (aged 15-29) live in households that tensity of social exclusion as a socially ex- are socially excluded in the six countries. cluded person in Kazakhstan. The analysis The share of socially excluded children is also suggests that people across countries particularly high in Tajikistan (73 percent) adopt similar coping strategies to deal with and the Republic of Moldova (47 percent). their exclusion. Worryingly, children experience the deep- est levels of social exclusion. The report also finds that jobless growth, which has characterized the region in recent Likewise, social exclusion among the un- years, has created a layer of discouraged employed is substantially higher than for workers (particularly women and middle- the population as a whole. Social exclusion aged persons) who have had to take jobs among jobless workers is 12 percentage in the informal sector. Such ‘shadow econ- points higher than among the rest of the omy’ employment fails to provide health or population in most countries of the region. pension benefits, the lack of which can lead The rate of social exclusion among people to poorer education, health and nutrition. with low levels of education is two times Vicious cycles can result. Lower education higher than the overall rate of social exclu- levels can lead to diminished job oppor- sion in Ukraine, Serbia and the former Yu- tunities. Lack of transportation in remote goslav Republic of Macedonia. villages can lead to a diminished ability to The social exclusion index does not indi- take part in political decision-making to ad- cate significant gender differences among dress the lack of transport. Such processes the socially excluded, but this doesn’t can create an entrenched underclass, such mean that women and girls are immune to as we see with Roma. higher social exclusion risk. The absence of According to the survey, people don’t trust a significant difference can be attributed their neighbours. Nor do they trust govern- to the way the index was constructed, as ment institutions, which are supposed to it was largely based on household-level protect their interests. They increasingly deprivations which do not factor in intra- rely on informal channels, a practice that household gender disparities. diminishes transparency and may encour- While people in all six countries face a age corruption. Such patterns hinder effec- broadly similar depth of social exclusion tive and responsive public administration on average, members of some groups are – a prerequisite for inclusive societies. more deprived than others. Such groups

3 can be defined both by ethnicity (such as social exclusion for a young person with Roma) or status (internally displaced per- secondary education in a rural community sons, refugees, the homeless). In Serbia, the with only one employer is more than three survey was expanded to include Roma and times higher than for a young person with internally displaced persons–with striking primary education in a small town with results. The magnitude of social exclusion multiple employers. among Roma is 86 percent, and 56 percent among internally displaced persons, com- Recommendations pared with 19 percent for the rest of the population. To reduce social exclusion, governments The role of values should foster increased employment op- portunities, particularly where people live The report suggests that values and behav- in mono-company towns. Furthermore, iour matter. The data permit us to correlate policy makers would do well not only to the exclusion of people with disabilities boost the number of employers but also to with the local community’s tolerance for increase social services and avenues for po- diversity. When a person with disabilities litical representation. Local development lives in a community that tolerates inclu- strategies need to consider such activities sive education, the magnitude of exclusion when embarking upon employment gen- is only 16 percent. However, this figure rises eration programmes. to 30 percent when the community is less open to inclusive education. By contrast, Furthermore, governments should address tolerance of corruption worsens exclusion the three dimensions of social exclusion— outcomes. The magnitude of social exclu- exclusion from economic life, from social sion is nine times higher in villages and services, and from civic life and networks– seven times higher in small towns where in an integrated manner. Simply reducing the majority of respondents tolerates infor- income poverty or addressing one indi- mal payments. vidual risk or driver will not eradicate social exclusion. Instead, multiple interventions, Spatial aspects of social exclusion implemented in a concerted manner, re- and mono-company towns flecting the complexity of the problem, are Social exclusion has clear spatial dimen- needed. sions. The farther people live from urban Policy commitment with clear targets centres, the greater the social exclusion. The percentage of socially excluded persons in There is a need for a long-term policy com- rural areas is almost four times that of per- mitment to social inclusion. Social inclu- sons in urban areas. Living in rural areas is sion should be as high on policy agendas a massive disadvantage. With fewer job op- as economic growth or poverty reduction. portunities and networks and less access to As a first step, governments need to adopt goods, social services and transport, many well-defined strategies for combating social rural dwellers choose to migrate to urban exclusion, with clear responsibilities and a areas, a phenomenon that does not always designated lead agency. The experience of benefit society at large. EU member states—although developed and tested in a different economic and po- The report finds that social exclusion is litical context—can be useful in that regard. highest in communities that had been Political will is also necessary to implement dominated by one or two companies prior evidence-based policies with clear social to 1989. This is an important issue. The Rus- inclusion targets and measurable indica- sian Federation, for example, has desig- tors. nated 335 towns as mono-company towns, with a combined population of 16 million Political commitments need to be matched people. Our data show that if such commu- by well-defined targets and transparent nities were to diversify their economic base monitoring based on relevant indicators. and provide more employment opportuni- Without the accountability stemming from ties, the average magnitude of social exclu- using such targets and progress indicators sion they experience would decrease from in a robust and independent monitoring 18 to 11 percent. This would be particularly and evaluation system, social inclusion will effective for addressing social exclusion remain a slogan. The indicators proposed in among young people. The magnitude of this report can act as guiding examples and

4 starting points for developing and further were based on sound first principles, focus- tailoring indicators to national and sub- ing on actual needs and effective impact national contexts. monitoring. Preventive focus on individual vulnerabilities  Employability and inclusive markets matter. An important way to promote both Addressing individual risks that make peo- employment opportunities for popula- ple vulnerable to exclusion before those tion groups at risk of social exclusion and risks translate into social exclusion should a mindset change in society at large is to take place in two areas that complement improve the employability of the labour and reinforce each other. The first encom- force through improved vocational edu- passes the entire range of social services cation, active labour market policies and that improve individuals’ capacity to re- through developing or strengthening the spond to exclusion risks. The second area small-scale private sector, including the so- largely falls under social protection and so- cial economy. cial safety nets. Clear focus on people’s capacities  Basic services should be accessible to all. They should be appropriate, adaptive and For social inclusion policies to yield results, flexible. The provision of quality and ac- they need to aim for changes in norms and cessible education, health, housing, water, institutions to enable them to identify and sanitation and transportation services is expand people’s capacities and opportuni- vital to break the intergenerational cycle ties. The report argues for inclusive institu- of social exclusion in the region. Improving tions, education and labour market policies access to these services for all is a prereq- to support inclusive, diversified growth uisite for addressing inequality and social and to help change mindsets. These would exclusion. gradually change the drivers of social exclu- sion to begin acting as drivers for inclusion,  Accessible education that adapts to the and raise tolerance in society. changing economic and social environment is particularly important in the context of  Governments have a clear responsibility social inclusion. Educational systems’ per- for defining and enforcing equal ‘rules of formance outcomes materialize over gen- the game’ and preventing market failures. erations. In the region, the achievements of For that purpose, improving the quality of the previous system are often perceived as governance is highly important and entails ‘given’ – which they are not. In fact, while improving accountability, strengthening the post-transition averages do not place national institutions and increasing their the region behind other regions of similar transparency, thereby decreasing corrup- development levels, these countries were tion. It also entails increasing the govern- distinctly ahead in such comparisons two ment’s effectiveness in the provision of decades ago. Moreover, some countries public services. These steps would bridge have gone through a marked absolute the gap between citizens and the state worsening. Understanding the momentum making the former more willing to iden- of the educational systems and their po- tify with—and be part of, included in—the tential role in the social exclusion chain is scope of activities of the latter. crucial for social inclusion.  People and their well-being are the ulti-  Social policies are not currently fulfilling mate objectives of economic development. their potential to promote social inclusion. It is of utmost importance that any model A legacy of category-based social protec- of development needs to be more oriented tion and a combination of legalism in terms towards sustainable sources of growth and of formal rights and discretion in the front- less concentrated in the capital cities. Only line bureaucracy, along with stigma, dis- then can growth markedly reduce the mag- crimination and formalistic approaches led nitude and depth of social exclusion. to increasingly poorly targeted benefits.  Diversifying development opportunities A good short-to-medium-term approach is a critical dimension of inclusive growth. would be to focus on universal child ben- It entails policies that increase the chances efits and the provision of quality social ser- for starting small- and medium-sized enter- vices and adequate social pensions. Much prises, decrease the dependency of local could be achieved within the existing fiscal authorities on central transfers while giving envelope, if the reallocation of resources

5 them more responsibility for budget use, ual orientation, people living with HIV, and and strengthening mechanisms to make former prisoners. Two additional features them accountable to local populations; stand out: stimulate local economic development,  Changing mindsets requires long-term and ‘crowd in’ private investment by pro- approaches. These include strengthening viding an improved business climate, infra- comprehensive anti-discrimination laws, structure, and communication. policies and institutional mechanisms Deliberate efforts to change mindsets based on respect for human rights, dignity and freedom matched by implementation Even the best-crafted policies will not do capacity. Weak legal frameworks and insti- much unless they resonate with the expec- tutions result in low levels of acceptance of tations of responsive and supportive con- inclusive measures (such as inclusive edu- stituencies. To have lasting positive effect, cation), and hence also need to be targeted policies need to be communicated to the by policies. public and the public needs to see them as legitimate and in society’s interest. Seen  Changing mindsets in minority popula- from that perspective, changing mindsets tions is also important. Inclusion is a two- towards universally accepted values has sided process in which both the excluded immediate policy relevance. Values have and the majority population must accept shifted during transition. For example, in and accommodate the characteristics of Central Asia the wholesale rejection of the the other. previous system’s values is resulting in a Implementing these recommendations return to traditional gender and cultural will not guarantee success. The process will norms, which can create new sources of differ from country to country. But -apply exclusion for women. Decreasing levels of ing the policies outlined in this report will solidarity in combination with intolerance bring us one step closer to a more efficient to diversity can result in increasing discrim- and sustainable society—one where peo- ination against ethnic minorities, persons ple can realize their full potential. with disabilities, people with different sex-

6 Chapter 1: Social exclusion, social inclusion, and human development

his chapter introduces the termi- The key aspects of human development nology of the report. Drawing on are not fixed. This flexibility enables the hu- T the definitions used by the Euro- man development concept to be applied in pean Union (EU) and UNDP, it defines so- both developing and developed countries cial exclusion, social inclusion and human and to be tailored to different national con- development. It then links these three con- texts. cepts, articulating a single framework for ‘People are the real wealth of a nation. The social exclusion and human development basic objective of development is to create an in the Europe and Central Asia region. enabling environment for people to live long, healthy and creative lives’. These were the Definitions and opening words of the 1990 Human Devel- opment Report. The 1991 Human Develop- terminology ment Report refined the concept in a simple This report views social exclusion and social inclusion through a human development “You talk to a person, it seems like you are already friends and sud- lens, which emphasizes the ‘expansion of denly you hear – “Excuse me, you are in a wheelchair and I cannot people’s freedoms to live long, healthy invite you to my birthday party … you know, you are in a wheelchair”. and creative lives; to advance other goals Or I ask a neighbour to help me go outside and he says – ‘Am I your they have reason to value; and to engage servant who helps you go outside?’” (24-year-old man with a disabil- actively in shaping development equita- ity, urban area, The Republic of Moldova) bly and sustainably on a shared planet’.3 Human development is both about status sentence: ‘The real objective of development (the achieved level of development) and is to increase people’s choices’. Additional 3/ UNDP 2010b: 22. process (the kind of development that is choices include political freedom, guaran- people-centred, where people are the ben- teed human rights and self-respect – what eficiaries and also the agents of change– Adam Smith called the ability to mix with both as individuals and as groups). others without being ‘ashamed to appear Human development: in public’. It also argued that to advance human development, economic growth A people-centred approach ought to be ‘participatory, distributed well, and sustainable’. 2010 marked the 20th anniversary of the hu- The human development paradigm em- man development concept, which serves as phasizes two simultaneous processes: the the analytical framework for UNDP’s global, formation of human capabilities and the regional and national human development use to which people put them. It is there- reports (HDRs). Since the human develop- fore a destination, a goal for social and ment paradigm was first articulated in the political processes, as well as a roadmap. It 1990 Human Development Report, the refers to the processes and the outcomes of language, examples, and policy recom- development as the expansion of people’s mendations have developed, but the focus choices, capabilities and freedoms. has remained on people’s lives, freedoms and capabilities.4 People are the beneficia- The absence of public services, such as so- 4/ See Alkire (2009) for ries of development, as well as the agents cial assistance, health care, education and a full discussion of the who can improve their lives. Resources, law enforcement, may increase vulnerabili- evolution of the Human incomes, institutions, as well as political or ties and limit choices. Authoritarian regimes Development Reports. social guarantees, are all important policy can violate political and civil rights and im- goals. Ultimately, however, success must be pose restrictions on people’s freedom to defined in terms of the lives people lead, participate in the social, political and eco- and the capabilities they possess. nomic life of the community.5 These restric- 5/ Sen 1999.

7 tions effectively limit people’s choices and course of citizenship, social rights and so- thus, their level of development. cial justice, the status of ‘being socially ex- cluded’ is not merely understood as a lack The 2010 Report, Rethinking Human De- of access to goods, but as a lack of access velopment, reaffirms the relevance of the to rights. If poverty is defined in relation to human development paradigm in several income or material deprivation, social ex- ways. First, measurements of various di- clusion is defined in relation to social rights mensions of human development for 20 such as the right to work, housing, health years suggest that the causal links between services, and education.8 economic development, democracy and human development are complex and For Sen,9 social exclusion occurs when one not necessarily linear. Second, the increas- does not have the freedom to undertake ing uncertainty within the global financial activities that a person would have reason system and the growing challenges posed to choose. The process of social exclusion by climate change reinforce the need for a is intrinsically linked to the denial of free- broader concept of human development. dom. People may be excluded from taking Finally, the new 2010 Human Develop- advantage of an opportunity because of a ment Index has been adjusted to take into deliberate policy or practice in society (‘ac- account inequality, bringing the question tive exclusion’), or as a result of a complex of social exclusion to the forefront of the web of social processes in which there are global debate. no deliberate attempts to exclude (passive exclusion). Social exclusion: There are many examples of both kinds of denied participation social exclusion. For instance, unemploy- ment experienced by a particular group Social exclusion is seen in this report both of people, such as migrants in their host as a process and an outcome. It is a pro- country, on account of specific legal restric- cess that pushes certain individuals to tions, constitutes ‘active exclusion’. Passive the margins of society and prevents their exclusion occurs when unemployment re- full participation in relevant social, eco- sults from a complex web of institutional nomic, cultural, and political processes. and systemic factors with no employment- As an outcome, it denotes the status and specific decisions involved. characteristics of the excluded individual. The process of social exclusion, whether Social exclusion status has many dimen- active or passive, may result in reduced hu- sions – poverty, lack of basic competencies, man capabilities. Reduced capabilities in limited employment and educational op- one field might be responsible for depriva- portunities, as well as inadequate access to tions in other fields of life, further fuelling social and community networks and activi- the process of social exclusion. Sen refers ties. Differentiating between exclusion as to this as ‘capability failures’ and believes a ‘process’ and as a ‘status’ is important for that social exclusion plays an instrumental understanding the dynamic relationships role. Social exclusion is multi-dimensional, among the different dimensions of social including economic, social and civic di- exclusion. A focus-group participant cap- mensions. Deprivations in one dimension tured this idea succinctly: “When you work, can reinforce deprivations in another, and you have friends. As soon as you lose your job, these multiple deprivations can result in 6/ UNDP Montenegro 2009. you have no friends at all”. 6 social exclusion. The concept of social exclusion has evolved Social exclusion is not only characterized with the concept of social rights, rooted in 7/Lenoir 1974. by material deprivation, but by feelings of the idea of the European welfare state. In inferiority, alienation, loss, and shame. Be- 1974, René Lenoir, the Secretary of State ing socially excluded is both about status 8/Lister 2004. for Social Issues in the Gaullist Government and self-perception. Social exclusion re- led by Jacques Chirac in France, in his study flects the status of an individual vis-à-vis ‘Les Exclus’ defined ‘the excluded’ as peo- 9/ Sen 2000. mainstream society. This makes it much ple from all social categories who are not more relative than income poverty. How- included in the social insurance systems of ever, similar to poverty monitoring, the the welfare state.7 relative nature of social exclusion does not The concept has been further adapted preclude its measurement both in relative and rearticulated over time. Within the dis- and absolute terms. 8 In essence, social exclusion can be defined Box 1: UNDP’s body of research on social exclusion and social as the inability to participate in aspects of inclusion social life that people value and have a This report has been enriched by an extensive body of research right to, be they participation in political produced by universities, institutions related to the European processes, labour markets, education and Commission, as well as by UNDP: health systems, or cultural life. Exclusion is generated by the action (or inaction),  Social exclusion through a human development lens has been of a person, a group or an institution. As analysed comprehensively by the National Human Development an outcome, the opposite of social exclu- Report for Bosnia and Herzegovina (2007), Social Inclusion in BiH, sion implies social equality. The opposite (2007), Unplugged: Faces of Social Exclusion in Croatia, of social exclusion as a process is not just and Montenegro (2009), A Society for All and Kosovo (2011), ‘inclusion’, but expansion of opportunities Social Inclusion. for participation in economic, social and  Methods for measuring and analysing social exclusion, inequal- civic processes that are considered ‘normal’ ities, and vulnerability have been developed in Poland (2007), in mainstream society. This makes the con- Social Exclusion and Integration in Poland: An Indicators-based cept closely linked to the human develop- approach, and the Republic of Moldova (2010), Approaches to ment approach, and highlights the restrict- Social Exclusion in the Republic of Moldova: Methodological ed freedoms and contributing factors that and Analytical Aspects. might lead to social exclusion: discrimina-  The former Yugoslav Republic of Macedonia has produced regu- tory practices, unequal power relations and lar People-centred Analysis Reports monitoring social exclusion institutional barriers that prevent access to and the quality of life over time (2008, 2009 and 2010). public services and political participation.  UNDP in Ukraine has produced a policy and institutional analy- sis of social inclusion capacities, European Choice and Social Social inclusion: expanding Sector Institutions (2010). opportunities

Social inclusion is also a process and an a reversal of social exclusion in terms of sta- outcome. The European Commission de- tus. Elements of the process of social inclu- fines social inclusion as ‘a process which sion that contribute to overcoming social ensures that those at risk of poverty and exclusion (like participation and involve- social exclusion gain the opportunities and ment) have intrinsic value. Social inclusion resources necessary to participate fully in involves at least two steps. One is removing economic, social and cultural life, and to barriers in a wide sense: barriers to participa- enjoy a standard of living and well-being tion and to access to resources and oppor- that is considered normal in the society in tunities. The second is promoting a change which they live. It ensures that they have in attitudes. Even though legal structures greater participation in decision-making, might be in place, policies are needed to which affects their lives and access to fun- cultivate solidarity, counteract entrenched damental rights (as defined in the Charter social prejudices, and encourage the partic- of Fundamental Rights of the European ipation of individuals facing barriers. All are Union)’.10 This definition merges the desired important elements of the social inclusion 10/ European Commission outcome (well-being that is considered process, which involves changing attitudes 2004. normal) with the process through which it towards what is accepted as ‘normal’. Suc- can be achieved (opportunities for partici- cessful social inclusion policies, supported pation). by effective implementation mechanisms, The social inclusion approach acknowledg- have demonstrated that prejudices need es the need to offer those outside main- not be passed from one generation to the stream society a greater say – that is, great- next. For example, in the majority of OECD er participation – as a means to achieve countries, social norms that had excluded well-being that is considered normal. Thus, women or segregated minorities in the social inclusion is about ‘redistribution of 1960s became socially unacceptable by the social opportunities’ among all segments of end of the 1990s. the population. It can be evaluated against Promoting social inclusion requires under- the yardstick of a ‘quality of life’ that people standing the root causes of social exclusion, value. It involves participation and integra- such as discriminatory actions, failure in ac- tion into institutions and social networks. countability of the state and its institutions, Thus, social inclusion does not entail simply and structural inefficiencies. Social inclu-

9 ing the obstacles that prevent people from Figure 1.1: The relationship between human development, realizing their capabilities. However, social social exclusion and social inclusion inclusion is more than just ‘lack of exclu- sion’. Human development is only partially achieved by decreasing social exclusion. Achieving human development requires Social exclusion identifies deliberate inclusive processes that expand shortcomings people’s freedoms and create an inclusive Human development society in which diversity is a source of as an evaluative strength. framework assesses Social inclusion The three concepts complement each outcomes other. The human development para- digm adds value to social exclusion and inclusion. Human development is both an evaluative framework as well as an agency- Human development enables Social inclusion driven policy framework. Human develop- as an agency-driven processes ment as an evaluative framework identifies framework shortcomings and inequalities in opportu- nities for developing capabilities that con- tribute to social exclusion. In addition, it as- sesses the outcomes of the social inclusion sion also requires addressing them. For this, process through a variety of indicators. As the human rights-based approach can be an agency-driven policy framework, human an important policy tool (see box 2). development aims to empower people to pursue an improved social, cultural and The EU has applied, promoted and ad- economic environment. It helps to identify vanced the concept of social inclusion approaches that address social exclusion. through direct policies in member states, It takes into account context—widening which have had a catalytic effect in the EU the focus beyond the excluded population. and beyond. The concept is also undergo- Furthermore, human development helps ing a process of ‘reinvention’ through the to identify structural failures that prevent Europe 2020 agenda, the EU’s growth strat- people from developing their capabilities. egy for this decade. The continuous evolu- (Figure 1.1 illustrates the relationships be- tion of the social inclusion concept reflects tween the concepts.) the need for multiple deprivation analysis beyond income, a step towards the human Reversing direction, social exclusion and in- development approach. This report con- clusion add value to human development tributes to this conceptual convergence by providing a process perspective or, in between social inclusion and human devel- other words, the ‘agency’ of social exclu- opment. sion (agents, groups, and institutions that exclude) to the concept of human devel- Social exclusion, social opment. It reinforces the notion of agency inclusion and human that exists within the human development development framework by examining through what mechanisms, and as a result of whose ac- tions, and why, people are excluded. Agen- Social inclusion and human development cy is therefore a key element in studying have both gained popularity in the last two social exclusion11 and the common denom- 11/ Atkinson 1998. decades, but have largely evolved indepen- inator between social inclusion and human dently of each other, without significant development. cross-fertilization. Both are people-centred concepts that governments increasingly The social exclusion concept recognizes view as integral for addressing persistent the role of informal and formal aspects. In- poverty and shortfalls in education and formal ones include values, trust, informal health. economic activities, social groups, family ties, or informal networking. These affect Human development is the goal of devel- the process of human development as opment; social inclusion is the means to much as formal aspects do, notably institu- achieve it. Social inclusion involves remov- tions, organizations, laws, and norms. So-

10 cial exclusion also provides a new perspec- “It hurts a lot, because I think that, at 44, it is still possible to have a tive on human development by assigning job, to work, while staying at home is a hard issue... first of all, we are a central role to relational connections and assigned to a disability group by a ‘medical commission’, we have no unequal power relationships that are often right to work, and we also have nowhere to work” (A rural woman, at the root of every type of social exclu- suffering from rheumatic arthritis, Republic of Moldova). sion.12 According to Silver,13 social exclusion ruptures the bond between society and the in- in all three dimensions is both an outcome dividual. Exclusion thus destroys the much- (defining the status of the individual) and 12/Steward et al. 2006. needed bond of solidarity and places some an element leading to further exclusion in members of society beyond the margins, all three dimensions. Exclusion in one di- who then cease to be a cause for concern 13/Silver 1995. mension also increases the risk of exclusion for those inside. Over time, the enhanced in the other two. For instance, limited in- homogeneity and sense of shared identity comes may reduce access to social services among the insiders reinforce the social ex- if an unofficial payment is required. clusion of those outside. Limited employment opportunities can im- pede participation in social networks. Lim- Monitoring social ited educational opportunities often lead exclusion to lower employment opportunities and can reduce political participation to occa- sional (often manipulated) ballot casting Dimensions of analysis without real opportunity to express and defend one’s political interests. While rooted in the human development concept, this report captures the three in- terlinked dimensions of social exclusion: exclusion from economic life, exclusion Box 2: A rights-based approach to social exclusion – the what, from social services, and exclusion from who and how of social inclusion civic life. The Human Rights Based approach (HRBA) to development uses Exclusion from economic life can be seen in the conceptual and analytical strength of human rights to analyse inequities in assets, incomes and employ- and address various forms of inequality and exclusion in politi- ment opportunities. Limited access to ma- cal, economic or social terms. As a development framework, it is terial resources results from exclusion in normatively based on international human rights standards and this dimension. Once exclusion occurs, it is operationally directed to promoting and protecting human rights. likely to contribute to further exclusion, not The HRBA moves development action from the optional realm only in economic life, but also in the other of benevolence (or charity) into the mandatory realm of law. It two dimensions. changes the focus from regarding people as passive beneficiaries of Exclusion from social services results from state policies to active participants in their own development and unequal access to education, health care, further recognizes them as rights-holders, thereby placing them housing, social protection and so forth. at the centre of the development process. The HRBA addresses the People thus excluded have limited oppor- ‘what’ question: what practices and policies constitute the building tunities to enjoy the level of services per- blocks of exclusion and what needs to be changed. It focuses on ceived as ‘normal’. These limited opportu- analysing the inequalities, discriminatory practices, and unjust nities can be the consequence of material power relations that are the root causes of human rights and devel- deprivation, but they can also result from opment challenges, and the processes that exacerbate exclusion inadequate institutional rules governing and ultimately may lead to social fragmentation and conflict. the supply of such services. In addition, the HRBA addresses the ‘who’ question by specifically focusing on groups subjected to discrimination and suffering from Exclusion from civic and social life and net- disadvantages and exclusion. Such groups include children, mi- works results from inequalities in political, norities and women. The twin principles of non-discrimination and cultural and civic opportunities and power equality call for a focus on gender equality and women’s human (including political, bureaucratic and mili- rights in all development programmes. With respect to identifying tary power), unequal access to justice, lib- the necessary measures that need to taken – the ‘how’ question erty and institutions. Reduced participa- comes into play. In this regard, the HRBA emphasizes participation tion in social and political life results from at every stage of the programming process, particularly of those exclusion in this dimension. who are being disadvantaged. It also emphasizes the account- There are numerous links between the ability of the state and its institutions with regard to respecting, three dimensions of exclusion. Exclusion protecting and fulfilling human rights within its jurisdiction.

11 The social exclusion chain structures and values. For example, even if institutional structures to address Roma ex- Social exclusion is the result of multiple and clusion (say, in the form of National Coun- mutually reinforcing deprivations in one or cils for Roma integration) exist, social ex- more dimensions. This report departs from clusion of Roma can persist unless explicit the traditional group-based approach. It policies for inclusion are formulated and assumes that each individual has a num- implemented. ber of individual characteristics that can put Drivers determine a person’s environment. him or her at risk of social exclusion. We Some are country-specific (like national le- define those characteristics as social exclu- gal frameworks). Others, however, are gen- sion risks. These can be related to gender, eral to the region (including culture and ethnicity, language, religion, age, sexual tolerance). Ultimately, these drivers interact orientation, religious beliefs and disability, with individual risks to produce exclusion. as well as linked to status (income, health, For example, every person with a disability employment, education, resources, oppor- faces some risk of social exclusion, but the tunities and assets). Being disabled, poorly extent to which this risk results in social ex- educated, a workaholic, or a fan of a partic- clusion depends on the drivers: the way a ular football team can put a person at risk society views the disability (cultural charac- of social exclusion. teristics), the degree of accessibility of pub- lic space (physical parameters of the envi- “Disabled persons find employment in three ways: through (affirma- ronment), and legal protection of rights. tive action), through friends, and by accident, if no one else wants to Apart from drivers, individual risks are also take the job” (a blind person, Serbia). influenced by the local context—the pa- rameters of which shape everyday lives. Not all individual risks result in social ex- Those parameters include characteristics clusion. Whether social exclusion occurs of the local economy (such as employment depends on the interaction of risks with a opportunities), history of local conflict, en- set of ‘drivers’ that can be structural, behav- vironmental legacies, the state of basic in- ioural, or policy-related: frastructure, and distance to the capital or  The first group of drivers relates to how regional centre (which is usually a growth public and private institutions and norms, pole). Drivers and the local context are ex- including legislation, contribute to exclu- ternal to the individual. They represent two sion through discriminatory practices or by aspects of the environment where individ- failing to provide opportunities for inclu- ual risks can result in exclusion. But they are sion or for protection of the excluded. For different. Drivers have national relevance. example, the existence of anti-discrimina- The local context, however, differs from tory legislation should decrease a disabled place to place and from region to region. person’s risk of social exclusion. A gay cou- As a result, social exclusion can vary from ple faces a higher risk of exclusion in a state locality to locality even if a person has the where same-sex marriage is banned. same mix of individual risks.  The second group of drivers includes Social exclusion reflects a dynamic chain values (and behavioural patterns), which with multiple feedback loops. The relation- are shaped by discriminatory attitudes and ship between individual risks and drivers cultural practices that regulate norms and results in multiple deprivations. These are behaviours in society and among groups, augmented or mitigated by the local con- but also include forms of self-exclusion. text. The interaction of individual risks, driv- For example, a bright child willing to study ers, and the local context can also feed into is at higher risk of social exclusion if his or further social exclusion. Together, these her peers don’t value knowledge, or if they elements constitute the social exclusion don’t perceive the acquisition of knowledge chain. to be congruent with the majority culture. Contrary to traditional group-focused ap- These drivers will also influence structures, proaches, this report maintains that social institutions and policies through, for exam- exclusion is not only about disadvantaged ple, changes in political culture. or marginalized populations outside of  The third group of drivers includes poli- mainstream society. It is about individual cies, which reflect and respond to both risks every member of society faces. Ex-

12 ternal factors largely determine whether concept of social exclusion, which com- social exclusion materializes or not. These pares an individual’s situation with those of external factors include the drivers inter- other members of society. The framework acting with the local context. The process elaborated and applied in this report ob- of translating individual risks into social serves and monitors the social exclusion exclusion occurs along the social exclusion status of individuals in relation to their ca- chain (figure 1.2). pabilities. ‘Being excluded’ means ‘facing an unacceptable number of deprivations’, All elements of the social exclusion chain rather than ‘belonging to a minority isolat- are influenced by legacies of the previous ed from the majority’. Thus, the inclusion/ system and the specifics of transition in dif- exclusion dynamics are not about the re- ferent national settings. The environment lationship between ‘a part and the whole’, in which people live, where they develop but about the relationship between an in- their capabilities and make their choices, is dividual’s actual and potential capabilities. a patchwork of elements, old and new, in- herited and newly introduced during tran- This framework has important implications. sition. The resulting mix can be enabling First, it suggests that a very high share of or disabling, leading to different levels of society can be excluded. Second, it allows social exclusion. All this directly influences us to deconstruct social exclusion to gain a human development. more precise understanding of its determi- nants. It links individual risks to drivers of The integrated framework of social exclu- exclusion to create a pattern based on the sion and human development put forth ‘intersection’ of multiple forms of exclusion here is more absolute than the relative EU and discrimination. Also, identifying driv-

Figure 1.2: The ‘social exclusion chain’

Individual characteristics Drivers of social exclusion (social exclusion risk factors) like Structures and institutions; poor education, disability, values and behaviour patterns; policies minority status

Specific local conditions Predominant industry, single or multiple employ- ment opportunities, local infrastructures, history of violent conflict or environ- mental disasters

Social exclusion status of the individual in three dimensions – exclusion from economic life, social services, and civic and social participation 13 ers in the local context and assessing their contribution to social exclusion outcomes Major findings of this make it possible to go beyond broad na- chapter tional generalizations towards targeted analysis. For example, a single-parent, a This chapter has put forth a conceptual person facing long-term unemployment, a framework for social exclusion, which im- Roma woman with a number of children, or pedes people’s participation in various someone living in a rural area all face inter- spheres of life. Social exclusion not only af- secting and mutually reinforcing exclusion fects disadvantaged or marginalized popu- risks. At the same time, while it is possible lations. It can affect everybody, since each to discuss the social exclusion of people of us faces risks. Social exclusion stems with disabilities throughout the region, the from deprivations experienced along three extent and nature of their exclusion clearly dimensions: economic exclusion, exclusion differs from one sub-region to another, as from social services, and civic exclusion. well as within countries. Applying the so- Individual risks interact with drivers and lo- cial exclusion concept in this way can shed cal context to produce social exclusion. The light on social exclusion patterns in coun- interaction of these elements can result tries with a given transition experience. It in further exclusion. Like human develop- can also illuminate the pre-transition lega- ment, social exclusion is both an outcome cies that a country faces, as well as offer a and a process. The framework outlined here basis for future evidence-based inclusive can help turn the social inclusion concept policy design and monitoring. into a powerful policy tool, enabling us to Social exclusion enables us to better under- better understand unequal development stand inequalities and the underlying pro- outcomes. This tool will help to address cesses in countries with medium to high patterns of social exclusion, as well as to human development levels. This makes it serve as a basis for evidence-based, inclu- relevant for the Europe and Central Asia sive policy design and monitoring. region. The concept is even more pertinent The next chapter analyses more deeply given the region’s transition history. Social how people are excluded in the three di- exclusion would still exist had there not mensions of social exclusion, and identifies been transition. Exclusionary structures ex- those deprivations that are particularly rel- isted before transition. Similarly, the specif- evant to the region. ics of inclusion are related to the specifics of transition in individual countries. Thus incorporating the influence of legacies into the analysis is a key part of this report’s con- ceptual framework.

14 Chapter 2: Dimensions of exclusion in the region

his chapter contextualizes the Figure 2.1: GDP per-capita trends 1990-2008 (as а percentage multidimensional data analysis of 1990 values) T presented in subsequent chapters. It outlines some of the key features of the transition dynamic that have characterized the Europe and Central Asia region, not just the six surveyed countries. Furthermore, it highlights aspects of the region’s recent history that have impacted social exclusion in the three dimensions discussed in chap- ter one—exclusion from economic life, ex- clusion from social services, and exclusion from participation in civic and social life and networks. The three dimensions are used to construct the Social Exclusion In- dex presented in chapter three. 1990 1995 2000 2005 2008 Source: World Development Indicators, World Bank (2010). Transition in the Europe and Note: GDP per capita is in purchasing power parity terms with constant US$. Central Asia region The base year is 1990 (with a value of 100).

The Europe and Central Asia region is di- veals some general trends that merit dis- verse (box 3). Differing initial conditions cussion. and EU accession processes, as well as the By the first half of the 1990s, the transition diversity of transition strategies pursued, recession had taken its toll (figure 2.1). Most have all contributed to the heterogeneity countries resumed positive growth only in of the region. While this diversity compli- the second part of the decade. However, cates intra-regional comparisons of social the growth was not accompanied by a cor- exclusion, analysis of sub-regional data re- responding recovery in employment (fig-

Box 3. The definition of the region For the purposes of this report, the Europe and Central Asia region is defined to include those states that fall within UNDP’s Regional Bureau for Europe and the Commonwealth of Independent States (CIS)—except Turkey, Cyprus and Malta, which do not share the legacy of socialism. To take account of intra-regional differences, we further group countries into three sub-regions:  SEE (Southeast Europe): Albania, Bosnia & Herzegovina, Croatia, Kosovo,* the former Yugoslav Republic of Macedonia, Montenegro, and Serbia.**  CEE (Central and Eastern Europe): The Baltic countries: Estonia, Latvia, Lithuania and the Central European countries, Bulgaria, Czech Republic, Hungary, Poland, Romania, Slovakia, and Slovenia–all members of the EU.  CIS (Commonwealth of Independent States) and .*** The countries in this sub-region fall into three groups: Western CIS (Russian Federation, Belarus, the Republic of Moldova and Ukraine), Caucasus (Azerbaijan, , and Georgia) and Central Asia (Kazakhstan, the Kyrgyz Republic, Tajikistan, Turkmenistan, and Uzbekistan).

*/ Kosovo is hereafter referred to in the context of the UN Security Council Resolution 1244 (1999). **/ All except Albania emerged after the break-up of the Socialist Federal Republic of Yugoslavia. ***/ Georgia withdrew from the Commonwealth of Independent States after the conflict with Russia in 2008. Turkmenistan is an unofficial associate member. In this report we will use the abbreviation CIS loosely, as a geographical grouping for all the former Soviet Republics excluding the Baltic states.

15 Figure 2.2: Employment ratios (in percent), 1990-2008 ure 2.2). Human development in the West- ern CIS and Central Asia followed a similar pattern, falling in the early 1990s but rising in the latter part of the decade (figure 2.3). Countries experienced a significant increase in income inequality (figure 2.4) within and across sub-regions, followed by some level- ling off starting in 2000. To some extent, the observed differences in sub-regional trends can be explained by poor data quality due to inadequate estimates of income derived from informal activities, difficulties in cap- turing the highest decile (in some contexts associated with the shadow economy and even with criminal activity), uneven territo- 1990 1995 2000 2005 2008 rial coverage of household budget surveys, or inadequate sampling construction. The trend however is consistent, with different Figure 2.3: The Human Development Index, 1990-2007 patterns of reform in countries and sub-re- gions. Clusters of countries have emerged with similar levels of income and income inequality (figure 2.5). The dynamic of social exclusion unfolds within this larger context. We will now ex- plore this dynamic further by elaborating the three dimensions of social exclusion that were introduced in chapter one. Exclusion from economic life

Economic exclusion marginalizes indi- viduals in the distribution of economic resources. From the human development Figure 2.4: Income inequality as measured by the Gini perspective, this hinders the development coefficient, 1989-2005 of people’s capabilities, which help them to satisfy their needs and exercise their rights, enabling them to make choices to attain the living standards and quality of life that they value. Economic exclusion limits people’s access to the labour, financial and housing markets, as well as to goods and services. This leads not only to income pov- erty, but also to reduced access to services such as education, health care and social insurance—ultimately resulting in a loss of capabilities. The feedback loops are crucial. For exam- ple, exclusion from the labour market leads to the loss of critical social benefits – such as health care, pension and disability in- surance – which increases the risk of long- Sources: Employment ratio—TRANSMONEE Database UNICEF (2010) and Eurostat (2010); HDI—UNDP Human term exclusion. Furthermore, economic Development Report 2009 and 2010; Gini index—UNICEF 2001; TRANSMONEE Database UNICEF (2010) exclusion resulting from poverty and mate- Note: The employment ratio is the number of employed as a percent of the population aged 15-59 (aged 15-64 rial deprivation reduces opportunities for for the EU-15). Sub-regional averages were weighted by population shares. education and participation in social net-

16 Figure 2.5: Income versus inequality, 2005

0,450 CEE ARM SEE TKM 0,400 SRB Western CIS Caucasus Average MKD MNE RUS PRT Caucasus GEO UZB BIH CEE Average LTU MDA LVA EST Central Asia 0,350 AZE POL GBR EU-15 TJK Central Asia Average KAZ Western CIS Average GRC ITA KGZ ALB SVN IRL Averages ROM CEE Average ESP 0,300 HUN EU-15 Average BGR

Gini coefficient CZE HRV FRA BEL UKR BLR NLD LUX SVK FIN AUT 0,250 DEU DNK SWE

0,200 1 000 10 000 100 000 GDP per-capita in $PPP

works. Economic exclusion contributes to a than limited consumption. Poverty increas- culture of poverty characterized by feelings es people’s vulnerability to social exclusion of powerlessness, discouragement and de- in other areas of life. For example, children spair. of parents who are struggling to make ends meet often drop out of school to get a job. Access to decent work is one of the most Income poverty limits the opportunity to important conditions of inclusion, because participate in public life, particularly in pe- it can lead to improvements in other areas riods of structural transformation when the of life. However, participation in economic old ‘non-monetary’ channels of inclusion, life does not always lead directly to eco- such as free access to childcare, have disap- nomic inclusion. Examples include informal peared without affordable market-based labour that is not adequately remunerated, alternatives. employment that is not decent, or lucra- tive-but-illegal jobs. The ILO’s Decent Work In the 1980s, income poverty had been de- Agenda identifies four strategic goals: cre- clining (figure 2.6). In the early 1990s, pov- ate decent and productive employment; promote access to social protection; foster Figure 2.6: The percentage of households with per capita respect for labour standards; and initiate consumption below three poverty lines stronger dialogue among interest groups. These objectives apply to all women and men, to employees and the self-employed; and to those who work in the formal and in- formal economies, in the private and public sectors. They are also relevant for people who work at home. The main elements of exclusion from eco- nomic life are income poverty, unemploy- ment, and lack of access to assets and capi- tal. They will now be discussed in turn. Income poverty

Income poverty is an obvious aspect of eco- nomic exclusion, but it implies much more Source: World Bank PovCal Database

17 Table 2.1: Spatial distribution of consumption poverty Geographically isolated regions and ru- (1998-2003) (in % of population) ral areas, particularly those far from urban centres, were largely the poorest, pointing % Population 1998 1998 1998 2003 2003 2003 to a structural form of spatial economic ex- clusion. Everywhere, poverty dropped sub- Capital Other Rural Capital Other Rural stantially between 1998 and 2003, most Urban Urban notably in capitals (table 2.1). FYR Macedonia* N/A N/A N/A 4 5 3 However, in some countries, small- and N/A N/A N/A 6 4 9 Serbia and medium-sized towns and cities are nearly Montenegro as poor as rural areas, or are even worse off. Moldova** 42 70 74 27 48 47 This is due partly to land reform, which in Kazakhstan 7 25 40 2 14 31 some cases provided agricultural land to rural dwellers, while citizens in ‘other urban’ Tajikistan 73 90 92 54 73 76 areas (such as in ‘mono-company’ towns) Uzbekistan 24 50 60 4 43 55 very often lost their main source of employ- Source: World Bank (2005: 242-4) ment, and did not have access to land. As a result, they had no opportunity to practice */ The former Yugoslav Republic of Macedonia is referred to as “FYR Macedonia” in the figures and tables. subsistence farming, which meant that the **/ The Republic of Moldova is referred to as “Moldova” in the figures and tables. sharp food price increases of 2008 affected them greatly. Poverty is also particularly prevalent erty increased on an unexpected scale.14 among some ethnic minorities (especially 14/Milanovic 1998; UNDP This happened in part because the rela- Roma), refugees and internally displaced 1999; World Bank 2005. tively low poverty levels of the 1980s had persons (IDPs), as a consequence of violent been financed by international borrowing. conflict), women (through exclusion of la- Thus, falling poverty in the 1980s did not bour markets and lower wages) and, last reflect sustained gains in competitiveness but not least, children. Child poverty often and economic efficiency, but rather deficit reflects the social exclusion of households. 15/ Gaidar 2007. spending.15 In subsequent years, coun- Children experience exclusion in their daily tries have had to service the debt, which— lives, but are also vulnerable as ‘adults-in- together with the transition recession and progress’. The effects of childhood exclusion the Russian crisis—helps to explain why, in heighten the risk that children will grow up 2005, a significant portion of the region’s with low skills and poor health. In parts of population – approximately 142 million the Caucasus, Central Asia and the Republic people – were living below the 4.30 PPP$/ of Moldova, the levels of child poverty are day poverty line. particularly high (figure 2.7). Children who The distribution of poverty between and experience poverty are usually part of fam- 16/ FAO, 2007. within countries is even more important. ilies that have been hit by unemployment (or that have fallen into low-paid employ- Figure 2.7: Percentage of children living in households with daily ment), often with many children, living in per capita consumption below 2.50 US$ PPP in 2005 rural areas, or as refugees and IDPs.16 % Unemployment 100 90 Employment provides more than a wage. 80 When people are excluded from formal 70 employment, they are not only cut off from 60 income and related benefits, but also from 50 broader opportunities. Poor employment opportunities are a major contributor to 40 exclusion from economic life. 30 20 The first years of transition saw sharp in- creases in unemployment, straining the so- 10 cial fabric. The labour market offered new 0 opportunities, but also demanded new skills, resulting in mismatches between the skills employers needed, and those which Source: UNICEF (2009) 18 Table 2.2: Percentage of people by employment status (November 2009)

Working status Kazakhstan Moldova Serbia Tajikistan FYR Macedonia Ukraine Male Female Male Female Male Female Male Female Male Female Male Female Employed 61 39 46 41 57 46 47 24 47 37 57 39 Unemployed 8 5 8 5 9 10 5 4 10 10 6 4 Pensioner 14 20 19 21 16 14 7 9 11 11 18 31 Children, 6 6 10 11 6 6 10 8 5 8 10 8 students Inactive 11 30 17 22 13 24 31 55 27 34 9 18 Total 100 100 100 100 100 100 100 100 100 100 100 100 Source: Social Exclusion Survey 2009 people possessed. These mismatches were transition recession of the early-mid 1990s. more prevalent in certain sectors and age The impact of the 2008-09 global crisis is groups. Without effective retraining oppor- more nuanced. Women have faced a lower tunities, people with obsolete skills found risk of being laid off, both because male- themselves vulnerable not only to poverty dominated sectors such as construction but also to exclusion in other dimensions have been among those most severely hit (from civic life, for example). In some cases, by the crisis, and because firms could save this process has led to the marginalization more by firing men, who tend to receive of whole groups, further amplifying soci- higher remuneration. But this gender ‘ad- etal strains. vantage’ is dubious, as women must gener- ate higher incomes to support their house- Unemployment is not the only cause of holds. Overall, inactivity among women poverty and vulnerability. An increasing in 2009 was higher than inactivity among number of people have been forced to men in all countries according to the ‘Social take low-skill jobs or employment in the Exclusion Survey’ (table 2.2). informal sector – thus joining the ranks of the working poor. In the region, economic Exclusion from the labour market is espe- exclusion often occurs because of labour cially pronounced among ethnic minori- informality, inactivity and under-employ- ties, internally displaced persons (IDPs), ment. Informality has broader implications and persons with disabilities. Within each for social exclusion, eroding the tax base, category, women are more vulnerable than institutions and societal norms. men, particularly in occupations with com- parable remuneration. Figure 2.8 illustrates In the 1990s, employment ratios in the for- this vulnerability in Serbia. mal sector fell substantially below those found in OECD countries, or in the EU-15 (figure 2.2). This is particularly apparent Figure 2.8: Unemployment rates of the working age in SEE, in the CIS (to varying degrees) and population (15-64) in Serbia in the Caucasus. These data underlie the widespread problem of ‘inactivity’, as many under-skilled workers have become dis- couraged from looking for work. While un- employment was only between 4-10 per- cent in the six countries surveyed in 2009, a much larger portion of workers were ‘inac- tive’ (table 2.2). It is important to understand how transition has affected the position of women and men in the labour market. Under socialism, countries had often strongly encouraged women to work, in part by offering compa- ny-sponsored childcare. However, women were often the first to be laid off during the Source: For the general population, youth and the Roma - LFS 2009, and for IDPs and people with disabilities - LSMS ‘07

19 The regional youth unemployment rate is very high. In 2008 it was 17 percent. This Exclusion from social represents a serious structural problem, services given the aging population and retirees’ reliance on state pension benefits. Young Social services offer a wide range of oppor- people are needed to pay into the pen- tunities critical for human development. sion system to ensure sufficient funds to Like employment, education and health support retirees. With only limited employ- have intrinsic value and are important for ment opportunities, young people are of- social inclusion. The same applies to other ten forced to take low-skilled employment, essential social services like social protec- to leave the labour market, or to migrate to tion (including social insurance, social assis- another country. The global economic cri- tance and social services), access to housing sis has also hit youth hard. Unemployment and basic infrastructure, transport, energy, rates for youth increased by 3.5 percentage and information and communication tech- points in SEE and CIS between 2008 and nologies. Exclusion from social services re- 2009. This is the largest annual increase in fers not only to whether such services are youth unemployment rates ever recorded available and at what level of quality, but 17 17/ILO 2010. in any region. also to accessibility and affordability by dif- ferent population groups—issues that this Access to assets and capital section examines in depth. 18/ Sarma 2008. In the 1990s, the quality of social services Transition has led to a skewed distribution and utilities deteriorated rapidly, in particu- of wealth. Many households have faced 19/EBRD 2007a. EBRD lar in the CIS and in part of SEE.19 Employer- higher utility bills after privatization be- (2007b) discusses the provided social services disappeared, and cause hefty government subsidies for util- private sector’s options for extended state provision or market-based ity companies were cut. Unable to pay the improving services, but also alternatives had not yet come to replace higher tariffs, many poor households were notes that people’s satisfac- them. The level of incomes and pensions disconnected from utility networks. tion with the quality of was too low to generate sufficient demand public services is low, some- In many cases, privatization resulted in for market-based social services provision. time in spite of relatively ‘privatizing the profits and nationalizing Attempts at decentralizing responsibilities high spending rates. the losses’ of state-owned enterprises, to local administrations without provid- leading to a massive appropriation of capi- ing them adequate resources have fur- tal. Particularly in CIS countries, economic ther weakened the social infrastructure, in wealth is now very concentrated, often in particular in rural areas and small towns. the hands of a small group of individuals. Capital-city centred models of growth and This massive asset inequality emerged in a opportunities for employment abroad ad- very short period of time—after decades ditionally undermined finances and gov- of state ownership. Because of an inherited ernance capacity at local levels, which was legal framework that was not designed to already weak at the beginning of transition. regulate private monopolies, together with All this contributed to exclusion from social gaps and inconsistencies in newly adopted services, either through reduced access or legislation, asset inequality has remained through reduced affordability. an obstacle to fostering inclusive growth. Privatization of public utilities (water, sani- tation and electricity) has often contributed “If you are not associated with a party, you cannot get a job” (Urban to exclusion. While increasing efficiency, youth, the former Yugoslav Republic of Macedonia). privatization failed to live up to expectations because there was no effective regulatory Most countries have been slow to develop framework and genuine competition. State- inclusive financial systems, which can in- owned monopolies were often replaced by crease efficiency and well-being by provid- poorly regulated private monopolies. Pub- ing resources for secure forms of savings lic subsidies for utilities (heating, water and and monetary transactions.18 They also electricity supply) subsequently fell sharply, help people to avoid the need to tap infor- placing cost-recovery out of reach even mal and often exploitative credit sources. though prices of services increased sub- stantially after privatization. In cases when subsidies were retained, they dispropor- tionately benefited the more affluent seg-

20 ments of the population, contributing to cent in Tajikistan (figure 2.9). the exclusion of the poor. Moreover, social Rural-urban disparities exist in pre-school disruption and the destruction of physical education, as well as in enrolment rates by infrastructure in war-affected areas and income quintile. There is also an increas- countries, notably in the former Yugoslavia, ing gap between ‘elite’ kindergartens and the Caucasus and in Tajikistan, made the ‘mainstream’ (usually underfunded and sustainable delivery of social services and overpopulated) facilities. As a result, in- the effective maintenance of public utilities stead of equalizing opportunities through nearly impossible, with serious implications a ‘fair start for all’, pre-school and early for social exclusion. childhood services themselves contribute Early childhood, education to early exclusion and segmentation, par- ticularly for minorities and marginalized and training, and life-long groups. Poverty and prejudice contribute learning to extremely low enrolment rates of chil- dren in pre-school education, augmenting Pre-school years are immensely important the barriers they face later at school. The for child development and for equality of case of the Roma is an extreme and vivid opportunity. Both are vital for preventing illustration of this phenomenon. the social exclusion of children, particularly The region as a whole has high levels of pri- for children from vulnerable groups who mary school attendance, which is compul- 20 face the highest risk of exclusion. While sory from six or seven to 14 or 16 years of 20/Kertesi, Kezdi 2006. pre-school facilities had been widespread age. However, household survey data tend in the region before transition, they were to show lower enrolment rates than those employed unevenly. In rural Central Asia, based on administrative data, presumably Azerbaijan and parts of SEE, children were because there are incentives to keep re- traditionally kept within the extended fam- ported rates high to access resources and 21 ily until school age. Recent data on pre- maintain staffing levels. Rates tend to be primary enrolment rates show consider- lower in rural areas, for poor households 21/ UNICEF 2009: 25. able differences among countries, ranging and for some ethnic groups, notably Roma from over 80 percent of 3-5/6 year-olds in children in Central, Eastern and Southeast Belarus, Estonia, and Hungary to just 7 per-

Figure 2.9: The percentage of children enrolled in pre-school rises with income GDP per-capita, 2008

Percentage of children aged 3-6 enrolled in pre-school education, 2008/2009 Note: GDP per-capita is expressed here in purchasing power parity terms with constant US$. Source: TRANSMONEE Database UNICEF (2010).

21 Figure 2.10: Government health expenditure as a percentage of GDP (1995-2008)

Source: TRANSMONEE Database UNICEF (2010).

Europe. While official figures tend to over- The educational integration of children estimate Roma attendance rates since the with disabilities is an important part of the proportion of Roma declaring themselves social exclusion challenges in the region. In as such in the census is quite low, Hoel- this field, the legacy of stigma and lack of scher suggests Roma enrolment in primary quality services has combined with poor re- education is rarely above 50 percent, with sources to produce a situation where chil- 22/ Hoelscher 2007. much lower completion rates.22 dren with disabilities are placed in special schools. These are often institutions remote A related problem in Central, Eastern and from centres of population and which allow Southeast Europe is the enrolment of a 23/ERRC 2005. limited access to parents. More generally, high number of Roma children in special there is still little mainstreaming of children and remedial education or segregated into with disabilities into integrated schools and primarily Roma classes or schools. These 24/ECHR 2007. classrooms and a lack of a rights-based ap- practices are a complex result of spatial seg- proach to deliver good quality, coordinat- regation, the choices made by parents of 25 ed, community-based support services. 25/Sammon 2001. non-Roma children, as well as de facto or de jure discrimination. Of particular concern is Universal education? the evidence from some Roma rights NGOs that placement of Roma in special schools is rarely based on ability and is often with- While public funding for education in parts out explicit parental consent.23 The meagre of the region is nominally on a par with the education Roma children receive in this rest of the EU, structural problems in the manner compromises their future personal educational sector persist. These relate to development, according to the European problems providing the skills demanded Court of Human Rights.24 Emphasizing the by the labour market, and to problems of fundamental nature of prohibition of racial continuing education and retraining. In discrimination, the Court has condemned most of the region, educational exclusion is segregated education in cases against a less a matter of coverage and formal enrol- number of countries and urged govern- ment and more a matter of substance and ments as well as other state parties to take quality. action. The results, however, remain to be Education has tended to be relatively pro- seen. tected. Most countries increased funding

22 for education in the late 1990s, returning implementing reforms that balance qual- to pre-transition levels. Still, gaps remain in ity services, access for all, and efficiency. terms of enrolment and performance, and As a result, inequalities in access to health in terms of how schools prepare poor and care and in terms of health outcomes have excluded groups for the labour market. In been growing throughout the region. many countries a parallel supply of educa- While in general, public expenditures on tional services has emerged (in the form health have been maintained both as a of high school and university exam prep percentage of GDP and in terms of ex- courses). Concentrated in big cities, this penditure per person, they are still low, parallel supply has served to channel stu- particularly in the Caucasus and Central dents and teachers away from provincial Asia (figure 2.10). The gap is increasingly schools. Many of these rural schools have being filled by private spending. In coun- become unattractive for teachers, trig- tries where public expenditure on health gering a vicious circle of declining quality is less than 3 percent of GDP, private and funding. Public funding has tended to spending in 2006 represented at least focus on maintaining compulsory educa- 50 percent of overall health expenditure, tion and on basing teacher pay only loosely except in Kazakhstan.27 This increases the on educational results. As a consequence, risk of exclusion from health services for inequalities in access and opportunities poorer households. have strengthened as poor and excluded families are unable to afford school books, In the hospital in my municipality, the doctor did not treat me for the travel and clothing. illness I came for, but told me: “If you can’t stop being a faggot on Traditionally, education systems in socialist your own, I’ll send you off to Lazarevac, where they’ll sort it out with countries spent heavily on university edu- electric shocks, and there’s a really nice treatment, they show you a cation, and much less on vocational and really handsome man, really pretty, and then they show you a car ac- skill-oriented training. Professional edu- cident, and then again a nice man, and then again someone stabbed, cation was seen as a less prestigious area and so on... ” (Focus group participant, gay person, Serbia). of last resort, and vocational training was predominantly carried out by state-owned Both the amount of resources devoted to enterprises training their own staff. Such health services and the way these funds training was the first to be cut during post- are being utilized are major concerns. The privatization restructuring, and the state of- health care system in most countries of the ten could not fill the gap. At the same time, region continues to devote a disproportion- vocational offerings were often outdated al share of resources to hospital care at the 26 and unappealing. expense of preventive care. In addition, the 26/ EBRD 2007a; Cazes gap between operating costs, which are ris- Long-term unemployment—particularly and Nesporova 2007a; and ing, and health insurance revenues, which among youth—has reinforced the ‘univer- Nesporova 2002. are not keeping pace, is imposing huge sity bias’ of educational systems. Academic strains on health insurance systems. This is education is still free in most countries and so because the cost of inputs has increased 27/ UNICEF 2009: 75. is thus a preferable alternative to unem- rapidly (in part owing to new medical and ployment. However, the mismatch between pharmaceutical technology, as well as to educational curricula and the needs of the the collapse of the domestic pharmaceuti- 28/UNICEF 2009: 76. labour market limits the ability of higher cal sector in many countries and the result- education to enhance social inclusion. This ing switch to more expensive imported leads to a significant number of frustrated supplies). At the same time, revenues from middle-aged professionals vulnerable to health insurance contributions remain very social exclusion due to their obsolete skills. low, in part owing to widespread labour Affordable health care? market informality that contributes to un- der-insurance of health risks. Given the intrinsic value of health from While universal access is still formally guar- the human development perspective, ac- anteed in several countries, it has been cess to healthcare is critical for social in- ‘de facto eroded in a non-transparent way, clusion. Both financial and structural rea- especially for the poorer sections of soci- sons account for health care exclusion. ety’.28 The Social Exclusion Survey finds that Countries in the region face severe bud- a significant share of households have to get constraints, as well as difficulties in pay out-of-pocket or informal payments

23 Figure 2.11 Share of respondents saying unofficial payments are the self-employed sectors visit health ser- needed for medical treatment (in percent) vice facilities less frequently, have to travel % further, and spend a greater proportion of their income on health care. 32 Two broad groups facing acute health ex- clusion are older people and people with mental illness. The elderly face challenges in terms of appropriate long-term care ser- vices which are neither fully hospital-based nor reliant on informal family and kinship care.33 New member states of the EU spend significantly less on long-term care than the old member states and are much less likely to offer a tailored mixture of servic- es.34 Persons suffering from mental health problems face a striking lack of commu- nity-based psychiatric services. Indeed, in many cases, living conditions in long-term residential facilities may breach human rights. Progress has been limited since tran- sition even in new EU member states, with ‘pockets’ of more progressive provision of mental health amid lamentable practices across the board.35

for drugs and services in the countries sur- Exclusion from health care, education and

29/Balabanova et al. veyed (figure 2.11). Moreover, the probabil- employment can be found widely among 2004. ity of not consulting a health professional people living with HIV.36 In Eastern Europe when seriously ill is higher for those over and Central Asia (excluding Central Europe) an estimated 1.5 million people were liv- 30/ Skeldon 2005: 7. 65 and for those with lower levels of educa- tion. Reasons include lack of money to pay ing with HIV in 2008, an adult prevalence for treatment; reliance on self-treatment; or of 0.7 percent. This is higher than in all 31/ European Commission distance to reach a health facility.29 other regions of the world except the Ca- 2008: 147-8. ribbean and Sub-Saharan Africa. It reflects Significant disinvestment over the years an increase from around 900,000 people in has resulted in eroded health care facili- 2001, with 110,000 new infections and ap-

32/European Commission ties and emigration of trained medical staff, proximately 87,000 adult and child deaths 2009. adversely affecting the sustainability and due to AIDS in 2008.37 It is estimated that accessibility of health services and exacer- about 90 percent of those infected live in bating individual risks of social exclusion. 33/ World Bank 2007a. the Russian Federation and Ukraine, where There is also concern about the migration infection rates are 1.1 and 1.6 percent, re- of health workers from rural to urban ar- spectively. Some suggest that Russia will 30 34/ ESN 2009. eas. In Albania, for instance, infant mortal- face the greatest number of AIDS-related ity rates are about 50 percent higher in rural deaths in the next five years. Rates are areas, with rates in different districts vary- also high in Estonia (1.3 percent) and in 35/http://www.soros.org/ 31 ing from under five to over 35 per 1,000. 38 initiatives/health/focus/ Latvia (0.8 percent). Injecting drug us- mhi/about/about/more. A two- or three-tier health system is emerg- ers, sex workers and their sexual partners ing in the region, with the poor more likely remain the groups most at risk. Significant to receive minimal care—or none at all. problems remain in terms of attitudes and 36/ UNDP 2008. Advances in health care and the growth awareness which often act as barriers to of privatized health care services for those access for social services, prevention, treat- who can afford them, sometimes within ment and appropriate long-term care. 37/ UNAIDS 2009: 11. formally public health care facilities, have tended to skew priorities in favour of treat- Social protection 38/ http://www.avert.org/ ment of diseases of affluence over and aids-russia.htm. above diseases of poverty throughout the Social protection systems (social assistance, region. People from Roma communities social insurance benefits, social services, and refugee populations, as well as those in social work, and counselling services) can agriculture, the informal and in some cases, be crucial sources of last-resort support 24 to the extreme poor as well as to the ex- “We have no social worker. No services. There is a person with a dis- cluded, or to those at risk of exclusion. Such ability in our village; he is old, 71 years. We asked for a social worker systems can help people avoid or manage for him, but we were told that it was impossible and that there should risks, thereby promoting people’s re-entry be at least three such people in the village and that nobody would into productive roles. They can help deal come for one man. Therefore, when he scrapes himself, neighbours with the consequences of exclusion and help him. We have seen a social worker once. He came by bicycle, can also work against some of the drivers asked about our life and needs, and then disappeared. He said that of exclusion, such as extreme poverty and there was no transport to get here from Zarya, a remote village, and exclusion from the labour market. that it was necessary to hire a car. Social protection employees came The limited fiscal envelope makes it un- once using a state vehicle to distribute pensions and allowances. avoidable to introduce targeted elements After all documents had been prepared, they collected 300 Tenge for into the social protection system in the re- petrol from each person, for whom they had prepared documents. gion. Targeting can be carried out through They explained that although it was a state car, petrol should be paid means testing (targeting those who satisfy by those people for whom documents were prepared. That is the sort minimum income criteria), or can be cate- of social protection we have” (Resident of a remote village, Kazakh- gory-based, i.e. targeted at certain popu- stan). lation groups, such as families with more than three children. Meanwhile, selected the host and sending countries. Even if they universal social protection programmes are insured, pension contributions made in can also be retained. They are easy to ad- one country are not usually transferable to minister, and avoid the problems and costs another, raising the prospect of working of means testing, which can be problemat- migrants ending up with no pension when ic in countries where informal earnings are they reach retirement age. This would pose prevalent. When financed adequately, they a considerable challenge for countries with can also have a high redistributive impact. a high share of migrants. The large share of the workforce in informal-sector employ- Social services reforms have affected ser- ment (e.g., over 50 percent of employment vice delivery and outcomes. During early in Central Asia) is set to be left out of the transition, serious disinvestment occurred pension system. Women working in the and elements of social services were placed household, the self-employed in agricul- on a market basis. Some countries delayed ture, and discouraged job seekers all face reforms, maintaining formal equality of similar risks of pension exclusion. Low pen- access to services alongside a de facto de- sion levels are (and will likely remain) a ma- terioration in provision. Social protection jor factor contributing to the risk of income schemes in many countries in the region exclusion for elderly people throughout the have been ‘captured’ by particular interests region. The size of the pension is often too 39 or groups, leading to slower reform and low to guarantee a decent standard of liv- 39/ Cerami and Stubbs under-coverage of those groups that pos- ing, and there appear to be significant dif- 2010. sess less political power. ferences between pension levels for men Pensions constitute important source of and women even within CEE. incomes for elderly groups and the perfor- Unemployment compensation schemes mance of pension systems has important are now prevalent in CEE and CIS countries implications for social exclusion. The old (only Tajikistan does not have one). Howev- pay-as-you-go (PAYG) system appears finan- er, only 20–30 percent of the unemployed cially unsustainable in countries with age- actually receive unemployment benefits in ing populations. Low and declining rates of most of the transition countries. In the CIS, social insurance contributions, exacerbated unemployment benefits have always been by high levels of informal employment, low low, resulting in (i) only a small share of the employment rates and high youth unem- unemployed registering themselves offi- ployment make prospects bleak in many cially;40 and (ii) workers being more reluc- 40/ Rutkowski et al 2005. ECA countries. Low replacement rates pro- tant to part with their jobs, which may have vide further disincentives for formal sector contributed to the slower pace of enterprise employment and for contributors to join restructuring. On the positive side, unem- the system. ployment and other social benefits boost Several groups are at risk of being com- incomes more in economically depressed pletely excluded from pension benefits. regions, due to intra-country differentials Most migrants lack social insurance both in in the cost of living. Also, while workers who receive unemployment benefits or so- 25 Figure 2.12: Number of children in institutional care per 100,000 people 18 years or younger (2006)

Source: TRANSMONEE data UNICEF (2010).

cial assistance tend to remain unemployed ing to their social exclusion. Abandoned, somewhat longer, benefit recipients are orphaned, neglected or ‘at risk’ children, more likely to find new jobs, and these jobs young people in conflict with the law, and are more likely to match the job seekers’ children and adults with disabilities face skills and preferences, decreasing their risk this risk. In some western CIS countries and of social exclusion in the long run. Balkan states, the rates of institutionaliza- Budget cuts in many countries have trans- tion remain worryingly high, despite recent ferred social protection functions to family, reform measures (figure 2.12). The lack of community and similar informal providers, sound community-based services to help with adverse consequences. These forms of families at risk makes it difficult to acceler- social protection provision are underdevel- ate the process of de-institutionalization. oped, under-funded and, frequently, not Official statistics on the share of children mainstreamed into statutory social protec- in institutional care may understate the tion systems. Traditional community-based true rates, and the share (not numbers) of systems of support and solidarity have also children being placed in institutions may been eroded in the transition period and have continued to grow during the years of rapid economic growth.41 Such care tends 41/ Everychild 2005. were often unable to pick up the social pro- tection functions being imposed on them. to be in remote geographical settings with Ultimately, the household was the last line too little attention paid to non-institutional of defence against social strain, and bore solutions, and to abruptly end after a child the heaviest burden in terms of taking on reaches 18 years of age. the ‘off-loaded’ social protection responsi- Social protection systems remain inflex- bilities. ible in the region. They remain slow to re- There is a persistent over-emphasis on in- spond to new needs ‘reflecting the weak stitutional care for some groups, contribut- tradition of social work, community-based

26 services and combining cash with individ- Figure 2.13: Percentage of urban and rural populations living in 42 ual casework’. Moreover, for children and dwellings not connected to a public water network, 2005-2006 adults with disabilities, they are still based on rather crude medical assessments of capacity, tend to encourage passivity and FYR Macedonia dependency rather than being supportive Armenia of diverse forms of social integration, and Montenegro are rarely complemented by services tai- Serbia lored to the specific needs of this popula- Bosnia and Herzegovina tion group. Albania Housing and living conditions Georgia Kazakhstan With a high rate of dwelling ownership, Azerbaijan housing deprivation in the region is more Kyrgyzstan related to the quality of housing and access Uzbekistan to basic infrastructure than to the unavail- Moldova ability of housing as such (except for some Roma communities). Depreciation of the Tajikistan housing stock—not maintained for de- cades—is a common problem, largely due to weak public finances and income pover- ty in the first decade of transition. The same Source: UNICEF (2009: 29). applies to basic infrastructure like water supply, sanitation or heating. Problems also persist with access to basic utilities in rural The ‘Social Exclusion Survey’ (table 2.3) con- areas. Problems of overcrowding, quality tributes important details to this picture. It 42/UNICEF 2009. of housing stock, and access to basic utili- reveals noticeable differences in terms of ba- ties (figure 2.13) are most pronounced in sic infrastructure not just between groups of rural areas, among poorer sections of the countries (the two SEE countries, Serbia and population, and among some minorities. the former Yugoslav Republic of Macedonia, Extreme housing deprivation is experi- and the rest covered by the survey). In most enced most acutely in Central Asia, as well cases there are significant access shortfalls as—more broadly—by refugees, IDPs and for households in the bottom income quin- Roma . tile and households in rural areas.

Table 2.3: Lack of Access to Utilities (in %)

Running Water Flushing indoor toilet Sewage system

KAZ MLD SRB TAJ MCD UKR KAZ MLD SRB TAJ MCD UKR KAZ MLD SRB TAJ MCD UKR Income Access to water and sanitation by household income status quintile Bottom 61 50 7 63 4 35 74 73 20 80 11 51 72 67 46 71 17 49 Quintile Top 12 21 2 44 1 4 25 50 1 44 0 10 19 29 18 44 7 11 Quintile Type of Access to water and sanitation by type of settlement settlement Village 74 59 6 78 2 45 89 85 9 95 6 69 87 74 37 84 41 6 Small town 17 10 2 40 0 13 35 48 4 59 3 23 33 34 11 49 0 20 Regional/ economic 5 11 1 16 0 3 19 28 1 27 2 10 17 22 5 30 3 11 centre Capital 8 0 0 3 1 0 17 4 0 12 1 0 12 2 11 13 6 0 Total 43 38 4 61 1 20 58 58 5 78 3 33 56 50 22 69 14 31

27 The homeless suffer from extreme hous- often experience violence and abuse. In ing exclusion (box 4). Given that home- 2007 the State Duma approved a law to lessness is a relatively new problem in the provide state support to homeless peo- ECA region, there are no reliable statistics, ple. 43/ UNHCR 2009. not least because homeless people tend Refugees and displaced persons also suf- to be missed by most large-scale sample fer from serious housing exclusion. They surveys. In several ECA countries, in par- 44/ UNDP Montenegro lack a viable long-term living solution, ticular in the CIS countries such as the 2009. both in their home country and in the Russian Federation, a substantial group of country where they currently live. There homeless is left without any form of social are almost 1.5 million refugees and IDPs 45/ World Bank 2005: 174. protection. Children living in the streets in the region, with the highest shares in Azerbaijan, Georgia, Bosnia and Herze- govina and Serbia.43 Box 4: The homeless The respondents surveyed for the ‘Social Inclusion Survey’ com- Many people in the region, including prise a randomly selected sample with one feature in common: displaced persons and urban migrants, they all have a home. Many people, however, do not. The homeless face severe challenges in terms of prop- do not fit into traditional sampling models and thus researchers erty rights. For instance, over half of Roma can miss them. That does not mean they do not exist. households in Montenegro have no legal title to their homes, which leaves them Homelessness is increasingly an issue in the region, Russia includ- vulnerable to forced evictions. ed. A recent report published by the Institute for Urban Economics* in Moscow sheds light on the ways people can become homeless Throughout SEE, many Roma live in segre- as well as on the destructive implications for the individual. gated settlements that are overcrowded, In Russia, a major driver pushing people into the street is the provide poor shelter, and are often not requirement to register where they live. Although the former connected to public water and power net- propiska system has been eliminated, registration is a prerequisite works. Almost a quarter of Roma house- for state benefits, social services, etc. A stamp in the ID card is still holds in Montenegro live in overcrowded needed to get a job, receive medical care, place a child in kinder- shacks, while one third do not have access 44 garten, receive social benefits, or even collect veterans’ entitle- to running water. The situation is also ments. And people can lose the stamp for various reasons – family dire for the comparatively more devel- conflict (husband moves out of the home but has nowhere go), oped new EU member states, where many fraud (real estate sharks convince somebody to sign a misleading- Roma settlements do not meet basic stan- but-binding contract to sell his or her flat), problems with the dards. law (when a person has nowhere to go once he or she gets out of prison). The most frequent reason, however, is economic—when Access to Energy people lose their jobs, they can no longer make payments on their homes. In recent years, access to reliable and af- fordable energy has become a key issue Homeless people are not just those who have lost the will and for social exclusion. The major challenge energy to persevere, who only want to find food and a place to however is more related to affordability sleep for the night, and who want to keep warm in winter. Actually, and availability of service and less to ac- these fully marginalized people are a minority among the home- cess. less. The majority are ordinary people who had the misfortune to find themselves on the street in a vicious circle of marginalization. The region is characterized by almost uni- The number of homeless is estimated at 1 to 4 million in the re- versal connection to the electricity grid— gion. Is there light at the end of the tunnel for people on the street? the only exception is Tajikistan, where 6 Official recognition is already a success of some sort. A number percent of households reported being of NGOs and local administrations are working on addressing without electricity in the Social Exclusion the problem by providing temporary shelters, safe accommoda- Survey. According to the World Bank, the tion in winter, or helping to restore the full-fledged legal status of reliability of supply is generally a greater homeless citizens. Legislative changes are being discussed as well. issue than connectivity. In Albania, Geor- Knowledge and experience are being accumulated. Hopefully, it gia, Kyrgyzstan (except in the capital), Ta- will not take long to reach a critical mass and bring about sustain- jikistan, and Turkmenistan, only a minority able change. of users had electricity 24 hours a day.45 In terms of social exclusion, the cost of energy plays a large role, since poor and * Е. Kovalenko, Е. Strokova (2010) Homelessness: Is there a Way Out? Moscow: Institute for vulnerable households spend a high Urban Economics. proportion of their income on energy.

28 Throughout the region, the burden of pay- “Public transport is non-existent. Before we had a bus assigned to us ing energy bills has increased as a result by a farm director, but then it was cancelled because there were not of subsidy cuts, price and tariff increases, enough people using it. They said that the cost was too high” (Resi- increased reliance on more expensive dent of a remote village, Kazakhstan). sources, and increased enforcement in case of non-payment. In cases where regulation is inadequate, there is a risk of may even be growing throughout the ECA passing on only energy price increases to region, diminishing access to information the end user, and not price declines. A re- and participation in social networks. In cent World Bank report noted the serious terms of internet use, it is clear that the impact of energy poverty during the crisis proportion of users is closely related to throughout the region, with the effects overall levels of human development. But worst among the poorest households and even in the richest countries of the region, in rural areas.46 Given the need to price en- more than one third of the population 46/ World Bank 2010. ergy appropriately (to reach cost-recovery does not use internet. for well-regulated utilities, and to elimi- Given the increasing importance of the nate energy subsidies), adequate social internet as a medium for information ex- protection will need to be made available change and access to knowledge, this has to those in need, together with facilitat- far-reaching consequences in terms of ing their access to energy-efficient, low- participation in economic, political and carbon technology. social life, particularly for young people. Mobility and transportation It also tends to exacerbate the exclusion of an underclass that is trapped within a circle of deprivation, lacking access to Transport is critical for access to employ- modern information channels so vital to ment, health and education. Nevertheless, success in contemporary society. This is access to quality and affordable transpor- worrisome because access to ICT could be tation is much less in focus than access highly effective in alleviating social exclu- to energy. This should change, since lack sion stemming from physical remoteness 47/ http://www. of transport can contribute significantly or from limits in access to some public ser- to social exclusion. The World Bank Rural worldbank.org/trans- vices. The ‘Social Exclusion Survey’ found port/transportresults/ Access Index calculates the share of rural that a significant part of the population in dwellers living less than two kilometres headline/rural-access/ the CIS cannot afford a computer or inter- rai-updated-modelbased- from the nearest all-season road using net access (table 2.4). household budget survey data. The index scores5-20070305.pdf. is lowest in Albania (31 percent), a still rather low 56 percent in Ukraine, 57 per- cent in Uzbekistan, and around 66 percent Table 2.4: The percentage of people who cannot afford in Belarus, the Republic of Moldova and electronic equipment Turkmenistan.47 As for railway transport, cutting costs by cancelling less profitable routes disproportionately affected remote Landline Cell phone Internet Computer rural areas, raising the risk of isolation and phone related exclusion of their populations. Kazakhstan 20 14 42 38 Disabled persons are often excluded from public transport. Both the inaccessibility of buildings and people’s attitudes, such Moldova 7 15 41 39 as when taxi drivers refuse to take dis- abled customers, are legacies of the past Serbia 5 3 20 15 that have not improved sufficiently during transition. Tajikistan 39 18 67 68

FYR ICT and the digital divide 7 2 13 11 Macedonia Low internet and ICT penetration rates contribute to the ‘digital divide’ in the re- Ukraine 12 7 32 26 gion and are often referred to as ‘e-exclu- sion’. The phenomenon is widespread and Source: Social Exclusion Survey 2009. 29 works among next of kin, or in their com- Exclusion from social munities. Clearly, throughout the region, networks and civic post-independence states continued to rely on strong pre-existing social organiza- participation tions.50 For example, the politics of clan and kinship play an important role in the Cen- The key concept for inclusion in civic pro- tral Asian political landscape (in Uzbekistan cesses is participation. Exclusion from civic and Turkmenistan in particular), while indi- and social life and networks therefore refers vidual and civic activism is rather limited.51 to denied participation in different aspects Furthermore, traditions of ‘tribal democ- of political, cultural and civic activity. These racy’ among nomadic peoples in countries include engagement in the electoral pro- such as the Kyrgyz Republic contrast with cess, the right to elect and be elected, free- traditions of hierarchy and authority that dom of expression and association, access characterize the settled agricultural society to justice and information, and public and of Uzbekistan. As such, civic engagement is political security. rather active at the community level in Kyr- Exclusion from civic and social life and net- gyzstan, while in Uzbekistan the mahallas works occurs not only through formal in- (self-governance institutions) provide an stitutions but also through lack of access important community framework for ac- to informal structures and opportunities. tion. Informal social networks and formal civic In this sense, Central Asian countries seem institutions are complementary avenues not to differ much from SEE and the Cau- for participation in public life. casus but do differ from the countries of Two aspects of civic, cultural and political Central and Eastern Europe, which are exclusion are noteworthy when looking at organized more around individual initia- tives and civic engagement. The tradition 48/ Putnam et al. 1993. social exclusion: the development of politi- cal culture and social capital. Political cul- of association has been strong in CEE (for ture refers to the values about the nature of example, Solidarnosc in Poland, and Char- 49/ Kuzio 2001. authority, the role of individuals or groups ter 77 in Czechoslovakia), and these forms (e.g., women) in public life, and prevailing of civic engagement and activism contrib- role models. Political culture is reflected uted to the political change of 1989. Civic 50/ Social organizations in political participation beyond turnout engagement further evolved in Central are largely involuntary, at elections (which itself is low in several and Eastern Europe in the 1990s: indepen- promoting communal countries), and levels of public confidence dent media flourished and the number and norms and values, unlike in state institutions. Social capital is based reach of civil society organizations, such as the individualist and on norms of reciprocity and mutual trust,48 trade unions, professional and consumer voluntary associations that increased through social networks and in- associations, religious organizations, and de Tocqueville and others dividuals linked through them. Research environmental groups rose rapidly. More have argued are the basis suggests that societies with higher level of recently, the European Union has enhanced of Western and democratic social capital stand a better chance of be- incentives for developing civil society in EU civil society. coming democratic and stable. Social capi- accession countries through e.g., legal re- tal is especially important for low and mid- quirements and human rights charters. 51/ Collins 2006. dle-income transition countries that face Nevertheless, involvement in civil society the triple challenge of democratization, organizations (CSOs) has remained rela- economic development and avoidance of tively weak in the region.52 The sector, for 52/ Rose-Ackeman 2001. violent conflict.49 example, employs only 2 percent of the CEE population (and even less in the Western “We do not go anywhere. We have no club, as it was closed and CIS, Caucasus, and Central Asia) compared turned into a hostel. There are no facilities for the rural population, no with 7.8 percent in the or 5 post office” (resident of remote a village, Kazakhstan). percent in France and Germany. An impor- tant civic difference between post-socialist states and the EU 15 is the extent to which Civil society participation the new institutions are responsive and accountable to citizens, and the extent to Data from the ‘Social Exclusion Survey’ sug- which informal groups and networks wield gest that while citizens are disillusioned control, exert influence, and broker relation- with politics, they are keen to form net- ships between public and private sectors.

30 One important factor could be funding— Table 2.5: Percentage of people who disagree with the the majority of CSOs struggle to make ends statement: “Most people can be trusted”. meet, primarily responding to external do- nors’ priorities rather than advocating for the needs of local communities. People can’t be Bottom quintile Other quintiles With countries of the region graduat- trusted ing from donor support, the CSO scene is changing. Some organizations have folded Kazakhstan 42 41 42 up, or started to provide consultancy ser- vices, rarely focusing on community-level Moldova 73 73 73 activities. As a result, the CSO community has split into two groups: ‘professional’ Serbia 80 86 78 donor-driven organizations with access to resources but weak links to local com- Tajikistan 57 63 56 munities, and a group of small (usually community-focused) organizations doing FYR Macedonia 57 61 56 small but tangible things at the local level and facing problems of raising even small Ukraine 46 48 46 amounts of funding. These groups’ contri- bution to social inclusion is quite different. Bridging the gap between the two—e.g., through volunteerism—is therefore a ma- region, indicating that people are invested jor challenge with important implications in their private circles. for social inclusion, particularly at the local 53 The ‘Social Exclusion Survey’ found civic level. 53/ In Albania, the Re- participation to be very low in the six sur- public of Moldova and the veyed countries. Participation in any kind of Levels of trust, participation former Yugoslav Republic association, club or leisure group is lowest of Macedonia, the numbers in civic networks and social in Central Asia (Tajikistan (21 percent) and of people volunteering in capital Kazakhstan (21 percent), followed by the organizations are higher CIS (Ukraine (26 percent) and Moldova (25 than in the EU. Voluntary Social networks, civic participation and percent)). Participation is higher in South- participation in religious trust are weakening in the region. Social east Europe, where almost 40 percent of and cultural organizations networking has become more important for respondents reported being active in some is the most popular form getting ahead in life, while trust in people, kind of civic activity. of volunteerism, followed neighbours and formal institutions is very Some 28 percent of men and women re- by sport organizations, and low. Studies also suggest that while people ported that cultural events accounted for labour movements. Youth, don’t trust institutions on the whole, they their participation in civic life. Youth–par- and people with higher often trust the people they know in these ticularly those between the ages of 15 and education are more active institutions who help them get things done. 24–said they preferred cultural events (45 volunteers, and volunteer Such attitudes can contribute to a deeper percent). Cultural life also appears to be rates are slightly higher sense of injustice (by those who don’t have considerably more pervasive in capital cit- for men. such connections), and to a breakdown in ies, especially when compared with villag- the social contract. es. Respondents in Kazakhstan (18 percent) The Social Exclusion Survey found high lev- and in Tajikistan (15 percent) cited distance els of mistrust in the six surveyed countries, as a reason for not participating more in with no significant gender differences. As cultural events. table 2.5 shows, this lack of trust is slightly Six percent of respondents in the Social In- higher among those in the bottom quintile clusion Survey reported taking part in some of the population in terms of consumption. political party activity (a distant second be- The most mistrustful are in Serbia, where hind participation in cultural events). Politi- this level was 80 percent, and in the Repub- cally active men in Tajikistan and the former lic of Moldova (73 percent), while citizens of Yugoslav Republic of Macedonia account Ukraine and Kazakhstan are more trusting. for 14 and 9 percent of survey respondents, On the other hand, people reported a high respectively. At 4 percent, Kazakhstanis re- level of trust in acquaintances and people ported the lowest participation in political within their social network throughout the parties.

31 Women are strongly under-represented A recent National Human Development in political life. The proportion of women Report from Bosnia and Herzegovina has members of parliament is only 15 percent emphasized the distinction between inclu- in the region, with considerable variation sive and exclusive social capital. The former across countries. Women in Georgia and is fostered through open and diverse social Albania hold only around 6-7 percent of networks; the latter through closed net- seats; this figure is 9 percent in Armenia works that often require considerable ef- and Romania, rising to 30 percent in Kyr- fort or cost to be admitted, or are based on gyzstan and the former Yugoslav Republic certain social attributes that cannot be ac- 54/ UNDP 2010c. of Macedonia.54 quired (box 5). The key conclusions of the report underscore the linkages between Survey respondents reported low partici- those forms of social capital that can foster pation in labour movements, which ranked social inclusion and those that entrench third. Only four percent of respondents social exclusion. In this respect, personal reported taking part in demonstrations, and family connections have been found which ranked last. Men were found to be crucial for obtaining employment or state more active than women, except in Kazakh- services. In different ways and contexts, the stan and the Republic of Moldova. Overall, use of personal and family connections to survey respondents reported little interest help gain access to services, employment or in politics. They said they refrain from po- privileges, or to enable ‘jumping the queue’ litical activities because they cannot affect is widespread throughout the region. It ex- change, and also because they fear there acerbates inequality and social exclusion 55/ Mihaylova 2004. might be negative consequences. for those lacking effective connections. Ethnic tensions are prevalent in several Box 5: The ties that bind countries. In Serbia and the former Yugoslav The National Human Development Report from Bosnia and Her- Republic of Macedonia, data indicate that zegovina for 2008 addresses the issue of social capital. It finds that the young population feels the intensity of Bosnia and Herzegovina is a society dominated by strong familial ethnic strife most: 34 percent of students in ties. People are more likely to spend time with, and have trust in, Serbia and 46 percent in the former Yugo- their immediate social network of family, friends and close friends. slav Republic of Macedonia reported feel- This applies equally across ethnicity, age, gender or location. Eth- ing considerable tension between ethnic nic minorities living in an area with a majority population gener- groups. Some 8 percent of respondents in ally possess weaker social networks. Finally, only about 10 percent Kazakhstan and 21 percent in the Republic of people feel that most people can be trusted. of Moldova reported the existence of eth- nic tensions within the same age group The analysis suggests that social networks matter. Those who (15-24 years). have weaker social networks have fewer people to rely on for help, feel more isolated, and have lower levels of trust. Groups more Social capital contributes to well-being likely to suffer from social isolation include IDPs, minority return- and social inclusion. Weak social capital ees, the elderly, women in rural areas, and people with minimal perpetuates social exclusion, which further education. The elderly are most likely to possess inferior networks. erodes inclusive social capital. This in turn People in the Republika Srpska are more likely to suffer a lack of may lead to greater reliance on family and networks than those in Bosnia and Herzegovina. Those who lack kinship ties, reinforcing exclusive types of networks have lower levels of social capital and higher levels of social capital. Lack of trust in people who material deprivation. are different may also contribute to social Social networks and inclusion are strongly correlated. The use of exclusion. Similarly, a lack of trust in insti- štela – personal and family connections – is widespread through- tutions leads to a breakdown in the social out society and is present in most relationships between people contract between citizens and the state, and service providers in Bosnia and Herzegovina. Some 95 percent and fosters a reliance on informal channels of survey respondents reported that having a štela is always or for accessing institutions, a practice that 55 sometimes useful for access to basic social services. Some 86 can feed corruption. Mihaylova suggests percent of people see personal connections as the only way to get that the unequal distribution of social and a job, and most people use family connections in their search for cultural capital, in part a legacy of social- employment. But those networks are also a double blessing. The ism, contributes to educational inequalities use of štela not only limits access and produces inequalities within and hence exclusion from the opportunity society, but also significantly disempowers people. to acquire skills that could enable full par- ticipation in society. Source: UNDP BiH (2009: 22).

32 people, neighbours and formal institutions Major findings of this is weak according to those surveyed. Reli- chapter ance on informal channels spawns corrup- tion. These behavioural patterns create ad- This chapter has analysed how people are ditional barriers to effective and responsive excluded along three dimensions: exclu- systems of public administration. sion from economic life, exclusion from Social exclusion has led to some disillusion- social services, and exclusion from social ment with the reform process. While peo- networks and civic participation. Exclu- ple under socialism lacked the freedom to sion from economic life can result from fully participate in society, many now lack inequalities in access to resources. These the ability or interest in the opportunities inequalities are attributable to location offered by transition. Low levels of political (spatial poverty) and status (being a child, engagement have contributed to social ex- woman, minority, etc). Although average clusion. poverty rates were declining through 2005, poverty has remained entrenched in rural The next chapter introduces the multidi- areas and small towns. Poverty has also re- mensional social exclusion index, which mained prevalent among certain groups: captures multiple forms of exclusion in a youth, ethnic minorities, people living with single measure. It helps to identify people disabilities, and IDPs. who are experiencing simultaneous, over- lapping deprivations. Exclusion from the labour market greatly affects the status of the individual. Persis- tent high unemployment tears the social fabric. Given the high rates of youth un- employment, present trends could create a ‘lost generation’ of young people who are unable to produce the income needed to support themselves. The transition reces- sion and subsequent jobless growth in the region has also created a layer of discour- aged workers, especially among women and the middle-aged. Deteriorating social services hampered by partial reforms have led to exclusion from social services, impairing people’s educa- tion, health and nutrition. Social protection is still largely category-based, provided to certain groups rather than to those in need. Social services are often ‘captured’ by inter- est groups, while those in need lacking an effective political voice end up with little or no access. Growing disparities have emerged in the educational system. Teacher quality, class size and equipment have worsened in re- cent years. Most schools emphasize uni- versity rather than vocational education, leading to a mismatch between the knowl- edge people attain and the skills the labour market demands. Lack of affordable and accessible transport and in some cases, lack of affordable and reliable utilities, has significantly contributed to inequalities in educational outcomes in the region. Networking has become increasingly im- portant for social advancement. But trust in

33 34 Chapter 3: The multidimensional social exclusion measure

o measure and monitor a complex phenomenon like social exclusion, Box 6: The EU approach to measuring poverty and social exclusion T a framework is needed that reflects Although the European Union is made up of (mostly rich) countries, the rest its complexity. This chapter introduces a of Europe and beyond can learn from its experience in combating poverty multidimensional index to measure and and social exclusion. Since 2000, the European Union has aimed to make monitor social exclusion. The index allows a decisive impact on the eradication of poverty and social exclusion in its us to quantify how people experience so- Member States through the Open Method of Coordination (OMC), an ap- cial exclusion. It also gives governments a proach to governance that relies on the voluntary cooperation of Member tool that they can use to pursue targeted States. A key element of the OMC is a set of indicators (known as “the social inclusion policies. The measure fol- Laeken indicators”) that were agreed jointly by the European Commission lows the methodological framework out- and Member States to monitor progress towards the EU’s social inclusion lined in Chapter one, and it enables us to objectives. quantify the outcomes of the social exclu- The European Council Summit adopted the Laeken indicators in 2001.* sion chain. Since then, the European Union has developed them further. Aiming to reflect major objectives for social protection and inclusion, the indicators How to quantify cover poverty, inequality, labour market access, in-work poverty, access to health care and education, as well as housing standards, material depriva- social exclusion? tion, and child well-being.** The main source for the ‘commonly agreed EU indicators’ is the Statistics on Several approaches to measuring social Income and Living Conditions (SILC), which reflect a complex matrix of data exclusion have been developed. UNDESA on income, social exclusion and living conditions. These indicators have (2010) has provided a good overview of the been used to assess progress in EU member states. Until recently, they were challenges of measuring social exclusion. It not accompanied by quantitative targets. This changed in spring 2010, has also identified principles and proper- when the European Council set a single EU headline target: lifting at least ties for social exclusion indicators. Accord- 20 million people out of poverty by 2020. ing to UNDESA, social exclusion needs to be The main measure of income poverty in the EU list of indicators is rela- studied both through objective (verifiable, tive: the poverty threshold is not an absolute amount, but 60 percent of quantitative) indicators as well as through the median disposable income in a given country. The advantage of this subjective ones, which capture the views of measure is that it is not influenced by the large income disparities between those experiencing social exclusion. old and new Member States, and thus can be used across the Union. But it The European Union has introduced indica- has limitations. tors for monitoring poverty and social ex- In the new EU member states, where a large share of households practices clusion over time across its member states subsistence agriculture or other forms of home-based production, poverty (box 6). Other organizations – such as the measures based on expenditures may better reflect living standards. The World Bank, the Organization for Economic EU has intensified efforts to go beyond a purely relative income poverty Cooperation and Development (OECD), and measure by developing additional indicators that reflect multiple depri- the United Nations – use different measures vations. It is also strengthening its statistical capacities to measure child and indicators to capture absolute and rela- poverty and child well-being, homelessness and the exclusion of persons tive poverty, deprivation and inequality. with disabilities.*** Building on the well-established, largely income-based EU measures of poverty and * In December 2001 the European Council adopted the Laeken Declaration on the Future of the social exclusion, the measure put forth in European Union, committing itself to building a more democratic, transparent and efficient Union. this report covers a broader set of dimen- ** The European Commission, Portfolio of indicators for the monitoring of the European strategy 56 sions. It is based on the Alkire and Foster for social protection and social inclusion (The European Commission, 2009). methodology of multidimensional poverty *** European Social Situation Observatory, http://ec.europa.eu/social/main. monitoring which has been applied to 104 jsp?catId=676&langId=en; Study on Child Poverty and Child Well-Being in the EU (2010), http:// countries in the 2010 UNDP Human De- cordis.europa.eu/wire/index.cfm?fuseaction=article.Detail&rcn=21909. velopment Report. Our measure has been adapted to account for the diversity of the 56/ Alkire and Foster 2007.

35 Europe and Central Asia region. It builds on Box 7: Promising approaches to collecting data on social the variety of approaches to monitoring so- exclusion cial exclusion that have been implemented In order to measure social exclusion, some prerequisites must be met. in the region (box 7). Cross-ministerial and cross-departmental cooperation is required, since social exclusion encompasses cross-cutting dimensions. In order to build The social exclusion measure presented in policy-relevant social exclusion indicators, data must be disaggregated. this report captures social exclusion along Furthermore, data sources such as the household budget survey (HBS) various dimensions in a single, method- and labour force survey (LFS) also need to be of higher quality, capable ologically robust figure. The measure has of being decomposed into various social groups and localities. Linking two components: the social exclusion data from various sources (particularly from national and sub-national headcount (the share of people facing a register systems) can help measure social exclusion. number of deprivations above a certain threshold) and the multidimensional social The task is challenging for two reasons. National statistical offices have exclusion index. The index is the headcount limited capacity to produce disaggregated data in areas beyond poverty, weighted by the intensity of exclusion (the such as social participation and social networks. Furthermore, institu- average number of deprivations each so- tional settings often make it difficult to combine various data sources to cially excluded household experiences). produce multi-dimensional results (since social exclusion encompasses cross-cutting dimensions, cross-ministerial and cross-departmental coop- The deprivations are expressed in terms of eration is required, which is not always easy to achieve). 24 indicators – eight indicators for each of Despite these challenges, some countries have been successful at putting the three dimensions of social exclusion together social exclusion measurements. In Poland, for example, social (figure 3.5 and Annex 3). The indicators exclusion estimates are based mainly on ‘administrative’ data collected were selected based on the analysis of the by the National Statistical Office from public and private entities (about three dimensions of exclusion, informed 80 percent of all data), or based on statistical data collected by local by findings from focus group discussions, administrations. These data are disaggregated by territory down to the from national consultations, as well as from gmina level—the lowest level of public administration—and in some relevant international literature. For exam- cases down to the city district level. ple, indicators have been selected (and in some cases modified) from EU surveys, the A good example of linking data from different sources (surveys, adminis- European Quality of Life survey, social capi- trative data and censuses), is the Small Area Estimation Technique, which tal surveys and the ‘missing dimensions of estimates incomes, poverty and unemployment statistics at the powiat or poverty’ surveys piloted by the Oxford Pov- district level.* The Polish experience using the Small Area Estimation tech- erty and Human Development Initiative. nique is very useful, as this method does not require extensive datasets Robustness checks (see Annex 2.2) have at individual levels, and requires fewer efforts to produce disaggregated been carried out to ensure that the individ- data (UNDP Poland, 2007). ual indicators are not correlated, and that The Republic of Moldova is developing its own system to monitor social each individual indicator is relevant for ex- exclusion by adopting measures employed by the European Union. An ad- plaining social exclusion in the six surveyed hoc Module on Social Exclusion has complemented the household budget countries. survey. This Module comprises a set of social exclusion indicators used by other EU member states,** a list of EU indicators established by the In the first dimension – economic exclusion European Commission, indicators monitoring the National Development – indicators reflect deprivation in incomes Strategy, and the MDGs in the national context (UNDP Moldova, 2011). and basic needs; employment, financial services and material assets; amenities that The Serbian government has also taken steps towards adapting EU meth- households need but cannot afford; and odology. The Statistical Office is planning to implement the first EU-SILC dwelling size. The second dimension – ex- survey, which will provide reliable data for comparative analysis over clusion from social services – encompasses time, by states (EU and associated countries), and at the sub-national education and health services, as well as regional level.*** public services. The third dimension—ex- clusion from civic and social life—covers * The The powiat level is at the NUTS4 level. NUTS refers to the Nomenclature of Territorial Units for deprivation in political, cultural and social Statistics. networks, as well as reflects diminished op- ** http://ec.europa.eu/employment_social/soc-prot/socincl/final_joint_inclusion_report_2003_ portunities for social and civic participation. en.pdf. In a departure from past analysis, these in- *** The Serbian Parliament has adopted a Law on statistical regionalization that recognizes regions dicators reflect capability deprivations— in accordance with NUTS rules. This will both improve regional governance and solve problems of interna- which mirror the real opportunities that a tional comparability of Serbian statistical data. person has based on personal and social circumstances57—rather than item or ne- cessity deprivations, which reflect material 57/ Nussbaum 2000. items that people need but cannot afford.

36 The indicators selected should not be un- the cut-off value. They only suggest ways of derstood as ‘fixed’, but rather as a point of arriving at a reasoned evaluation. Every de- departure in national discourses on mea- privation measurement is based on a judg- suring social exclusion, where nationally ment about what threshold to use – just as relevant indicators should be selected in is the case when selecting poverty lines. an inclusive and participatory way.58 Spe- Further explanation about the survey meth- 58/ On the selection of cifically, such decisions on measuring so- odology needs to be made. First, the Social capability indicators and cial exclusion have to involve those who Exclusion Survey captures social exclusion dimensions see Alkire experience social exclusion, so that they at one point in time (November 2009, see (2008), Robeyns, (2005), have a say in the choice of indicators and Annex 1.2). However, in order to add a more and Sen (2004). thresholds (i.e. when someone is consid- dynamic element, some questions compar- ered to be socially excluded). Furthermore, ing current and pre-transition periods were adequate attention must be paid to those also included. Second, while the survey fo- who experience social exclusion but who cuses on the six countries surveyed, the is- are ‘invisible’ from the standpoint of statisti- sues it reflects apply to the other countries cal instruments (such as homeless people, in the region. Thus it is possible (with certain street children, adults and children living limitations) to extend the analysis to other in institutions, ethnic minorities, migrants, countries. The limitations mainly stem from and people living with HIV). data constraints (see annex 1). For example, 59/ Alkire and Foster Each of the three dimensions of social ex- since the survey took the household as the 2007. clusion has equal weight, as does each indicator. The indicators chosen for this social exclusion measure are objective: Box 8: What it means to be deprived: Clarifying the survey they reflect status, rather than perceptions. methodology Still, there is an element of subjectivity in Lack of basic household items can indicate deprivation—but not the assessment of needs (‘the household always. Some households can afford items such as televisions, needs certain amenities but cannot afford computers and ovens but not want them. Therefore, the survey them’) and in the assessment of frequency methodology took ‘lack of certain household items’ to indicate of social contacts (rare or infrequent social deprivation only when households need such items but can’t af- contact with family, relatives or friends) ford them. that also reflect the relative nature of social This methodology has allowed us to make a number of revealing exclusion. Whether or not a household per- observations. For example, most households have television sets ceives to ‘need’ certain amenities also de- in the region. On average only 3 percent of households cannot af- pends on what is ‘normal’ in a given society ford them. However, in Moldova this figure was higher—5 percent. (see box 8). For computers, the picture is different. Only 9 percent of house- We define an individual as socially excluded holds have one, while 60 percent cannot afford one. In Ukraine, 49 if he or she is deprived in at least nine indi- percent of households reported that they do not have one and do cators. There are two reasons behind this not need one. (Ukraine is the only country where this percentage choice of threshold. One is to apply a con- outweighs those who can’t afford one). In Tajikistan, the opposite servative threshold that does not inflate the was reported: Some 72 percent of households do not have a com- multiple deprivation headcount. Alkire and puter because they can’t afford one. Foster suggest selecting the minimum ac- Local conditions also influence household perceptions of needs. ceptable deprivation count required to be For example, households do not consider owning a gas oven to be considered socially excluded.59 Nine indica- important when they reside in areas that lack a gas supply. The tors also reflect the minimum number that share of those who reported that they do not need a gas stove is is needed for an individual to be socially ex- highest in the former Yugoslav Republic of Macedonia and Serbia cluded in more than one dimension, since (77 and 73 percent, respectively). This is because many areas in one dimension contains only eight indica- these countries lack a gas supply. tors. (For a more detailed explanation of how Whether people perceive a need also depends on resource endow- the cut-off of nine was selected, please see ments and opportunities. For example, the highest share of house- Annex 2.3.) holds that need—but can’t afford—an electric sewing or knitting While choosing the same threshold for the machine can be found in Tajikistan, a country endowed with cot- six countries allows cross-country com- ton. Many women there are unemployed and their husbands work parisons, national evidence-based policy abroad, thus they would have the opportunity to sew and knit this analysis can (and should) apply nationally cotton provided they could afford sewing and knitting machines. agreed thresholds. Indeed, Alkire and Fos- Such machines are not just household ‘amenities’ but tools for ter do not provide a method for selecting women to work more productively and independently.

37 Table 3.1: Social exclusion in the six surveyed countries

KZH MLD SER TJK FYRM UKR

Magnitude of social exclusion

(A) Social exclusion headcount (%) 32 40 19 72 12 20

(B) Intensity: Average number of deprivations among the socially 10.5 11 10.8 11.1 10.8 10.4 excluded

(C) Intensity: Average share of deprivations (the number of 44 46 45 46 45 43 deprivations as a percentage of the 24)

Social Exclusion Index (A) *(C) 14 18 8 33 5 9

Contribution of dimensions to the Social Exclusion Index

Economic exclusion 34 32 31 39 30 28

Exclusion from social services 34 39 38 34 38 36

Exclusion from participation in civic 32 30 31 27 32 36 and social life and networks

Source: Social Exclusion Survey 2009.

unit of analysis, intra-household inequali- of three persons in the region is socially ties cannot be reflected without making excluded, with a wide range of variation further assumptions. Furthermore, the across countries. Social exclusion in Tajiki- measure cannot be disaggregated by pop- stan is the most acute, with 72 percent of ulation groups such as ethnic minorities, the population found to experience nine internally displaced persons, and persons or more deprivations. While the share of with disabilities. The survey did not obtain people considered to be socially excluded a representative sample of these groups. varies significantly across the six countries, the intensity of their exclusion is found to be quite similar despite variations among Level and depth of countries in terms of population size, GDP social exclusion in and human development levels. The inten- sity of social exclusion ranges from 43 per- the region cent in Ukraine (where socially excluded people face on average 10.4 deprivations The results of the Social Exclusion Sur- out of 24) to 46 percent in Tajikistan (where vey shed light on the breadth and depth socially excluded people face on average of social exclusion in the region. Table 3.1 11.1 deprivations out of 24). captures social exclusion in terms of head- count, and intensity. It also presents the The Social Exclusion Index can be disag- multidimensional Social Exclusion Index gregated by dimension, which provides information about the contribution of each 60/ More on the multidi- which integrates the headcount and inten- 60 dimension to the overall social exclusion mensional exclusion index sity of social exclusion. index. This creates opportunities for policy can be found in Annex 2. The data show that more than one out makers to see the composition of social

38 exclusion in their area of interest. The data tion. This can be explained by the preva- clearly indicate that social exclusion is not lence of informal employment. Since the determined by economic factors alone. In unemployment indicator does not reflect five out of six countries61 all three dimen- the insecurity of such employment, it po- 61/ Tajikistan is the sions contribute roughly equally, while ac- tentially understates the level of social ex- exception, where economic cess to social services contributes slightly clusion that people face. exclusion contributes the more than the other two. This reinforces most to social exclusion In the social services dimension of social the message that in order to tackle social outcomes. exclusion, the contribution of individual exclusion, all three dimensions must be ad- indicators to deprivation is more varied dressed equally: focusing solely on poverty among the six countries. Lack of access to reduction or economic inclusion is not suf- transportation and health care accounts for ficient.. a significant portion of social exclusion in Structure of deprivation all surveyed countries. Inadequate heating is a major contributor to social exclusion in the Republic of Moldova, the former Yu- The data indicate that the distribution of goslav Republic of Macedonia and Serbia, deprivations across the three dimensions while lack of access to safe water is most of social exclusion is relatively similar in the prevalent in Kazakhstan, the Republic of surveyed countries (see figures 3.1, 3.2 and Moldova and Tajikistan. 3.3). In the economic dimension, social ex- clusion is largely a result of the lack of ac- In the civic dimension, lack of participation cess to finance, housing, household ameni- in civic, political and social activities con- ties and information and communications tributes substantially to social exclusion in technologies, while income poverty and all six countries. As discussed in Chapter unemployment seem to play a smaller role. two, perceptions that institutions are insuf- As discussed in Chapter two, lack of access ficiently representative and disillusionment to finance is prevalent in the region, ham- with political parties contribute to low civic pering people’s ability to act upon business engagement, and to low levels of social opportunities. The unemployment indica- capital and solidarity. People believe that tor contributes only minimally to depriva- connections are more important for get- ting ahead in life than civic engagement.

Figure 3.1: Composition of the economic dimension

Percentage contributions of individual deprivations to the economic dimension %

Source: Social Exclusion Survey 2009. 39 Figure 3.2: Composition of the ‘social services’ dimension

% Percentage contributions of individual deprivations to the social services dimension

Transportation

Health care

School drop out

School materials

Medication

Low education

Heating

Water

Source: Social Exclusion Survey 2009.

Figure 3.4 illustrates deprivations in indi- nine, and for those whose total number of vidual dimensions for the region (the pro- deprivations exceeds this threshold (and files of individual countries are provided in thus are socially excluded). For instance, 50 Annex 3). This figure provides additional percent of respondents do not have run- insights into the relative importance of ning water or are not connected to a sew- various indicators, both for people who are age system. For 29 percent of respondents, deprived in a specific indicator while their this made them socially excluded, accord- total number of deprivations is less than ing to the multidimensional measure.

Figure 3.3: Composition of the ‘civic’ dimension

% Percentage contributions of individual deprivations to the civic dimension

Civic participation

Social participation clubs

Social participation culture

Political participation

Social participation private

Support networks

Social ties friends

Social ties family

Source: Social Exclusion Survey 2009.

40 Figure 3.4: Social exclusion is the product of a wide range of deprivations

Percentage of people deprived in each indicator by social exclusion status

Incomes: At risk of poverty rate (60% of median equivalent expenditures) 12 16 Subjective basic needs: Unable to meet basic needs 2 6

Employment: 4 5 Unemployment (ILO definition) Financial services: No bank account on own name 34 32 Housing deprivation: Unable to afford a bed for every HH member, or livingroom furniture 5 19

Amenities: Can’t afford washing machine, 13 27 freezer or microwave ICT: Can’t afford a computer or internet 18 26 Overcrowding: Households with less than 6m2 per person 1 4 Public utilities: Households with no running water or sewerage system 21 29

Public utilities: Households heating 20 20 with wood or with no heating Education: Low educational achievements 6 12 (basic schooling) and early school leavers People who face Education: Unable to afford 13 12 books for children this deprivation, but are not excluded Education: Household with children 2 4 not in school / preschool

Health care: Unable to afford medication 7 16 or dental checks for children People who face Health care: Unmet medical needs due 22 24 to barriers in health care system this deprivation and are excluded Cultural opportunities: Unable to afford cultural events, or unable to attend due to distance 18 21 Social capital: Rare or seldom contact with family/relatives 3 3 Social capital: Rare contact with friends 2 3 Social capital: Lack of support networks that could help in emergency situations 6 8 Social participation: Can’t afford socializing with friends or family 3 8 Social participation: Can’t afford books, cinema or theatre 20 29 Civic participation: No participation in elections due to ineligibility or distance 12 Civic participation: No participation/membership in associations, teams or clubs 36 29

Civic participation: No participation 53 32 in political/civic activities

Source: Social Exclusion Survey 2009.

41 Figure 3.5: Human development and social exclusion

HDI versus the percentage of the population that is socially excluded HDI (2010)

Percentage of socially excluded people

Source: Social Exclusion Survey 2009 and HDR 2010. Note: The sizes of the bubbles represent the size of each country’s population.

us to better understand the complex dy- Social exclusion and the namics of human development in all coun- Human Development Index tries, even those with high HDI and low poverty rates. Before the 2008-2009 financial crisis, coun- tries in the region had been experienc- Individual characteristics ing declining poverty rates and positive and their impact on social GDP growth. However, this did not always exclusion translate into more job opportunities for all, let alone improved social services and National averages are too general to cap- greater chances for civic participation. The ture the way different segments of the multidimensional social exclusion measure population – the elderly, youth, women presented in this report captures within- and so forth – experience social exclusion. 62/ The HDI combines country inequalities, complementing the The data often are not specific to these seg- normalized measures of life traditional GDP measure in a critical way. ments, which experience varying levels of expectancy, educational Figure 3.5 depicts the inverse relationship social exclusion. Breaking down the data by attainment, and GDP per between the Human Development Index age, gender, area of residence and employ- capita. (HDI)62 and the share of socially excluded ment status offers a richer picture—one persons in a country. To a certain extent, that is much needed for formulating poli- Serbia and Kazakhstan are outliers, with 63/ Since the measure is cy—than simply looking at the population higher shares of excluded persons than constructed using house- as a whole. 63 their HDI values might suggest. This find- hold-level information with ing illustrates the overlapping but different Age is an important contributor to social responses assigned to every concepts underlying the two indicators. exclusion (figure 3.6). The data indicate that member of the household, HDI reflects aggregated development out- the elderly experience the highest levels of the decomposition refers to comes (and comprises mainly national-lev- social exclusion in the surveyed countries the share of children, youth, el outcome indicators), while the social ex- —45 percent of the elderly are excluded elderly, unemployed, poorly clusion indicator focuses on deprivations, compared with the regional average of educated etc., living in opportunities and inequalities. Social ex- 31 percent. The intensity of deprivations households that face more clusion is more sensitive to inequalities in among the elderly is highest in the Repub- than nine deprivations. opportunities within countries, and helps lic of Moldova and in Tajikistan.

42 Children emerge as the second most vul- “There was an advertisement for communal services, park maintenance, and I nerable group after the elderly, using both took it, filled in the leaflet, sent it in and everything was ok. Two days later they weighted and unweighted averages (see asked me to take a medical exam. I went to the exam, and I passed. Then on the annex 2.5). One reason is their dependence first day, the employer said, ‘All right, is there someone with prior convictions on their parents – if their parents are ex- here?’ I had not dared to tell him, because I was afraid that if I had told him he cluded, they will most likely be excluded would not hire me. He took the list and said: ‘Oh, well, you’ve been convicted not as well. In addition, children face other ex- once, but several times.’ And I said yes, but where did you get that from? And he clusion risks related to their local environ- said, ‘Well, we got it all.’ All right, then why was I asked to go to the medical exam, ment (schools, day-care, etc). The data in- if there was a problem? The reason was that I was convicted several times. That dicate that children experience significant was the only reason why I couldn’t work” (Former prisoner, multiple convictions, levels of social exclusion in each surveyed Serbia). country except Ukraine. In the case of the Republic of Moldova, the share of excluded gardless of gender. The analysis of second- children (47 percent) is particularly high ary data used in this report suggests that compared with the share of excluded youth gender differences still exist and gender and adults. The difference can be attributed stereotypes are critical impediments to so- to high labour migration by parents. cial inclusion. Societal norms may serve to According to the data, the percentage rates discourage women from participating in of social exclusion for women and men are social and political life, or even from trav- roughly equal. But this finding needs to be elling alone to attend a public event. Fur- treated with caution. The index is unlikely thermore, individual vulnerabilities of men to reflect the depth of gender inequalities. and women translate into exclusion differ- Only 8 out of the 24 indicators employed ently for each group. For example, women in the index reflect individual characteris- generally earn lower wages than men, but tics that vary for women and men; the rest men are more likely to lose their job in an reflect household characteristics, which economic crisis because of their higher are shared by all household members, re- salaries.

Figure 3.6: Social exclusion and age

Social exclusion of children, youth and elderly Percentage of socially excluded people of socially excluded Percentage

Children (0-14 years) Youth (15-29 years) Adults (30-64 years) Elderly (>65 years) Source: Social Exclusion Survey 2009. Note: The regional average is the unweighted average of the six countries. Merging the individual country data sets into a regional database and analysing the results by sub-samples raises the sample size, and makes the disaggregation more robust.

43 Figure 3.7: Location matters

Social exclusion by respondents’ settlement type Percentage of socially excluded people of socially excluded Percentage

Village Small town Regional or economic centre Capital Source: Social Exclusion Survey 2009. Note: The regional average is the unweighted average of the six surveyed countries

Where one lives (whether in a rural or urban rural location significantly contributes to the area) is also an important risk factor. In five social exclusion headcount, and the most out of the six countries surveyed, social ex- extreme forms of social exclusion are pre- clusion is higher in rural areas than for the dominantly found in rural locations. Rural 64/ The exception is the country as a whole (figure 3.7).64 The further dwellers make up 82 percent of those suf- former Yugoslav Republic of people live from the capital city, the higher fering from extreme social exclusion (people Macedonia, where regional the magnitude of social exclusion. Rural who are deprived in more than 13 indica- or economic centres are areas suffer from lower employment and tors). Only 19 percent of rural households found to have a higher level income opportunities. Rural dwellers also do not experience social exclusion, while 72 of social exclusion. face a more limited supply of goods, social percent experience nine deprivations—the services, transportation and networks. With minimum needed to be classified as socially their higher levels of economic activity and excluded. strong social networks, urban areas provide Unemployment and low education also con- more employment opportunities. tribute significantly to social exclusion. Both are related: low education levels tend to raise “Even if you have work experience, but if next to you there is a recent the risk of unemployment. Survey data indi- graduate from Transnistria, and you have a diploma from the Repub- cate that the rate of social exclusion among lic of Moldova, the person from Transnistria is preferred” (Female, 39 respondents who identified themselves as years old, rural area, Republic of Moldova). unemployed is higher than for the popula- tion as a whole in each country (figure 3.8). Across the six countries surveyed, the share Unemployment is also likely to constrain of socially excluded people in rural areas is access to social services, and to reduce par- almost four times higher than the share in ticipation in civic and social forums. As for urban areas. Resulting from growth strate- education: in Ukraine, Serbia, and the former gies that favour urban areas, rural-urban Yugoslav Republic of Macedonia, people imbalances perpetuate a cycle of exclusion: with low levels of education experience high levels of exclusion drive more people twice the level of social exclusion than the to cities, further depriving rural localities general population (figure 3.9). of opportunities and depleting social net- The data also indicate that employment is a works. A closer look reveals that living in a necessary but insufficient condition for pre- 44 Figure 3.8: Employment is critical for avoiding social exclusion

Social exclusion of the unemployed

People who reported they were unemployed National average Percentage of socially excluded people of socially excluded Percentage

Source: Social Exclusion Survey 2009. Note: The regional average is the unweighted average of the six surveyed countries

venting social exclusion. While 84 percent certain groups face significantly higher of people who are not socially excluded risks. The survey for Serbia, which over- have a job, on average 43 percent of the sampled Roma and internally displaced employed are still socially excluded, with persons (IDPs), finds that 86 percent of exactly nine deprivations. Some 27 percent Roma and 56 percent of IDPs are socially of people suffering from extreme exclusion excluded, compared with 19 percent of the (13 or more deprivations) are employed. general population. The intensity of exclu- sion is also much greater. The average num- While people in all six surveyed countries ber of deprivations experienced by socially face a similar intensity of social exclusion,

Figure 3.9: Good education matters

Social exclusion headcount of the poorly educated as a percentage of the national average

250 Relative exclusion of the poorly educated National average

200

150

100

(national average = 100) average (national 50

Relative exclusion of the poorly educated of the poorly educated exclusion Relative 0

Source: Social Exclusion Survey 2009. Note: The regional average is the unweighted average of the six surveyed countries

45 Figure 3.10: Vulnerable groups and social exclusion percent among IDPs with disabilities. While it is not surprising that social exclusion in- Social exclusion headcount for Roma, IDPs and the general creases for Roma and IDPs who face several population in Serbia overlapping risks, disability has a lower im-

‘socially excluded’ for each cutoff value pact on the exclusion of IDPs, suggesting that disabled IDPs might have slightly bet- Percentage considered of people ter access to social safety nets than disabled Roma. Differences also exist in how much each dimension of social exclusion contributes to the exclusion faced by Roma, IDPs and the general population in Serbia (table 3.2). While economic exclusion contributes most significantly to social exclusion for IDPs, exclusion from social services contributes most significantly to exclusion in the Roma community and in the general population. Analysing the deprivations experienced by Roma and IDPs as compared with the gen- eral population yields further insights. In the social services dimension of exclusion (fig- Deprivation cut-off value ure 3.11), deprivations contribute in varying Threshold General population Roma IDPs magnitudes across the three groups. While deprivations in education and health con- Source: Social Exclusion Survey 2009 . tribute more significantly to exclusion for Roma, they are less pronounced for IDPs and excluded Roma and IDPs is 15.2 for Roma the general population. The picture is simi- and 13.2 for IDPs, respectively, compared lar when looking at the three groups in the with 10.8 for the general population. Fur- other two dimensions of exclusion. thermore, for any given cut-off, significantly more Roma and IDPs are socially excluded People’s subjective perceptions are equally as compared with the general population important as their measured social exclu- (figure 3.10). This is true even when income sion. People who do not face capability de- indicators are taken out: Roma and IDPs are privations may still feel left out of society. also more deprived in the non-material di- The Social Exclusion Index measures primar- mensions of social exclusion. ily capability deprivations, not subjective feelings towards others. However, the sur- The data also indicate that factors like un- vey also addressed individual respondents’ employment and disability substantially subjective assessments: Do they perceive increase the risk of social exclusion of Roma themselves excluded or not? and IDPs. For example, the share of socially excluded is 92 percent among unemployed The survey analysis reveals two partially Roma and 97 percent among those with overlapping groups: those facing capability disabilities (compared with 86 percent for deprivations, and those who feel left out of Roma). The share of the socially excluded is society (who may or may not face capabil- 76 percent among unemployed IDPs and 73 ity deprivations). The people in the ‘area of

Table 3.2: Sources of social exclusion for Roma, IDPs and the general population in Serbia (percentage contribution of each dimension to social exclusion by group)

General Roma IDPs population

Economic exclusion 31 36 41

Exclusion from social/public services 38 38 31

Exclusion from participation in civic and social life and networks 31 26 28

46 overlap’ have the highest risk of social exclu- Figure 3.11: Similar levels of social exclusion but sion. different structures Figure 3.12 presents the share of people fac- ing the ‘dual risk’ of measured and perceived To what extent do individual deprivations contribute to social services social exclusion in the six surveyed countries. exclusion? This group is largest in Serbia, the Republic of Transportation Moldova and Ukraine (12 percent, 11 percent and 10 percent of respondents, respectively). Health care The lowest percentages of people facing the Medication ‘dual risk’ are found in the former Yugoslav Re- public of Macedonia and Tajikistan. School drop out Some other interesting observations can also School materials be made. In the former Yugoslav Republic Low education of Macedonia, for example, the majority of people who feel ‘left out’ of society are not so- Heating cially excluded. In Tajikistan, by contrast, most people who are socially excluded do not con- Water sider themselves to be excluded. Source: Social Exclusion Survey 2009. Contextual factors could explain these find- ings. In the case of the former Yugoslav Re- public of Macedonia, increasing inequality in so can constitute a health risk when a proper opportunities may have dampened people’s ventilation system is lacking, but can be safe hopes after the initial euphoria of indepen- if such system is available. On the other hand, dence, when the anticipation of an immedi- heating with wood is a reasonable proxy for ate economic miracle was replaced by the material deprivation because wood—unlike realization that reality would be different. In coal or oil—can be collected (and is being Tajikistan, by contrast, the low percentage of collected) by vulnerable populations for free. people who consider themselves excluded might be explained by the fact that a major- The health dimension suffers from different ity of people (above 70 percent) are socially problems. Due to data constrains, health in- excluded. Paradoxically, this might skew people’s perceptions towards feeling not ex- Figure 3.12: Actual exclusion is different from perceived cluded – because many others experience exclusion… the same deprivations. It is also useful to plot the level of dissatisfac- Share of people who feel left out of society, are socially tion with living standards against the actual excluded, or both level of social exclusion. The two show a clear correlation (figure 3.13), which is not surpris- ing. People’s level of dissatisfaction is strongly related to their capability deprivations. By contrast, the correlation between people’s subjective perception of being ‘left out of so- ciety’ and their measured social exclusion is weaker. Limitations of the index

The multidimensional social exclusion index is not perfect. It does not incorporate all di- mensions of exclusion, such as incidence of violence, owing to data constraints. Further- more, some indicators—although the best available—are far from ideal. For example, Not excluded but feel left out of society the incidence of ‘heating with wood’ could Excluded and feel left out of society indicate that households face social services exclusion, or could simply indicate that heat- Excluded but don’t feel left out of society ing with wood is most cost-efficient. Doing Source: Social Exclusion Survey 2009 . 47 Figure 3.13: Social exclusion correlates with people’s Major findings of this dissatisfaction with their living standards chapter Social exclusion by people’s dissatisfaction with living standards This chapter has elaborated a multidimen- sional Social Exclusion Index that is sufficient- ly complex to match the nuances of social exclusion, yet simple enough to be widely understood and employed. The methodol- ogy yields robust, policy-relevant results. By incorporating non-income dimensions, this measure assesses people’s well-being in a more meaningful manner than GDP alone. This conclusion may be known to human development practitioners, but it is not yet widely accepted by mainstream develop- ment experts. The analysis in this chapter leads to a number of conclusions. For most countries surveyed, lack of access to public services makes a dissatisfied’ with their living standards dissatisfied’ Share of people ’dissatisfied’ or ‘totally ‘totally or of people ’dissatisfied’ Share slightly greater contribution to social exclu- sion than economic exclusion. Insufficient Percentage of socially excluded people opportunities for civic engagement are also Source: Social Exclusion Survey 2009. important in explaining social exclusion. De- Note: The regional average is the unweighted average of the six surveyed countries. spite the heterogeneity of the region, the intensity of exclusion is just as high in South- dicators are overrepresented by input indi- east Europe as in Central Asia. cators (number of doctors, expenditures on The multidimensional Social Exclusion Index health, access to services, and affordability). can also help to prioritize social inclusion What really matters, however, is not how initiatives so that they target those most in much is put into the system, but the result need. Since the elderly, children, and youth (the mortality or morbidity rates, or func- experience the highest magnitude of social tioning failures). All this suggests that fur- exclusion in the region, these groups should ther work is needed both in defining better receive priority. This is also the case for Roma. indicators for individual dimensions and in Data on Roma and IDPs for Serbia indicate designing better data collection instruments much higher levels and depth of social ex- to yield reliable data. clusion for these groups than for the general The index is also not immune to subjective population. The severity of the problem for interpretations by survey respondents in the Roma increases when they face additional six indicators where respondents report on risks, such as disability. their status. Subjectivity may also explain The social exclusion measure described why Serbia and the former Yugoslav Re- above has helped to identify the individuals public of Macedonia have different levels of and population groups that are simultane- multidimensional social exclusion, despite ously excluded from economic, social and their broadly similar socio-economic situ- civic life. In addition, it has helped to reveal ations and their common history as part of how they are excluded in terms of multiple one federal state under socialism. This might forms of deprivation. However, it cannot be due to the differing ways the peoples of provide answers on why people are exclud- these two countries have identified with the ed. Therefore, one must identify the drivers break-up of Yugoslavia. Respondents in the of social exclusion, which take into account former Yugoslav Republic of Macedonia may institutional, structural and behavioural pro- have given more positive answers because cesses. This is the task of chapters four and they may have looked at the dissolution of five: introducing drivers and the local con- Yugoslavia as an opportunity for indepen- text to better capture the social exclusion dence, while respondents in Serbia may view chain. the break-up of Yugoslavia less positively.

48 Chapter 4: Drivers of social exclusion

he drivers of social exclusion refer aggravate social exclusion by failing to re- to institutions, processes, societal spond to those who are at risk of exclusion, T norms and attitudes. Their interac- due to simple oversight, lack of commitment, tion with individual risks can produce or or inadequate resources. While they may be mitigate social exclusion. Understanding dutifully fulfilling their mandate, institutions these drivers helps us to move beyond the can also foster social exclusion by failing to symptoms of social exclusion to the under- create opportunities for those who are likely lying causes. to experience social exclusion. As outlined in Chapter 1, three groups Legislation may also deepen the exclusion of drivers are part of the social exclusion of some social groups if it is discriminatory. chain underpinning this report. These are More common are gaps in legislation— (a) structures and institutions, (b) values and when no effective anti-discrimination laws behavioural patterns and (c) policies. Any exist. Even more common, however, is lack society is shaped by its institutions, norms of enforcement. and behavioural patterns. Policies—tai- lored by politicians to the demands of their The legacies of the past constituencies—reflect and respond to these patterns. This chapter will analyse the Pre-transition (and post-transition) heritage implications of this chain for social exclu- contributes to social exclusion. The social- sion, examining the relationship between ist system was built on the promise of an the Social Exclusion Index introduced in egalitarian society. As a result, it promoted Chapter 3 and other factors acting as driv- the universal right to education, health care, ers of social exclusion. In particular, the and comprehensive social protection. This chapter investigates the relationship be- system attained universal or near-universal tween social exclusion and models of eco- access to basic education and health ser- nomic growth, decentralization and social vices, as well as achieved dramatic declines policies. As in chapter 2, the analysis draws in illiteracy (nearly eradicating it in urban ar- on data derived from the Social Exclusion eas). However, it fell short in the civic partici- Survey, as well as on secondary sources, pation aspects of human development.65 65/ Ivanov and Peleah to capture policy and institutional aspects 2010. that household surveys overlook. This ap- State socialism generated its own patterns proach allows us to generalize the analysis of social inclusion and exclusion. Socialist across the entire Europe and Central Asia society was inclusive of those who professed region. to share its principles—providing some gen- uine opportunities for social mobility—but there were also serious exclusionary tenden- Structures and cies, in some cases reaching overt repres- institutions as drivers sion. Egalitarian and communal in ideology, so- of social exclusion cialism introduced category-based social and inclusion protection instruments, targeted at certain population groups. These were easier to ad- Institutional drivers refer to how public and minister through command and direct con- private institutions and legislation contrib- trol. A consequence was the excessive em- ute to exclusion through discriminatory phasis on institutional care for some groups, practices—or how they neglect to provide such as persons with physical or mental dis- opportunities for inclusion. Institutions— abilities. This focus remains a prevalent fea- public or private—can either exclude peo- ture of the social assistance systems in many ple from social services directly, or they can countries of the region today.

49 Socialism solidified elitism and failed to Figure 4.1: Connections mattered then… and matter now tackle exclusion through a legacy of no- How important are connections to people with political power menklatura rule, producing mistrust in for getting ahead today vs 25 years ago? citizen-state relations. Transition ushered in alternative power structures, notably clan- based clientelism in Central Asia (box 9) Today and ethnic-based structures in the former 25 years ago Yugoslavia. As Figure 4.1 shows, in all countries except Kazakhstan, people think that connections today matter more than they did 25 years ago. This reflects the survival of oldnomen - klatura elites, or the emergence of equally powerful successors in the post-transition reality.

Source: Social Exclusion Survey 2009.

Box 9: Social exclusion in Central Asia and the impact of legacies The Social Exclusion Index shows that people in role in the Soviet period, but became more important, Central Asia face a particularly high risk of social if not more transparent, during transition. While they exclusion. However, in Tajikistan the average number provided valuable informal networks of support, they of deprivations per person may not be higher than in also contributed to the non-transparent capture of po- other – wealthier – parts of the region, and widespread litical and economic power by various clans. Appoint- economic exclusion may have even contributed to a ments to positions of political and economic respon- lower degree of subjective dissatisfaction with living sibility tend to be allocated on the basis of trust and standards. patronage, rather than through competitive selection, Economic growth has not led to the creation of decent raising the risk of exclusion of non-connected mem- jobs for the large rural populations of Central Asia, bers of the population. Power structures are based on leading to widespread underemployment, large a delicate balancing of the allocation of privileges and concentrations of rural poverty, and the emergence of power between clan structures to maintain political labour migration—internal and external—as a domi- and social stability and the lack of dissent by rival nant coping mechanism. Economic exclusion in turn clans. Apart from contributing to political exclusion, contributes to exclusion from social services, due to this balancing arguably contributes to the inability of the inability of the people with low-incomes to make economies to benefit from the efficiencies of market informal payments, which augment the extremely low systems. It also encourages a preference for eco- shares of GDP spent on health. Economic exclusion nomic growth models that guarantee rents (unearned is in many cases being passed on to future genera- income) and control over rent allocation to people in tions, as urban/rural differences mean, for example, privileged positions, rather than those which could that children are denied access to decent secondary guarantee a more equal distribution of the benefits schooling, and may face pressures to stay at home to of growth, including through greater employment help with the household. Younger children lack access creation. to pre-school education, which would help give them The tradition of clan structures and patronage, as well a good start and make up for disadvantages they may as social relations based on hierarchy and authority, face at subsequent levels of education. Lack of invest- together with the preference for strong executive bod- ment in social infrastructure has left rural popula- ies rather than legislative bodies (inherited from the tions without guaranteed reliable sources of energy, Soviet period) makes stakeholder participation and heating, or running water, compounding income and civic control and accountability difficult. Together with employment insecurities. the slow reform process in budget allocation and plan- Independence has weakened institutional structures ning, this legacy weakens the quality and availability and capacity which, to some extent, has been offset by of social services, and hence contributes to exclusion the strong tradition of family or ‘clan’ ties and commu- from social services at the local level. nity structures. These had always played an important

50 Institutional transition and In these countries, the state has played a governance positive role in creating an enabling envi- ronment for social inclusion. This includes translating EU regulations based on the EU The political and economic transformation Charter (Copenhagen criteria), reforming created new public and private institutions, institutions and strengthening their ca- new forms of relationships between private pacities, and setting adequate standards in and public organizations, and new forms of service delivery. In addition, workable qual- governance. Figure 4.2 shows governance ity control mechanisms and accountability indicators on the rule of law, government measures have been put in place to ensure effectiveness, regulatory quality and - cor citizen representation and participation ruption. Given the diversity of the region in political decision-making. However, de- and individual countries, it aggregates data spite these reforms and EU accession, dis- on a sub-regional level. criminatory practices, biases within institu- Central and East European countries have tions, and inadequate legal frameworks still succeeded to a large extent in creating effec- produce social exclusion. tive and efficient governance systems that In Southeast Europe, the prospect of ac- respect the rule of law and human rights. cession to the European Union is a strong

Figure 4.2: Differences in governance across the region

Governance indicators (regional averages), 2008 Value of respective governance indicator governance of respective Value

Central Asia Western CIS Caucasus Southeast Central and EU-15 Europe Eastern Europe Rule of law Regulatory quality Governmental effectiveness Control of corruption Source: Governance Matters 2009, Worldwide Governance Indicators, 1996-2008 http://info.worldbank.org/governance/wgi/index.asp. Note: Government Effectiveness: Perceptions of the quality of public services, civil service and degree of its independence from political pressures, quality of policy formulation and implementation, credibility of the government’s commitment to such policies. Regulatory Quality: Perceptions of the ability of government to formulate and implement sound policies and regulations that permit and promote private sector development. Rule of Law: Perceptions of the extent to which agents have confidence in, and abide by, rules of society, and in particular quality of contract enforcement, property rights, police, and courts, as well as the likelihood of crime and violence. Control of Corruption: Perceptions of the extent to which public power is exercised for private gain, including both petty and grand forms of corruption, as well as ‘capture’ of the state by elites and private interests.

51 Figure 4.3: Effective governance reduces social exclusion nation legislation. Governance and the rule of law developed in different ways in the Western CIS, Caucasus and Central Asia, in Social exclusion and government effectiveness some cases with limited levels of success. During transition, emerging institutions were often driven by the ‘new elite’, which in some countries did not differ much from the old nomenklatura. Institutional gover- nance was generally weak in terms of ac- countability, transparency and inclusion, although substantial improvements have been noted in a short time-span, particu- larly in the new EU-members and accession countries. One example where new values were co-opted by old patterns of behaviour is Social Exclusion Index Social Exclusion freedom of expression. This freedom was among the first achievements of transition but was not sufficiently matched by insti- tutional checks and balances. As a result, in many countries limited freedom of speech was replaced by greater freedom of expres- Government effectiveness sion, but with questionable policy impact. Source: Social Exclusion Survey 2009 and Governance Matters 2009, Worldwide Governance The region has become much more un- Indicators, 1996-2008 http://info.worldbank.org/governance/wgi/index.asp. equal in terms of income and wealth. Strong monopoly positions and imperfect incentive to strengthen policies, legislation market institutions—notably weak bank- and institutional capacities. However, sig- ing systems and at times corrupt tax and nificant weaknesses remain in the account- customs authorities—have played a role ability of institutions and in the indepen- in this. While the resulting level of inequal- dence of the judiciary and law enforcement ity compares with other parts of the world, bodies, especially in terms of anti-discrimi- the abruptness of this shift was new in the Europe and Central Asia region. This speed of the change served to heighten people’s Figure 4.4: ...So does a friendly business environment subjective perception of exclusion. Governance effectiveness has implications Social exclusion and the business environment for social inclusion. Although data from the survey alone is not sufficient to quantify the relationship between governance drivers and social exclusion, it is possible to corre- late information from various data sources to draw some conclusions. Figure 4.3 illus- trates the relationship between social ex- clusion and improvements in governance (the latter reflecting the World Bank gover- nance indicator), while figure 4.4 shows the relationship between social exclusion and the quality of the business environment

Social Exclusion Index Social Exclusion (using the number of procedures neces- sary to start a business as a proxy). In both cases there is a clear positive correlation, demonstrating the importance of effective institutions to mitigate individual risks and Number of procedures to set up a business thereby reduce the likelihood of social ex- clusion. Source: Social Exclusion Survey 2009 and Governance Matters 2009, Worldwide Governance Indicators, 1996-2008 http://info.worldbank.org/governance/wgi/index.asp.

52 Rule of law and social inclusion Figure 4.5: Improved rule of law mitigates social exclusion

Transition has created challenges for legal and judicial institutions. It has involved in- Social exclusion and the rule of law creased independence from the executive; new roles for judges, lawyers, and other personnel; a rapid increase in institutional capacity to handle legal cases efficiently and effectively,66 and, most importantly, a new vision that has included widening ac- cess to justice for marginalized communi- ties and disadvantaged groups. While a large body of new legislation and far-reaching changes to existing law and procedures continue to be developed and implemented, prosecutorial and legal aid systems in large parts of the region have Index Social Exclusion been slow to change from the Soviet model. Defendants, particularly those from margin- alized groups, have few safeguards against state abuse. Public interest litigation ‘to precipitate social change through court-or- dered decrees that reforms legal rules, en- Rule of law forces existing laws, and articulates public Source: Social Exclusion Survey 2009 and Governance Matters 2009, Worldwide Governance Indicators, norms’67 is relatively new in the region. 1996-2008 http://info.worldbank.org/governance/wgi/index.asp. Judicial and legal reforms took a ‘top- down’, state-centred approach. Judicial and Labour market institutions legal reforms were undertaken in transition 66/ Anderson, Benstein and Gray 2005. countries to create new, specialized consti- The labour market is one of the important tutional courts staffed with new judges to channels through which social exclusion hold governments accountable and institu- risks materialize for many individuals. The 67/ Hershkoff 2005. tionalize the protection of civil and political transition recession—dramatic in most rights. Yet early judicial reform efforts lacked countries—contributed to a deterioration the detailed procedural and organizational of social protection, social services and, changes necessary to make courts more ef- most importantly, triggered high unem- ficient and accessible. Some of those initial ployment. reform initiatives were undertaken without adequate and appropriate consultation UNICEF argues that most of the emerging with the beneficiaries, particularly margin- inequality (and poverty) was caused by alized and ‘invisible’ groups. A balanced, fundamental changes in the labour mar- multi-level approach in improving access ket and in the institutional environment. to justice and human rights was missing It cited several micro-level factors in ad- from the regional discourse. These aspects dition to high inflation and the failure to raised concerns about the commitment of stabilize the economy..68 These included 68/ UNICEF 2001. the state to law and human rights as the low earnings, not reflecting productivity, principal framework for policy and execu- which led to the rise of the working poor; tive authority, and weakened the impetus to falling formal employment and to rising to law reform through litigation and civic self-employment; to the diminished role engagement. of the state, to less income redistribution; and to state capture, monopolistic control Figure 4.5 shows the inverse relationship of certain sectors, and to corruption. These between the rule of law, as measured by factors were indeed among the main prob- the World Bank governance indicator, and lems in most economies of the region in social inclusion. Moldova appears to be an the first decade of transition. outlier, indicating that in Moldova other drivers may have offset progress in the rule Earlier work by UNDP, UNICEF and the World of law, exacerbating social exclusion. Bank have shown convincingly that the 1990s, or the first decade of transition, saw

53 Table 4.1: Adapting to a new life in Ukraine

Percentage of people … 1997 1999 2001 2003 2007 2009

Who are actively involved in life today 7.3 7.4 7.2 8.3 16.0 18.0

Who are seeking their place in life today 36.3 36.6 38.0 30.5 32.5 33.6

Who do not wish to adapt to the present situa- 44.9 46.7 43.3 36.2 37.6 34.0 tion or wait for a turn for the better

Who are not able to decide 11.4 9.3 11.5 25.0 13.0 14.4

Source: Ukrainian Society 1992 – 2009. Dynamics of Social Changes. Institute of Sociology of NAS of Ukraine, 2009. – p.192.

many losers and few winners.69 An elevat- Limited employment opportunities—part- 69/ UNDP 1999, UNICEF ed feeling of social anxiety and uncertainty ly reflecting ineffective labour market insti- 2001, World Bank 2000 and accompanied changes in national identity tutions—can contribute to social exclusion World Bank 2005. and economic, social, and political struc- (figure 4.7). tures. Adapting to the new conditions was Finally, data from the Social Exclusion Sur- difficult and slow, as seen in such countries vey show how labour market institutions as Ukraine, which reflects the transforma- such as employment agencies can be uti- tion reality experienced by most countries lized to address social exclusion (figure 4.8). in the region (see Table 4.1). These changes This argues for strengthening active labour led to the perception by an equally large market interventions, which assist people in share of men and women (and an even a finding productive employment. The ben- larger share of the elderly) that opportuni- efits of such employment go well beyond ties had deteriorated since 1989 (see figure income. A productive job helps people to 4.6). Meagre chances for better living stan- maintain skills and motivation, and to re- dards and access to employment top the duce marginalization and degradation. list of grievances in all countries.

Figure 4.6: Disappointed by transition

Percentage of people who believe that they have inferior opportunities to those in 1989

Achieve a good Express what you Achieve the level of educa- Have a good job standard of living think tion that you desire Source: Social Exclusion Survey 2009

54 Policies as drivers of Figure 4.7: Insecure employment and social exclusion social exclusion or Social exclusion and insecurity in the labour market inclusion

While the link between policies and social exclusion is indirect, and hence difficult to attribute and quantify, it exists. This section will analyse models of economic growth, fiscal decentralization, social policies and approaches to regional imbalances. All of them contribute to the dynamics of social exclusion. Growth models Social Exclusion Index Social Exclusion Varied growth paths can be explained by different legacies, but also by different strategies of enterprise privatization and restructuring.70 We distinguish between broad-based growth versus spatially and 0 5 10 15 20 25 sectorally unbalanced or ‘growth pole’- Perceived probability of losing one’s job in the next 6 months based growth. Most of the CIS countries fall Source: Social Exclusion Survey 2009. into the latter category, while several of the EU-10 and SEE transition countries pursued more broad-based growth, which is associ- Turkmenistan. Metal exports contributed ated with lower degrees of inequality.71 In substantially to foreign exchange earnings 70/Guriev and Ickes 2002. some cases, the unbalanced, capital city- in Ukraine, Armenia, and Tajikistan. High centred growth models created new exclu- commodity prices during part of the 2000s 71/ Cornia and Popov sionary structures. In addition, centralized were a key underlying factor driving growth. 2001. planning left a large number of mono- However, job creation associated with such company towns as a legacy. These exclud- ed whole communities from economic as well as social and civic opportunities and Figure 4.8: Labour market institutions foster social inclusion continue to have very limited economic al- ternatives. Social exclusion and labour market institutions Growth models can also be distinguished according to openness, with more open systems (such as the Baltic states) at one end of the spectrum, and semi-closed sys- tems relying heavily on import substitution (such as Turkmenistan and Uzbekistan) at the other end. Furthermore, countries also differ in the extent to which they rely on for- eign direct investment, foreign borrowing, remittances from migrants, development aid, as well as differ in their level of domes- tic savings, which affects their investment

and consumption. Index Social Exclusion In transition economies, the following sec- tors stand out, as drivers of growth over the past two decades:

Extractive industry and mining: The hydro- 0 10 20 30 40 50 60 70 80 carbon sector emerged as an engine of Reliance on employment agencies when searching for a job growth in a number of ECA countries, no- tably Azerbaijan, Kazakhstan, Russia and Source: Social Exclusion Survey 2009.

55 growth was minimal, with employment sion through the labour market. Impor- gains mostly limited to highly specialized tantly, migrant workers have taken many skilled labour. Hence, without strong spill- industrial jobs, resulting in cross-border overs to other sectors, this growth model benefits . contributes to more exclusive and capital- Except in some EU-10 transition countries, intensive growth, which creates economic the small- and medium-sized enterprise enclaves and leaves a large fraction of the sector has been slow to make a significant population excluded from economic par- impact on economic inclusion by raising ticipation. Social inclusion can be fostered employment and incomes. Except in parts through revenues generated from extract- of Central Europe, experience has not been ing industries, but in most countries, social a key characteristic of the private SME sec- inclusion was modest at best. In fact, if not tor—which has the highest job creation matched by strong governance capacity potential. Large numbers report that they and an effective system of checks and bal- do not know what steps to take to pur- ances, misallocation and corrupt use of rev- sue a business idea: 67 percent of survey enues can increase social exclusion. respondents in Tajikistan, 64 percent in 72/ Similarly large rates Manufacturing industry (including SMEs): The Kazakhstan and Ukraine.72 Moreover, the are seen in the other survey contribution of the manufacturing industry regulatory environment in most countries countries: 54 percent in to social inclusion is important, although in the region remains restrictive. Together the Republic of Moldova, it often remains limited to urban areas. In with administrative barriers, this imposes 50 percent in the former many of the ECA transition countries, em- burdensome transaction costs and hinders Yugoslav Republic of Mace- ployment was concentrated in large indus- private sector development. The best social donia; the rate is 38 percent trial state enterprises that tended to hoard inclusion outcomes are likely to occur when in Serbia. labour. Compared to extractive industries, SMEs join large companies’ supply chains, manufacturing is more labour intensive, when barriers to entry and exit are low, and with more forward and backward linkages involvement in production is linked to op- to other parts of the economy. Therefore, it portunities for improving skills and partici- has the potential—realized in many coun- pation in the knowledge economy. tries of the region, especially in those more Agriculture with a primary cash crop: Agricul- 73/ Cornia et al. 2003. open to trade—to reduce economic exclu- ture has the potential to foster social inclu- sion, primarily by decreasing rural poverty. Table 4.2: Official aid and remittances Cotton tops the list of export commodities in Uzbekistan. Together with strong import substitution, it financed the development Official Aid/ Official Aid/ Remittance/ of other industries, notably the natural gas GDP (%) GDP (%) GDP (%) sector.73 It has also played an important role in Turkmenistan and Tajikistan. Unfortu- 1990-1998 1999-2006 2007 nately, agriculture-led growth was not pro- poor and also faces serious sustainability is- Albania 16.6 6.7 10.1 sues in many parts of Central Asia. Poverty remains more widespread in rural than in Armenia 9.9 8.4 9 urban areas in most countries. To realize the Bosnia and social inclusion potential of agriculture, ef- 30.8 9.6 … Herzegovina fective policies are needed to develop local markets and facilitate access for producers Georgia 5.3 6.8 6.8 to markets. Land reform and the diversifi- Kyrgyz cation of agricultural output (often difficult 10.7 13.3 19 Republic for political reasons) are important to make these gains sustainable. Moldova 2.4 7.4 38.3 Service sector, construction and real estate: Tajikistan 6.2 11.7 45.5 These are highly cyclical sectors that con- tributed significantly both to the observed FYR 2.2 5.8 3.6 rapid growth in the early 2000s, and to the Macedonia decline during the global crisis. Soaring Uzbekistan 0.6 1.4 … bank lending contributed to this, especially in the Baltic states, but also in Central Eu- Source: World Development Indicators Database (2008). rope, Bulgaria, Armenia, Kazakhstan and

56 Georgia. In these and also in some other Figure 4.9: The questionable benefits of informal employment countries, speculative developments in the real estate sector led to a bubble, with Social exclusion and informality in the labour market painful consequences for social inclusion. The initial spike in demand for construction services attracted investment and labour into the sector, which boosted internal mi- gration and drained resources from other sectors, notably agriculture. These effects persist, undermining social inclusion. Migrant remittances: Migration was driven by ‘distress push’ and ‘demand pull’ factors. The former originates in poverty, vulner- ability and social exclusion, while the latter arises from, and is influenced by, opportuni- ties in emerging local industries, booming Index Social Exclusion urban economies, and demand for foreign labour. Remittances very often reduce pov- erty, but migration has also strong social exclusion effects, as family structures are disrupted, and potential exists for discrimi- 0 5 10 15 20 25 30 nation against migrants in the ‘receiving’ Percentage of informal contracts country. Since most migrants are involved in the informal sector and lack social insur- Source: Social Exclusion Survey 2009. ance, the pension systems of the source countries may experience huge stress in of policies pursued in recipient countries. the future. Realistic assessment of the ben- Though ODA has the potential to improve efits of large-scale migration requires that social inclusion, massive inflows can skew future costs to the pension system be taken local actors’ incentives and shift attention into account. away from sustainable sources of growth. Official data on remittances are typically The informal economy: In various ECA tran- estimates of flows through the banking sition economies, the informal (or shadow) system and informal transfers. Remittances economy is still pervasive. Large shares of amount to just under 6 percent of GDP in women are often involved in this sector. Bulgaria and Romania, but 10 percent of Activities not prohibited by law but out of GDP in Albania and almost 20 percent in the tax office’s sight can have some positive Kyrgyzstan. In the Republic of Moldova, impacts on social inclusion. They raise out- remittances account for 38 percent of GDP, put, lower the level of marginalization, and eclipsed only by Tajikistan, where the rate also help the workforce maintain skills and was 45.5 percent of GDP in 2007 (table 4.2). secure some income. But this comes at the The recent financial crisis led to a sizable cost of a diminished tax base, and hence decline in these shares in 2009 as employ- lower budget revenues, unfair competition ment of migrants in the receiving countries from the side of informal firms, large gaps fell, rapidly transmitting the impact of the in social protection for those employed in crisis to source countries, although remit- the shadow economy, and adverse long- tances recovered in 2010. term financial implications for the social Official development assistance: Some econ- insurance system. By contrast, the outright omies in the ECA region (such as Armenia, ‘black’ economy (criminal activities like Bosnia and Herzegovina, the Republic of smuggling, human and organ trafficking, Moldova, the Kyrgyz Republic and Tajiki- drugs and arms trade) fractures the fab- stan) have received large amounts of ODA ric of societies and deepens social exclu- in the past, and this generally continues to sion. Tackling this problem will require the be the case. Official aid flows were impor- availability of more stable and sustainable tant drivers of growth in these economies. growth patterns and income distribution. The social inclusion impact of an ODA-dom- Figure 4.9 demonstrates a strong correla- inated model of growth is highly depen- tion between informality in the labour mar- dent on the quality and appropriateness ket and social exclusion.

57 Finally, data on spatial poverty show that Social policies are often designed to ben- growth models in the CIS that relied heavily efit well-organized groups, such as war vet- on exclusive ‘growth poles’ promoted social erans in countries emerging from conflict. exclusion rather than inclusion. The qual- In several countries, pensioners are also a ity and rate of growth have been relatively powerful political lobby. Remittances from poor in the countries where this form of abroad, large-scale migration and dual resi- highly unbalanced growth took place. Caz- dence in different states all contribute to a es and Nesporova, 2007 describe economic disconnect between citizenship and wel- growth rates that don’t promote employ- fare entitlements. In the short- and perhaps ment growth as ‘jobless growth’. The large even medium-term, this sub-region is un- employment losses stemming from the likely to exceed a ‘minimal welfare state’77 current crisis underscore the importance of in which weak states seek to regulate, but making growth more sustainable and equi- where formal and informal marketiza- table. tion dominate, and residual, targeted, and means-tested social protection systems Social policies as drivers persist. Another sub-regional grouping in social Social policies can promote social inclu- policy terms consists of the energy-based sion. However, differences in political economies of the CIS, including the Russian economies and governance structures Federation, Kazakhstan, Uzbekistan, Turk- driving social exclusion outcomes, as well menistan, Azerbaijan, and to some extent, as differences in the nature and impact of Belarus. The fiscal space created by oil reve- social policy choices, are evident across the nues is, of course, quite recent and volatile. 74 74/Cerami and Stubbs region. Several Central and Eastern Euro- The emerging social protection systems of 2010. pean countries saw membership in the Eu- the region are quite varied and frequently ropean Union as their key policy goal. With do not reach their full potential. The sys- some notable exceptions, these countries 75/ Cerami 2006. tems tend to be skewed towards privileged began to adopt more socially inclusive poli- entitlement for some groups, such as war cies and programmes, emphasizing the im- veterans, the police and members of the 76/ Lendvai 2009. portance of social cohesion, redistributive political elite, and to rely on underfunded taxation, contribution-based entitlements, and at times dysfunctional Soviet-legacy and comprehensive social programmes. institutions. Informal welfare provided 77/ Drahokoupil and This combination of transition-related mar- through family and kinship networks are Myant 2009, 2010. ketization, universalism, and contribution- also typical.78 On the other hand, some of based social insurance formed the core ele- the countries have tried to use oil revenues ments of the new hybrid Central European to develop and extend social protection 78/Cook 2007. 75 welfare regime. The recent financial crisis and in some cases, redistributive social pol- has hit hardest those parts of the sub-re- icies. Belarus, for example, has a system of

79/Richardson et al. 2008. gion, notably the Baltic states and Romania, universal child benefits for children under which have based their welfare systems, at three years of age which appears to have least recently, on ‘radical economic reforms contributed to significant gains in terms of resulting in minimal states, low welfare child well-being.79 On the whole, though, oil spending, low taxes, strongly deregulated and gas revenues have been used predom- labour markets and widespread liberaliza- inantly for short-term efforts, rather than 76 tion’. to build sustainable rights-based systems. In countries of Southeast Europe, conflicts Parts of the sub-region have responded to in the 1990s and the complexities of state the demographic crisis with pro-natal poli- fragmentation and (unfinished) state build- cies, which in some cases favour some eth- ing have led to a rather complex web of re- nic groups at the expense of others, and to sponsibilities for social welfare. As a result, some extent deter women’s participation in sub-national inequalities among capital cit- the labour market. ies, other urban areas, and rural or moun- The other countries in the CIS region are tainous regions grew. One of the defining all net energy importers, but their social characteristics of the region is the chal- protection systems are perhaps too diverse lenge of building social policies which en- to be grouped together. They all exhibit sure equal access for all ethnic groups and features of the Soviet legacy, elite capture consistent delivery nationwide. within a broad set of privileges, combined

58 with a reliance on informal sectors for the Figure 4.10: Declining solidarity goes hand in hand with majority of the population. social exclusion The largely fragmented welfare systems also require people to take care of them- Social exclusion and solidarity selves. The correlation between the accep- tance of individual responsibility and social exclusion can be seen in Figure 4.10, where social exclusion is higher in countries where a larger percentage of people believe that everyone has to take care of himself or herself. But correlation doesn’t imply cau- sality—the high share of individualistic at- titudes can result in more social exclusion; or equally, the high level of social exclusion can lead to a higher level of individualism (perhaps through disappointment in the

existing ‘inclusion frameworks’). Index Social Exclusion Targeting social protection is a critical issue in the region, with several associated diffi- culties. Targeted schemes are problematic in contexts where informality and poverty are widespread and where there are weak 0 10 20 30 40 50 60 institutional structures. This is particularly Share of respondents who agree that people take care of important in the ECA transition region themselves where large parts of the middle class are Source: Social Exclusion Survey 2009. vulnerable to poverty. Targeting on the ba- sis of income can entail high administrative costs or a restrictive set of formal welfare norities, and even fraud committed by low- conditions, it can lead to stigma amongst paid officials. Moreover, making a claim re- beneficiaries, and can ‘foster segmentation quires a large number of documents from of social programmes and separation of different sources, and hence, considerable middle and higher classes from the poorer persistence. Many prospective claimants strata’.80 are discouraged by the stigma of applying 80/ Hujo 2009. While social policy choices always involve or by the lack of the required documents. trade-offs within a given fiscal space, rela- Roma, displaced persons and homeless tively little attention is paid to analysing often cannot access basic social services the different impacts of policy options on because they lack documents. In addition, various socio-economic groups. In the con- support for vulnerable people and those text of the dramatic social impacts of the from stigmatized groups to make a claim is recent global crisis, there may be a new insufficient; very little information is made convergence with international financial available (especially accessible informa- institutions’ recognizing the need to move tion for persons with disabilities) and there beyond informality to some basic safety net are almost no proactive media campaigns. in those countries which spend the least on Means-testing in some parts of the region social protection while, at the same time, uses as criteria the ownership of land (with urging expansive welfare models in parts no reference to realizable income in some of CEE to concentrate scarce resources cases) or a car (which may be a necessity through targeting.81 The budget cuts after in some remote areas), as well as housing 81/ Drakhoupil and Myant the crisis tend to erode and undermine status (which has forced some claimants to 2009. broad political support for a welfare state, sell their sole asset). such that ‘welfare for the poor is likely to become poor welfare’.82 Decentralization policies as 82/ Drahokoupil and drivers Myant 2010. Most of the targeted social assistance/ minimum income schemes in the region are discretionary and involve judgements Most ECA countries attempted to decen- by front-line staff, posing risks, notably tralize power, but this was not always done bias against certain groups, including mi- in a comprehensive manner. When admin- 59 istrative decentralization preceded fiscal plans for regions to become cotton or corn decentralization, local governments found exporters. This was achievable because the themselves responsible for education, rural population could not relocate to cit- health care, and social assistance without ies because of the propiska system. Over sufficient fiscal authority or transfers allo- the past 20 years, young people have been cated. Such unfunded local government migrating towards larger cities in search of mandates occurred frequently in countries work and the receiving communities have facing a difficult economic transition and been overwhelmed with increased service insufficient resources to address multiple demand. At the same time, the sending social and economic problems, e.g., in Ro- communities are faced with the economic mania when the central government de- problem of trying to provide the same level volved responsibility for care of orphans to of services, most of which have a fixed cost local government. element, while the working-age popula- tion that contributes to the tax base is de- Inadequately financed fiscal decentraliza- creasing. tion ended up creating huge winners and losers. The legal framework did not sup- In countries where the decentralization port civil society and citizenry in exercising process is already advanced, local govern- their rights to information and demand- ments are starting to learn how to address ing accountability from their local govern- issues of social exclusion and improve ser- ment. Corruption, which already had fertile vice delivery. Countries bordering the Eu- ground during the Soviet period, persisted. ropean Union have greater capacity, both Resources for service delivery – particularly in terms of financial means and know-how for vulnerable and marginalized popula- to implement decentralization. However, tions who were least able to complain – in some cases in Central and Southeast Eu- were squeezed. rope, service delivery may have been de- volved to municipalities too small to deliver In other cases, the design of the fiscal de- services efficiently. Inter-municipal coop- centralization system reinforced existing eration (IMC) is a promising innovation to inequities. Without an effective redistribu- deliver services to multiple municipalities tion system, usually consisting of equaliza- by benefiting from economies of scale. tion grants backed by a sufficient pool of funds, fiscal decentralization leaves those How decentralization is managed has di- regions with weaker economies at a dis- rect impact on social exclusion. Local gov- advantage in addressing social inclusion. ernments will need diagnostic tools which In fact, regions or local governments with integrate national analysis with local fea- the weakest capacity to meet their citizens’ tures in order to leverage decentralization needs often have a higher proportion of policies to improve social inclusion. Chap- citizens with special needs, a dynamic criti- ter 5 explores such an analytical approach cal for fiscal systems to take into account. in depth. In the case of the former Yugoslav Repub- lic of Macedonia, grants for education and health care are made based on existing Values and infrastructure, leaving rural municipalities behavioural patterns that historically ended up without such in- frastructure greatly disadvantaged in pro- as drivers of social viding these services to their citizens. exclusion More than 50 percent of respondents in Tajikistan and Ukraine and 43 percent in Behavioural and value-based based drivers Serbia believe that the quality of education are caused by discriminatory attitudes and within their community has become worse cultural practices that regulate norms and compared to 25 years ago. One must rec- behaviour in society and among groups. So- ognize that the Soviet era made great ad- cial exclusion can result from, and persist in, vances in introducing services such as elec- social traditions and values among different tricity, water, schools, and health care. The social groups of the population. Thus, indi- investments were not purely humanitarian, viduals, families and communities, as well but were also intended to facilitate natural as state institutions can promote exclusion resource exploitation as part of centralized among vulnerable groups. Behavioural and

60 value-based drivers in ECA countries are Box 10: Influencing local policies that impact women strong enough to perpetuate exclusionary in Albania patterns and have the potential to under- Several local authorities in Albania have expressed an interest in mine well-intentioned inclusive projects. integrating gender equality into the application of the Law on Social Addressing these drivers require long-term Services and Social Assistance in their municipalities. They were also approaches that focus on mindset changes interested more generally in capturing their experience of delivering within society as well as require changes in social assistance to beneficiaries. Many local government partners social and cultural norms. felt that the decentralization process had stalled, and that the local Gender level – which was experiencing firsthand the weaknesses of key social assistance policies – had something to say to the national level, based on their direct contact with citizens. Transition has affected women’s access to the labour market. During the period of UNIFEM therefore initiated a beneficiary analysis to assess how cen- rapid industrialization, there was a strong tral government policies work on the ground through case studies in emphasis on the inclusion of women in two municipalities (Elbasan and Kukes). In so doing, it also provided the labour market. However, most women a channel to raise the voices and concerns of local authorities to faced the triple burden of work in the for- central authorities. mal economy, being the main carers of The beneficiary analysis of the Law and the procedures for imple- small children and home workers, and of- mentation use aspects of the Swedish 4R method.* The method ten also working in the informal economy, involves the following elements: a) Representation – a quantitative including subsistence agriculture. Child mapping of the way in which men and women are represented; b) Re- care was, however, a partnership between sources – a quantitative mapping of the way in which resources are families and the state with the provision distributed and utilized; c) “Realia” - looking at the reasons for the of factory-based childcare; but sometimes distribution of representation and resources from a gender perspec- agricultural workers were excluded. The tive; and d) Realization – formulating new objectives and measures. vacuum caused by the collapse of the old The findings of the beneficiary analysis revealed not just women’s workplace-related child care system was unequal access to social services but also the specific institutional not filled by other forms of care, forcing barriers they face. For example, the Law on Social Services and Social many women to choose between profes- Assistance assumes that the head of household is a man. Unlike men, sional careers and taking care of their chil- women who apply as heads of household must first document that dren. Especially in the case of marginalized they fill this role. Women reported significantly greater difficulty than groups, the net outcome is falling work- men in obtaining the documents to prove that they are household force participation rates among women, an heads. In addition, only certain categories of women qualify as head increasing number of children out of child of households. Women whose husbands are living abroad but who care, and shortfalls in early childhood de- do not send remittances, and women who have left their husbands velopment. but have not been formally granted a divorce, do not qualify as Prevailing gender or cultural norms cre- heads of household and are not eligible for economic aid. ate exclusionary patterns. This often leads The primary recommendation of the analysis was that a head-of- to difficult dilemmas for ethnic minority household approach enshrines an inherent gender bias. The Law women and girls between acceptance and should instead target individuals, and within this, their dependents. inclusion within their community and with However, until this significant shift in thinking towards social protec- the broader society. In more conservative tion takes hold, the recommendations focused on the need to expand circles in Central Asia, for example, the the categories of female-headed households that are eligible for EA. exclusion of women can follow from the Specific groups of women were suggested to be included. Through traditional distribution of social roles in pa- meetings between the central government and local authorities, triarchal societies. More subtle discrimina- and through UNIFEM advocacy, the recommendations were formally tion often takes place in the labour market presented to the Ministry of Labour, Social Assistance and Equal Op- and in public institutions throughout the portunity (MOLSAEO), as the institution with overall responsibility for region due to the existence of gender ste- the law. This process was timely in that it coincided with the national reotypes within societies. Women of fertile elections of June 2009, when the ruling party expressed a commit- age often face obstacles when looking for ment to amend the Law on Social Services and Social Assistance so employment, as employers often prefer as to ensure those in greatest need were being reached effectively. hiring men rather than face the risk of hav- Source: UNIFEM. ing to shoulder burdens stemming from maternity rights. This restrains the career * Gender Mainstreaming Manual: A book of practical methods from the Swedish Gender Mainstream- development of women and forces them ing Support Committee (Stockholm: Swedish Government Official Reports, 2007). http://www. to take low-paid jobs, which hamper their sweden.gov.se/content/1/c6/08/19/82/3532cd34.pdf.

61 ness to give Roma a chance to improve “I worked while in school in order to pay for my education, but their future. Such attitudes make it much after I graduated I could not find a job, even though I applied more difficult to gain public endorsement everywhere. I graduated with a degree in graphic design, and of long-term strategies to improve educa- in the school where I applied for employment, the position is tional opportunities for, and thus the em- held by a teacher. He has his job because of family connections” ployability of, Roma. (Albanian youth, the former Yugoslav Republic of Macedonia). People with different sexual orientation very long term social and economic security. often face forms of discrimination through- Gender stereotypes are also creating prob- out the ECA transition countries. An in- lems in accessing employment in branches creasing number of countries have adopt- of industries that are considered ‘a man’s ed anti-discrimination legislation that also job’. promulgates the rights of sexual minorities, yet these laws are rarely implemented in full. In Central and Eastern Europe, sexual “We do not feel any differences in the orphanage. We are all broth- minority communities are often exposed ers and sisters there; we face the same problems. But in school, to violence and hate speech, but they con- parents of other children do not let their children socialize with tinue to advocate for their rights. In most of us. “The children from the orphanage have lice, they are dirty, the Caucasus and Central Asia, their rights uneducated”, they say (Orphans, the former Yugoslav Republic of are not even debated in political forums Macedonia). and in public. The issues related to sexual minorities are still taboo. These popula- Minorities tions are exposed to severe discrimination and physical and verbal abuse, taking place Social exclusion of ethnic minorities can in the labour market, in social clubs and as- stem from various sources. Participation in sociations, or even when accessing basic social, cultural, political and economic pro- social services. cesses can be put at risk for several reasons, People with mental and physical disabilities but often because of prejudice and miscon- also experience multiple forms of exclusion, ceptions, exacerbated by fears and insecu- ranging from discrimination in the labour rities, especially in periods of crisis and un- market, social isolation, to lack of political certainty. At the same time, however, when power. Despite assistance efforts, econom- ethnic groups and minorities become the ic exclusion among people with disabilities subject of state-sponsored programmes can reinforce stigma. For example, despite and benefits due to their ethnicity, they their numbers, many earthquake survivors could become the subject of exclusion and with disabilities in Armenia reported feel- non-acceptance by other communities that ing ghettoized and isolated despite exten- face similar socio-economic problems but sive material aid. They explicitly described do not benefit from such state support. themselves as ‘poor’ because they were un- For example, majority populations often able to earn money and saw no prospects view people from the Roma community for employment or integration into society 83 83/ World Bank 2004. working in the informal sector as ‘free- at large. Limited access to public trans- riding’ because such unofficial work allows portation excludes persons with physical them to collect social assistance benefits, disabilities from shops, public facilities, to which people in regular employment– employment, education, polling stations often the ‘working poor’ – contribute a sig- and cultural opportunities. Many countries nificant share of their income. Despite the in the region provide constitutional rights limited scope of the phenomenon, the per- to persons with disabilities to support their ception of free-riding easily translates into ability to provide for themselves and pur- xenophobic attitudes that further deepen sue professional training, and many have people’s prejudices and their unwilling- ratified the UN Convention on the Rights of Persons with Disabilities, or are in the pro- cess of doing so. However, few have pro- “Not at university, but in high school I had a problem. Because tected these rights in practice. I was a lesbian, I was thrown out of class, and there was talk of An evaluation of the needs and demands for transferring me to a different school. Then my mum came and social services of vulnerable children and their sorted it out so I wasn’t transferred to a different school, but I was families in Kazakhstan suggests that children transferred to a different class” (Girl, Serbia). with disabilities are typically educated in spe-

62 cialized institutions or at home, where the “People with disabilities, especially women, need the help of social 84 quality of teaching varies widely. workers. Even if a person with a disability has the support of family People in the region are not familiar with or friends, he or she still needs the help of social workers. Currently, the idea of educating children with dis- social workers only help those who live alone. For example, I became abilities in regular schools, which often lack paralyzed two years ago, so my husband took care of me every day. the equipment and staff to accommodate Because I lived with family members and relatives, I was not allowed them. In Kazakhstan, 16 percent of children to use the services of a social worker. As a result, he was forced to quit with disabilities consider regular schools his job and our living standards deteriorated rapidly” (Woman with a unsuitable for their safe and free move- disability, Uzbekistan). ment. In Tajikistan, most children with disabili- or denying them access to standard edu- ties cannot attend regular schools. Only 84/Sange 2008. cational institutions, instils a feeling of 200 out of 18,600 children with disabili- isolation. By effectively removing children ties under 16 years of age were enrolled with disabilities from society, educational 85/ Statistical Yearbook of in boarding schools in 2008.85 Schools are exclusion severely limits opportunities for the Republic of Tajikistan. not accessible to children with disabilities, advancement. (Dushanbe: State Commit- despite laws mandating that they be. Con- tee on Statistics, 2009). centrating such children in special schools, Attitudes towards including persons with

Box 11: Inclusion in community structures versus the individual right to choose in Tajikistan

Local communities have historically played an im- the Soviet period. Moreover, the loss of guaranteed portant role in Tajikistan, especially in maintaining employment and collective-farm and party struc- and nurturing solidarity networks, which can act as tures has led to a decrease in the rights and securi- shock absorbers when change happens. Traditional ties of women outside family and community. community structures (mahallas) had survived In this situation, some women benefit from inclu- the Soviet period reasonably intact, especially in sion in communities, but for others, the price of rural areas, and with the collapse or weakening inclusion is accepting constraints on individual of formal state structures in the transition period, choices. Traditional values encourage women represented a valuable source of protection and to stay at home, and to depend on the husband, support for vulnerable sections of the population. meaning that women are not economically em- The traditional strengths of communities are in powered, and have less voice in the home and com- maintaining social cohesion and stability. The au- munity. Women who live alone – widows, divorcees thority of the oldest and wisest of the community and those with husbands working abroad – can can be invoked to help solve inter- and intra house- suffer from lack of status or even exclusion from hold conflicts. The elders also provide economic community life due to the lack of a male head of support, such as helping households organize household. There is some evidence of young people traditional ceremonies, including weddings. These suffering from the tradition whereby parents are important rituals, almost obligatory for house- choose the husbands for their daughters (and wives holds participating in community life, but can put a for sons). And if a man has a position of power in massive strain on the household budget. Communi- the community, it is not culturally permissible to ties can also organize voluntary community help to criticize his behaviour even if it involves mistreat- families in building or repairing homes (hasher). ment of family members. Communities also play an important role in Women may choose not to go against community transmitting traditional values and roles, which in pressures due to the prospect of loneliness and fear the past have underpinned their internal stability of social exclusion, given the lack of alternative and social cohesion. Inclusion in the community sources of support. The establishment of crisis cen- can bring positive benefits for its members, but it tres and shelters in some areas of the country, with requires adherence to traditional values, which support from local NGOs and donor organizations, can be contrary to individual rights and freedom are examples of structures outside the community of choice, especially for women. Since the collapse that are helping women in these situations to exer- of the Soviet Union, the country has been striv- cise their choice to go against tradition and the de- ing to strike a new balance between secular and cisions of their families and communities. Women religious values. The dominance of secular values who have turned to the centres include those being has receded, while the prevalence of traditional forced into marriage, divorcees, and those with and religious values has increased. This has led to husbands who have migrated for work. a reversal in some of the gains made by women in

63 Figure 4.11: Should children with disabilities attend sion. Although openness towards inclusive mainstream schools? measures is prevalent according to the sur- vey, a wide range of capacity needs in the Social exclusion and attitudes educational sector (and especially among teachers) would first need to be addressed. As a recent educational study shows, the reaction of many teachers to learning dif- ficulties of children includes moralization, punishment, contempt towards children and other similar attitudes.86 According to the same study, pupils are more tolerant of children with disabilities and their in- clusion into mainstream schools. Some 40 percent of pupils absolutely agree that chil- dren with disabilities should study in their schools; an additional 30 percent of pupils Social Exclusion Index Social Exclusion partially share this opinion. The rest do not support inclusive education. Some groups, such as people living with HIV/ -5 5 15 25 35 45 55 65 AIDS, are stigmatized and often socially and Share of people who think that children with disabilities should economically excluded. The main cause of not go to mainstream schools social exclusion of people with HIV/AIDS is fear by others who believe that they can Source: Social Exclusion Survey 2009. contract the disease when interacting with disabilities into mainstream education people with HIV/AIDS. Stigma is equally 86/ UNDP Moldova 2010. correlate positively with social inclusion important in exacerbating social exclusion (see figure 4.11). This suggests that the risks for people with HIV/AIDS (see box 12). attitude of the general population has a There is limited openness in the six coun- direct impact on mitigating social exclu- tries towards including children with HIV

Figure 4.12: What school should children with disabilities or HIV attend?

% What school should children with disabilities or HIV attend?

mainstream special

Disabled With HIV Disabled With HIV Disabled With HIV Disabled With HIV Disabled With HIV Disabled With HIV

Source: Social Exclusion Survey 2009. 64 into mainstream education (figure 4.12). Figure 4.13: Share of people who have experienced Fear and bias lead to rejection, isolation prejudice in the past three months and the tendency to treat the people living with HIV as a threat to society. Such values and attitudes complicate the process of in- Share of socially excluded and not socially excluded clusion of people with HIV/AIDS in society. % people who have experienced prejudice Prejudice and social exclusion go hand in 25 hand. A larger share of the socially exclud- ed compared to those who are not socially 20 excluded have in the past three months ex- perienced prejudiced treatment, indicating that discriminatory practices play an im- 15 portant and instrumental role in bringing about social exclusion (figure 4.13). 10 Alienation and withdrawal 5 from society 0 Forms of self-exclusion and withdrawal from society and social relations can also be a consequence of the lack of social net- works, social capital and the feeling of ‘be- Not socially excluded Socially excluded ing left out of society’. Alienation, marginal- Source: Social Exclusion Survey 2009. ity and withdrawal are often the outcomes of deliberate institutional exclusion, when individuals and groups feel alienated from hampers the individual’s motivation and existing processes. But they can also be seen capacity to make use of opportunities. It as a driver when extreme withdrawal ham- can also result in the intergenerational re- pers possibilities to engage with society. At production of poverty, perpetuating social one level, this type of marginalization is a exclusion, and making it difficult for exist- result of prolonged exclusion throughout ing generations to provide better opportu- the lifespan of individuals or groups, which nities for subsequent ones.

Box 12: Social Exclusion of people living with HIV in Eastern Europe and the CIS

“Recently I visited a private dental clinic in which a The fear of stigma and discrimination is a major cause very good doctor refused to treat my teeth. We have of reduced up-take of prevention, care treatment and a mutual friend, so I informed her about my status. support services, even when free, by people living with But she told me frankly: “I am sorry, but you should HIV or at risk of infection, which in turn diminishes understand that if anybody knows that I am assisting the effectiveness of national responses and further an HIV-infected person, nobody will visit me anymore”. contributes to marginalization. Stigma poses a large She is not afraid of becoming ill but she is afraid that risk to the well-being of people living with HIV and people will know”. contributes to putting others at greater risk. In order The quote from a regional research on the exclusion of to be effective, social inclusion strategies therefore people living with HIV illustrates that the lack of basic need not only to remove barriers in access to services training on HIV epidemiology (transmission and pre- but also to encompass efforts to reduce stigma. vention), explicit biases and unclear policies contrib- “Social inclusion for people living with HIV means ute to the unpreparedness of employers, educational that we can lead longer, more productive lives as institutions and health service providers outside of individuals and citizens, that we can better serve our specialized AIDS centres to accept and serve people families and better help prevent further HIV transmis- living with HIV. The research found that in fact, many sion. I think, what is good for people living with HIV people living with HIV in the region fear social stigma and for populations at higher risk is good for society more than the health consequences of the disease. as a whole”, said Vladimir Zhovtyak, Head of the The root causes of stigma are lack of knowledge about Eastern Europe and Central Asia Union of People living HIV and AIDS, lack of personal familiarity with people with HIV. living with HIV, and societal bias against marginalized UNDP 2008. Living with HIV/AIDS in Eastern Europe and the CIS - The Human groups. Cost of Social Exclusion.

65 “When you apply for a job, being long-term unemployed makes it The chapter has investigated relationships more difficult. When I go somewhere now, I’m simply ashamed to between social exclusion and models of say it’s been 11 years since I finished school and I don’t have a single economic growth, decentralization and so- day of work. I’m simply ashamed” ( Long-term unemployed youth, cial policies. It finds that unbalanced, capi- Serbia). tal city-centred growth models have cre- ated new exclusionary structures in some countries. These have been exacerbated by the legacy of centralized planning that Major findings of this left mono-company towns with very lim- ited economic alternatives and excluded chapter whole communities from economic and social and civic opportunities. Moreover, The chapter has analyzed how the three the large share of the population working groups of drivers of social exclusion (a) in informal jobs and in insecure labour con- structures and institutions, (b) policies and ditions has also led to higher social exclu- (c) values and behavioural patterns can in- sion outcomes. teract with individual risks to produce so- cial exclusion. The analysis has shown that Unfinished social policy reforms represent legacies of the past 20 years still dominate a critical gap in social inclusion tools and people’s perceptions and shape social ex- can even hinder social inclusion if they do clusion outcomes today. not reach the socially excluded. Such social protection mechanisms are not very effec- The political and economic transformation tive in fostering social inclusion. has led to new forms of governance and massive institution building, posing new Decentralization policies, though intended challenges to institutional capacities. These to improve efficiency, can also undermine developments have significant implications social inclusion. Assigning spending man- for social inclusion. For example, effective dates to local governments needs to be institutions and improved rule of law were accompanied by resource transfers and ca- found to be important for mitigating indi- pacity building to ensure that decentraliza- vidual risks with the potential to prevent tion policies do not exacerbate sub-nation- social exclusion from occurring. Low wages al inequalities. in local government could make it difficult Behavioural and value-based drivers relat- to improve the quality of governance—an ed to gender or culture are strong enough essential ingredient for inclusive local de- to maintain exclusionary patterns and can velopment. Old and new prejudices can in- even cause inclusive projects to fail. Ad- crease social isolation. Non-existent or un- dressing these drivers requires long-term enforced anti-discriminatory legislation can approaches that focus on mindset changes encourage intolerance and make inclusion within society as a whole, as well as chang- of minorities even more difficult. Labour es in social and cultural norms. market institutions are another important channel through which social exclusion The drivers discussed so far have focused risks materialize in the region. Unemploy- on the national context. The subsequent ment agencies matter for decreasing social chapter brings the local context into the exclusion, which strengthens the case for analysis of the social exclusion chain. improving active labour market policy in- terventions in Europe and Central Asia.

66 Chapter 5: The local context and social exclusion

s discussed in Chapter 1, individual multiple employers plays a large role in de- characteristics (such as age and termining the degree of social exclusion. It A gender) can lead to social exclu- is highest in areas that had been dominat- sion. Whether they do depends on two sets ed by one or two companies prior to 1989 of external factors: drivers and local context. (figure 5.1). It is likely that most of these The drivers have been analyzed in Chapter localities are still mono-company towns, 4. Now we will examine the local context, where social exclusion is high (the third bar defined as the set of socio-economic fac- in figure 5.1). But some of these traditional tors that affect individual risks and drivers towns have managed to provide more em- of social exclusion. For example, legislation ployment opportunities, thus decreasing supporting private sector development the risk of social exclusion (the fourth bar). has nation-wide relevance, but its effec- Mono-company towns not only have more tiveness depends on local capacities, local limited employment opportunities, but also infrastructure, environmental legacies, and suffer from reduced access to services and spatial factors. participation in social life and networks. The data indicate that each of the three The local context dimensions of social exclusion contribute

In order to investigate the impact of local conditions, we used data from the ‘Social Exclusion Survey’ on such issues as people’s Figure 5.1: Multiple employment opportunities decrease tolerance of corruption or attitude to diver- the risk of social exclusion sity, and correlated these with the Social The magnitude and composition of social exclusion in areas Exclusion Index. At the same time, we as- with different numbers of employers sessed survey respondents’ locality accord- ing to a number of criteria common to all 25 respondents in the locality (number of em- ployment providers; quality of transport; incidence of environmental or man-made 20 disasters; proximity to an academic institu- tion; and so forth). These location-specific 15 data supplement respondents’ individual characteristics. We call this procedure ‘sec- ondary source contextualization of the sur- 10 vey data’. This exercise allows us to disaggregate indi- 5 vidual data along a number of local charac- teristics reflecting the major development and transformational patterns experienced 0 by all countries in the region. This makes it One or two Multiple One or two Multiple possible to extrapolate our findings about employers employers employers employers the magnitude and character of social ex- Major employment provider Major employment provider clusion beyond the six countries surveyed. before 1989 in the last 5 years Mono-company towns versus Exclusion from participation in civic and social life and networks the knowledge economy Exclusion from social services Economic exclusion According to the survey findings, whether a town is characterized by one employer or Source: Social Exclusion Survey 2009.

67 terized by economic decline. This implies Figure 5.2: Areas with multiple employers are more that economic growth in mono-company resilient to crisis towns won’t reduce social exclusion in the The Social Exclusion Index, by employment opportunities and near term if employment opportunities are resilience to the recent economic crisis not diversified. By contrast, where there are multiple employers, economic growth 30 reduces social exclusion. 27 Proximity to an academic centre can de- 25 crease social exclusion. The value of the Social Exclusion Index in academic centres 20 is lowest compared with other localities. 20 When an academic centre is only ‘nearby’ 16 a given locality, the level of social inclu- 15 sion doubles; when an academic centre is 13 far away, the level of social inclusion triples. 11 Since many academic institutions are usu- 10 ally located in capital cities, where social ex- clusion is generally lower, one may reason Social Exclusion Index Social Exclusion 7 that the results are biased. But even when 5 capital cities are filtered out of the sample, the data still point to a correlation between proximity to academic centres and lower 0 social exclusion. One or two employers Multiple employers How does the presence of academic centres Local economy declined No change Local economy grew reduce social exclusion? Better economic opportunities and public services typically Source: Social Exclusion Survey 2009. characterize the areas that host academic centres. But the knowledge spread by aca- demic institutions, and their advocacy for equally to the level of social exclusion in better social services, should also be taken both mono-company towns and in those into account. The findings suggest that in- with multiple employers. This finding may vesting in academic centres and ensuring be a consequence of the extended welfare- their geographical distribution can help state functions of enterprises in mono- to mitigate social exclusion. More broadly, company towns. It also suggests that diver- similar social inclusion benefits are likely sifying employment opportunities in such to accrue by promoting the ‘knowledge localities could have marked benefits for economy’. social and civic participation. Poor transportation infrastructure can be When looking at how the recent financial an important contributor to social exclu- crisis has affected these localities, we ob- sion (figure 5.3). Where transportation in- serve that social exclusion is lowest in areas frastructure is ‘good’ and ‘excellent’, the lev- characterized by multiple employers and el of social exclusion is only 11 percent, but by economic growth (figure 5.2). Notably, where infrastructure is ‘poor’ (where there social exclusion is highest in mono-compa- is only one road, but in good condition) or ny towns characterized by stagnation, rath- ‘bad’ (one road, in poor condition) the risk er than by decline–contrary to what one of social exclusion increases to 19 percent would expect. The employment situation and 29 percent, respectively. in these areas was unfavourable before the crisis, which may account for this finding. The impact of environmental Mono-company towns don’t convert eco- disasters on social exclusion nomic growth into reduced social exclu- sion, at least in the short term. This is sup- Environmental disasters also affect social ported by the observation in figure 5.2 that exclusion. According to the ‘Social Exclu- social exclusion in mono-company towns sion Survey’, the magnitude of social ex- that are characterized by economic growth clusion is 27 percent in areas affected by is even higher than in similar areas charac- environmental disasters versus 12 percent

68 in localities where such disasters have not Figure 5.3: Better infrastructure promotes social inclusion occurred (figure 5.4). Moreover, in locali- ties affected by environmental disasters, exclusion from economic life accounts for Quality of local transportation infrastructure and the Social the biggest share (38 percent) of the Social Exclusion Index Exclusion Index. In localities that have not been affected by an environmental disas- 35 ter, exclusion from social services accounts 29 for the biggest share (36 percent) of the so- 30 cial exclusion index. Disruption of produc- tion linkages, lower investment, and out- 25 migration of qualified workers may explain 19 20 the diminished economic opportunities of areas affected by environmental disasters. 15 Environmental disasters, however, may 11 have unexpected positive externalities. The 10 data also indicate that, in localities where an environmental disaster has occurred, 5 exclusion from participation in civic and so- 0 cial life contributes least to social exclusion. Good and excellent Poor Bad This may be due to the fact that environ- mental disasters encourage people to use Source: Social Exclusion Survey 2009. informal networks and community action, thus strengthening social networks and civil society participation.

Individual risks and Figure 5.4: Environmental disasters contribute to social local context exclusion in three dimensions Impact of environmental disasters on the Social Exclusion Our analytical approach allows us to exam- Index ine individual risks together with elements 30 of the local context. This allows us to move beyond basic statistical categories such as ethnicity, low educational attainment 25 and unemployment. Combining these el- ements allows us to see deeper exclusion 20 patterns that are relevant for social inclu- sion policies. 15 Food and housing risks 10 People face a number of risks specific to their local context: chief among them are 5 the risks of hunger and eviction from their home. The ‘Social Inclusion Survey’ finds that the risk of hunger is more pronounced 0 than the risk of eviction among both the Areas affected by Areas that did not socially excluded and non-excluded popu- radiation, chemical experience any lations (figure 5.5). This likely reflects the contamination major disasters relatively high rates of apartment and or environmental home ownership in the region. Significant degradation fear of hunger among the socially excluded in the Republic of Moldova and the former Exclusion from participation in civic and social life and networks Yugoslav Republic of Macedonia under- Exclusion from social/public services scores the fact that food poverty is not only Economic exclusion an issue for developing countries but also for middle-income ones. Source: Social Exclusion Survey 2009.

69 Figure 5.5: The risk of hunger, and eviction persists

Share of respondents, excluded and non-excluded, who are ‘very worried’ about facing hunger and eviction % 80 70 Excluded Non-excluded 60 50 40 30 20 10 0 Hunger Eviction Hunger Eviction Hunger Eviction Hunger Eviction Hunger Eviction Hunger Eviction

Kazakhstan Moldova FYR Macedonia Serbia Tajikistan Ukraine

Source: Social Exclusion Survey 2009.

Subsistence agriculture is an important sur- not fully mitigate the deprivations associ- 87/ The missing values for the for- vival strategy both for the socially excluded ated with living in rural areas. mer Yugoslav Republic of Macedonia and for the non-excluded (figure 5.6).87 indicate that respondents assessed People in small towns and rural areas can Local schooling the share of the products they benefit from engagement in subsistence produced themselves as less than agriculture. However, these activities can- 50 percent of their household needs. Inferior education can pass social exclusion down from one generation to the next by

Figure 5.6: Subsistence agriculture helps to decrease exclusion

Share of people, excluded and non-excluded, who grow more than half their food % 35

30

25

20

15

10

5

0 Kazakhstan Moldova FYR Macedonia Serbia Tajikistan Ukraine

Excluded Non-excluded Source: Social Exclusion Survey 2009. 70 Figure 5.7: Social exclusion leads to inferior education...

Percentage difference between non-excluded and excluded respondents who think that their children have fewer educational opportunities than...

% 35

30

25

20

15

10

5

0 Kazakhstan Moldova FYR Macedonia Serbia Tajikistan Ukraine

other children in their town/village the majority of children in their country Source: Social Exclusion Survey 2009. failing to provide the children of socially ex- village education, similar percentages of cluded adults with the knowledge needed excluded and non-excluded parents think to build a better life. The socially excluded in that their children are receiving an inferior all surveyed countries think that their chil- education (figure 5.8). But differences in dren have fewer educational opportunities perceptions emerge as we approach urban than other children (figure 5.7). As concerns centres. Capital cities and regional centres

Figure 5.8: …but how much so depends on location

Share of people, excluded and non-excluded, who think their children have worse educational chances than...

other children in locality other children in the country % 40 35 30 25 20 15 10 5 0 Non-excluded Excluded Non-excluded Excluded Non-excluded Excluded

Village Small town Capital/regional centre

Non-weighted regional average Source: Social Exclusion Survey 2009.

71 Figure 5.9: Social exclusion is lower in communities that do not ensuring a better future for their children. tolerate corruption Social exclusion status contributes much more to poor education than location. Social Exclusion Index by tolerance of corruption and type of settlement Tolerance of corruption 30 Social exclusion is relatively low in commu- 25 nities that exhibit low tolerance for corrup- tion (true across villages, towns and capital cities). Social exclusion is more prevalent in 20 communities where people make informal payments to receive social services—such 15 as medical care, education and social ben- efits—and to facilitate business with local 10 administrations (figure 5.9). Villages that tolerate corruption display a higher level 5 of social exclusion than towns and capital cities. This does not necessarily mean that 0 rural authorities are more susceptible to Villages Small towns Capitals corruption. Higher tolerance in villages and small towns can result from the more lim- Low acceptance of unofficial payments for services or for getting ited range of social services available. Un- business done der such scarcity, unofficial payments can High acceptance of unofficial payments for services or for getting be required for accessing social services. business done Such dynamics contribute to greater social Source: Social Exclusion Survey 2009. exclusion in villages. Note: Low acceptance of corruption denotes when less than 10 percent of the population finds unofficial payments acceptable; high acceptance is denotes when more than one third of the When local context population finds unofficial payments acceptable. aggravates seem to better serve the children of non- individual risks excluded parents. This suggests that even when excluded families migrate to urban Standard research methods do not always centres, they continue to have difficulties capture the full range of multiple social

Figure 5.10: Disability increases the risk of social exclusion, but not universally

Value of the Social Exclusion Index by status of respondent and type of settlement

No disability, capital 5

Disability, capital 13

No disability, economic centre 6

Disability, economic centre 14

No disability, small town 9

Disability, small town 16

No disability, rural 21

Disability, rural 30

0 5 10 15 20 25 30 35 Source: Social Exclusion Survey 2009. 72 Figure 5.11: Individual risks and local specifics interact to produce social exclusion

Value of the Social Exclusion Index by education, type of settlement and available employment opportunities

Capital city, secondary education, multiple employers 6 Capital city, secondary education, single employer 7 Capital city, primary education, multiple employers 11 Capital city, primary education, single employer 12 Small town, secondary education, multiple employers 7 Small town, secondary education, single employer 14 Small town, primary education, multiple employers 7 Small town, primary education, single employer 23 Rural area, secondary education, multiple employers 15 Rural area, secondary education, single employer 26 Rural area, primary education, multiple employers 20 Rural area, primary education, single employer 30 0 5 10 15 20 25 30 35 Source: Social Exclusion Survey 2009. exclusion risks. Some risks are related to in- of education and increasingly urban set- dividual status, others to the local environ- tings. But the data also indicate that higher ment. All accrue in various combinations to education levels cannot significantly miti- produce different levels of social exclusion. gate the risk of social exclusion in the same We can better analyse these combinations locality. The risk of social exclusion for a by contextualizing the survey data with young person with secondary education secondary sources. in a rural setting where there is only one employment provider is higher than for a Disability and the local context young person with only primary education in a small town with a single employer. A Persons with disabilities experience the young person with primary education in most severe risk of social exclusion in rural a rural area or small town where there are areas (figure 5.10). The risk falls by almost multiple employers faces the lowest risk of half in urban centres, and further in capital social exclusion. Thus young people have cities. Attitudes play a major role in deter- mining whether people with disabilities ex- perience social exclusion. Social exclusion Box 13: Adults and Children with Disabilities risks for a person with disabilities doubles In the Europe and Central Asia region, persons with disabilities when a significant portion of the popula- face widespread social exclusion. Many are prevented from enjoy- tion (at least one third) opposes inclusive ing their right to education, political voice, movement, employ- measures. The impact of attitudes can in- ment, and medical care – for they need special assistance to crease further when augmented by insti- exercise these rights. Persons facing multiple forms of exclusion tutional drivers, which can interact with are particularly challenged. For example, a person with a dis- individual risks to produce social exclusion ability living in a rural area is likely to be denied access to trans- (box 13). port, infrastructure, education, public health, social support and employment. Education, location and job Some 71 percent of survey respondents in the former Yugoslav prospects Republic of Macedonia reported not having any close friends with disabilities. In Kazakhstan, 11 percent of respondents with dis- When young people lack employment op- abilities said they experience prejudice both from ordinary people portunities, they have a heightened risk of and from government officials (who should be serving them). The social exclusion. If—on top of this—they highest levels of discrimination against persons with disabilities live in a rural area, their risk increases fur- were reported in medical institutions (according to 67 percent of ther. The data indicate that a young person respondents), by ordinary people in public places (33 percent), and with a primary education in a rural area on public transport (17 percent). Similarly, persons with disabili- with only one employment provider has ties in Serbia reported significant problems receiving health care the highest risk of social exclusion (figure (37 percent) and social security services (22 percent) – the services 5.11). The risk decreases with higher levels which they need the most.

73 Figure 5.12: Youth and the elderly living in villages are especially vulnerable to social exclusion

Value of the Social Exclusion Index by age and incidence of environmental disaster

District centre or capital affected by 13 environmental disaster 4 Elderly

District centre or capital not affected by 19 Youth environmental disaster 10 18 Small town not affected by environmental disaster 7 17 Small town affected by environmental disaster 13 25 Village not affected by environmental disaster 14 33 Village affected by environmental disaster 33 0 10 20 30 40 Source: Social Exclusion Survey 2009. the lowest risk of social exclusion in locali- ties with multiple employers. Major findings of this Age, location and chapter environmental disasters This chapter has suggested that local char- acteristics can compound individual vul- The legacy of environmental disasters ex- nerabilities to increase the risk of social ex- acerbates social exclusion both for old and clusion. In so doing, the chapter completes young alike, but especially for young peo- our analysis of the social exclusion chain. ple. The difference in terms of social exclu- Examining local characteristics is important sion risk between living in a village affected because it can illuminate patterns of exclu- by an environmental disaster and living in sion that national-level data often fail to a village that is not affected is significantly capture. Policy makers need to understand higher for youth than for the elderly (figure these factors to effectively address social 5.12). This is likely because environmental exclusion. Only with this knowledge can disasters reduce opportunities for employ- governments design targeted and relevant ment and civic participation—a , a phe- policies. nomenon that affects young people most of all. Secondary source contextualization has been employed to factor in local specif- Adding more parameters would make the ics. This approach opens the door to even picture even richer, but also more difficult richer analytics in conjunction with social to visualize and analyse. Instead of detailed exclusion indexes. With minor marginal descriptive analysis, a social exclusion risk cost, additional information can be collect- calculator is more appropriate for educat- ed on the status of political activity (such as ing people about the challenge of social ex- voter turnout) and the style of local policy- clusion. It provides a richer picture of how making (as expressed, for example, in the individual risks translate into social exclu- performance of municipal councils). Com- sion. Such a social exclusion risk calculator plementing social exclusion indicators with is available online, at http://europeandcis. data on school enrolment or social security undp.org/poverty/socialinclusion. Under- outlays yields a richer picture, with greater standing the multidimensional nature of dividends for policy makers. The next chap- risks is a prerequisite for formulating effec- ter lays out a number of policy recommen- tive and comprehensive policies for social dations designed to foster social inclusion inclusion. By allowing policy makers to that emerge from the analysis thus far. quantify the trade-offs between various aspects of social exclusion, this knowledge helps them to formulate priorities.

74 Chapter 6: Towards inclusive societies

‘ n inclusive society is one that rises velop their capabilities. Social ties are in- above differences of race, gender, strumental for social inclusion, particularly A class, generation and geography to in this region, given people’s high degree of ensure equality of opportunity regardless of reliance on a range of informal ways to gain origin, and one that subordinates military and opportunities and access to institutions economic power to civil authority. In an in- and services. clusive society, social interaction is governed Economic growth has not always translated by an agreed set of social institutions’.88 The into increased job opportunities, improved 88/ UNDESA 2010. capability and empowerment of all citizens social services or greater opportunities for to act as agents to influence how those in- civic participation. Despite the region’s stitutions function, is indeed a hallmark of heterogeneity in growth and development an inclusive society. This capability, and the levels, the intensity of social exclusion is resulting opportunities for people to live similar across countries. This finding sug- lives they have reason to value, represent gests that, despite the vast macro-level a major area of convergence between hu- differences between Kazakhstan and the man development and social inclusion. former Yugoslav Republic of Macedonia, Previous chapters have analysed how and social inclusion policies in these two coun- why social exclusion occurs, and estimated tries would need to simultaneously target the level and intensity of social exclusion the three dimensions of exclusion (eco- in six countries. This chapter reiterates the nomic exclusion, civic exclusion and social main conclusions of the report, then pro- services exclusion). vides policy recommendations that pro- Pre-transition structures, institutional inef- mote inclusive human development in the ficiencies and attitudes have played a ma- ECA region. It takes into account the results jor role in determining whether a person of the research described in the report, and experiences social exclusion or not. Large lessons from relevant social inclusion policy parts of the population have not been able frameworks and practices in the region and to adapt to the new demands of the labour in the European Union. market, where exclusion has been strongly influenced by urban and sectoral biases. Main conclusions These factors can contribute to exclusion of the report from economic life. Social exclusion can affect any member of The report has presented an integrated society, not just those who are disadvan- conceptual framework for social inclusion taged and marginalized. Individual risks, and human development. It has put forth interacting with drivers and local contexts, a new measure for analysing social exclu- can lead to social exclusion. Marginalized sion that goes beyond income, thus offer- groups are overrepresented among the ing a more comprehensive perspective. It socially excluded, but not everyone from integrates individual risks, drivers, and local these groups is excluded. Neither are the context to create a policy-relevant tool for excluded only from these groups. More- assessing social exclusion and its causes. over, social exclusion is dynamic: feedback loops can reinforce social exclusion over Chapters 2 and 3 have suggested that social time, even over generations. But there is exclusion results not only from economic also movement in and out of this group. deprivations, but also from lack of access Policies can influence these movements to public services, civic participation, and over time, underscoring the important role social networks. Exclusion from social and governments can play in creating inclusive civic participation is sufficient to deprive societies. people of the opportunities needed to de-

75 This report confirms earlier research that The report also points out that govern- found that the determinants of social ex- ments play an instrumental role in the clusion are linked to, and reinforce, one an- process of social exclusion and inclusion. other. Exclusion in one area can trigger a During transition the state underwent a series of exclusions in other areas. It is rare significant transformation ‘on the run’. After when social exclusion can be mitigated by years of one-party rule, many desired to re- focusing policy interventions on a single duce the role of the state as much as possi- vulnerability or driver. Instead, multiple ble. As a result, state responsibilities shrank interventions implemented in a concerted considerably, but this left huge grey areas manner are needed, reflecting the com- without a clear division of labour among plexity and dynamic nature of social ex- government, emerging civil society and clusion. Improvements in economic, social the business sector. This led to weak gover- services or civic inclusion can lead to mas- nance, law enforcement and, in some coun- sive and measurable human development tries, entrenched corruption—all serving to dividends. But sustainable progress can foster social exclusion. The changing views only be achieved over the long run. on the role of the state contribute to policy swings that diminish the efficiency of social To move beyond narrow interventions that inclusion interventions. target only one cause of exclusion, policy makers must understand the interaction Real or perceived risks of exclusion can— between drivers and outcomes. Rarely do and often do—give rise to negative coping policies address the multiple causes of so- mechanisms. These include participation in cial exclusion. Formulating a mix of social illegal activities, migration for menial jobs, inclusion interventions constitutes a major crime, (domestic) violence, alcoholism, and policy challenge. It is especially critical that so forth. In contrast with demand-pull mi- this collaboration occur at the lowest level gration that responds to evolving opportu- of government administration in order to nities, ‘distress push’ migration is in part a ensure multi-dimensional outreach to so- response to social exclusion. It is expressed cially excluded groups. in migration from rural to urban areas, or from urban centres to the capital, and also Values are an important driver of social ex- in migration abroad. clusion. Under socialism, diversity was not often seen as benefitting society, and this Social exclusion has contributed to low lev- view still prevails in much of the region els of trust, especially in institutions that are today. Despite progress made during tran- seen as perpetuating exclusion. This has led sition, intolerance and low levels of social many to believe that the state is not fully solidarity are prevalent. For example, Cen- discharging its responsibilities. Social ex- tral Asia has seen a return to traditional clusion has also diminished people’s sense gender and cultural norms, which has cre- of belonging to society in the six surveyed ated new sources of exclusion for women. countries. The high rate of social exclusion Throughout the region, we find discrimina- among children and youth, a trend that has tion against ethnic minorities, persons with been exacerbated by the economic crisis, is disabilities, people with different sexual ori- a sign that we risk losing a whole genera- entations, people living with HIV, and for- tion. This could create serious consequenc- mer prisoners. Changing mindsets requires es, including aggravated social tensions long-term approaches. and unrest. Maintaining political support for social in- clusion policies is a challenge. When the so- Recommendations: cially excluded receive social benefits, some construe this as free-riding and an abuse the strategy level of the tax-funded social assistance system, The goal of social inclusion is not an incon- to which people in formal employment– sequential abstraction; its achievement is especially the working poor–contribute. The vital for sustainably stable and productive perception that socially excluded groups are societies. Policies and activities promoting free-riding easily translates into xenophobic social inclusion are gaining prominence attitudes that further deepen prejudices. at the international and regional levels, Such attitudes make it more difficult to through the EU, the Council of Europe, as gain the public’s endorsement of long-term well as the UN and its agencies. EU mecha- multi-sector strategies for social inclusion.

76 nisms in particular have contributed to- something needs to be done precedes the wards the development of targets, indica- question what can be done. Promoting so- tors and other monitoring frameworks that cial inclusion must be recognized as a key enable more coherent and harmonized ex- policy goal alongside economic goals. A amination of the dimensions and scope of key ingredient for getting to this stage is social inclusion. the realization that reducing social exclu- sion is not only morally right but also in so- Social exclusion results from a complex ciety’s long-term interest. web of risks, drivers, and local context. Alone, no single policy change can bring The idea of social inclusion has sufficient about definitive and lasting social inclu- momentum at the international level, but sion. This is why the policy recommenda- needs to be translated into political com- tions put forth here need to be seen as in- mitment at national and local levels. The terlinked, making sense only as a coherent institutional framework for promoting whole. Individually, the recommendations social inclusion was set up by the Copen- can contribute only modestly. However, in hagen Declaration and the Programme aggregate—especially if combined with a of Copenhagen—documents of the 1995 coherent strengthening of both local- and World Summit for Social Development. national-level engagement—they will have Heads of State were encouraged to create meaningful impact. Still, results will only a society ‘for all’, in which each individual, come over a longer period of time. each with rights and responsibilities, has an active role to play. World leaders at the The current limits on fiscal space make it Social Summit in Geneva in 2000 restated imperative to devise efficient policies to their commitment to social protection as address the challenges of social inclusion. a core issue in poverty alleviation. This fo- However, this will not be easy: promoting rum also highlighted the dangers of social social inclusion requires a complex mix- exclusion and their impact on sustainable ture of political will, institutional fit (in- human development. cluding policy coherence and governance capacity); and fiscal space. Such complex- It is through the EU that the idea of social ity demands careful attention to political inclusion has most vibrantly become an economy, a concern with questions of gov- explicit policy goal, articulated in the Lis- ernance and coordination, and an explicit bon Strategy in 2000. Since then the EU and long-term focus on issues of technical has advanced this agenda by applying a capacity development. Even during the re- coordinated policy and monitoring frame- cent pre-crisis period of growth, which saw work. The EU path reflects not only the his- an increase in fiscal space throughout the tory and culture of the countries involved, region, social expenditures have not kept but also the valuable experience of multi- pace with needs. Social expenditures are country cooperation. The EU’s 27 member too often designed without an evidence countries have commonly agreed objec- base, delivered with limited coherence and tives and yardsticks to evaluate and assess without full transparency in central and lo- their achievements. As such, the nego- cal budgets. tiations that have led to a common set of social indicators in the EU, at the national, This report proposes a framework to inform sub-national and supranational levels, may policy makers, and sets out some key policy offer valuable lessons for other countries considerations on the basis of the analysis. (box 14). Recent years have seen a plethora of multi- sector strategic plans that have not always The EU accession process is a worthy improved the lives of the socially excluded. precedent and good practice for the ECA This report aims to ensure that these plans region. Adopting inter-country commit- do not exist only on paper but make a dif- ments could add value and momentum to ference in people’s lives. national efforts to promote inclusion. Each country needs to have its own strategy for Genuine policy commitment to combating social exclusion, incorporating social inclusion all relevant sectors with clear responsibili- ties, a designated lead government agency, Political commitment to social inclusion is and a robust, transparent and independent a prerequisite for progress. Awareness that monitoring and evaluation system. The strategy needs to be based on continued

77 involvement of all stakeholders including— tial dimensions of sub-national exclusion, crucially— persons and groups experienc- prioritize disadvantaged locations, and ing social exclusion. It needs to encompass be fiscally sustainable. Area-based inter- all policies that impact social exclusion, in- ventions, such as local or regional action cluding macro-economic policies, and not zones, should be considered in localities only those policies traditionally considered experiencing multiple deprivations. Ensur- ‘social’. It also needs to ensure improved ing that the budgetary process is participa- horizontal and vertical coordination of poli- tory, inclusive, and responsive to concerns cies, a balance between national, regional of excluded individuals and groups is a and local levels, and diversity in state and crucial component of an effective strategy. non-state service providers. The resulting fiscal policy also needs to be sustainable. Given the challenges building To move beyond paper targets, social in- a political constituency in support of so- clusion strategies need to address the spa-

Box 14: How the European Union seeks to achieve social inclusion EU experience can offer lessons for countries engaging EU Social Protection and Social Inclusion Process, is in social inclusion agendas by providing a basis for key now applied to social inclusion (covering both poverty strategy elements: principles and capacity needs for and social exclusion), pensions, and health care and social inclusion policy design; monitoring and imple- long-term care.* The Social OMC has essentially been a mentation; as well as coordination mechanisms and ‘soft’ process, based on voluntary cooperation in pur- data requirements. These general practices provide suit of common objectives. Responsibility for develop- useful precedents for countries in the ECA region, ing and implementing policies remains with countries. regardless of their individual European integration Much of the emphasis is on information exchange and aspirations. policy learning. However, peer pressure is present as Commonly agreed goal a result of the regular monitoring and reporting and, more recently, some international benchmarking. In 2000, EU Heads of State declared in the ‘Lisbon Strategy’ the objective of making a decisive impact In 2008, the Commission adopted the Renewed Social on the eradication of poverty and social exclusion in Agenda, which shifted the focus to empowering and member states by 2010. The Lisbon Strategy identified enabling individuals to realize their potential while at the EU’s primary goals as growth and employment, the same time helping those who are unable to do so. coupled with greater social cohesion. To these three The agenda recognizes that it cannot be confined to pillars, an environmental dimension was added a year traditional social domains but has to be cross-cutting later in the form of a strategy for sustainable develop- and multidimensional, covering a wide range of areas ment in which all four pillars should mutually reinforce from labour market policies to education, health, each other. immigration and intercultural dialogue. The renewed social agenda is built around three principles: oppor- The year 2010 marks the end of the Lisbon Strategy tunities, access and solidarity.** and despite significant effort, progress has fallen far short of ambitions. For the EU as a whole, the poverty To implement these principles, the EC has introduced risk rate in 2008 was as high as 17 percent—a figure the concept of Active Inclusion, a comprehensive that has remained broadly unchanged over recent policy mix combining three elements: (i) a link to the years (Frazer and Marlier, 2010). During 2010, the labour market through job opportunities or vocational ‘EU2020 agenda’, which sets out a vision for Europe for training; (ii) income support sufficient for people the 21st century, was adopted. The EU2020 strategy to lead a dignified life; and (iii) improved access to calls for smart, sustainable, and inclusive growth for services to remove hurdles encountered by some the EU in the coming decade, and proposes an EU individuals and their families in entering mainstream headline target for poverty reduction (EC, 2010). society, thereby supporting their reinsertion into em- ployment’.*** Social inclusion policies are to be based Commonly agreed method for monitoring strategies on all three elements and their interaction, with close Since 2000, the EU has coordinated the social inclusion involvement of all partners and stakeholders, includ- process through the so-called Open Method of Coordi- ing from other policy fields. nation (OMC). The Social OMC, also referred to as the

* The Social OMC is coordinated by the EU Social Protection Committee (SPC), which consists of officials from each member state and from the European Commis- sion. The SPC reports to the EU Employment, Social Policy, Health and Consumer Affairs (EPSCO) Council of Ministers. ** http://ec.europa.eu/social/main.jsp?catId=547&langId=en (19.02.2010). *** European Commission consultation on the promotion of the active inclusion of people farthest from the labour market, COM 2006, 544 final.

78 cial inclusion, knowledge sharing is critical using quantifiable targets, indicators, and within the region and beyond. baselines to measure progress and assess policy effectiveness; The EU’s social inclusion policy remains an evolving process whereby policies, their ac-  involving stakeholders in monitoring companying implementation mechanisms and reporting through a variety of meth- and measurements are continuously im- ods, including local- and community-level proved based on experience. Policies were monitoring systems to provide information initially largely based on socio-economic on social inclusion intervention outcomes aspects of poverty and exclusion, with at the local level. considerable focus on labour markets. Nu- The key principles, processes and mecha- anced themes such as child poverty and nisms of the European Social Inclusion well-being, homelessness and housing ex- Process to coordinate social policies and clusion, the social inclusion of migrants and mutual exchange across countries can be ethnic minorities (especially Roma) and the of particular relevance to the wider Euro- impact of the financial and economic crisis pean neighbourhood if tailored to fit local have subsequently enriched the social ex- contexts. European views on social policy clusion framework. This report further ex- have had—and continue to have—a pro- pands upon the EU’s social exclusion frame- found effect on social policies globally, work by offering a policy-relevant empirical both in other OECD countries (which are in- approach with an increased focus on social fluenced by the exchange of policy experi- services and civic participation, and using ence and expertise with EU countries), New drivers and local context to capture dynam- Member States, and in the developing and ic and causal elements. transition economies that are recipients of Learning from experience in development and technical assistance from the European Commission (EC). the European Union For example, EU candidate or potential candidate countries in Southeast Europe While this report proves that transition his- are expected to develop the institutional tory makes the regional story unique, the EU capacity needed to discharge their social experience still provides valuable lessons for inclusion obligations. Candidate countries ECA countries. It provides a set of basic prin- in the pre-accession period work with the ciples and capacities needed for promot- Director General for Employment to de- ing social inclusion centred on broadening sign the Joint Inclusion Memorandum (JIM) consultation, promoting coordination and as a preparation for participation in the cooperation across sectors and types of ac- Open Method of Cooperation (OMC), an tors, and improving oversight mechanisms. approach to governance that relies on the It highlights the importance of several ad- voluntary cooperation of Member States. ditional aspects, notably of: JIMs analyse the situation of social exclu-  the active participation of local and na- sion, identify key challenges, review the ef- tional authorities and civil society stake- fectiveness of existing policies and identify holders in designing multidimensional and key priorities for the future. However, while coordinated policies with transparent bud- they build statistical capacity for monitor- get processes; ing poverty and social exclusion, they come  mainstreaming social inclusion objec- with no formal commitment to implement tives into all areas of national policy; future actions.  collecting systematic feedback for policy The countries of the Southern Caucasus makers and administrators from all imple- and Western CIS that are the focus of the menting levels and from the intended ben- EU’s European Neighbourhood Policy and eficiaries to determine why policies are (or its Eastern Partnership are likewise influ- are not) working; and using this feedback enced by EU support for social policies that to refine policies as needed; efficiently in- embody ‘European’ approaches to poverty 89 volving both government and non-gov- reduction and social inclusion. Countries 89/Frazer and Marlier ernmental organizations in the delivery of in Central Asia receiving budget support 2010. public services; from the EC (the Kyrgyz Republic and Ta- jikistan) are also strongly influenced by the  making the process evidence-based and EU experience through social protection

79 policy reform programmes, which consti- specific, but their outcomes spread across tute integral parts of the budget support the entire spectrum of social exclusion agreements. risks. Better education means not just more knowledge but also better employability, The value of the social inclusion framework higher incomes and lower risk of poverty. for countries in the region goes beyond Better health services lengthen people’s possible funding and expertise from the productive time-span and hence raise soci- EU. As the current report proves, social in- eties’ productive potential. The recommen- clusion has intrinsic value. Reducing the dations below are organized by sectors, but risks of exclusion improves human devel- efficient policy packages should be based opment opportunities and is in the long- on a careful analysis of their linkages. term political, economic and social interest of ECA societies. Education, health and basic Meeting the commitments set forth in services accessible to all these EU partnership frameworks not only sets in motion efforts to design and moni- As demonstrated in chapters 2 and 3, the tor social inclusion strategies, but also ne- provision of good quality and accessible cessitates institutional capacity develop- education and health services is vital for ment among state, private sector, and civil breaking the intergenerational cycle of society actors. Specific social inclusion pro- poverty and social exclusion in the region. cesses also require aligning poverty reduc- Four strategic areas stand out: early child- tion strategies and other overarching mac- hood education, improving school infra- roeconomic and development frameworks structure and the transition from school to with social inclusion objectives. The prin- work, increasing access to adult education ciples set out above have been promoted and life-long learning, and promoting e- to a considerable extent through the MDG inclusion. and poverty reduction agendas. It is now time to reinforce efforts in this regard and Educational inequalities based on ethnic- move towards inclusive policy frameworks ity, disability, or place of residence already in the countries of the region, building on solidify by the time of primary school enrol- the lessons learned in the EU context. ment and become increasingly entrenched at later stages. Large out-of-pocket pay- ments to accessing basic health care cre- Towards pre-emptive ates barriers for the poorer population in the region while stigma and discrimination policies: decreasing prevent access to basic social services for individual risks to persons with disabilities, people from Roma communities, and persons living with HIV, social exclusion etc. This has to be addressed jointly with a range of other services, such as housing, Rather than reacting to social exclusion water, sanitation and transportation that once it materializes, a pre-emptive ap- in many cases affect educational or health proach holds the promise of being more outcomes. effective and efficient. Addressing individ- ual vulnerabilities before they translate into High quality pre-school education is im- actual social exclusion requires both active portant for children’s development and for future performance in the school system. and passive interventions. The first type Hence, it should be readily available to all of interventions encompasses the entire pre-school age children, particularly for range of social services that improve an in- those who come from poor and disadvan- dividual’s capacity to respond to exclusion taged backgrounds, for whom early inter- risks. Passive interventions refer primarily vention is crucial and in many cases cost- to social protection and social safety nets. effective. Making pre-school obligatory and affordable is only the first step; critical Inclusive social services policy elements include training teachers, allocating resources for infrastructure and Beyond improving quality and access, the developing support services such as par- first policy recommendation in the area of ent counselling and transportation. Early social services is to move beyond a sector education should be coupled with regular approach. Most of those services are sector- health check-ups for children.

80 Health services need to ensure that the support services such as counselling and principle of access for all to basic health mentoring for all parents, ensuring that services is genuinely delivered. In particu- schools are sufficiently equipped, and have lar, access of those who are outside the cur- trained staff to work with children with rent basic health insurance system needs to special needs. It is also important to ensure be enabled, while making sure that out-of- that the costs associated with education pocket expenditures and discrimination do (e.g. books, transport) do not act as barriers not limit access of those most in need. From to attendance. a social inclusion perspective, two issues— The transition from school to work requires both also backed by a compelling econom- deliberate policies in flexible form. Voca- ic case—deserve emphasis. First, there is tional education is often the bridge be- a need to develop preventive health care tween formal education and employment. programmes. Second, there is a need to re- It needs to adapt to labour market needs move passive barriers to health care, such and provide opportunities to acquire de- as lack of transportation for those living in sirable new skills, such as internet literacy. more remote rural areas, notably by pro- Broader inclusion into education and train- viding more mobile health centres or local ing will also help address widespread youth health clinics to reach the socially excluded unemployment—one of the main chal- where they live. lenges for regional labour markets. This report has demonstrated that the lack While pre-emptive educational policies are of public transportation is a key determi- the most strategic, developing accessible nant of social exclusion, reducing opportu- adult education and life-long learning op- nities for participation. Other services, such portunities can help people escape the low as water, sanitation and housing can play an education-unemployment trap. Particular equally important role and need to be seen attention needs to be given to increasing as critical elements of social inclusion poli- engagement in life-long learning by those cies. Given the legacy of institutionalized who are unemployed or are members of a care, countries in the region should explore disadvantaged group. In this regard, new opportunities for community-based hous- information and communication technolo- ing for persons with disabilities and other gies can be extremely useful. disadvantaged groups as an alternative to institutionalization. It is also important to While measures to increase the employabil- develop, in conjunction with civil society ity of disadvantaged individuals are clearly where appropriate, a strategy for support- critical, diversifying growth opportunities ing the homeless, as well as increasing and thereby increasing the overall supply funding for shelters. and quality of jobs is another equally im- portant part of the solution. One way to Improving the employability promote employment opportunities for of the labour force population groups at risk of social exclusion is through developing or strengthening the social economy (see box 15). In this respect, Active labour market policies are an impor- governments should ease the legal require- tant area of state responsibility. Facilitating ments for establishing social enterprises entry to the labour market and the transi- and—fiscal space permitting—should pro- tion from one employment to another in a vide financial incentives to encourage their dynamic economic environment is a crucial setup. Finally, physical and other barriers to element of social inclusion. workplaces or public transportation faced A precondition for labour market inclu- by persons with disabilities need to be re- sion is that people’s qualifications meet the moved. needs of the labour market. School curri- An open question with regard to social cula need to be adapted to the changing enterprises is the scope of government in- labour market and to the diverse needs of volvement. Should the system of training children. Particular focus should be given and requalification services be entirely mar- to ensuring that children from disadvan- ket-driven, or should individual services be taged backgrounds, such as Roma children provided within an overall framework that or children with disabilities, are fully inte- sets strategic priorities more closely aligned grated into and supported by the school with the intended recipients’ needs even if system. This means developing effective

81 that does not maximize profits? The answer Revisiting social protection to this question has immediate fiscal impli- cations, and varies from country to country. This report has shown that exclusion from The experience from recent years—and in access to social services is a critical contrib- particular from the pre-crisis boom in some utor to social exclusion outcomes in the six sectors in the region—suggests that mar- countries surveyed. This calls for creating kets do not automatically factor in a longer an inclusive social system with access to a term social inclusion vision despite it be- wide range of social benefits and services ing optimal in the long run. Such a market adapted to the different needs of various failure could be overcome through govern- population groups. ment incentives that align autonomous private entities’ rational short-term choices There is a need for a thorough review of with societies’ long-term interest. social protection in the region. Transition has eroded the availability of low- or no- cost public services and traditional forms Box 15: Social enterprise: U Pana Cogito Inn in Poland of solidarity, notably inter-household sup- In Poland about 60 social enterprises are in operation. Many were es- port and community networks. The en- tablished between 2004 and 2008 with start-up funding from the EU’s suing formal and informal marketization EQUAL* programme. Despite strong beginnings, a significant number of key social services has excluded many ceased to operate once the EQUAL funding dried up. (Some put the people. In addition, some groups in the failure rate at 60 percent.) Experience demonstrates the importance region have managed to maintain a rela- of sustained support. tively privileged position in terms of social protection priorities and expenditure. The A successful Polish social enterprise is the U Pana Cogito Inn in Cra- legacy of category-based social protection cow. It provides employment opportunities for people with schizo- benefits and privileges, together with the phrenia by creating jobs adapted to their needs. Employment allows mix of formal rights and de facto discretion them to play a positive role in society and to feel needed, thus improv- of the front-line bureaucracy in allocating ing their relationship with their immediate community. benefits and services, along with stigma To form the venture, local NGOs teamed up with governmental bod- and discrimination, increasingly constrain ies. The partners include: Limerick Institute of Technology, Association access for the excluded. for the Development of Psychiatry and Community Care, National Disabled Persons Rehabilitation Fund, the Polish-German Society for One option is to introduce a ‘social floor’ Mental Health, the Municipality of Cracow, and the City of Edinburgh. or ‘minimum social protection package’ which was endorsed by the UN system in The inn has 34 beds and a 90 percent occupancy rate during high sea- 2009. The basic components of the social son. Some 2,500 people frequent the hotel and restaurant annually. It floor are the establishment of a minimum employs 21 people with disabilities. They work as kitchen staff, room guaranteed basic income for those capable cleaners, receptionists and accountants. In addition, through the proj- of work; universal child benefits; a social ect dozens of people have learned how to operate a social enterprise. pension for all over a certain age and for In 2006 the tourism industry recognized U Pana Cogito as ‘Simply the those incapable of work, and sufficient and Best 2006’. Advisor Hotelier, a trade publication, awarded the head of adequate access to quality social services, the Inn, ‘Manager of the Year 2006’. including health, education, and social The experience of U Pana Cogito suggests that in order to succeed, services. The inter-linkages between these a social enterprise needs significant start-up funding. In addition, it components are crucial in the region, with cannot be seen as a pure market entity, as it requires a subsidy for sufficient access of particular importance. psycho-social support. But from a human development perspective, The fiscal feasibility of such a package for the subsidy is an investment that bolsters the dignity of vulnerable the region should be explored. A good people. The investment also yields savings for the state, in terms of short- to medium-term approach would be lowered social support for the employees of the inn. The state also to focus on universal child benefits and the collects employment taxes. provision of quality social services and ad- equate social pensions. * The EU EQUAL Initiative seeks to ensure that no person is deprived of access to the labour market. Introducing a ‘social protection floor’ is not This initiative to help implement the goals of the European Employment Policy and the Social easy when fiscal space is limited, but much Integration Process derives 75 percent of its funding from the European Social Fund (ESF) and 25 could be achieved within the existing fis- percent from the state budget. EQUAL differs from the mainstream ESF by serving as an instrument cal envelope, if reallocation of resources is for developing new, innovative methods for fighting labour market discrimination and inequality. based on sound first principles. This would As a result, EQUAL is often referred to as a ‘labour market experiment’. be clearly preferable to cutting the overall Source: Social Economy Good Practice Handbook and information at www.ekonomiaspoleczna.pl. level of social spending, which would not

82 make the currently inefficient social protec- Another central issue is the sustainability tion systems more efficient. That would re- of pension systems in light of rising depen- quire carefully crafted reforms of the social dency ratios in the majority of the region’s safety net and the provision of public sec- countries. Obviously, there is no ‘one-size- tor social services. Two aspects that could fits-all’ solution. Some countries have in- create fiscal space for more inclusive provi- troduced three-pillar pension systems, and sion of social services include revoking ill- many have increased, or are considering targeted social transfers and subsidies, and increasing, the pension age. More flexible diversifying the provision of social services pension systems could also foster social by providing beneficiaries with the oppor- inclusion, e.g., by allowing a combination tunity to choose private providers if those of basic protection through pensions and are more efficient. part-time employment as additional in- come and inclusion opportunities. But the Raising the average targeting performance bottom line remains that countries will of social protection systems is feasible. need to have resources to cover pension While some programmes should remain outlays in the future. These resources will universal, others that can rely on observ- need to come from pension contributions able characteristics of the poor and vulner- and from accumulated funds in the funded able can effectively target those in need. pension pillars. At present most countries The use of incentives to self-select in apply- lack these resources. ing for social assistance can also enhance overall targeting efficiency of some social Child benefits programmes. For instance, incentives can encourage people to rely on employment in public works or social enterprises, rather In the poorer parts of the region, where than receiving cash transfers. the cost of moving to universal benefits may be prohibitive in the short run, the Better targeting of social safety nets should emphasis may have to be on categorical go hand-in-hand with efforts to reduce de- child benefits. These could concentrate ini- pendency. Programmes to reduce depen- tially on family types with above-average dency on social support have been tested in poverty risk, such as households with two various contexts. The problem is that many or more children, households with young- people don’t have an incentive to move off welfare, which provides a small–but regu- Box 16: Conditional cash transfers can promote social inclusion lar–income that is not taxed. For many it is irrational to switch to formal employment, Conditional cash transfers have a number of important features. which can be low paid as well as unstable. They require the recipients of social assistance or child benefits to The availability of informal employment fulfil certain conditions, such as taking a job, studying in school, or opportunities while receiving public sup- ensuring that their children have regular health check-ups (Stubbs, port also discourages people from taking 2009). Conditional cash transfers can promote social inclusion by on a formal job. encouraging people to take advantage of networks of employers and schools. Conditionality can also help to reduce the prejudices of Services for the elderly people who regard beneficiaries as ‘free riders’ merely living off the state. The high share of elderly considered to be Like other middle income countries such as Brazil and Mexico, socially excluded—almost twice the nation- some countries in the Europe and Central Asia region have piloted al average in most countries surveyed— conditional cash transfer programmes. Experience has found that argues for policy interventions on their conditional cash transfers can yield results, but they need to be behalf. The absence of tailored and com- accompanied by other measures such as improving education or munity-based care, especially long-term expanding job opportunities. Otherwise, the programmes will not care and accessible transport and health increase human capital and promote social integration (Friedman care for the elderly, is a major contributor et al., 2009). Evidence also suggests that conditional cash transfers to social exclusion, which is exacerbated have not helped to mitigate social exclusion among Roma house- by declining family support networks. The holds. report also found that elderly generations Schools must be receptive to the idea that tying state transfer pay- feel increasingly lost in today’s societies, ments to school attendance can enhance educational performance. distanced from mainstream society. Poli- Similarly, requiring work in return for social assistance is only half cies addressing these aspects can markedly the answer; recipients must have work opportunities. Without them, advance social inclusion. conditional cash transfers will not increase social inclusion.

83 er children, or lone parent households.90 cess to mainstream services. This is not only 90/ Hoelscher and Alexan- However, to sustainably reduce the risk of beneficial for individuals and households der 2009; Hoelscher 2009. exclusion among children, focused efforts in helping them to cope with risks stem- are also needed to improve the availability ming from a globalized market economy and quality of education, health and social in a more effective manner through skills services. development, but would also benefit soci- ety at large. The range of services needs to Child benefits can also be used to motivate be extended, depending on context, to in- socially desirable behaviour, along the lines clude housing, water, sanitation and trans- of conditional cash transfers used success- port which, in their present state, increase fully in Latin America. This could involve social exclusion outcomes. measures to remove incentives for children to drop out of school. Children are still in- Unemployment benefits volved in seasonal work in agriculture or in other income-generation activities, espe- cially in Central Asia and in marginalized Unemployment insurance benefits con- populations. Introducing elements of sim- stitute an important element of the social ple conditionality by linking child benefits safety net, particularly in economically de- to school attendance could be an effective pressed and remote regions where they way of decreasing drop-out rates, particu- tend to have the largest effect. Their cov- larly among marginalized populations for erage in the region is sparse and uneven, which both the drop-out rates and the rela- with large sections of the unemployed ren- tive weight of benefits in the household dered ineligible by obstacles to registration. budgets are the highest. These obstacles stem from the lack of prior contributions (e.g., youth and those with Social services for vulnerable informal jobs), or from efforts to avoid pay- ing unemployment benefits to recipients families simultaneously taking on informal sector employment. There is a legacy in the region of a large number of residents in institutional care— Unemployment benefits should provide including children lacking adequate family basic protection without creating disincen- care, and children and adults with disabili- tives to look for new jobs. They have been ties. Such care is often of poor quality and reformed several times in most CEE coun- lacks links to families and communities. As tries, mainly to reduce incentives for ‘living a first step, reforms could aim for deinstitu- on welfare’ and increasing the appeal of ac- tionalization and in parallel the provision of tive employment. But while labour supply diverse community-based social services, disincentives are now less marked, the risk especially for families at risk, as well as for of the ‘unemployment trap’ has not mark- adults and children with disabilities and edly receded. This is the case especially in persons with mental health issues. Such backward regions, where benefits account support and care services for families need for a high proportion of the prevailing mar- to encourage burden sharing between ket wage of low-skilled labour. The socially genders to care for children, the elderly, optimal way of addressing these problems persons with disabilities or other depen- is providing the right incentives by increas- dent persons. Integrated social services of ing the returns on efforts to obtain active this sort would require effective coordina- formal sector employment, rather than by tion across areas such as social housing, decreasing unemployment benefits. health services, education and training ser- vices and employment services. Thus, they Turning drivers of also require cooperation and partnerships among a wide variety of actors, including social exclusion into state agencies, local authorities, NGOs and the private sector. drivers of inclusion An outcome-oriented and comprehensive Social inclusion strategies should be pre- system of social services would particularly ventive and empowering. Policies need to benefit those who tend to be marginalized, divert individual risks from materializing directly improving their human develop- into actual social exclusion, best done by ment opportunities through improved ac- building and expanding people’s capacities

84 and opportunities. For the most part, the in which public administration operates, region’s institutions and norms are still not provides or restricts information, delivers structured to respond to people’s capaci- services and provides or prevents opportu- ties, which are critical for success in social nities for engaging the policy debate has a inclusion. direct impact on citizens’ perception of how legitimate the governance system is. Towards inclusive institutions Strengthening the rule of law is equally important. It is a principle of governance The report demonstrates that institutions in in which all persons, institutions and enti- the ECA region matter for social inclusion. ties, public and private, including the State Institutions have been generally weak in itself, are accountable to laws that are pub- terms of accountability, transparency and licly promulgated, equally enforced and flexibility, which led to a high level of dis- independently adjudicated, and ideally trust towards public institutions and pub- consistent with international human rights lic service systems. In addition, high levels norms and standards. It requires measures of intolerance in society and exclusionary to ensure adherence to the principles of su- forms of social capital fail to promote a premacy of the law, equality before the law, culture of responsive and inclusive institu- fairness in its application, accountability to tions. As a result, government institutions the law, separation of powers, participation are often incapable of engaging with mar- in decision-making, legal certainty, avoid- ginalized and disadvantaged groups and ance of arbitrariness, and procedural and communities. legal transparency. For inclusive societies to develop, appro- Legal empowerment contributes critically priate policies are necessary, but not suf- to social inclusion. Legal empowerment ficient. This also requires the support of a involves the use of legal services, legal ca- minimum critical mass of citizens, non-gov- pacity building, and legal reform by and for ernmental organizations, the business com- disadvantaged and marginalized popula- munity, trade unions and political parties. tions. In combination with other activities, A common vision and coordinated actions it increases freedom, improves governance, are required to create a genuinely inclusive and significantly contributes to alleviating society in countries of the region. A mean- poverty and social exclusion. It makes the ingful dialogue is needed that reaches out rule of law approach more balanced and to women, minorities, indigenous peoples, inclusive, thereby enhancing state legiti- adolescents and young people, displaced macy. persons, vulnerable and disadvantaged communities, and other poor, excluded or Improving government marginalized groups. Public institutions need to make genuine efforts to actively effectiveness engage with traditionally marginalized and excluded groups or those who are less Low government effectiveness is associ- amenable to democratic transition and de- ated with social exclusion. The quality of velopment discourse rather than focus on public services, of the civil service and the engaging a small group of likeminded na- degree of its independence from politics, tional actors, as is often the case. the quality and credibility of policy formu- lation and implementation are the central Defining an appropriate role building blocks of government effective- for the state ness. Low government effectiveness in policy formulation and implementation wastes resources, institutionalizes barriers A major challenge in the wake of transition and discriminatory practices, which further is to correctly define the role of the State. generate inequalities between individuals Governments have their responsibilities in and groups. These are particularly impor- defining and enforcing equal ‘rules of the tant in times of a crisis-induced shrinking game’ and addressing market failures. Pro- of the fiscal space when governments need gressing towards higher levels of social in- to do more with less. Effective civil service clusion and human development requires reforms can strengthen government insti- appropriate state interventions at the na- tutions and enable them to also take into tional and sub-national levels. The way account special conditions facing the ex-

85 cluded. One means of accomplishing these social inclusion requires detailed data on goals is through e-governance whereby rel- the local social exclusion dynamics, as well evant information and public services can as institutional capacity and behavioural be provided to citizens instantaneously. transformation. This report has proposed a way to compile survey data that could be To achieve real institutional change sup- used in planning and delivering enhanced porting social inclusion, public-sector over- public services at the local level. sight needs to be strengthened. The Office of the Ombudsman, public information Local governments need to better con- offices, parliamentary committees, effec- sider exclusion patterns when designing tive and accountable judicial systems, civil and budgeting for municipal services. With society and media are all important for pro- chronically insufficient resources, they need moting accountability and fighting against to explore innovative instruments of ser- corruption. These institutions work better if vice delivery to increase the effectiveness they can function independently, are man- and efficiency of local public services. One dated with specific decision-making or in- of these tools is more local government vestigative and reporting powers, and are empowerment with greater local partici- adequately resourced. Finally, transparency pation. This combination will achieve two and access to information about public af- critical objectives: involving citizens and fairs need to be guaranteed by appropriate strengthening local administrative capaci- legislation. ties. Another tool is improving inter-mu- nicipal cooperation (IMC). This could be an Local councils and inter- important vehicle for knowledge sharing municipal cooperation and learning that can reduce the cost and increase the quality of public service de- Social exclusion is fundamentally a local livery. IMC is particularly relevant for small phenomenon, implying a critical role for municipalities which, taken individually, local governments. Converting these from do not have the requisite population size, passive service providers into drivers of capacity and resources to perform certain functions efficiently. Transparent reporting mechanisms and public hearings can help Box 17: The Shared Society Project strengthen the council’s role vis-à-vis the The Club de Madrid, an independent organization that brings executive, particularly with regard to allo- together 81 democratic former presidents and prime ministers, cation of resources. Elected representatives promotes the idea— through its Shared Society Project—that an should ally themselves with civil society inclusive and shared society is an important contributor to human organizations and local media in these ef- well-being and peace. forts, notably by inviting them to important The Shared Society Project provides leaders with a greater under- council meetings. standing of the benefits of social cohesion; offers new approaches on how to achieve a shared society; and gives support as societies Building social capital advance towards that goal. The project underscores the belief that societies will be peaceful, democratic and prosperous when lead- An inclusive society requires functioning ers and citizens recognize the value of diversity and actively build social networks. The report has shown that a shared society. there is a need to build structures which re- Through its Expert Working Group, the project has produced duce ‘network poverty’ and, in particular, to research and policy recommendations on the economics of shared ensure that public interventions strength- societies, highlighting the link between inclusion and economic en or, at least, do not further erode, existing growth. Experts believe that shared societies release economic po- networks. Social accountability measures tential and thereby increase the well-being of their people. Shared are essential in this regard. They rely on civ- societies and improved economic well-being reinforce one other ic participation, in which citizens and civil and create a virtuous circle that strengthens society as a whole. society organizations participate directly or indirectly to demand accountability. These The project aims to achieve this vision through, i) dissemination can contribute to building broader and of project materials and follow-up on expressions of interest, ii) more inclusive networks as well as to po- participation in selected international forums and on the promo- litical participation and empowerment. The tion of partnerships and relationships with multilateral agencies latter in turn can help push back the use of and civil society organizations, iii) engagement with leaders. informal connections to secure advantage More information can be found at http://www.clubmadrid.org/en/ and other corrupt activities. Initiatives that programa/the_shared_societies_project. involve citizens in the oversight of govern-

86 ment, e.g., citizen report cards or commu- Diversifying growth nity score cards, participatory budgeting, opportunities and social audits can make governance processes more participatory and inclusive. They are also a means for building more in- The previous chapter suggested that ru- clusive social capital. ral areas, small towns and settlements dominated by one or two employers score Economic policies for inclusive highest in terms of economic exclusion. Policies aiming to enhance social inclu- growth sion should focus on these areas, and on preventing the process from turning into Inclusive economic growth is a long-term a self-reinforcing one. Such policies would concept that focuses on productive em- stimulate local economic development by ployment, rather than attaining income increasing the chances for starting small— equality through redistribution. It refers to and medium—sized enterprises in these sustained pro-poor growth that allows all localities, improving financial capacity of people (in particular those in the bottom local authorities, and ‘crowding in’ private quintiles) to contribute to and benefit from investment by providing improved infra- growth as employees, and consumers, re- structure and communication. These poli- spectively. Inclusive growth tends to be cies are more important—and sustainably broad-based both in terms of its sectoral effective—than increasing transfers from coverage, and in terms of increasing in- central budgets. Self-employment and comes for excluded groups. even subsistence agriculture are preferable Inclusive growth and employment address alternatives to unemployment. economic exclusion, so on their own they Similarly crucial for social inclusion are the will not succeed in reducing social exclu- creation of effectively enforceable property sion. That will require addressing all the rights and the legal empowerment of the dis- structural drivers leading to social exclu- advantaged. The former can unleash devel- sion as presented in this report. To this end, opment in areas where the absence of such macroeconomic policies will need to be rights had choked off private investment reconsidered, and action is also needed at and entrepreneurship. The latter can vastly the micro level to move away from territori- increase the pool of potential contributors ally unbalanced development models that to economic and human development. concentrate growth largely in capital cities One example for this in the post-socialist at the expense of remote regions. context is the high rate of ownership of assets—housing, land, and in cases of resti- Redefining growth in a human tuted property, production facilities—that development context stand idle as largely frozen capital. This is mainly due to the absence of liquid mar- The focus on people and their well-being kets and of the ability to use these assets as the ultimate objective of growth is what as bank collateral when property rights are makes the concept of human development not enforceable. Filling such gaps can be a intuitive and appealing. Prospects for the powerful tool for boosting bottom-of-the- enhancement of people’s potential to be pyramid productivity, self-employment and do are placed at the core of the human and income generation, and in concert with development paradigm. In the post-crisis other tools, for reducing social exclusion. environment, this implies a need to ‘‘rein- It is increasingly clear that in a medium- vent’ the traditional development logic, term perspective, the growth trajectory putting human capabilities at the centre of needs to move away from its current car- 91 its incentive systems’. bon-intensive path. This entails major re- 91/ Ivanov 2009. Policies supporting inclusive growth need structuring in some countries. The region to be explored. The policy agenda will need needs employment opportunities that to test economic growth strategies ex-ante are carbon-neutral or even help to reduce 92/ ‘..…growth can be for their effects on inclusiveness and sus- emissions (green jobs). Climate change ad- also jobless, ruthless, voice- tainability of economic growth. Placing aptation also needs to be integrated better less, rootless, and futureless such an emphasis on the quality of growth into central and local level development and thus not contributing to would help in revamping the predominant policies. Support of governments in that people’s capabilities’ (UNDP unbalanced growth models.92 matter can be instrumental, both in pro- 1996). 87 viding appropriate regulatory frameworks encouraging ‘green jobs’ ventures, as well Changing mindsets: as investing in research and development, towards tolerant for instance aimed at developing and roll- ing out new crops that are more suitable to societies changing vegetation patterns. The analysis of social exclusion in the ECA Optimizing the scope of region illustrates how values and behav- government involvement in ioural drivers of exclusion can solidify social exclusion patterns, which become difficult economic activity to break with single-purpose interventions and single-sector policies. Values shared by Public investment in productive and social constituencies translate into policies pro- infrastructure that will provide larger op- moted by political actors seeking re-elec- portunities for the private sector to create tion. Increasingly, policies now need to be jobs is one example of desirable state in- sold to the public and the public needs to tervention. In crisis cases it can be matched be willing to accept them. Seen from that with ‘food for work’ projects and Keynesian perspective, changing mindsets has imme- public works programmes providing tem- diate policy relevance. porary jobs for populations most at risk of unemployment. Indeed, such schemes can Realistic approaches to anti- serve as a cushion in periods of job losses discrimination but on their own, their economic impact is short-term with questionable sustain- ability. They only have sustainable benefits To tackle prejudice and intolerance—still if they strengthen human capital (through prevalent in many countries of the region— re-training and transfer of technology). If existing laws, policies and mechanisms they do, they will also impart important need to be amended to ensure non-dis- intangible benefits, notably improving the crimination, in line with existing European appeal of certain communities for potential and international standards. Meaningful investors, providing long-term unemployed participation of the socially excluded in this with a sense of hope, decreasing the threat process is of key importance. Adequate fi- of marginalization, etc. The higher relative nancial as well as human resources should weight of intangible aspects and subjective be set aside for this to bring about real measures of individual well-being has been change. In this regard, countries in the re- also identified by independent assess- gion should also ratify and implement in- ments of public employment programmes. ternational and regional human rights trea- Improving labour market institutions is an ties, including the UN Convention on the equally important aspect. It enhances flex- Rights of Persons with Disabilities. ibility and mobility in the labour market Disadvantaged and marginalized groups while increasing security through protec- should have access to information on their tive measures and sufficient unemploy- rights and be supported through legal ad- 93/ The International ment benefits.93 vice and advocacy services when necessary, Labour Organization (ILO) Public employment schemes require a cau- while the capacity of disadvantaged groups calls this combination tious approach also because they are prone for their own advocacy and representation “flexicurity” (Cazes and to sectoral bias. So far, the majority of re- should be strengthened wherever pos- Nesporova 2007a). cent public work programmes was imple- sible. Introduction of legal empowerment mented in construction, involving a strong and access to justice programmes will di- gender bias and, given the post-crisis re- rectly contribute to the achievement of this trenchment, imparting less marketable goal. Broad-based training and targeted skills. If such outcomes are to be avoided capacity development initiatives should in the future, public works will need to be put in place for public servants to create be opened for new areas, ideally related awareness and foster a culture of respect to sectors providing marketable skills to for the rights of all including the most dis- women and sustainable activities such as advantaged and marginalized groups, set- environmental projects, e.g., forestation, ir- ting an example to wider society. Regular rigation, sewage works, small-scale renew- reviews and the right to redress through able energy generation). well-resourced and politically indepen-

88 dent ombudsperson institutions should be with the goals of reducing social distance an integral part of any anti-discrimination among various groups and promoting a policy package. culture of social inclusion. Collaboration among all stakeholders should begin with Public awareness campaigns are also the strategic planning process at school needed to address the consequences of level and extend through programme discrimination and to ensure wide-ranging planning, curriculum development, meth- support for anti-discriminatory measures. odological training, and support for teach- Robust and independent systematic evalu- ing staff. This reform agenda needs to go ation systems need to be in place, involving beyond compulsory education to also those experiencing discrimination. Regular include vocational and educational train- reporting to relevant UN treaty monitoring ing programmes. Women and girls must bodies – such as the Human Rights Com- be afforded equality of opportunity in any mittee, CEDAW or CERD – is another useful chosen education and employment field, mechanism in the exercise of anti-discrimi- especially in the cases of cross-sectional nation efforts. vulnerability under threat of discrimination Anti-discrimination frameworks will not on multiple grounds. work unless the roots of discrimination are Addressing labour market discrimination addressed. In this regard, changing mind- needs to involve both enforcing anti-dis- sets is also important for socially excluded crimination legislation and implement- populations. Most of the efforts targeted at ing broad programmes of education and inclusion are based on the assumption that awareness-raising. Policies need to be in- the excluded groups want to be included. formed by relevant indicators based on This assumption is not always correct. Inclu- disaggregated data. Particular barriers also sion is a two-sided process in which both need to be identified and addressed, in the excluded and the majority population close dialogue with the communities af- must accept and accommodate the char- fected, such as physical barriers to build- acteristics of the other side. The ultimate success or failure depends on the ability of both sides to reach a mutually advanta- geous deal on mutually acceptable terms. Box 18: Social inclusion in Turkey: the Dreams Academy They must also be aware of the short and project long-term costs and benefits of inclusion. The methodological framework and social exclusion measure presented in this report are also useful for countries without tran- To sustain support for social inclusion sition experience. Social exclusion resulting from the interaction of policies, a case needs to be made of the drivers, local context and individual vulnerabilities is also appar- long-term costs of exclusion and for public ent in other countries, such as Turkey. spending on fostering social inclusion as a sound investment. Society incurs large In Turkey the number of persons with disabilities is estimated at costs in terms of foregone investment and 8.5 million. They experience exclusion in their daily lives. In order employment opportunities, additional out- to promote their inclusion into society, Vodafone Turkey, the mu- lays on policing and prison detention, etc., nicipality of Besiktas, the Alternative Life Association, and UNDP if social tensions are allowed to soar as a initiated the ‘Making Dreams Come True’ project in 2008. The result of rising social exclusion. Not only project has aimed to help persons with disabilities take part in the would the society that emerges be less vi- arts. It has supported their participation in music, dance, film and brant, but also less productive and stable. theatre. As a result, the ‘Social Inclusion Band’ and the ‘Dreams This makes it optimal to devote additional Academy Dance and Theatre Company’ have been established. resources today to enhance social inclusion All initiatives have one important component. They conclude with over time. an exhibition or a concert to show the public that persons with disabilities can perform just as well as those without disabilities. Inclusive education and labour The project shows that it is in society’s interest to utilize the talent markets of persons with disabilities. In the long-run, the project is expected to be mainstreamed into educational programmes, rather than Inclusive education needs to become a remain a short-term project. In 2009 it won a Golden Compass priority reform area. Measures are needed Award from the Turkish Public Relations Association. The project that not only provide school structures that has changed not only the lives of persons with disabilities but also are inclusive but also promote respect, tol- the attitudes of society at large. erance, interethnic dialogue, and non-dis- Source: Dreams Academy Project, http://www.undp.org.tr/Gozlem2.aspx?WebSayfaNo=1707 crimination among the general population and www.duslerakademisi.org. 89 ings or to public transport that people with munities in projects—starting from joint dis- disabilities face. In extreme cases, when ac- cussions on local areas of need and reaching cess to normal employment may not be an consensus on urgent priorities—has proven immediate possibility, other options need time and again to be simple but effective. to be developed, such as sheltered employ- Community-based interventions bring to- ment and community work to benefit local gether individual actors in their efforts to communities. In this regard, civil society or- enter the market through credit, supply or ganizations can provide insights based on retail cooperatives, or through implement- their rich experience and good practices, ing small-scale community infrastructure including cooperating with governments. projects. These are particularly effective if combined with public investment in sustain- Finally, local actions and plans should be ably reducing communal costs or opening encouraged and developed, in order to tai- income-generation opportunities for the lo- lor broad solutions to the specific needs of cal economy. Appropriate incentives could local communities. help channel a part of remittances towards investing in shared community facilities Fine-tuning policies instead of using it all for consumer goods. Examples of such projects include school to the local context refurbishment that reduces energy costs, installation of sustainable energy sources, or Local development actors need to enhance building small packaging and food process- their role in providing better development ing facilities. In all cases, the project not only opportunities beyond just the capital cit- provides employment benefits but also ex- ies. To do so, in most countries of the re- pands long-term opportunities. gion they need to improve their capacity to identify opportunities, formulate adequate A good example is the Rights-based Muni- 94 94/ http://www. policy responses and implement them ef- cipal Development Programme in Bosnia undp.ba/index. fectively. The development of operational and Herzegovina. It has markedly strength- aspx?PID=21&RID=59. community networks could effectively fa- ened the capacity of local governments for cilitate people’s access to markets. All these more inclusive and participatory planning could markedly increase the stock of social and service delivery. To achieve this goal, capital in most countries of the region. the project applied a human rights-based approach to local policy design, develop- Strengthening community ment planning and implementation. This capacities and integrative example illustrates that social inclusion oc- social planning curs at the local level, and requires partner- ships and a wide set of capacities among the local authorities. Local development actors need to think in economic and result-based terms, prioritiz- Experience from the local level, however, ing goals and allocating resources efficient- rarely feeds back into national—level ly. This can be achieved only through prac- policy discourse. Another example from tice, in the process of doing and scaling up Albania shows how gender equality was from small pilots to bigger endeavours. The integrated into the application of the Law promotion of local inclusive planning is cru- on Social Services and Social Assistance in cial, through inclusive processes of setting municipalities and how the experience of objectives, mobilizing resources, providing delivering social assistance to beneficiaries services and, crucially, providing feedback influences national policies. on what works and what does not. The impact of local-level interventions can be substantially augmented if they are im- Individual entrepreneurship plemented in the framework of area-based and sense of community development. Focusing social inclusion interventions on vulnerable areas—rather The government should primarily focus on than on vulnerable groups—can prevent creating a supportive environment for indi- group-based competition over resources. vidual entrepreneurship, facilitating com- Such competition runs counter to the munity and market-driven activity. Such goals of efficiency and optimal allocation approaches are particularly effective at the of resources, and can have negative human local and community level. Involving com- development implications. Experience sug-

90 gests that area-based development inter- exclusion. At the local level, innovative and ventions have positive potential for allevi- new data collection mechanisms through ating ethnic or religious cleavage that often service providers or in public places could reappear in times of crisis, contributing to be introduced to collect and update infor- social exclusion. mation about social exclusion. In addition, independent research studies need to be Such local interventions can also be cli- encouraged which help to extend the evi- mate-friendly. Decreasing energy costs dence base, involve the views of persons through buildings refurbishment, invest- and groups experiencing exclusion, and ing in renewable energy sources on a scale contribute to informed policy decisions. needed by the local economy and utilizing local resources can all provide additional More work needs to be done with regard employment opportunities, and markedly to the census, which in most countries fails improve social cohesion at the local level. to capture the multiple identities of many ethnic and social minorities. The work of the Washington Group on Disability should Integrating be taken into account in the forthcoming monitoring and census rounds in the region. Active and meaningful involvement of ethnic and so- evaluation into the cial minorities in census design should also social inclusion be introduced. policy process A sub-regional open method of coordination Evidence-based policies, data and indicators Regional and sub-regional approaches to social policy are seen as an increasingly im- portant counterweight to adverse effects Throughout the region, there is a clear of globalization, through strengthening need to strengthen policy makers’ capacity learning, sharing best practices and the to choose among policy options based on establishment of regional standards.95 The relevant data evidence that is up to date, 95/ Deacon et al. 2007b. EU is currently introducing explicit targets credible, and accurate. Stereotypes can only on poverty reduction and social exclusion be effectively challenged by bringing fac- within their ‘2020 agenda’. The Millennium tual evidence to the table. Data identifying Development Goals (MDGs), which act as a specific barriers to inclusion can generate framework for measuring progress in sev- ‘policy-actionable’ information. Rigorous eral human development dimensions, can impact assessments (ex-ante and ex-post) be useful for comparing countries’ perfor- also need to rely on clear and agreed indi- mance in social inclusion, especially if dis- cators on social inclusion at national and aggregated MDG targets and indicators local levels. The local level is particularly by key personal characteristics and sub- critical as often this is where the data gap national levels are available. With the year is binding. The indicators proposed in this 2015 marking the end of the MDG agenda, report can act as guiding examples and there is momentum to establish a (sub)- starting points for developing and further regional social inclusion framework with tailoring indicators to national and sub- common objectives, indicators and targets. national contexts. The report has shown that social inclusion Statistical systems in the countries of the can provide an operationally useful frame- region need to implement innovative work for the countries in the region to iden- methods to adequately capture the mul- tify inherent inequalities and people at risk tidimensionality of social exclusion and of exclusion. The UN and the EU should inclusion. Innovative ways to bridge de- provide tangible incentives for countries partmental silos and link data from differ- to use this framework, e.g., by including ent sources should be explored as in the these indicators—suitably amended to re- Republic of Moldova and in Poland. Ad hoc flect local circumstances, if necessary —in modules to existing survey instruments their progress assessment criteria, and us- (e.g., the household budget survey) can ing them in determining eligibility for their inexpensively provide useful data on social various funding sources. The EU experience

91 demonstrates the large potential for effec- agreed explicit targets, indicators and mon- tive regional social policies where countries itoring tools. The conceptual and empirical share similar traditions, development paths framework presented in this report offers and objectives. a comprehensive human development- centred foundation that can underpin such A regional (or sub-regional) Open Method a (sub)-regional platform. Clearly, the set of of Coordination (OMC) could be a use- policies that emerges as critical could differ ful approach. For example, in the Western among the sub-regions. the OMC has been instrumental in facilitating an exchange of knowledge and This report has offered a new methodologi- experience among countries. The OMC has cal framework for defining and measuring focused attention on the importance of sub- social exclusion. It has also elaborated the regional cooperation. Such cooperation is links between the human development particularly effective when buttressed by and social inclusion paradigms, rooting specific policies that are pursued system- them in the specific context of the region. atically. A similar approach can be adopted Based on this analysis, the report has pro- elsewhere in the region to promote social posed a broad array of reforms that are nec- inclusion. It would provide a platform for essary for creating a more inclusive society. open and frank policy debate, knowledge The process of implementing these reforms exchange and learning. Policy makers, in- will differ from country to country, but the ternational organizations, donors and civil result everywhere will be a more efficient society could promote its use for peer re- and sustainable society—one where peo- view and impact assessments based on ple can realize their full potential.

92 Methodological annexes

Annex 1: Social Exclusion Survey (2009)

Methodological note

1.1. Background

The Social Exclusion Survey (2009) has produced data on the magnitude and deter- minants of social exclusion. The survey has proceeded from the hypothesis that so- cial exclusion results from inequalities in access to economic resources, education and employment, as well as in access to social services, social networks, and political, cultural and civic participation. The objective of the survey was to address both the drivers and outcomes of exclusion, seeking to identify causal relationships between the two. The survey did not sample pre-defined ‘excluded groups’—such as ethnic minorities, the unemployed or people with disabilities—for three reasons. First, not all group members are excluded in all dimensions. Second, the group-focused approach un- derestimates the incidence of multiple identities (being unemployed and a minority) – and potentially multiple deprivation risks. Third, the size and distribution of such ‘excluded groups’ are not always evident. Thus, building a representative sampling model is difficult. For these reasons, we have taken a different approach to identifying the excluded. We assume that most members of society face some level of exclusion in at least one dimension. The magnitude of this exclusion and its determinants are unknown (they are the subject of a mapping in the survey). Instead of defining ‘excluded groups’ and sampling them individually, larger representative samples have been interviewed to identify various types and magnitudes of exclusion drivers. 1.2. Coverage and timing

The Social Exclusion Survey was carried out in six countries of the Europe and Central Asia (ECA) region – Kazakhstan, Serbia, the Republic of Moldova, Tajikistan, the former Yugoslav Republic of Macedonia, and Ukraine. The preparations took place in Sep- tember 2009, and the field work was conducted in November and December 2009. The fieldwork in Ukraine—and to a certain extent in the former Yugoslav Republic of Macedonia—coincided with the outbreak of the H1N1 virus. Therefore, data from these countries (especially respondents’ perceptions) should be interpreted with cau- tion. Countries were selected for the regional survey based on their willingness to par- ticipate. The six selected countries represent a balance with respect to income levels, incidence of conflict, and geographic location. They do not constitute a ‘statistically representative sample of countries in the region’. Russia was not included in the sur- vey, owing to its size and large internal disparities, which would have affected cross- country comparisons. But the six selected countries reflect the region’s major chal- lenges. Thus, while the survey findings cannot be automatically applied to the region, they are valid for areas facing the same challenges, that were captured by the survey (for example, the implications of conflict, high unemployment, disparities in educa- tion, and environmental degradation).

93 1.3. Unit of observation and analysis, sample size and sampling method

The unit of observation was the individual (15 years of age and older). In each country ex- cept Serbia, 2,700 interviews were conducted. In Serbia, 3,001 interviews were conducted (2,401 with members of the general population, plus two boosters with 300 Roma, and 300 internally displaced persons (IDPs)). The survey employed a multi-stage random sample divided into 450 clusters represen- tative by age, gender and territorial distribution (at the first sub-national level) with the random route method for household selection and nearest birthday method for selecting respondents in the household. Table A1: Survey respondents by country and sex

FYR Kazakhstan Moldova Serbia Tajikistan Ukraine Total Macedonia

Male 1316 1145 1209 1164 1284 1196 7314

% 49 42 50 43 48 44 46

Female 1384 1555 1192 1536 1416 1504 8587

% 51 58 50 57 52 56 54

Total 2700 2700 2401 2700 2700 2700 15901

% 100 100 100 100 100 100 100

1.4. The questionnaire The questionnaire, that was employed for face-to-face interviews comprised 136 questions reflecting 500 variables. An identical questionnaire was used in all the surveyed countries (adjusted to accommodate the different currencies). It was translated into a number of local languages (Serbian, Macedonian, Albanian, Moldovan, Ukrainian, Kazakh, Tajik and Russian). The questionnaire was divided into three sections: Section I – status questions: Section 1 collected demographic information on the surveyed individuals and their households (as well as asked respondents to self-identify across a number of parameters). It captured the status of individuals across the three dimensions of social exclusion (from economic life, from social services, and from civic and social par- ticipation). a. Respondent’s demographic information: sex, age, education level, income, citizenship, ethnicity, country of origin, mother tongue, marital status b. Household information: expenditures, sources of income c. Data on the socioeconomic status of respondents (employment, housing, standard of living) Section II – practices, attitudes and perceptions: Section 2 covers the practices, attitudes and perceptions that contribute to social exclusion across the three dimensions (drivers). This section gathered information to close data gaps in existing surveys and datasets related to social exclusion drivers. Section III – external attributes of exclusion: This section covers individual household characteristics, the status of respondents’ dwellings and the immediate surroundings. In an annex to the questionnaire, the survey enumerators filled in the description of the neighbourhood, including the quality of the street and adjacent public infrastructure.

94 1.5. Characteristics of the sampling clusters

Local experts also collected additional data on the external attributes of individual sam- pling clusters, which comprised the source of the ‘secondary source contextualization’. The first area of interest was the economic area. Each location was assessed from the perspec- tive of the general economic profile (major sectors of the economy), both before transi- tion (prior to 1989) as well as from 2005 to 2009. Changes in the economic environment were addressed through the question ‘How has the local economy changed in the past five years?’ and ‘How did the current crisis affect the local economy?’ In both cases the options for this parameter were ‘experienced decline (many industries closed)’, ‘no major changes’ and ‘economy growing (new employment opportunities, increased production)’. The third economic parameter was employment supply—to determine whether employment over the preceding five years had been provided by a single enterprise or multiple firms in the given locality. Given the importance of academic institutions and R&D centres, information was collected on this aspect by noting whether there was a university or other academic centre in the sampling cluster, in close proximity or not. Finally, each sampling cluster was tagged ac- cording to environmental criteria. (Is the cluster in an area affected by a major man-made environmental disaster, by natural disaster, or by neither of these?) The quality of local transportation infrastructure in the sampling cluster was assessed as ‘Bad’ when there was only one road in poor condition, ‘Poor’ when there was only one road but in good condi- tion, ‘Average’ when there was a good road but no railway station or airport at e reasonable distance, and as ‘Excellent’ when the there was a main road as well as a railway station or airport at e reasonable distance. The characteristics of the sampling clusters were encoded and added as additional vari- ables to the dataset of individual household status. This was done not only to expand the individual profiles but also to go beyond country analyses and build typologies of chal- lenges that are relevant from a social exclusion perspective. The six countries covered by the survey (and the big sample sizes in each of them) to a large extent represent the major development and transformational patterns of the region. Given the similarity of challenges across areas (be they environmental disasters, history of conflict, or dominance by a single enterprise), conclusions can be drawn for areas with similar characteristics in countries not covered by the survey. This approach enables the methodology to be open- ended: local characteristics do not change overnight, and additional parameters can be added in the future, serving to enrich the database with new dimensions. 1.6. Qualitative aspects of social exclusion

In all six surveyed countries, focus groups were interviewed. The resulting qualitative data complemented the quantitative data and captured those population groups that fall outside the scope of traditional surveys. In-depth dimensions and experiences of social exclusion that are specific to major vulnerable groups were collected through a series of focus groups interviews. The focus groups or individual interviews were implemented by local NGOs or specialized moderators that had a working relationship with the selected sub-population groups in each country. Each group consisted of 6 to 12 members, most of them recruited through NGOs or though the snowball method. Gender perspectives and gender representation were ensured in each focus group. The focus group discussion guidelines built on the areas of the survey questionnaire (employment, access to assets, housing, living standards and attitudes to life, access to education, health care and social services, social relations, cultural and political participation). But it focused on social exclu- sion in these areas, feelings of marginalization, as well as on suggested solutions. The questionnaire, the raw survey dataset, the technical report, the frequency report and focus group reports can be found at: http://europeandcis.undp.org/poverty/socialinclu- sion.

95 Annex 2: Multidimensional social exclusion measurement

2.1. Construction of the index and selection of the indicators

The literature provides no clear and straightforward algorithm for the construction of a multidimensional social exclusion index. It rather provides some general guidance and 96/ See for example suggestions of good practices in the area.96 The index in this report was constructed using UNDESA 2010; Alkire and these guidelines. The index encompasses three dimensions: exclusion from economic life, Foster 2007; Gordon and social services, and civic and social participation. Each dimension contains eight indica- Pantazis 1997. tors, in total 24 indicators. Equal weights are assumed, as the chosen indicators are of rela- tively equal importance. As Atkinson et al (2002) observe, equal weighting has an intuitive appeal: ‘The interpretation of the set of indicators is greatly eased where the individual components have degrees of importance that, while not necessarily exactly equal, are not grossly different’. On the one hand, there was no evidence for using relative weights of dimensions and indicators, i.e. that people more seriously regret deprivation in housing than in social participation. On the other hand, the situation in the six countries covered by the survey is so different, that finding any common relative weights of dimensions or indicators would be an impossible task. The indicators for each dimension were selected on the basis of research findings, expert opinion and availability of data. A number of iterations were performed to ensure the se- lection of the most appropriate set of indicators. Since data on total household expendi- tures were missing in many cases, they were imputed using personal income range and share of personal incomes in total household income for the “At risk of poverty rate” indica- tor. For the selection of material deprivation indicators, a regression analysis was made first that linked current incomes of the household (as a proxy of current income poverty) with possession of certain durable items. The results showed that these relationships are highly country-specific. In a second step, a factor analysis was made to select the most meaning- ful items, and reflect different living standards in the countries of the region. The results of both suggest that material deprivation indicators could be clustered into three groups— housing, amenities and ICT. Such a combination of indicators best reflects the diversity of living standards in the countries of the region. Table А2 provides the list of indicators used to construct the multidimensional social exclusion measure and the percentage distribu- tion of the population by each indicator.

Table А2. Indicators for the multidimensional social exclusion index and distribution of population by indicator and country

FYR Dimen- Kazakh- Indicators Moldova Macedo- Serbia Tajikistan Ukraine sions stan nia A. Eco- Inequality: At-risk-of-poverty rate 30% 29% 30% 28% 29% 22% nomic (60 percent of median equivalent exclusion expenditures in a country) Subjective basic needs: In the past 4% 6% 4% 14% 14% 8% 12 months the household has not been able to afford three meals a day, or pay bills regularly, or keep the home adequately warm, or buy new clothes and shoes Employment: Being unemployed or 10% 9% 12% 11% 6% 7% a discouraged worker Financial services: Lack of access to 76% 78% 32% 33% 96% 61% a bank account on one’s own name

96 FYR Dimen- Kazakh- Indicators Moldova Macedo- Serbia Tajikistan Ukraine sions stan nia Material deprivation_housing: The 13% 17% 3% 4% 76% 7% household cannot afford a bed for every member of the household Material deprivation_amenities: 40% 44% 14% 16% 83% 25% Household needs a washing ma- chine, freezer or microwave but cannot afford one Material deprivation_ICT: House- 53% 47% 14% 21% 72% 34% hold needs a computer or internet but cannot afford one Overcrowding: Household with less 3% 3% 1% 0% 16% 1% than 6m2 per person B. Exclu- Public utilities: Household with no 65% 55% 14% 26% 82% 33% sion from running water or sewerage system social services Public utilities: Household heats 7% 56% 68% 52% 53% 4% with wood or with no heating de- vice Education: Low educational 15% 19% 18% 18% 25% 6% achievements (basic schooling) and early school leavers Education: Household could not af- 29% 28% 16% 30% 15% 37% ford to buy school materials for ev- ery child in the past 12 months Education: Household with young 3% 1% 7% 2% 18% 1% children not in school or pre-school Health care: Household could not af- 23% 20% 10% 13% 37% 30% ford medication or dental checks for every child in the past 12 months Health care: Medical needs not be- 42% 58% 28% 30% 60% 55% ing met by the health care system Social infrastructure: Lack of oppor- 47% 48% 25% 33% 40% 41% tunities to attend events due to dis- tance (lack of transportation) C. Exclu- Social capital: Rare or infrequent so- 3% 16% 4% 7% 4% 6% sion from cial contact with family or relatives participa- tion in civic and social life and net- works Social capital: Rare social contact 4% 8% 1% 2% 7% 9% with friends Social capital: Lack of support net- 20% 12% 11% 13% 12% 19% works that could help in the event of emergency Social participation: In the past 8% 9% 9% 3% 22% 13% 12 months the household has not been able to afford inviting friends or family for a meal or drink at least once a month

97 FYR Dimen- Kazakh- Indicators Moldova Macedo- Serbia Tajikistan Ukraine sions stan nia Social participation: The household 51% 49% 38% 46% 65% 37% has not been able to afford to buy books, cinema or theatre tickets in the past 12 months Civic participation: Inability to vote 2% 2% 1% 1% 6% 1% due to lack of eligibility or distance to polling station Civic participation: No participa- 92% 83% 78% 88% 86% 85% tion/membership in associations, teams or clubs Civic participation: No participation 77% 59% 54% 59% 65% 69% in political/civic activities

2.2. Robustness checks of indicators for the Social Exclusion Index

A factor analysis of the indicators of the index was run to check the quality and robustness of the index. The results (see table А3) showed a very high uniqueness of the variance of the individual variables indicating the importance of each individual indicator. The uniqueness of variance for individual variables typically ranges from 0.75 to 0.99, with just a couple of exceptions for which this indicator is around 0.50. The results remain similar for the factor analyses run using the merged regional sample and by individual countries. The results of factor analysis therefore suggest that the index, as a combination of the 24 individual variables, is robust. These results were also confirmed by a Principal Components Analy- sis, which also showed that many components were needed and they together explained most of the variance, both for the whole regional dataset and for individual countries. Table А3. Factor loadings (pattern matrix) and unique variances

Indicators Variable Factor1 Factor2 Factor3 Uniqueness

Inequality: At-risk-of-poverty rate (60 percent of median equivalent ex_incpov 0.2763 -0.0557 0.1824 0.8873 expenditures in a country) Subjective basic needs: In the past 12 months the household has not been able to afford three meals a ex_subjpovbn 0.2683 0.2045 -0.1071 0.8747 day, or pay bills regularly, or keep the home adequately warm, or buy new clothes and shoes Employment: Being unemployed or ex_labmark 0.0777 -0.0200 0.1527 0.9702 a discouraged worker Financial services: Lack of access to ex_bank 0.4733 -0.0626 0.0551 0.7691 a bank account on one’s own name Material deprivation_housing: The household cannot afford a bed for ex_living 0.5146 -0.3432 -0.2044 0.5756 every member of the household Material deprivation_amenities: Household needs a washing ma- ex_housing 0.6016 -0.2677 -0.1216 0.5516 chine, freezer or microwave but cannot afford one

98 Material deprivation_ICT: House- hold needs a computer or internet ex_ictxs 0.4807 -0.3168 0.0015 0.6685 but cannot afford one Overcrowding: Household with less ex_crowd 0.2076 -0.1592 -0.0896 0.9235 than 6m2 per person Public utilities: Household with no ex_water 0.5173 -0.1665 0.0662 0.7003 running water or sewerage system Public utilities: Household heats with wood or with no heating de- ex_heating 0.1780 -0.1534 0.0931 0.9361 vice Education: Low educational achievements (basic schooling) and ex_lowedu 0.3262 0.0915 0.0949 0.8762 early school leavers Education: Household could not af- ford to buy school materials for ev- ex_nobooks 0.1764 0.5577 -0.0837 0.6509 ery child in the past 12 months Education: Household with young ex_nosch 0.1309 -0.1461 -0.0623 0.9576 children not in school or pre-school Health care: Household could not af- ford medication or dental checks for ex_hlthaff 0.3834 0.4404 -0.1881 0.6236 every child in the past 12 months Health care: Medical needs not be- ex_hltsrv 0.3047 -0.0398 -0.0825 0.8988 ing met by the health care system Social infrastructure: Lack of oppor- tunities to attend events due to dis- ex_culturev 0.2861 0.0081 0.2031 0.8768 tance (lack of transportation) Social capital: Rare or infrequent so- ex_norelnet 0.0988 0.1883 -0.0848 0.9476 cial contact with family or relatives Social capital: Rare social contact ex_nofrdnet 0.1775 0.2392 -0.0493 0.9088 with friends Social capital: Lack of support net- works that could help in the event ex_nohelp500 0.2005 0.2584 0.0377 0.8916 of emergency Social participation: In the past 12 months the household has not been able to afford inviting friends ex_noout 0.2984 0.2345 -0.1309 0.8388 or family for a meal or drink at least once a month Social participation: The household has not been able to afford to buy ex_nocultr 0.5050 0.2248 0.1021 0.6840 books, cinema or theatre tickets in the past 12 months Civic participation: Inability to vote due to lack of eligibility or distance ex_voting 0.0709 -0.0343 -0.0652 0.9896 to polling station Civic participation: No participa- ex_nomem- tion/membership in associations, 0.2988 0.1790 0.3071 0.7843 ber teams or clubs Civic participation: No participation ex_nocivact 0.1214 0.1033 0.2205 0.9260 in political/civic activities

99 Correlation analysis (see table А4) also showed a lack of excessively strong correlations among the constituent indicators of the index. The only exceptions are housing and ICT indicators, which show a correlation close to 0.45. This could be explained by similar costs of items households cannot afford (washing machine, freezer or microwave on one hand and computer and internet connection on the other hand). However, taking into account the limited correlation, the essentially different nature of the items and significant country differences, it was decided to keep both these indicators in the index.

Table А4. Partial correlation matrixes97

Dimension A. Economic exclusion

ex_incpov ex_subjpovbn ex_labmark ex_bank ex_living ex_housing ex_ictxs ex_crowd ex_incpov 1.0000 ex_subjpovbn 0.0740 1.0000 ex_labmark 0.1169 0.0166 1.0000 ex_bank 0.1267 0.0736 0.0939 1.0000 ex_living 0.0921 0.1104 0.0023 0.2619 1.0000 ex_housing 0.1245 0.1142 0.0290 0.2821 0.4793 1.0000 ex_ictxs 0.1231 0.0481 0.0481 0.2575 0.3613 0.4692 1.0000 ex_crowd 0.0735 0.0593 -0.0110 0.1040 0.2114 0.1526 0.1594 1.0000

Dimension B. Exclusion from social services

ex_water ex_heating ex_lowedu ex_nobooks ex_nosch ex_hlthaff ex_hltsrv ex_culturev ex_water 1.0000 ex_heating 0.1818 1.0000 ex_lowedu 0.1669 0.1618 1.0000 ex_nobooks -0.0126 -0.0792 0.0827 1.0000 ex_nosch 0.0740 0.0913 0.0550 -0.0944 1.0000 ex_hlthaff 0.1363 -0.0367 0.1218 0.4408 0.0223 1.0000 ex_hltsrv 0.1385 0.0298 0.1066 0.0345 0.0285 0.0998 1.0000 ex_culturev 0.1398 0.0439 0.0611 0.0286 0.0046 0.0757 0.1398 1.0000

Dimension C. Exclusion from participation in civic and social life and networks

ex_norelnet ex_nofrdnet ex_nohelp500 ex_noout ex_nocultr ex_voting ex_nomember ex_nocivact ex_norelnet 1.0000 ex_nofrdnet 0.1412 1.0000 ex_nohelp500 0.0938 0.1710 1.0000 ex_noout 0.0627 0.1540 0.1311 1.0000 ex_nocultr 0.0737 0.1177 0.1493 0.2036 1.0000 ex_voting 0.0517 0.0207 0.0174 0.0046 0.0008 1.0000 ex_nomember 0.0320 0.0926 0.1242 0.0806 0.2275 -0.0142 1.0000 ex_nocivact -0.0378 0.0171 0.0533 0.0027 0.0720 0.0051 0.2309 1.0000

97/ Variable names as per previous table.

100 2.3. Constructing the multidimensional Social Exclusion Index

The report follows the methodology proposed by Alkire and Foster (2009). The identifica- tion step uses two forms of cut-off: within each indicator, and across indicators (k). The first cut-off determines whether a person is deprived in the individual indicator as presented in table А2. As most information was collected on the level of the household or respondent only, the respondent’s answers were assumed to be valid for all household members. Other characteristics (age group, gender, education) were available for all household members. Respondents with missed observations on the 24 indicators were excluded. The final data- set for the construction of the multidimensional Social Exclusion Index therefore includes in total 6,185 respondents, who represent 23,091 household members (see Table А5).

Table А5. Final working sample for the construction of the Social Exclusion Index

Country Number of respondents Number of household members Kazakhstan 1,274 4,595 Moldova 932 2,878 FYR Macedonia 995 3,878 Serbia 865 2,874 Tajikistan 953 5,371 Ukraine 1,166 3,495 Total 6,185 23,091

The second cut-off k identifies the ‘socially excluded’ by ‘counting’ the number of indicators across the three dimensions in which a person is deprived. All possible values of k starting from 1 (union approach) and ending with 24 (intersection approach) have been tested. As noted in Alkire and Foster (2009), the cross-dimensional cut-off k is less tangible, since it re- sides in the space between dimensions rather than within a specific domain. The literature typically gives no specific multidimensional identification procedures, except the union (a person is deprived in at least one indicator) and the intersection (a person is deprived in all indicators) approaches. Setting k reflects a judgement regarding the maximally acceptable multiplicity of deprivations. A person with a greater multiplicity of deprivations is given higher priority than someone with only one or two deprivations. According to Alkire and 98/ The property of strict Foster (2009), the choice of k could be a normative one, reflecting the minimum depriva- dimensional monotonicity tion count required to be considered ‘poor’ or in our index ‘socially excluded’ in a specific implies that if a ‘socially context under consideration. The choice of k could also be chosen to reflect specific policy excluded’ person becomes goals and priorities. For example, in order to focus on the most ‘socially excluded’ decile newly deprived in an ad- of the population, one could select a k cut-off whose resulting headcount was closest to ditional indicator, then the 10 percent. Taking into account all these considerations, the cut-off k at the level of 9 was overall social exclusion level chosen for the social exclusion index, which is close to 3 deprivations per dimension. should increase. The social The social exclusion index is built using the 24 indicators. Three measures were exclusion headcount H vio- constructed: First, the social exclusion headcount ratio (H) is defined as the share of lates this principle, because people who are deprived in at least k indicators for any given k (in this report k=9). It when an already socially reflects the incidence of social exclusion. Second, the average deprivation share across excluded person becomes the ‘socially excluded’ (A) is calculated as the average number of deprivations divided by deprived in a new indicator, the maximum possible number of deprivations (24 in our case). The average deprivation H remains unchanged. share reflects the fraction of possible indicators in which the average ‘socially excluded’ The adjusted headcount person endures deprivation. In other words, it provides additional information on the ratio, M0, however clearly intensity of social exclusion. Third, the adjusted headcount ratio, or Multidimensional satisfies strict dimensional Social Exclusion Index, M0 are calculated to solve the issue of violation of ‘strict monotonicity by taking into dimensional monotonicity’98. The adjusted headcount ratio, M0 combines information account the intensity of on the incidence of social exclusion and the average intensity of a socially excluded social exclusion (how much person’s deprivation. As a simple product of the two partial indices H and A, the measure a person is deprived).

101 M0 is sensitive both to the incidence and the intensity of social exclusion. Thus, the M0 measure satisfies the property of dimensional monotonicity: if a ‘socially excluded’ person becomes deprived in an additional indicator, A rises and so does M0. All three multidimensional social exclusion measures were calculated on the basis of household members. When disaggregating these indices by certain population groups (i.e. by the unemployed), calculations were based on the number of household members who belong to the respective population group (i.e. unemployed) living in households that are deprived in at least 9 indicators. The social exclusion measures were calculated using Stata (the programme code is available upon request). 2.4. The selection of thresholds

The social exclusion headcount in Figure A.1 refers to the share of individuals living in households that experience an absolute number of overlapping deprivations higher than a certain threshold. The choice of the threshold determines the headcount: the lower the threshold, the higher the number of people who meet the criterion of being considered ‘socially excluded’ (and vice versa). Figure A.1 illustrates how the share of persons identified as socially excluded declines with an increasing threshold of deprivations, albeit at a decreasing rate. All three thresholds used in the figure, however, produce a similar relative distribution of countries. The ranking of countries by the magnitude of deprivation is robust to the cut-off (i.e., it essentially never changes) as the threshold is varied between 9 and 14. At every cut-off value, Tajikistan faces a larger share of socially excluded people than the other countries.

Figure A.1: Different thresholds but a similar outcome Social exclusion headcount for three different thresholds % 100 90 threshold 80 Kazakhstan 70 60 Moldova 50 FYR Macedonia 40 Serbia

30 Tajikistan

20 Ukraine excluded’ for each cut-offvalue for excluded’ 10

Percentage of people considered ‘socially ‘socially of people considered Percentage 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Deprivation cut-off value Source: Social Exclusion Survey 2009

The literature recommends checking the robustness of the index values near the original cut-off, or even to opt for dominance tests that cover all possible values of k. Results of dominance tests are shown in Figure A.2. The x-axis plots all possible values of k and the y-axis plots the adjusted social exclusion headcount, M0. As one can see, virtually for all six countries the ranking remains the same for all values of k. The only exception is Ukraine, which changes ranking with Serbia and the former Yugoslav Republic of Macedonia for k above 12. However, the working values of k in this report lay in the range from 8 to 11. In addition, the primary purpose is to analyse drivers and patterns of social exclusion, rather than ranking countries by their level of social exclusion, so these changes in ranking do not affect the conclusions made in this report.

102 Figure A.2: Testing the robustness of the adjusted social exclusion headcount, M0 for cut-offs k

0,50 Kazakhstan 0,45 Moldova 0,40 FYR Macedonia 0,35 Serbia 0,30 Tajikistan 0,25 0,20 Ukraine 0,15 0,10 0,05

Multidimensional social exclusion index Multidimensional social exclusion 0,00 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Cut-off threshold k

The literature recommends checking the robustness of the index values near the original cutoff, or even to opt for dominance tests that cover all possible values of k (see the dis- cussion on dominance test below in the section ‘Multidimensional social exclusion mea- surement’) were made for the 24 indicators and for 21 indicators. In the latter case, the three variables, which showed the higher number of relatively high correlation (more than .15)—exclusion from financial services (ex_bank), housing deprivation (ex_living), and ex- clusion from social participation—inability to afford buying books, cinema or theatre tick- ets (ex_nocultr) were excluded. Finally, the robustness of the index was tested by removing the poverty variable. The results, summarized in table А6 below suggest that the index is robust to the exclusion of these variables. It shows a similar magnitude of social exclusion and maintains the ranking of countries for the cut-off threshold k=9.

Table А6. Testing the robustness of the Social Exclusion Index for cut-off threshold k = 9

All 24 indicators 21 indicators (three Poverty variable Income variable excluded) excluded (full excluded (working dataset*) dataset) Kazakhstan 14% 6% 12% 12% Moldova 18% 10% 17% 17% FYR Macedonia 5% 3% 4% 4% Serbia 8% 5% 7% 7% Tajikistan 33% 15% 33% 33% Ukraine 9% 4% 7% 8%

*All cases with missed income were excluded from the working dataset. As the other exclusion variables were available for these cases, calculations were also made for the full dataset.

2.5. Regional averages – weighted or unweighted?

At times the analysis has relied on regional averages to capture social exclusion patterns that are common to more than one country. After much deliberation, unweighted averag- es were used for these calculations. This has implications for our analysis. The value of the

103 Social Exclusion Index obtained using weighted averages is slightly lower than the value obtained using unweighted averages. (This is because Tajikistan has both very high exclu- sion indicators and a small population.) However, the difference is so small that it does not affect the report’s conclusions on the relationship between higher unemployment, lower education, and rural location with social exclusion. At the group-level, the only difference is the estimate of children experiencing exclusion. Applying weighted averages yields a slightly lower level of child exclusion – once again, due to Tajikistan. Using weighted aver- ages is generally preferable, but the team concluded that the benefits of using them are offset by the noise that can be introduced by imprecise population data.

Figures A3 - A7 illustrate the differences between weighted and unweighted averages.

Figure A.3: Social exclusion headcount - regional averages (population-weighted and non-weighted) % 100 90 80 k=9 70 Regional non-weighted 60 Regional weighted 50 40 30 20 excluded’ for each cut-offvalue for excluded’ 10

Percentage of people considered ‘socially ‘socially of people considered Percentage 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Deprivation cut-off value

Figure A.4: Average deprivation index - regional averages (population-weighted and non-weighted)

1 0,9 0,8 k=9 0,7 Regional non-weighted 0,6 Regional weighted 0,5 0,4 0,3 0,2 0,1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

104 Figure A.5: Multidimentional Social Exclusion Index - regional averages (population-weighted and non-weighted)

0,5 0,45 0,4 k=9 0,35 Regional non-weighted 0,3 Regional weighted 0,25 0,2 0,15 0,1 0,05 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

Figure A6: Social exclusion and age

0,900 0,800 0,700 0,600 0,500 0,400 0,300 0,200 0,100 0,000 Kazakhstan Moldova FYR Serbia Tajikistan Ukraine Non Weighted Macedonia weighted regional regional average average 0-14 children 15-29 youth 30-64 working age 65+ pensioners

Table A.7: Social exclusion and education

0,900 0,800 0,700 0,600 0,500 0,400 0,300 0,200 0,100 0,000 Kazakhstan Moldova FYR Serbia Tajikistan Ukraine Non Weighted Macedonia weighted regional regional average average Low education National average

105 Annex 3: Social exclusion profiles of individual countries

Table A8: The contribution of individual deprivations

Dimensions

Economic exclusion Exclusion from social/public services Exclusion from participation in civic and social life and networks Kazakhstan

At risk of income poverty Water Social ties family Overcrowding Unmet basic needs Transportation Heating Civic participation Social ties friends

Social Support ICT Unemployment Health care Low education participation clubs networks Political Social participation Housing Financial services Medication School materials participation private Amenities School drop out Social participation culture

Moldova

At risk of income poverty Water Social ties family Overcrowding Unmet basic needs Transportation Heating Civic participation Social ties friends

Social Support ICT Unemployment Health care Low education participation clubs networks Political Social participation Housing Financial services Medication School materials participation private Amenities School drop out Social participation culture

Serbia

At risk of income poverty Water Social ties family Overcrowding Unmet basic needs Transportation Heating Civic participation Social ties friends

Social Support ICT Unemployment Health care Low education participation clubs networks Political Social participation Housing Financial services Medication School materials participation private Amenities School drop out Social participation culture

Tajikistan

At risk of income poverty Water Social ties family Overcrowding Unmet basic needs Transportation Heating Civic participation Social ties friends

Social Support ICT Unemployment Health care Low education participation clubs networks Political Social participation Housing Financial services Medication School materials participation private Amenities School drop out Social participation culture

106 Dimensions

Economic exclusion Exclusion from social/public services Exclusion from participation in civic and social life and networks FYR Macedonia

At risk of income poverty Water Social ties family Overcrowding Unmet basic needs Transportation Heating Civic participation Social ties friends

Social Support ICT Unemployment Health care Low education participation clubs networks Political Social participation Housing Financial services Medication School materials participation private Amenities School drop out Social participation culture

Ukraine

At risk of income poverty Water Social ties family Overcrowding Unmet basic needs Transportation Heating Civic participation Social ties friends

Social Support ICT Unemployment Health care Low education participation clubs networks Political Social participation Housing Financial services Medication School materials participation private Amenities School drop out Social participation culture

Six-country average

At risk of income poverty Water Social ties family Overcrowding Unmet basic needs Transportation Heating Civic participation Social ties friends

Social Support ICT Unemployment Health care Low education participation clubs networks Political Social participation Housing Financial services Medication School materials participation private Amenities School drop out Social participation culture

107 Annex 4: List of abbreviations

CEDAW - Committee on the Elimination of IMC – inter-municipal cooperation Discrimination against Women JIM – Joint Inclusion Memorandum CEE – Central and Eastern Europe LFS – labour force survey CERD - Committee on the Elimination of Racial MDGs – Millennium Development Goals Discrimination MTEF – medium-term expenditure framework CIS – Commonwealth of Independent States NAP(s) – national action plan(s) CoE – Council of Europe NGO – non-governmental organization CSO – Civil Society Organization NUTS - Nomenclature of Territorial Units for Statistics DAC – Development Assistance Committee ODA – official development assistance EBRD – European Bank for Reconstruction and Development OECD – Organization for Economic Co-operation and Development ECA - Europe and Central Asia OMC – Open Method of Coordination EC – European Commission OPHI – Oxford Poverty and Human Development EU – European Union Initiative ESF - European Social Fund PAYG – pay as you go FBiH – Federation of Bosnia and Herzegovina PIN – personal identification number FDI – foreign direct investment PWD – people with disabilities FGT – Foster Greer Thorbecke RHDR – Regional Human Development Report FOREX – foreign exchange market RS – Republika Srpska GDP – gross domestic product SEE – Southeast Europe HDI – Human Development Index SILC – statistics on income and living conditions HDR – Human Development Report SME(s) – small- and medium-sized enterprises HRBA – human right-based approach UK – United Kingdom HIV – human immunodeficiency virus UNDP – United Nations Development Programme HBS – household budget survey UNICEF - The United Nations Children’s Fund ICT – information and communication technologies UNIFEM - United Nations Development Fund for IDP(s) – internally displaced person(s) Women ILO – International Labour Organization USSR – Union of Soviet Socialist Republics IFIs – international financial institutions VET - vocational and educational training

108 Bibliography

Alkire, S. (2008), ‘Choosing Dimensions: The Capability Cerami, A. and P. Stubbs (2010), ‘The Political Economy Approach and Multidimensional Poverty’, in: The Many of Child Poverty and Exclusion in Countries in Transition’, Dimensions of Poverty, ed. by N. Kakwani and J. Silber, Draft study for UNICEF CEE/CIS region. New York: Palgrave Macmillan, 89-119. Collins, K. (2006), The Logic of Clan Politics in Central Alkire, S. (2009), ‘Conceptual Overview of Human Asia: The Impact on Regime Transformation, Cambridge: Development: Definitions, Critiques, and Related Concepts’, Cambridge University Press. Background paper for the 2010 Human Development Cook, L. (2002), ‘Institutional and Political Legacies of Report http://www.ophi.org.uk/pubs/ Alkire%20HD%20 the Socialist Welfare State’, in D. Lane (ed.) The Legacy Concept%20 paper%20for%202010%20HDR.pdf. of State Socialism and the Future of Transformation, Alkire, S. and J. Foster (2007) Counting and Maryland: Rowan & Littlefield. Multidimensional Poverty Measurement, OPHI Working Cook, L. (2007), Post-Communist Welfare States. Reform Paper No. 7. Oxford: University of Oxford. http://www. Politics in Russia and Eastern Europe. Ithaca and London: ophi.org.uk/pubs/OPHI_WP7.pdf. Cornell University Press. Alkire, S. and J. Foster (2009), Counting and Cornia, A.G. (2009), ‘Structural divergence in economies Multidimensional Poverty Measurement (Revised and in transition’, in: Development and Transition, Vol. 14 Updated), OPHI Working Paper No. 32. Oxford: University (December), pp. 2-4. of Oxford. Cornia A.G, D. Kotz, M. Spoor and T. McKinley (2003), Anderson, J.H., D.S.Bemstein and Ch.W.Gray (2005). Growth and Poverty Reduction in Uzbekistan: An Overall Judicial Systems in Transition Economies Assessing the Past, Strategy for Pro-Poor Growth, Tashkent: UNDP. Looking to the Future. The World Bank, Washington, D.C. Cornia, G. A. and V. Popov (2001), Transition and Atkinson, B. (1998), ‘Social exclusion, poverty and Institutions, The Experience of Gradual and Late unemployment’, in B. Atkinson and J. Hills, (Eds.), Exclusion, Reformers, Oxford: Oxford University Press, with UNU/ Employment and Opportunity, CASE paper 4. London: WIDER. London School of Economics, Centre for Analysis of d’Hombres, B., Rocco, L., Suhrcke, M., McKee, M. (2007) Social Exclusion. Does social capital determine health? Evidence from eight Atkinson, T., Cantillon, B., Marlier, E. and Nolan, B. (2002). transition countries. Luxembourg: EC. Social Indicators: The EU and Social Inclusion, Oxford: Deacon, B. et al (2007), ‘Regional Social Policy’, UNDESA Oxford University Press. Working Paper 37, http://www.un.org/esa/desa/ Balabanova, D. et al (2004) ‘Health Service Utilization in papers/2007/wp37_2007.pdf. the former Soviet Union: evidence from eight countries’, Devereux, S. and R. Sabates-Wheeler (2004), Health Service Research 39 (6); 1927-50. ‘Transformative Social Protection’, IDS Working Paper Beck, W. (ed.) (2004), Social Quality: a vision for Europe. 232, Brighton: Institute for Development Studies. http:// The Hague: Klewer Law International. www.ids.ac.uk/ids/bookshop/wp/wp232.pdf. Bougarel, X. (2002), ‘Bosnia and Herzegovina: Local Level Drakohoupil, J. and M. Myant (2009), ‘Varieties of Institutions and Social Capital Study’, no. 1, World Bank, Capitalism, Varieties of Vulnerabilities: financial crisis and ECSSD. its impact on welfare states in Eastern Europe and the Brown, D.S., C.J. Brown and S.W. Desposato (2008), Commonwealth of Independent States’, Historical Social ‘Who Gives, Who Receives, and Who Wins?: Transforming Research 35, pp. 266-298. Capital Into Political Change Through Nongovernmental Drakohoupil, J. and M. Myant (2010), Transition Organizations’, Comparative Political Studies 41 (1), pp. Economies: political economy in Russia, Eastern Europe 24-27. and Central Asia, Wiley-Blackwell, forthcoming. Cazes, S. and A. Nesporova (2007a), Flexicurity: a relevant EBRD (2007a), Life in Transition: A survey of people’s approach in Central and Eastern Europe, Geneva: ILO. experiences and attitudes, London: European Bank for Cazes, S. and A. Nesperova (2007b), Labor markets Reconstruction and Development. in Central and South Eastern Europe: Positive Trends, EBRD (2007b), Transition Report 2007: People in persisting problems and new challenges, Geneva: ILO. Transition, London: European Bank for Reconstruction Cerami, A. (2006), Social Policy in Central and Eastern and Development. Europe: the emergence of a new European welfare regime. Ericson, E.R., (2006). Command Versus ‘Shadow’: The Berlin: Lit-Verlag. Conflicted Soul of the Soviet Economy. Comparative Economic Studies, Vol. 48, 2006, 50-76. 109 European Commission (EC) (2010), COMMUNICATION Hoelscher, P. and G. Alexander (2009), ‘Social Protection FROM THE COMMISSION, EUROPE 2020 A strategy for in Eastern Europe and Central Asia: before, during and smart, sustainable and inclusive growth, COM(2010) 2020. after the crisis’. Mimeo, UNICEF CEE-CIS, Geneva, 3 EC (2009), Social protection and Social Inclusion in the November. Western Balkans: a synthesis report. Zagreb: EIZG. Hoelscher, P. (2009), ‘Targeting Cash Benefits – Lessons EC (2004), Joint Report on Social Inclusion (7101/04), Learned and Ways forward for Transition Countries’, Brussels. http://ec.europa.eu/employment_social/soc- Geneva: UNICEF CEE-CIS Office. prot/soc-incl/joint_rep_en.htm. Horváth, B., A. Ivanov, M. Peleah, with M. Pospisilova ESN (European Social Network), (2009). Long Term Care (2009), ‘The Human Development Impact of the Global for Older People: Present and projected expenditure Crisis in Central, Eastern and Southern Europe, and the CIS’, by care type. ESN, Brighton. www.esn-eu.org/get- Mimeo, Bratislava: UNDP. document/index.htm?id=249 Hujo, K. (2009), ‘Practical Strategies to Promote Social European Court of Human Rights (ECHR) (2007), D.H. and Integration’, paper presented to UNDESA Expert Group Others v The Czech Republic, Application no. 57325/00, 13 Meeting, Accra, Ghana, http://www.un.org/esa/socdev/ November 2007. egms/docs/2009/Ghana/Hujo.pdf. European Union Agency for Fundamental Rights ILO (2010), Global Employment Trends for Youth, Geneva: ILO. (2009). Housing conditions of Roma and Travellers in the Ivanov, A. (2009), ‘The economic crisis as a human European Union: Comparative Report. Vienna: FRA. development opportunity’, Development & Transition, Vol European Roma Rights Centre (ERRC) (2005), Stigmata: 13, July, pp. 22-24. Segregated schooling of Roma in Central and Eastern Ivanov, A. and Peleah, M. (2010), From centrally planned Europe. A survey of patterns of segregated education of to human development. Background paper for the GHDR Roma in Bulgaria, the Czech Republic, Hungary, Romania, 2010, http://hdr.undp.org/en/reports/global/hdr2010/ and Slovakia. Budapest: ERRC. papers/HDRP_2010_38.pdf. EveryChild (2005), Family Matters: A Study of Institutional Jahan, S. (2009), ‘Global Economic Crisis: Transmission, Child Care in Central and Eastern Europe and the Former Impact and Responses. A Comparative Review of Selected Soviet Union, London: EveryChild. Developing Regions’, Mimeo, September, New York: FAO (2007), Growth, Development and Poverty Reduction United Nations. in Central Eurasia, Rome: FAO. Klugman, J. and T. Scott (2009), ‘Twenty years of Frazer, H. and Marlier, E. (2010), Social inclusion in the transition and human development: an appraisal’, European Union: Where do we stand, where are we going? Development & Transition, Vol 14. Development and Transition, Issue Nr. 15, Bratislava and Kornai, J. (1992). The Socialist System: The Political London: UNDP with LSE. Economy Of Communism. Princeton, New Jersey: Friedman, E. et al (2009), ‘Conditional Cash Transfers Princeton University Press. as a Tool for Reducing the Gap in Educational Outcomes Kuzio, T., (2001), ‘Transition in Post-Communist States: between Roma and Non-Roma’. Roma Education Fund Triple or Quadruple?’, Politics, 21 (3), pp. 168-177. Draft Policy Paper, January. Lendvai, N. (2009), ‘Variety of Post-Communist Welfare: Gaidar, Y. (2007). Collapse of an Empire: Lessons For Europeanisation and Emerging Welfare Regimes in the Modern Russia. Washington D.C.: The Brookings New EU Member States’, Paper for the Annual Meeting of Institution. Research Committee 19 of the International Sociological Gordon, D. and Pantazis, C. (1997), Breadline Britain in Association, Montreal, Canada, August 2009. Accessed the 1990s, Ashgate: Aldershot. 30 December 2009 on the web: http://www.cccg. umontreal.ca/RC19/PDF/Lendvai-N_Rc192009.pdf. Guriev, S. and B.W. Ickes (2002), ‘Microeconomic Aspects of Economic Growth in Eastern Europe and the Former Lenoir, R. (1974), Les Exclus: Un Français sur Dix, Paris: Soviet Union, 1950-2000’, William Davidson Institute Seuil. Working Paper, University of Michigan. Lerman (2007), ‘Land reform, farm structure and Hellman, J.S. (1998), Winners Take All: The Politics of agricultural performance in CIS countries’, Paper Partial Reform in Postcommunist Transitions. World presented at the CESE Conference Economic Transition Politics, Vol. 50, No 2, pp. 203-234. in Midlife: Lessons from the Development of Markets and Institutions, Portoroz, Slovenia, 11-13 May. Hershkoff, H. (2005). Public Interest Litigation: Selected Issues and Examples. http://siteresources. Lister, R. (2004), Poverty, Key Concepts, Cambridge: Polity worldbank.org/INTLAWJUSTINST/Resources/ Press. PublicInterestLitigation%5B1%5D.pdf Mack, J. and Lansley, S. (1985), Poor Britain, London: Hoelscher, P. (2007), ‘Romani Children in South East Allen and Unwin. Europe. The challenge of overcoming centuries of Mihaylova, D. (2004), Social Capital in Central and distrust and discrimination’, UNICEF RO for CEE/CIS. Eastern Europe: a critical assessment and literature review. Budapest: CEU. 110 Milanovic, B. (1998), Income, Inequality and Poverty Silver, H. (1995), Reconceptualizing Social Disadvantage: during the Transition from Planned to Market Economy, three paradigms of social exclusion in Social Exclusion: Washington: World Bank. rhetoric, reality, responses, Geneva, International Labour Nesporova, A. (2002), ‘Why unemployment remains so Organization. high in Central and Eastern Europe’, Employment Paper Skeldon, R. (2005), ‘Globalization, Skilled Migration and Nr. 2002/43, Geneva: ILO. Poverty Alleviation: brain drains in context. University of OECD Development Centre (2008), Black Sea and Central Sussex, Uk, Development Research Centre on Migration, Asia: promoting work and well-being. Paris: OECD. Globalization and Poverty, Working Paper T15. Web: http://www.migrationdrc.org/publications/working_ Petrova, T., Tarrow, S. (2007), ‘Transactional and papers/WP-T15.pdf. participatory Activism in the Emerging European Polity: The Puzzle of East Central Europe’, Comparative Political Slay, B. (2009), ‘Poverty, Inequality, and Social Policy Studies 40 (1), pp. 74-94. Reform in the Former Soviet Union’, Mimeo, Bratislava: UNDP/RBEC. Putnam, R. et al (1993), Making Democracy Work: civic traditions in modern Italy. Princeton: University Press. Spoor (2009), The Political Economy of Rural Livelihoods in Transition Economies, Land, peasants and rural poverty Raver, S. and K. Kolchenko (2007), Inclusion of school- in transition, London/New York: Routledge. age children with disabilities in the Ukraine, in Childhood Education. Spoor, M. and O. Visser (2005), ‘Restructuring postponed? Large Russian farm enterprises ‘coping with the market’, in: Richardson D. et al (2008), ‘Child Well-Being in Central and S. Wegren (Ed.), Rural Adaptation in Russia, London and Eastern European Countries (CEE) and the Commonwealth New York: Routledge, pp. 153-89. of Independent States (CIS)’, Child Indicators Research 1(3): 211-250. Stubbs, P. (2009b), ‘CCT as Policy Translation’, Global Social Policy 9(2); 174-7. Robeyns, I. (2005), ‘Selecting Capabilities for Quality of Life Measurement’, Social Indicators Research, 74, 191- Stuckler, D. et al (2009), ‘Mass privatization and the 215. post-communist mortality crisis: a cross-national analysis’, Lancet, 373; 399-407. Rose-Ackerman S. (2001), ‘Trust, Honesty and Corruption: Reflection on the State-building Process’, European Swedish Gender Mainstreaming Support Committee Journal of Sociology, 42, pp 526-570. (2007). Gender Mainstreaming Manual: A book of practical methods from the Swedish Gender Mainstreaming Sammon, E. (2001), Defying Prejudice, Advancing Support Committee (JämStöd). Edita Sverige AB, Equality 2: Children and Disability in the Context of Family Stockholm. http://www.sweden.gov.se/content/1/ Breakdown in Central and South Eastern Europe and the c6/08/19/82/3532cd34.pdf Former Soviet Union. London, EveryChild. Šućur, Z. and S. Zrinščak (2007), ‘Differences that Hurt: Sange (2008). Evaluation of Needs and Demands for Social Self-perceived Health Inequalities in Croatia and the Services of Vulnerable Children and Their Families (Almaty: European Union’, Croatian Medical Journal, 48: 653-666. Sange Research Centre). TARKI (2010). Study on Child Poverty and Child Well-Being Santiago, C, Gardener, E.P.M, Molyneux, P. (2005), in the EU. Report prepared for the DG Employment, Financial exclusion, Basingstoke, Palgrave Macmillan. Social Affairs and Equal Opportunities (Unite E.2) Sarma, M. (2008), Index of Financial Inclusion, Working of the European Commission. Budapest. http:// paper no. 215, Indian Council for Research on cordis.europa.eu/wire/index.cfm?fuseaction=article. International Economic Relations. Detail&rcn=21909. SeConS – grupa za razvojnu inicijativu (2010), Socijalna Thorat, U. (2007), Financial inclusion – the Indian iskljucenost u ruralnim oblastima Srbije, UNDP, EC, experienc, speach at the HMT-DFID Financial Inclusion Belgrade. Conference 2007, London, 19 June 2007. Sen, A. (1985), ‘Well-Being, Agency and Freedom: the Townsend, P. (1979), Poverty in the United Kingdom, Dewey Lectures 1984’, Journal of Philosophy, Vol. 82, No.4 London: Allen Lane and Penguin Books. (April), pp. 169-221. Trevisani, T. (2009), ‘The reshaping of inequality in ______(1992), Inequality Re-examined, Cambridge, Uzbekistan: reforms, land and rural incomes’, in: The Harvard University Press. Political Economy of Rural Livelihoods in Transition ______(1999), Development as Freedom, Oxford: Economies, Land, peasants and rural poverty in transition, Oxford University Press. London and New York: Routledge, pp. 123-37. ______(2000), Social Exclusion: Concept, Application UNAIDS (The Joint United Nations Programme on HIV/ and Scrutiny, Social Development Papers No.1. Office AIDS ), (2009). AIDS epidemic update. UNAIDS, Geneva. of Environment and Social Development, Asian http://data.unaids.org/pub/Report/2009/jc1700_epi_ Development Bank. update_2009_en.pdf. ______(2004), ‘Capabilities, Lists, and Public Reason: UNDESA (2010), Analysing and Measuring Social Inclusion Continuing the Conversation’, Feminist Economics, 10, 77-80. in a Global Context, New York: United Nations. 111 UNDP (1990), Human Development Report 1990: Concept UNDP Montenegro (2009), National Human Development and measurement of human development, New York: Report – A Society for All. Podgorica: UNDP. Oxford University Press. UNDP Poland (2007), Social Exclusion and Integration in UNDP (1991), Human Development Report 1991: Poland: An Indicators-based approach. Warsaw: UNDP. Financing human development, New York: Oxford UNDP Russian Federation (2009), Russia Facing University Press. Demographic Challenges, 2008 National Human UNDP (1996), Economic Growth and Human Development Report, Moscow: UNDP. Development, Human Development Report, New York: UNDP Ukraine (2010), Social Inclusion in Ukraine: United Nations Development Programme. European Choice and Social Sector Institutions. Kiev: UNDP (1999), Human Development Report for Europe and UNDP. the CIS, Regional Human Development Report, New York: UNHCR (2009), 2008 Global Trends. Refugees, Asylum- United Nations Development Programme. seekers, Returnees, Internally Displaced and Stateless UNDP (2000), Beyond Transition: Ten Years after the Fall of Persons. the Berlin Wall, New York/Bratislava: UNDP/RBEC. UNICEF (2001), ‘A Decade of Transition, Regional UNDP (2006), At Risk: Roma and the Displaced in Monitoring Project’, No.8, The MONEE Project CEE/CIS/ Southeast Europe, Bratislava : UNDP Regional Bureau Baltics, Florence: United Nations Children’s Fund/IRC. for Europe and the CIS. http://europeandcis.undp.org/ UNICEF (2009), Innocenti Social Monitor 2009 – Child Well- home/show/1F158B1F-F203-1EE9-B8384A4FF5BF9916. Being at a Crossroads: evolving challenges in Central and UNDP (2008), Living with HIV: The Human Cost of Social Eastern Europe and the Commonwealth of Independent Exclusion, Bratislava: UNDP Regional Bureau for Europe States. Florence: UNICEF Innocenti Research Centre. and the CIS. http://europeandcis.undp.org/rhdr. Verdery, K. (1998), ‘Property and Power in Transylvania’s aids2008/. Decollectivisation’, in C. Hann (ed.), Property Relations: UNDP (2009a), Human Development Report 2009 - renewing the anthropological tradition, Cambridge: Human Mobility and Development, New York: United University Press, pp. 160-80. Nations Development Programme. World Bank (2000), Making Transition Work for Everyone, UNDP (2009b), Volunteerism in South-Eastern Europe and Poverty and Inequality in Europe and Central Asia, the Commonwealth of Independent States: its contribution Washington: World Bank. to development, United Nations Volunteers and United World Bank (2004), Social Development in Europe and Nations Development Programme - Bratislava Regional Central Asia Region: Issues and Directions, Washington: Centre. World Bank. UNDP (2010a), Development and Transition, Issue Nr. 15, World Bank (2005), Growth, Poverty and Inequality, Bratislava and London: UNDP with LSE. Eastern Europe and the Former Soviet Union, Washington: UNDP (2010b), Human Development Report 2010, New World Bank. York: United Nations Development Programme. World Bank (2007a), ‘From Red to Gray: the ‘third UNDP (2010c), Enhancing Women’s Political Participation transition’ of ageing populations in Eastern – A Policy Note for Europe and CIS, Bratislava: UNDP. Europe and the former Soviet Union’. http:// UNDP (2011), Growing Inclusive Markets report Business siteresources.worldbank.org/ECAEXT/Resources/ Solutions to Poverty – How inclusive business models publications/454763-1181939083693/full_report.pdf. create opportunities for all in Emerging Europe and World Bank (2007b), Pensions Panorama: retirement- Central Asia, Bratislava: UNDP. income systems in 53 countries. Washington: World UNDP BiH (2007), National Human Development Report Bank, http://www.apapr.ro/images/BIBLIOTECA/ – Social Inclusion in Bosnia and Herzegovina. Sarajevo: reformageneralitati/bm%20pensions%20panorama%20 UNDP. 2007.pdf. UNDP BiH (2009), National Human Development World Bank (2010), The Crisis Hits Home: Stress-Testing Report - The Ties That Bind: Social Capital in Bosnia and Households in Europe and Central Asia, Washington DC: Herzegovina. Sarajevo: UNDP. World Bank. UNDP Croatia (2007), National Human Development UNDP Kosovo (2010). Social Inclusion. Kosovo Human Report – Unplugged: Faces of Social Exclusion in Croatia. Development Report 2010. Pristina: UNDP. Zagreb: UNDP. UNDP, the former Yugoslav Republic of Macedonia (2008), People-Centred Analyses 2008, 2009 and 2010. Skopje: UNDP. UNDP Moldova (2010), Approaches to Social Exclusion in the Republic of Moldova: Methodological and analytical aspects. Chisinau: UNDP. 112