What generalised observations are possible to make about community-based social protection mechanisms effectiveness across different contexts? How do formal social protection programmes build upon these mechanisms to improve social outcomes and what impact do formal mechanisms have on CBSP?
This report reviews the use and effectiveness of community-based social protection (CBSP) mechanisms, and examines how they are integrated into formal social protection schemes and what impact this might have. It begins with a loose definition of the terms used, followed by a section on the evidence on how effective CBSP appears to be. The key findings of this report include:
- Effectiveness of CBSP: Effectiveness is hard to present, as informal
mechanisms are often unevaluated, and/or do not have clearly
measureable results and outcomes. The strongest evidence on
effectiveness is in the health insurance literature.
- Integration: The literature agrees that formal and informal social
protection have many complementarities and could work together to form
a holistic social protection system. However, there are few examples
of this in operation.
- Networks: CBSP relies on social networks. This can be effective at the
small-scale, but is inequitable and unreliable. The literature is
unclear whether formal social protection erodes or supports
traditional networks of reciprocal exchange.
- Inequality: CBSP can be quite unequal in access and coverage. Formal
social protection has a role to play in making CBSP more equitable.
- Dealing with risk: CBSP is vulnerable to covariate risk and more
effective for idiosyncratic risk.
- Political impacts: There is some evidence that women’s organising can
help strengthen CBSP and that community groups can develop a strong
voice which may contribute to political institutions.
- Community-based health insurance (CBHI): This area has the strongest
evidence base. CBHI has positive effects on reducing out-of-pocket
spending for members, and somewhat weaker evidence that it improves
standards of care.
- Targeting: Community participation helps social protection to be
Browne, E. Community-based social protection (GSDRC Helpdesk Research Report 1020). Governance and Social Development Resource Centre, University of Birmingham, Birmingham, UK (2013) 12 pp.