Social ProtectionHealth Programming Concepts and

State of Social Protection Development in Kenya

Sector Determinants

Targeted Cohort

Social Protection Programs

Social Protection Conceptual Illustration

“When biological factors (like being too young or too old to work) are combined with negative life time shocks (such as sickness, unemployment, natural disasters, social conflicts) the case for social protection is overwhelming.” GERMANO MWABU, M.A., Ph.D, Boston University 1981, Professor  and ChairDepartment of Economics, University of Nairobi, as presented at UNECA workshop on “Social Protection, Growth, Poverty and Inequality in Kenya”, July 14-16, 2010

Sector Determinants

Targeted Cohort

Social Protection Programs

Concepts of Social Protection in Health Programming

I. Health and non-Health Sector OverlaysII. Cohort AttributesIII. Joined-up Sector Resource Leveraging

Economy andemployment

Securityand justice

Educationand early life

Agricultureand food

Infrastructure,planning and

transport

Land andculture

Housing andcommunity

services

Environmentsand sustainability

HEALTHHealth in All PoliciesAdelaide Statement

SocialDeterminants thatimpact HealthOutcomes

Agriculture & Food

Markets & Pricing

Harvest & Processing

Labor & Mechanization

Land Use & Distribution

Crop Diversification

Water & Irrigation

Transportation & Fuel

SocialDeterminants thatimpact AgriculturalOutcomes

Population Growth and Distribution

SocialDeterminants thatimpact HealthOutcomesEconomy and

employment

Securityand justice

Educationand early life

Agricultureand food

Infrastructure,planning and

transport

Land andculture

Housing andcommunity

services

Environmentsand sustainability

HEALTH

Agriculture

& Food

Markets &

Pricing

Labor &

Mechanization

Land Use &

Distribution

Crop

Diversification

Agriculture & Food

Land andculture

Environmentsand sustainability

HEALTHSocialDeterminants thatimpact Health andAgricultural Outcomes

HEALTH SECTOR Agriculture SectorAgriculture and Food Nutrition Crop Diversification

• Healthy food is critical to people’s health and good food and security practices help to reduce animal-to-human disease transmission, and are supportive of farming practices with positive impacts on the health of farm workers and rural communities.

• Food security and safety are enhanced by consideration of health in food production, manufacturing, marketing and distribution through promoting consumer confidence and ensuring more sustainable agricultural practices.

Illustrative Example from Adelaide Statement on Health in All Policies

Concepts of Social Protection in Health Programming

I. Health and non-Health Sector OverlaysII. Cohort AttributesIII. Joined-up Sector Resource Leveraging

Girls 12-18

Nutrition

HIV

Commodities

Education

Malaria

Cohort Attributes

Illustrative Example

Selected Sector / Intervention Resource Mix/Program Envelope

Transportation /Access

Health/PMCTAgriculture/Food Nutrition

Youth

HIV +

Female Pregnant

Public Health and Wellness

Social Protection Planning

Cohort Attributes(Girls 12-18)

Cohort Attributes

Illustrative Example

Concepts of Social Protection in Health Programming

I. Health and non-Health Sector OverlaysII. Cohort AttributesIII. Joined-up Sector Resource Leveraging

Sector Resource LeveragingAG HEALTH

Balanced Nutrition

Policy Work

IEC

Crop Diversificatio

n

1. Identify tangential Sectors for each Cohort2. Determine manageable interest of Sector for

specific intervention (e.g. crop diversification in Agriculture in the interest of balanced nutrition in Health for children, pregnant mothers, elderly)

3. Assess available resource of target sector as a ratio of value-added contribution (measurable in-kind or direct valuation)

4. Join-up resources with program agreements5. Capitalize National and Community Funding

Mechanisms

Sector Resource Leveraging

3:1

State of Social Protection in Kenya

[ Mary’s material these slides forward]