A/HRC/17/34/Add.1
those affected by natural disasters are covered by social protection. The State must actively
seek out ways to reach these groups.
(b)
Take all efforts to minimize exclusion errors. From a human rights
perspective exclusion errors are much more serious than inclusion errors. The exclusion of
rightful beneficiaries constitutes a violation of their right to social security and the
principles of equality and non-discrimination. Moreover, those excluded are often the most
vulnerable and disadvantaged, as they will find it most difficult to claim for their inclusion.
(c)
Ensure that qualifying conditions for benefits of targeted schemes are gendersensitive, reasonable, objective and transparent.
2.
Coverage
74.
The limited coverage of some of the existing programmes may raise concerns about
compliance with the principles of equality and non-discrimination.
75.
In regard to social assistance programmes, the independent expert welcomes the
adoption of Decree 67, merging a number of initiatives, widening eligibility criteria and
raising benefit levels. However, as recognized by the Government, the coverage of social
assistance is still low due to tight eligibility restrictions, and the benefit levels are still
insufficient. The independent expert welcomes the new Social Security Strategy, which
includes among its goals an expansion of the number of beneficiaries of regular assistance,
as well as the further adaptation of eligibility criteria in order to cover all households living
under the poverty line and increase benefit levels.70
76.
In regard to access to health care, the independent expert welcomes the adoption of
the Health Insurance Law (2008) providing a platform for the expansion of compulsory and
voluntary health insurance coverage. From a human rights perspective it is a significant
step forward and its aim of achieving universal protection by 2014 should be commended.
However, as mentioned below, further efforts are needed to ensure quality treatment; in
particular, by those living in poverty.
77.
Another positive measure is the Health Care Fund for the Poor (HCFP) that provides
support for the inclusion of households living in poverty in health insurance schemes and
provides free health services to all children of less than six years. MOLISA reports that
more than 60 per cent of the total population is now covered by insurance.71
78.
Evaluations indicate that HCFP and its predecessor, “Free Health Care Cards for the
Poor”, have been successful at targeting the poorest groups in Viet Nam, successfully
promoting their more regular utilization of medical facilities and lowering the risk of
sudden catastrophic expenses. However, regional differences in implementation may be
contributing to a lower than expected coverage, and there are further challenges in
implementation as described below. The Government faces several challenges in improving
the coverage of health insurance (e.g. to rural people) and ensuring that the quality of health
care services does not diminish but rather improves progressively over time.
3.
Availability and adequate quality
79.
The principle of equality and non-discrimination also requires States to ensure that
social protection complies with the human rights standards of availability, accessibility, and
cultural acceptability and adaptability.
70
71
18
MOLISA, “Social Security Strategy: Period 2011-2020” (2010), p. 29.
Ibid., p. 18.