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Social Protection for Older People in Vietnam: Role, Challenges and Reform Options

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This paper argues that the Vietnamese population has been ageing more rapidly than expected, and policies to deal with this demographic challenge, particularly delivery of social protection services for the aged, should be formulated without delay. With a focus on retirement and social allowance benefits – the two most important social protection schemes for older people – this paper shows that these benefits can reduce poverty for various groups of older people. Yet, there remain a number of challenges that will substantially influence the current system in terms of accessibility and financing. For the retirement scheme, the paper argues that the current setting will not be financially stable, and as such it should be transformed toward a system of individual accounts with a notional defined-contribution (NDC) scheme in the transitional period. For the cash transfer programme, the results from micro-simulation calculations indicate that a universal cash transfer programme for rural older people would be most influential in terms of poverty reduction.
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Malaysian Journal of Economic Studies Vol. 50 No. 2, 2013
Social Protection for Older People in Vietnam: Role, Challenges and Reform Options
Malaysian Journal of Economic Studies 50 (2): 207-219, 2013 ISSN 1511-4554
Social Protection for Older People in Vietnam:
Role, Challenges and Reform Options
Thanh Long Giang*
National Economics University, Vietnam
Abstract: This paper argues that the Vietnamese population has been ageing more rapidly
than expected, and policies to deal with this demographic challenge, particularly delivery
of social protection services for the aged, should be formulated without delay. With a focus
on retirement and social allowance benefits – the two most important social protection
schemes for older people – this paper shows that these benefits can reduce poverty for
various groups of older people. Yet, there remain a number of challenges that will
substantially influence the current system in terms of accessibility and financing. For the
retirement scheme, the paper argues that the current setting will not be financially stable,
and as such it should be transformed toward a system of individual accounts with a
notional defined-contribution (NDC) scheme in the transitional period. For the cash transfer
programme, the results from micro-simulation calculations indicate that a universal cash
transfer programme for rural older people would be most influential in terms of poverty
reduction.
Keywords: Ageing, micro-simulations, poverty, social protection, Vietnam
JEL classification: I38, J14, J26
1. Introduction
Along with the movement from one of the poorest countries in the world in the late 1980s to
a low middle-income country since 2008, poverty in Vietnam has decreased substantially,
from 58.1 per cent in 1993 to 20.7 percent in 2010 (GSO, various years). At the same time, the
social protection system has also developed as shown by progress made in a number of
indicators, and as a result Vietnam has achieved most of the Millennium Development Goals
(MDGs), ahead of their respective targets.
Vietnam is undergoing dramatic demographic changes toward an ageing population.
The number of older persons (defined as persons aged 60 and over) will increase swiftly in
the coming decades, and Vietnam will turn from ‘ageing’ to a ‘aged’ population in only 20
years, in comparison with 26 years in Japan and 22 years in Thailand – the two countries
have been considered as having the most rapidly ageing populations in the region (UNFPA
Vietnam, 2011).1 In addition, the majority of the aged are living in rural and disadvantaged
areas, under difficult economic conditions. Also, a continuous transformation from a multi-
generational family model to a nuclear family model with an increasing number of elderly
living alone or elderly couples is a worrying trend. Older persons, especially those living in
rural and disadvantaged areas, are left behind with various vulnerabilities due to a large
outflow of the younger generation (Dam et al., 2010). Given such a situation, income security
* Institute of Public Policy and Management,National Economics University,207 Giai Phong Street,
Hai Ba Trung DistrictHanoi, Vietnam. Email: giang.long@ippm.edu.vn
1 In this comparison, older people are defined as those aged 65 and over. Moving from ‘aging’ to ‘aged’
phase means the old-age population as a per cent of total population increased from 7 to 14 per cent.
208 Malaysian Journal of Economic Studies Vol. 50 No. 2, 2013
Thanh Long Giang
and adequate access to quality social protection services for the older people are important
along with the ‘phasing-out’ period of familial support.
This paper aims to analyse the current situation, role and challenges of the social
protection system for older people in Vietnam, and offers some policy options to reform the
system. It is organised as follows. In Section 2, using data from recent household surveys,
namely Vietnam Household Living Standard Survey (VHLSS) in 2004 and 2008, we will
analyse old-age poverty and the role of social protection benefits in reducing such poverty.
Section 3 describes the current social protection benefits for Vietnamese older persons and
its role in reducing old-age poverty. In Section 4, we will analyse potential challenges for
retirement and social allowance schemes to deal with old-age poverty and the ageing
population. We also offer some policy options to deal with these challenges. The final
section will conclude the paper.
2. Old-Age Poverty and the Role of Social Protection Benefits
2.1 Descriptive Data for Analysis
This paper uses data from the two Vietnam Household Living Standard Surveys (VHLSS) in
2004 and 2008.2 These surveys were conducted by the General Statistics Office of Vietnam
(GSO 2004; 2008) with technical support from the World Bank. The samples are representative
at national, rural and urban, and regional levels.
The surveys collected information through household and community level
questionnaires but contained various individual characteristics such as age, gender,
educational attainment, relationship to the household head, marital status, working status,
wages, and health status. As such, we are able to identify older people (those aged 60 and
over) as well as elderly households (those with at least one older person). The VHLSS 2004
included 39,696 persons living in 9,189 households, while VHLSS 2008 included 38,523
persons living in 9,189 households. The number of older people was 3,806 in 2004 and 3,972
in 2008.
At household level, the surveys provided information on the sources of income,
household expenditure, consumption of durables, business and agricultural activities, wealth
and housing conditions, poverty incidence and participation in poverty alleviation
programmes. In particular, the data also provided information on retirement and social
allowances that households had received during the past 12 months before the interview. If
retirement and/or social allowance benefits were provided in kind, VHLSSs reported their
equivalent monetary values.
In each survey, information on commune characteristics was collected from rural
communes and can be linked to household data. Commune data included demography,
general economic conditions and aid programmes, non-farm employment, agriculture
production, local infrastructure and transportation, education, health and health facilities,
and social problems.
2There are also VHLSSs in 2002 and 2006. However, the 2002 VHLSS provides less information on
health insurance than VHLSSs in 2004, 2006, and 2008. In this paper, we chose VHLSS 2004 and
2008 as the interval of four years can provide sufficient data to describe the patterns of social
protection services.
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Social Protection for Older People in Vietnam: Role, Challenges and Reform Options
2.2 Old-age Poverty and the Role of Social Protection Benefits
2.2.1 Old-age Poverty
In Vietnam, there are two poverty lines. The first line, namely ‘food poverty line’ defined by
the Ministry of Labour, War Invalids and Social Affairs (MoLISA), is measured by the
annual amount of money required to purchase a ‘typical’ basket of food items which provides
2,100 kCal per person per day. The second line, which is the ‘official poverty line’ defined
by GSO includes the purchase of the aforementioned basket of food items and the purchase
of a ‘minimal’ amount of non-food items. In all social programmes, the MoLISA poverty line
is used. There are poverty lines for rural and urban areas: for the period 2010-2015, they are
VND 400,000 per capita income and VND 500,000 per capita income, respectively.
In this paper, we will use GSO’s definition. The official poverty line was VND 2,077,000
(or USD 130) per person per year in 2004, and VND 3,360,000 (or about USD 170) per person
per year in 2008. As such, any older person whose per capita household expenditure is
lower than this official poverty line will be considered a poor person.
It is well-known that per capita measure of poverty is biased since it does not take into
account adult equivalence scale and economies of scale. To deal with this issue, this paper
simply varies the official poverty line in order to see how older people in Vietnam are
vulnerable to poverty. In particular, in addition to the official poverty line, we will use three
other poverty lines:
(i) 50 per cent of the official poverty line, which shows extreme poverty, from which it is
very difficult to escape.
(ii) 125 per cent of the official poverty line which shows near-poor status, in which people
are not poor, but vulnerable to poverty.
(iii) 200 per cent of the official poverty line which shows non-poor status, in which people
may never fall into poverty.
Table 1 presents the results for old-age poverty rates by different groups. For any
poverty line, the results generally show three critical trends: (i) the poverty rate increases as
people get older; (ii) older females are always poorer than their male counterparts; and (iii)
older people in rural areas and those from ethnic minorities are always poorer than their
urban and Kinh (Vietnamese) counterparts.
2.2.2 The Role of Social Protection in Old-age Poverty Reduction
So far, the term ‘social protection’ has not been well defined in Vietnam. Depending on the
scope of policies and programmes, this term is sometimes used to refer to ‘social security’
or ‘social safety net’. According to MoLISA (2010), the social protection system in Vietnam
includes four main pillars: (i) active labour market; (ii) social insurance; (iii) social health
insurance; and (iv) social assistance/allowances.3 In this paper, we will focus only on two
programmes for older people, namely retirements (or contributory pensions) which comes
under the social insurance pillar, and the cash transfer programme, which comes under the
social assistance/allowances pillar.
The VHLSS data do not provide individual information about access to social protection
system. Instead, in VHLSS, the question is asked at household level to see whether any
3See Giang (2010)for a detailed description and analysis on the social protection system in Vietnam.
210 Malaysian Journal of Economic Studies Vol. 50 No. 2, 2013
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member of a household has received social protection benefits. Table 2 presents the
percentage of older people living in households that received retirement or social allowance
benefits in 2004 and 2008. The results show diverse accessibility rates to retirement and
social allowances among groups of older people.
Table 2 shows that the percentage of persons in more advanced ages receiving social
allowances increased over time. This could be explained by the fact that Decree No. 67/2007
Elderly group 50% Official (100%) 125% 200%
poverty line poverty line poverty line poverty line
All elderly 0.9 13.3 26.5 58.2
Age
60 – 69 0.6 10.2 22.8 54.9
70 – 79 1.1 16.3 29.3 60.5
80+ 1.5 15.7 31.0 62.3
Gender
Male 0.8 11.7 23.5 55.7
Female 1.0 14.4 28.7 59.9
Ethnicity
Kinh (Vietnamese) 0.4 12.4 24.5 53.1
Ethnic minorities 6.9 43.2 63.8 78.7
Residential areas
Rural 1.2 17.0 33.5 68.5
Urban 0.1 3.7 8.2 31.0
Table 1. Vulnerability to poverty of the Vietnamese elderly (2008)
Source: Own estimates, using VHLSS 2008
2004 2008
Retirements Allowances Retirements Allowances
All old-age 23.0 14.9 21.9 18.5
Age group
60-69 26.7 11.6 25.8 15.6
70-79 19.5 16.1 18.8 16.2
80+ 18.9 22.9 17.7 30.6
Ethnicity
Kinh 23.8 14.3 23.3 19.1
Ethnic minorities 14.6 21.2 8.0 12.6
Poverty
Non-Poor 26.2 13.2 24.5 18.5
Poor 8.4 22.7 4.8 18.0
Urbanity
Rural 19.3 16.6 16.0 20.1
Urban 33.0 10.5 37.5 14.2
Table 2. Percentage of older people living in households receiving retirements or social allowances
Source: Own calculations from VHLSS 2004 and 2008.
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Social Protection for Older People in Vietnam: Role, Challenges and Reform Options
has played an important role in providing social assistance to old-age persons who do not
have any contributory pensions and other social assistance benefits.4 This trend was also
observed across other groups of older people, including ethnic minorities and the poor and
rural people.
With respect to social allowances, there is a large gap in accessing retirement benefits
between older people groups. This could be seen by comparisons between Kinh and ethnic
minorities for the year 2008 ( 23.3 per cent vs. 8.0 per cent); non-poor and poor (24.5 percent
vs. 4.8 per cent); and urban and rural (37.5 per cent vs. 16 per cent). This situation can be
explained by the fact that the current retirement system has focused mostly on labourers
working in the formal sector, while labourers working in the informal sector – who account
for a large proportion of the labour force – have not been covered. As a result, a large
number of older people are not provided retirement benefits.
In order to see how retirement and social allowance benefits play a role in older people’s
households, we first estimated their average benefit levels. Table 3 shows that the average
benefit levels for both retirement and social allowances increased significantly over time. In
particular, across the older people groups, the average retirement benefit increased two-
fold, while that of social allowances increased about 3 to 4 times. As a percentage of
4This Decree covers the most vulnerable groups, including older people, with monthly cash transfers.
2004 2008
All old-age 2,114 12.2 262 2.7 4,957 16.6 955 5.5
Age group
60-69 2,565 13.9 192 1.7 6,120 18.9 922 4.7
0-79 1,612 10.8 269 3.4 4,107 14.0 888 5.5
80+ 1,802 9.8 479 4.4 3,533 15.2 1,172 7.5
Ethnicity
Kinh 2,207 12.6 264 2.7 5,355 17.8 998 5.6
Ethnic minorities 1,191 8.2 247 3.0 1,043 4.1 525 3.9
Poverty
Non-Poor 2,507 13.8 268 2.3 5,635 18.3 1,005 5.2
Poor 326 4.9 237 4.8 535 5.5 629 7.3
Urbanity
Urban 1,484 11.1 306 3.3 10,890 26.4 744 2.7
Rural 3,845 15.0 142 1.2 2,706 12.8 1,034 6.5
Retirement
benefit level
(VND1,000)
As % of hh
per capita
expenditure
Allowances
(VND1,000)
As % of hh
per capita
expenditure
Retirement
benefit level
(VND1,000)
As % of hh
per capita
expenditure
Allowances
(VND1,000)
As % of hh
per capita
expenditure
Table 3. Average benefits – Level and as a percentage of household consumption
Source: Own calculations from VHLSSs 2004 and 2008.
212 Malaysian Journal of Economic Studies Vol. 50 No. 2, 2013
Thanh Long Giang
household expenditure, retirement benefits increased from 12.2 per cent in 2004 to 16.6 per
cent in 2008, while social allowances increased from 2.7 per cent to 5.8 per cent, respectively.
Probing further into potential impacts of retirement and social allowance benefits on
reducing old-age poverty, we conducted simple micro-simulation estimates for old-age
poverty when households have and do not have any retirement and/or social allowance
benefits. Table 4 provides the results.
In general, in comparison with 2004, the impacts of both retirement and social allowance
benefits on old-age poverty were more significant in 2008. For instance, without retirement
benefits, old-age poverty in 2004 increased from 19.5 per cent to 22.4 per cent, while it
increased from13.3 per cent to 24.1 per cent in 2008. Retirement benefits had a greater
impact on reducing old-age poverty than social allowance benefits.
Across different groups of older people, a similar trend was observed. By age, all older
people could have faced a 50 per cent higher poverty rate if they had not received any
retirement or social allowance benefits. For instance, for the group aged 60-69, the poverty
rate in 2008 could have increased from 10.2 per cent to 23 per cent if they had not received
retirement benefits, and 26.6 percent if they had neither received retirement nor social
allowance benefits.
In terms of ethnicity, Kinh older people could have benefited more significantly from
retirement and social allowances than their counterparts. Conversely, older people living in
rural areas could have benefited more significantly from retirement benefits and social
allowances than their urban counterparts.
2004 2008
All old-age 19.5 22.4 23.2 13.3 24.1 28.4
Age group
60-69 19.6 21.9 22.6 10.2 23.0 26.6
70-79 14.9 23.7 25.3 16.3 25.6 29.8
80+ 21.1 29.4 32.2 15.7 24.2 30.3
Ethnicity
Kinh 13.5 16.5 17.4 10.2 21.7 26.1
Ethnic minorities 60.7 63.1 63.5 44.0 48.1 50.8
Urbanity
Rural 25.0 28.1 29.1 17.0 26.2 31.3
Urban 3.6 6.0 6.2 3.6 6.2 8.7
Official
Table 4. Old-age poverty rates with and without retirement and/or social allowance benefits
Source: Own calculations from VHLSSs 2004 and 2008
Without
retirement
banefits
Without both
retirement and
social allowances
Official
Without
retirement
banefits
Without both
retirement and
social allowances
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Social Protection for Older People in Vietnam: Role, Challenges and Reform Options
3. Challenges and Policy Options
3.1 Challenges for Retirement Schemes
The above analysis indicates that retirement and social allowance benefits have generally
played a crucial role in reducing old-age poverty in Vietnam. However, as argued in a
number of studies (World Bank 2007; Evans et al. 2012), the current design and
implementation of both retirement and social allowance benefits for older people have not
adapted to the ageing population.
For the retirement scheme, it is imperative that two critical problems are addressed in a
timely way. First, the scheme does not provide financial incentives for workers to participate.
The retirement benefit is normally paid to males and females at age 60 and 55, respectively,
with at least 20 years of contribution according to specified formulae. For example, the
benefit formula is calibrated by multiplying the base earning by a service factor. Base
earning is measured by the average monthly salary during a certain period of time, such as
the average monthly salary of the last 10 working years for workers whose wages have been
stipulated by state. Service factor is measured with 3 percentage points for the first fifteen
years, and 2 percentage points thereafter for males and 3 percentage points thereafter for
females. However, the total benefit rate (or replacement rate) cannot exceed 75 per cent.
Those having a replacement rate of more than 75 per cent will get a lump-sum in lieu of the
additional replacement rate. The benefit rate will be reduced by 1 percentage point for each
year of early retirement. It is not possible to defer pension after normal retirement age, but
it is possible to combine working and receiving pensions. Benefits are adjusted based on
the consumer price index (CPI), but adjustment levels are decided by the government. Both
contribution wages and pension benefits are tax-exempted.
Given the use of different formulae between male and female workers and public and
non-public sector workers, estimates by World Bank (2007) indicate that even with the same
contribution record, a worker in the non-public sector would expect to get lower retirement
benefit than his/her counterpart in the public sector (Figure 1). To maximise benefits, Figure
1 implies that male and female workers in the non-public sector should respectively contribute
only 28 years and 26 years to reach the maximum replacement rates under the current
Figure 1. Retirement scheme with unfair benefits
Source: World Bank (2007)
214 Malaysian Journal of Economic Studies Vol. 50 No. 2, 2013
Thanh Long Giang
regulations; otherwise, they would receive lower additional benefit for each additional year
of contribution after these benchmarks.
Second, the long-term financial sustainability of the retirement fund may deteriorate
with the current Pay-As-You-Go Defined Benefits (PAYG DB) design under an ageing
population. Castel and Rama (2005), assuming the current retirement regulations remain the
same, estimate that the retirement scheme dependency ratio (the ratio between the number
of beneficiaries and number of contributors) will increase swiftly from 1/34 in 2000 to 1/19 in
2004, to 1/6 in 2020, and to 1/2 in 2050. Furthermore, as the population ages, the life
expectancy of the elderly people at retirement will also increase. If the trend of early retirement
for both males and females continues into the future, it will increase the number of years
that benefits are paid. VSS (2009) shows that the average actual retirement age is 53, with
males retiring at age 55 (5 years earlier than the normal retirement age 60) and females at 51
(4 years earlier than the normal retirement age of 55). In addition, the average life expectancy
of retirees is 72.5 years with 71.1 years for males and 73.9 years for females. As a result, the
average number of years that benefits are received is about 19.5 years with 16.1 years for
males and 22.9 years for females. However, this report also indicates that a 28-year
contribution can cover pension benefits for 10 years, meaning that the additional costs for
the remaining 9.5 years of benefit receipts must be borne by the government budget or
other sources.
Given the above scenario, a number of projections have shown that the current PAYG
DB pension scheme in Vietnam will not be financially viable. For instance, scenario-based
simulations by Gian et al. (2010) indicate the same findings that the pension balance will be
zero from 2034, and consequently totally depleted in 2039. Giang and Pfau (2009), using
stochastic simulations, also show that the pension fund will not be balanced from 2038 and
depleted in 2051 with a 90 per cent confidence interval of two years for estimation. To
balance the fund, OECD (2008) indicates that the contribution rate should increase from the
current 22 per cent to more than 40 per cent. Such a contribution rate would be really costly
making contribution evasion more prevalent due to the heavier burden imposed on the
contributors.
3.2 Policy Options for Retirement Schemes
Reform can be instituted from a range of pension schemes. Nevertheless, to avoid future
financial difficulties and generational inequity, it is suggested that a shift be made from the
current PAYG DB scheme to a funded-type scheme, particularly a system of individual
accounts. A partial or full shift depends on the specific demographic and socio-economic
conditions of the country.
Previous studies (MoLISA 2010; Gian et al. 2010) proposed that the current PAYG DB
retirement scheme in Vietnam should be transformed to a system of individual accounts
with a notional defined contribution (NDC) as a transitional step. The most important
reason for this suggestion is that such a transformation would help to reduce pension
liabilities and mitigate generational imbalance. It is worth, however, noting that NDC should
only constitute a transitional step; otherwise, NDC will just be ‘old wine in a new bottle’ in
comparison with PAYG DB. Figure 2 shows how NDC fares better compared to PAYG DB in
terms of financial balance: the lower the rate of return (ROR) for NDC, the longer the
sustainability of the retirement fund balance.
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Social Protection for Older People in Vietnam: Role, Challenges and Reform Options
Another point to note is that since the NDC is designed as a saving account, the
amount received will depend on the contributed amount and the rate of return. As such,
persons with low contribution due to a low income will received a low benefit, which may
not be adequate. Therefore, it is necessary that government pay attention to low-income
workers to provide them supplementary support to join the scheme, so as to ensure they
receive adequate retirement benefits in old-age.
4. Challenges and Policy Options for a Social Allowance Scheme
4.1 Challenges
In Vietnam, social allowance for older people is mostly in cash. Benefits amounting to a
minimum of VND 45,000 (or about USD3) per month were first paid out in 2002 for only
older people aged 90 and over who did not have retirement benefits. The benefits were
increased to a minimum of VND 65,000 (or about USD4.2) per month in 2004 for the same
eligible age group. Decree 67/ND-CP dated 13 April 2007 reduced the minimum eligibility
age from 90 to 85 and increased the minimum benefit to VND 120,000 (about USD7.5) per
month. On 27 February 2010, Decree 13/ND-CP further reduced the minimum eligible age to
80 and raised the minimum benefit to VND 180,000 (about USD9.5) per month. The final
benefit amount is based on a set of multipliers that depend on household composition or
specific characteristics of beneficiaries.
The current cash transfer programme for older people covers (i) older people aged 80
and over, who do not receive contributory pensions and social allowances; and (ii) people
aged between 60 and 79 years living alone in poor households; and (iii) older people living
with other older people and unhealthy spouses, without support from relatives, and in poor
households. As of 2011, about 12 per cent of the total older population were covered by
this programme, of which 948,111 beneficiaries were from the first category and 123,209
beneficiaries were from the second category (MoLISA 2012).
Figure 2. NDC vs. PAYG DB in terms of financial viability
Source: Giang (2010)
216 Malaysian Journal of Economic Studies Vol. 50 No. 2, 2013
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Given its deficiencies in design and implementation, this scheme has a low coverage
and is therefore not able to tackle old-age poverty as effectively as expected. A number of
studies, such as that of Giang and Wesumperuma (2012), MoLISA (2012) argue three main
issues concerning this scheme.
The first is the scheme’s rather weak mechanism to identify beneficiaries. In Vietnam’s
social protection system, MoLISA staff members at communal level are responsible for
identifying beneficiaries of different social and anti-poverty programmes, including social
allowances for older people. The most important base is the list of the poor. However, a
study by the World Bank (2008) shows that the poverty threshold is generally based on
central and local budget availability, rather than on satisfying demand. In addition, the list
of poor households is updated annually based on households’ income sources and other
characteristics, which are subjective and dependent on the evaluation of local staff.
In addition, some regulations are very restrictive, making it difficult for older people to
comply with the requirements, such as proving their disability (mentally or physically).
The second issue is adequacy of benefit. So far, the minimum transfer benefit is VND
180,000 which is about 40 per cent of the national poverty line. Existing studies, such as
VNCA and GIZ (2013), show that such a benefit level is too low in comparison with the
increasing costs of living.
The third major issue is administrative capacity for outreach, implementation, and
monitoring. While the coverage of Vietnam’s social pension scheme has expanded, the
staff handling its administration remains limited and inappropriately distributed across
areas and regions. In addition, staff usually do not have professional training in social
policy and practice, going by just self-study and experience, leading to inefficiant
management. Also, programme design and implementation are decided by various central
and local government institutions at various stages, and this inevitably blurs the
responsibilities between relevant institutions, which in turn delays policy implementation.
4.2 Policy Options
Recent studies (Weeks et al. 2004; and Giang and Pfau 2009; ILO 2012) indicate that, given
limited funding and administrative capacity, a universal cash transfer would be a cost-
saving scheme in reducing old-age poverty. These studies also emphasise that, given the
same cost, a cash transfer programme for rural older people would be most influential in
poverty reduction.
Table 5 presents micro-simulation results for different social cash transfer programmes
which cost about 0.75 per cent of GDP in 2008. The table shows that it would be most
poverty-mitigating if a cash transfer programme is initiated providing a benefit of 54.9 per
cent of the 2008 official poverty line to old-age persons aged 61 and over living in rural areas
(since it would reduce the poverty gap by 58.3 per cent). Given the same cost, it should be
well noted that there would be a clear trade-off between coverage rate and benefit level.
For the long-term, when the Vietnamese population enters the ‘aged phase’, a universal
social cash transfer to older people will be affordable (Table 6). Assume, the benefit, which
was the same as in 2008 (i.e., 50 per cent of the official poverty line, or about 9.3 per cent of
GDP per capita), is provided to all elderly people with four age thresholds. As the Vietnamese
population ages, more elderly people would be beneficiaries of the cash transfer programme,
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Social Protection for Older People in Vietnam: Role, Challenges and Reform Options
and therefore the fiscal costs would be higher. Table 6 shows, however, that the highest
fiscal costs for a universal cash transfer programme covering all elderly people would be as
high as 2.43 per cent of GDP in 2049. Such a finding is in line with the simulation results for
many other developing countries in UN-DESA (2007).
Category Starting Beneficiaries as Benefit level as % Benefit level as % of % change in
age % of total of poverty line GDP per capita poverty gap
population for the elderly
population
RUR 61 7.4 54.9 10.2 -58.3
RUR 64 6.2 64.8 12.1 -52.3
RUR 67 5.2 77.1 14.3 -46.4
RUR 71 3.8 105.5 19.6 -42.7
RUR 76 2.4 165.9 30.9 -35.5
Table 5. Choices for cash transfer programmes that cost about 0.75 per cent GDP (2008)
Note: Options of cash transfer programmes which cost about 0.75 per cent of GDP in 2008 were many,
such as those for all older people; only for females; only for rural older people. However, only categories
which have the highest impact on poverty indicators (in this case, poverty gap) will be recorded in this
table. All categories in this table are rural (RUR), meaning that, at the same budget at 0.75 per cent of
GDP in 2008, a cash transfer programme for rural older people will be most influential in old-age
poverty reduction.
Source: Own calculations, using VHLSS 2008
Year 2009 2019 2029 2039 2049
Providing benefits to all elderly (aged 60 and over)
Eligible population (as % of total population) 8.7 11.4 16.7 21.4 26.1
Benefit (as % GDP per capita) 9.3 9.3 9.3 9.3 9.3
Fiscal cost (as % of GDP) 0.81 1.06 1.55 1.99 2.43
Providing benefits to all elderly aged 65 and over
Eligible population (as % of total population) 6.4 7.1 11.4 15.6 19.1
Benefit (% GDP per capita) 9.3 9.3 9.3 9.3 9.3
Fiscal cost (as % of GDP) 0.60 0.66 1.06 1.45 1.77
Providing benefits to all elderly aged 70 and over
Eligible population (as % of total population) 4.6 4.3 6.8 10.4 12.9
Benefit (% GDP per capita) 9.3 9.3 9.3 9.3 9.3
Fiscal cost (as % of GDP) 0.43 0.40 0.63 0.96 1.20
Providing benefits to all elderly aged 75 and over
Eligible population (as % of total population) 3.0 2.6 3.5 6.1 8.0
Benefit (% GDP per capita) 9.3 9.3 9.3 9.3 9.3
Fiscal cost (as % of GDP) 0.28 0.25 0.32 0.56 0.75
Table 6. Fiscal costs for universal cash transfer programmes, 2009-2049
Source: Own calculations, using GSO (2011)
218 Malaysian Journal of Economic Studies Vol. 50 No. 2, 2013
Thanh Long Giang
5. Conclusion
Using household data and results from existing studies, this paper argued that the Vietnamese
population has been ageing more quickly than expected, and as such social protection
policies for an ageing population should be formulated without delay. The paper showed
that retirement and social allowances have increasingly reached various groups of old-age
persons, but a number of challenges remain in terms of accessibility and financing, which
occur together. To deal with these issues, the paper argues that Vietnam should transform
the current PAYG DB retirement scheme to a system of individual accounts with an NDC
scheme as a transitional step. At the same time, the current cash transfer programme should
be expanded to cover more older people, especially rural older people as it would have the
greatest impact on reducing old-age poverty.
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... This demographic change engenders important challenges for the economy in terms of the capability of welfare, pension and health care systems in this low-income country. Therefore, how to sufficiently provide health care services for old people is a remarkable concern nowasday in Vietnam (Giang 2013). In this context, insightful understanding of how the decision of health services use among olders and retirees in particular is made is extremely vital to public policy implications related to the design of health care system. ...
... This demographic change engenders important challenges for the economy in terms of the capability of welfare, pension and health care systems in this low-income country. Therefore, how to sufficiently provide health care services for old people is a remarkable concern nowasday in Vietnam ( Giang 2013). In this context, insightful understanding of how the decision of health services use among olders and retirees in particular is made is extremely vital to public policy implications related to the design of health care system. ...
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... This demographic change engenders important challenges for the economy in terms of the capability of welfare, pension and health care systems in this low-income country. Therefore, how to sufficiently provide health care services for old people is a remarkable concern nowasday in Vietnam (Giang 2013). In this context, insightful understanding of how the decision of health services use among olders and retirees in particular is made is extremely vital to public policy implications related to the design of health care system. ...
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Access to medicalservices issignificantlyessential for retaining and improving healthstatusfor aging population. Whilst retired individuals tend to have more time for the use of health services, there isonlyinadequateevidence evaluatingthe causal effect of retirement on health services utilization.To fulfillthisgap inthe literatureespecially from developing countries, this paperestimatesthe causal effect of retirement on the probability and the frequency of doctor visits at public health facilitiesin urban Vietnam. Employingauthorizedretirement ages for both men and womenin Vietnamas instruments for the probabilityto be retired, the paper showsthat retirement significantly increases some outcomes of outpatient health services for both male and female. In particular, the baseline2SLSestimates indicate that men who are retired are more likely to have any outpatient medical visit than those who are not retired by about 36.1%. Meanwhile, retirement rises both the likelihood and the frequency of outpatient visits for female by roughly 31% and 1.75 times respectively.However, this paper findsstatistically insignificant impacts of retirement on utilization outcomes for inpatient services.
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Social protection is generally described to include response from the state and the civil society towards levels of vulnerability, risk and deprivation that a given society deems unacceptable within its social, political and economic normative structures. We can grasp the political and political economy aspects of social protection more clearly through the framework of social contract between the state and its citizens endeavouring to enhance the wellbeing and augment opportunities accessible to all citizens. Thus, social contract helps place social protection under the scope of State policies in order to promote equality and justice. Due to a rapid increase in life expectancy in India after Independence and corresponding demographic changes, number of people considered to be old has increased significantly. Population data suggest that more than 6.5% of the India consists of ‘elderly’ people with about 80 million Indians over the age of 65. A vast majority of such elderly population is living a life of stark loneliness and poverty. They depend on the society and the state and leverage their social capital, for their wellbeing and addressing their vulnerability, risk and deprivation. This chapter analyses the social protection measures undertaken for the ageing population in India after Independence. It is observed that the elderly population of India is faced with a situation of highly inadequate social protection. Only a fraction of them is covered by social assistance pension scheme. Even in case of people receiving social assistance pension, the amount is so unreasonably low that they are unable to meet even their most basic needs through that amount. Barring a small minority of people working in organized sector, working age population of the present will be entering an uncertain future in terms of their wellbeing. Due to lack of awareness and poor incomes they are unable to join contributory (social insurance) pension plans. Even when some of them are able to join such plans, the amounts they are able to save towards their pension are so meagre that their retirement benefits are abysmal. It is, therefore, important that policymakers accord the issue due importance and design suitable measures for addressing the situation. It is recommended that the amount of social assistance pension is stepped up to be equivalent to at least half of the prescribed minimum wages. It is further recommended that the scheme is universalized while excluding the people who are income tax payees or the people who receive pension or any other financial assistance the amount of which is not less than the proposed pension amount under social assistance.
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By using the Vietnam Household Living Standard Survey in 2004, this paper seeks to quantify the potential role and impacts of a social pension scheme for reducing elderly poverty in Vietnam. We simulate how the poverty rate, poverty gap, and poverty severity of the elderly would have been changed in the counterfactual situation that such a scheme had been introduced to Vietnam in the past. We consider a number of categorical targeting groups of elderly people along with various transfer parameters to assess the impacts of the scheme on social welfare. We find that, depending on the characteristics of the social pension, there would be beneficial poverty reductions, but also large leakages to the non-poor people. For a variety of measures, our results suggest that targeting the elderly in rural areas might be the most effective use of limited resources. Also, simulations for different budgetary constraints show that, even with limited budgeting, a social pension scheme would significantly reduce poverty incidence for the elderly. We also find that for a given program cost, combining lower benefits with lower eligibility requirements is more effective at reducing poverty than providing larger benefits to a more limited group of recipients. Published as: Giang, L. T., and W. D. Pfau. “Aging, Poverty, and the Role of Social Pensions in Vietnam,” Development and Change. Vol. 40, No. 2 (March 2009), p. 333-360.
Actuarial Modeling and Estimates for the Retirement Fund in Vietnam
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Social protection in Vietnam
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Vietnam: An Overview on Social Insurance and Social Health Insurance Schemes
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The Macroeconomics of Poverty Reduction: The Case of Vietnam. Hanoi: United Nations Development Programme
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