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3 Mapping Solutions to Universal Health Coverage Inclusive of the Informal Workforce
Pages 43-52

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From page 43...
... Friedman's own perspective from working with corporate clients is that employers have multiple potential roles to play in establishing UHC: for instance, extending coverage through existing formal schemes for their own populations for employees; addressing management efficiency issues in the delivery system; developing funding mechanisms with innovative components; and importantly addressing the issues of stigma in health care. She added that global corporations have an opportunity to address UHC by working through 43
From page 44...
... The corporate sector is investing in ways to better meet the health needs of its employees globally, Friedman said. She added that offering supplemental health insurance is an increasingly popular response to public systems that are increasingly under duress and to employees who FIGURE 3-1  Key business factors supporting global health and wellness strategies.
From page 45...
... Thus, governments contribute to this model by offering tax incentives to employers who offer benefits to their employees. Given escalating health care costs in the United States and the changes that will occur as a result of health care reform, Barber suggested that employers are considering the impact on how they will provide health care coverage to their workers and their families.
From page 46...
... EFFORTS TO MAP THE INFORMAL WORKFORCE AND HEALTH COVERAGE IN LATIN AMERICA Orielle Solar, Latin American Social Sciences Institute, FLACSO Chile1 Understanding the size and characteristics of populations of informal workers as well as their current access to services can help stake­ holders target the workers' health and safety needs. Orielle Solar from the 1  The speaker acknowledges the contributions of the additional members of the research team: Pamela Bernales, Amalia Valdes, Andrew Cardenas, Simon Ramirez, Maria Jose G ­ onzales, Alejandra Vives, Denise Lama, Rodolfo Tagle, and Vicente Alamos.
From page 47...
... NOTE: ILO = International Labour Organization; WHO = World Health Organization; WIEGO = Women in Informal Employment: Globalizing and Organizing. SOURCES: Orielle Solar presentation to workshop, July 29, 2014; elaborated by FLACSO-Chile; data from International Institute for Labour Studies Informality Database, ILO and WIEGO, 2013.
From page 48...
... . The next step of their research program included collecting primary information through qualitative studies on the informal workers' perceptions of access and barriers to access to health care, employment c ­ onditions, and working conditions and health status; and building indicators of informal work and health that are relevant, robust, and comparable between countries.
From page 49...
... To address the barriers on both the demand and supply sides, Solar suggested it may be necessary to extend the labor rights of informal workers and to provide health care options that are not conditional on employment status and recognized the heterogeneity of informal workers.
From page 50...
... • Investment in corporate reputation: Many companies can be per suaded to invest in the health of their local communities if doing so will have positive impacts on their reputation or if inaction or harm to the health of the community will negatively affect the corporate reputation. Marty Chen from Harvard University and Women in Informal Employment: Globalizing and Organizing added to Yach's list the observation that informal workers are also part of the distribution chain, whether they are selling newspapers, soft drinks, or other products.
From page 51...
... Yach added that there is currently an initiative under way to develop corporate health metrics as part of integrated financial and environmental reports and to build that into the reporting structures of the sustainability index, the global reporting initiative. In elaborating on the opportunities for employers to engage in UHC, Paurvi Bhatt suggested that one area ripe for partnership is providing technical assistance to UHC efforts through the application of various tools that corporations have developed, such as insurance models and wellness packages.


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