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Repetition The Committee notes the observations made by the Confederation of Public and Private Sector Workers (CTSP), received on 31 August 2016, by which it reiterated most of the issues raised previously, indicating that, even though some state efforts to increase the coverage of the insurance have been visible, these were focused on the capital city, leaving apart the people living in rural areas. The Committee notes that on 15 September 2015 the Confederation of Public and Private Sector Workers (CTSP) provided its observations concerning the application of the Conventions under examination. The CTSP indicates that the affiliation of employers to the Employment Injury, Sickness and Maternity Insurance Office (OFATMA), although a legal obligation, is a reality in practice for less than 5 per cent of workers. In the specific case of agricultural workers, the CTSP considers that it is necessary to take urgent measures to extend effective coverage by the OFATMA, as they represent the majority of workers in the country and produce 30 per cent of the gross domestic product, and yet they remain without any social protection. The Committee is fully aware that the Government indicated in its last report that the Act of 28 August 1967, establishing the OFATMA, covers all dependent workers irrespective of their sector of activity, but that the absence of formal agricultural enterprises means that most agricultural workers are engaged in family subsistence agriculture and are excluded from the scope of the social security legislation. Nevertheless, the Committee observes that the application of the existing legislation appears to give rise to difficulties, even with regard to workers in the formal economy. Moreover, the sickness insurance scheme has never been established, even though the Government has indicated that it is pursuing its efforts to establish progressively a sickness insurance branch covering the whole of the population and to enable OFATMA to regain the trust of the population. With a view to better assessing the challenges facing the country in the application of the social security Conventions and providing better support for the initiatives taken in this respect, the Committee requests the Government to provide further information in its next report concerning the functioning of the employment injury scheme administered by OFATMA (numbers covered, amount of contributions collected annually, number of employment accidents and occupational diseases recorded, amount of benefits paid for employment injury). Please include information on strategies for increasing participation in and utilization of OFATMA services by the eligible populations. International assistance. The Committee notes that the Government is receiving substantial support from the ILO and the international community, particularly in the field of labour inspection. Moreover, since 2010, the ILO and the United Nations system as a whole have made available to the Government their expertise for the establishment of a social protection floor. The Committee considers that it is necessary for the Government to envisage as a priority the establishment of mechanisms to provide the population as a whole, including informal workers and their families, with access to essential health care and a minimum income when their earnings capacity is affected as a result of sickness, employment accident or occupational disease. In this regard, the International Labour Conference adopted the Social Protection Floors Recommendation (No. 202) in 2012, with a view to the establishment of basic social security guarantees to prevent and alleviate poverty, vulnerability and social exclusion. In this connection, the implementation of Conventions and of Recommendation No. 202 should continue in parallel, seeking and exploiting synergies and complementarity. The Committee recalls that the establishment of a social protection floor was included by the Haitian Government as one of the elements of the Action Plan for National Recovery and Development of Haiti, adopted in March 2010. However, the Government has not yet provided any information on the measures adopted to achieve this objective. The Committee notes, among other matters, the conclusion in 2010 of a national programme for the promotion of decent work which includes an item dedicated to the establishment of the social protection system under the social security Conventions ratified by Haiti. Conclusions and recommendations of the Standards Review Mechanism. The Committee notes that, at its 328th Session in October 2016, the Governing Body of the ILO adopted the conclusions and recommendations formulated by the Standards Review Mechanism Tripartite Working Group (SRM TWG), recalling that Conventions Nos 17, 24, 25 and 42 to which Haiti is party are outdated and charging the Office with follow-up work aimed at encouraging States party only to these Conventions to ratify the following instruments as they represent the most up-to-date standards: – As regards employment injury: the Employment Injury Benefits Convention, 1964 [Schedule I amended in 1980] (No. 121) and/or the Social Security (Minimum Standards) Convention, 1952 (No. 102) and accept the obligations in its Part VI. – As regards medical care and sickness benefit: the Medical Care and Sickness Benefits Convention, 1969 (No. 130) and/or the Social Security (Minimum Standards) Convention, 1952 (No. 102), and accept the obligations in its Parts II and III.
Repetition The Committee notes that on 15 September 2015 the Confederation of Public and Private Sector Workers (CTSP) provided its observations concerning the application of the Convention under examination. The CTSP indicates that the affiliation of employers to the Employment Injury, Sickness and Maternity Insurance Office (OFATMA), although a legal obligation, is a reality in practice for less than 5 per cent of workers. In the specific case of agricultural workers, the CTSP considers that it is necessary to take urgent measures to extend effective coverage by the OFATMA, as they represent the majority of workers in the country and produce 30 per cent of the gross domestic product, and yet they remain without any social protection. The Committee is fully aware that the Government indicated in its last report that the Act of 28 August 1967, establishing the OFATMA, covers all dependent workers irrespective of their sector of activity, but that the absence of formal agricultural enterprises means that most agricultural workers are engaged in family subsistence agriculture and are excluded from the scope of the social security legislation. Nevertheless, the Committee observes that the application of the existing legislation appears to give rise to difficulties, even with regard to workers in the formal economy. Moreover, the sickness insurance scheme has never been established, even though the Government has indicated that it is pursuing its efforts to establish progressively a sickness insurance branch covering the whole of the population and to enable OFATMA to regain the trust of the population. With a view to better assessing the challenges facing the country in the application of the social security Conventions and providing better support for the initiatives taken in this respect, the Committee requests the Government to provide further information in its next report concerning the functioning of the employment injury scheme administered by OFATMA (numbers covered, amount of contributions collected annually, number of employment accidents and occupational diseases recorded, amount of benefits paid for employment injury). Please include information on strategies for increasing participation in and utilization of OFATMA services by the eligible populations. International assistance. The Committee notes that the Government is receiving substantial support from the ILO and the international community, particularly in the field of labour inspection. Moreover, since 2010, the ILO and the United Nations system as a whole have made available to the Government their expertise for the establishment of a social protection floor. The Committee considers that it is necessary for the Government to envisage as a priority the establishment of mechanisms to provide the population as a whole, including informal workers and their families, with access to essential health care and a minimum income when their earnings capacity is affected as a result of sickness, employment accident or occupational disease. In this regard, the International Labour Conference adopted the Social Protection Floors Recommendation (No. 202) in 2012, with a view to the establishment of basic social security guarantees to prevent and alleviate poverty, vulnerability and social exclusion. In this connection, the implementation of Conventions and of Recommendation No. 202 should continue in parallel, seeking and exploiting synergies and complementarity. The Committee recalls that the establishment of a social protection floor was included by the Haitian Government as one of the elements of the Action Plan for National Recovery and Development of Haiti, adopted in March 2010. However, the Government has not yet provided any information on the measures adopted to achieve this objective. The Committee notes, among other matters, the conclusion in 2010 of a national programme for the promotion of decent work which includes an item dedicated to the establishment of the social protection system under the social security Conventions ratified by Haiti. Recalling that the Office’s technical assistance, coordinated with that of the United Nations system as a whole, has been made available to the Government, the Committee invites the Government to provide information on this subject in its next report.
Repetition General situation. According to the Government’s report, the Act of 28 August 1967 establishing the Employment Injury, Sickness and Maternity Insurance Office (OFATMA) covers all dependent workers, regardless of the sector of activity. With regard to the agricultural sector, the report specifies that, while agricultural workers are not excluded by the Act, they cannot benefit because of the predominance of family farming and the absence of agricultural enterprises. The Committee also notes that over 95 per cent of the active population in Haiti is engaged in the informal economy. The Committee also notes that under the 1967 Act, the OFATMA currently manages employment injury insurance, but that it has still not been possible to set up a sickness insurance scheme.In this context, the initiatives indicated by the Government mainly address the training of labour inspectors and the construction of two hospitals in the north and south of the country. The Committee also notes the Government’s statements that it plans to continue its efforts, on one hand to progressively establish a sickness insurance branch covering the population as a whole and, on the other to enable the OFATMA to regain the trust of the population. The Committee takes due note of these points. In order to better assess the challenges facing the country in the application of the social security Conventions and support the initiatives taken in this regard more effectively, the Committee requests the Government to provide further information in its next report on the reasons for the population’s loss of trust in the OFATMA, and to provide key figures on the operation of the employment injury insurance scheme administered by the OFATMA (numbers covered, amount of contributions collected annually, number of employment accidents and occupational diseases recorded, amount of benefits paid for employment injury).International assistance. The Committee notes that the Government’s actions receive substantial support from the ILO and the international community, particularly in terms of labour inspection. In addition, since 2010, the ILO and the whole of the United Nations system have made available to the Government their expertise for the establishment of a social protection floor. The Committee also notes that Better Work, a joint ILO and International Finance Cooperation programme, operating in the textile sector in Haiti with a view to improving both working conditions and productivity, has noted that the failure to pay social security employment injury and old-age pension contributions was a widespread phenomenon in the textile industry and it prioritized this issue. Through targeted actions and, in particular, the organization of information meetings of the National Old-age Insurance Office (ONA) in the enterprises concerned, Better Work, in its biannual report of October 2012, noted a significant improvement in the payment of social security contributions to the ONA and the OFATMA. The Committee invites the Ministry of Labour and the OFATMA to take these targeted actions regarding contributions into consideration with a view, where appropriate, to their replication in other sectors of the formal economy in Haiti.Regarding the establishment of a social protection floor, the Committee considers that it is necessary for the Government to envisage as a priority establishing mechanisms to provide the population as a whole, including informal workers and their families, with access to essential health care and a minimum income when their earnings capacity is affected. In this respect, the Committee emphasizes that, in order to provide guidance to States where the social security systems are facing difficulties in light of the national economic and social situation and to guarantee respect for the right of everyone to social security, the International Labour Conference adopted the Social Protection Floors Recommendation, 2012 (No. 202), with a view to the establishment of all the basic social security guarantees to prevent and alleviate poverty, vulnerability and social exclusion. In this connection, the implementation of Conventions Nos 12, 17, 24, 25 and 42 and of Recommendation No. 202 should continue in parallel, seeking and exploiting synergies and complementarity.The Committee recalls in this regard that the establishment of a social protection floor has been included by the Haitian Government as one of the elements of the Action Plan for National Recovery and Development of Haiti, adopted in March 2010. However, since then this objective appears not to have led to the development of a national policy on the subject. Recalling that the Office’s technical assistance, coordinated with that of the United Nations system as a whole, has been made available to the Government, the Committee invites it to provide information in its next report on the initiatives taken with a view to establishing a social protection floor.
The Committee notes that, with a view to strengthening the capacities of the social security bodies, in particular those of the Occupational Accidents, Sickness and Maternity Insurance Office (OFATMA), the Ministry of Social Affairs has organized a discussion forum gathering together the directors of the social security bodies. The deliberations of this forum have highlighted the weaknesses of the social security institutions and identified different ways to enable them to fulfil their mission properly. The country does not currently have a sickness insurance system which allows the needs of workers in industry and the agricultural sector to be guaranteed, as the Act promulgated to give effect to the Convention is not yet in force. The matter is, however, in the process of being examined, in collaboration with the Office, with a view to assessing the feasibility of establishing a national social security system in the future covering the entire population, both the formal and informal sectors and the unemployed. The Committee welcomes the Government’s efforts and invites it to keep it informed of the establishment and implementation of a sickness insurance branch within the social security system and any difficulties that might be encountered in practice.
The Committee notes that the Government’s report has not been received. It must therefore repeat its previous observation, which read as follows:
The Committee notes the report provided by the Government in which it refers to certain measures taken to improve the functioning of the Insurance Office for Occupational Injury, Sickness and Maternity (OFATMA) and requests the technical assistance of the Office to assist in the establishment of a sickness insurance system. The Committee notes this request and recalls that the Office already carried out a certain number of activities in the country between 2000 and 2002, one of the aims of which was to support the Government in order to extend social protection to cover excluded groups and to organize training workshops linked to the promotion of various micro-insurance systems. The Committee hopes that the Office will continue to provide technical assistance in order to contribute to the establishment in the country of an operational sickness insurance system and gradually to help guarantee that the needs of the workers in the industry and agriculture sectors are adequately met.
The Committee hopes that the Government will make every effort to take the necessary action in the very near future.
The Committee notes with regret that the Government’s report has not been received. It must therefore repeat its previous observation, which read as follows:
The Committee notes the comments on the application of the Convention communicated by the Trade Union Federation of Haiti, which were forwarded to the Government in October 2002. These observations concern the operational difficulties of the Insurance Office for Occupational Injury, Sickness and Maternity (OFATMA). It hopes that a report will be provided for examination at its next session and that it will include information on the measures which have been taken or are envisaged with a view to the progressive establishment of a general sickness insurance system fulfilling the requirements of the Convention. In this respect, the Committee reminds the Government of the possibility of having recourse to the technical assistance of the International Labour Office.
The Committee notes with regret that the Government’s report has not been received. It must therefore repeat its previous observation which read as follows:
The Committee notes the comments on the application of the Convention communicated by the Trade Union Federation of Haiti, which were forwarded to the Government in October 2002. These observations concern the operational difficulties of the Insurance Office for Occupational Injury, Sickness and Maternity (OFATMA). It hopes that a report will be provided for examination at its next session and that it will include information on the measures which have been taken or are envisaged with a view to the progressive establishment of a general sickness insurance system fulfilling the requirements of the Convention. In this respect, the Committee reminds the Government of the possibility of having recourse to the technical assistance of the International Labour Office. The Committee hopes that the Government will make every effort to take the necessary action in the very near future.
[The Government is asked to report in detail in 2004.]
The Committee notes the comments on the application of the Convention communicated by the Trade Union Federation of Haiti, which were forwarded to the Government in October 2002. These observations concern the operational difficulties of the Insurance Office for Occupational Injury, Sickness and Maternity (OFATMA). The Committee also notes with regret that the Government’s report has not been received. It hopes that a report will be provided for examination at its next session and that it will include information on the measures which have been taken or are envisaged with a view to the progressive establishment of a general sickness insurance system fulfilling the requirements of the Convention. In this respect, the Committee reminds the Government of the possibility of having recourse to the technical assistance of the International Labour Office.
[The Government is asked to report in detail in 2003.]
Further to previous comments, the Government states in its report that an Office for Work Injury, Sickness and Maternity (OFATMA) had been created to establish a social security regime, but that its success to date has been limited due to socio-economic problems in the country. However, the Government is in the process of taking measures to improve the operation of the OFATMA. The Committee notes this information. It hopes that the Government’s next report will contain information on the progress made toward the adoption of a sickness insurance scheme which will conform to the requirements of the Convention. The Committee suggests that the Government request the International Labour Office to resume technical assistance.
The Committee notes that the Government’s report has not been received. It must therefore repeat its previous observation which reads as follows:
Further to previous comments, the Government states in its report that an Office for Work Injury, Sickness and Maternity (OFATMA) had been created to establish a social security regime, but that its success to date has been limited due to socio-economic problems in the country. However, the Government is in the process of taking measures to improve the operation of the OFATMA. The Committee notes this information. It hopes that the Government's next report will contain information on the progress made toward the adoption of a sickness insurance scheme which will conform to the requirements of the Convention. The Committee suggests that the Government request the International Labour Office to resume technical assistance.
Further to previous comments, the Government states in its report that an Office for Work Injury, Sickness and Maternity (OFATMA) had been created to establish a social security regime, but that its success to date has been limited due to socio-economic problems in the country. However, the Government is in the process of taking measures to improve the operation of the OFATMA. The Committee notes this information. It hopes that the Government's next report will contain information on the progress made toward the adoption of a sickness insurance scheme which will conform to the requirements of the Convention. In view of the political changes which have occurred in the country, the Committee suggests that the Government request the International Labour Office to resume technical assistance.
With reference to its previous comments, the Committee notes that the Government's report has not been received. It therefore hopes that a report will be supplied for examination at its next session and that it will contain information on the measures taken or contemplated, with the assistance of the ILO, if need be, to progressively set up a system of general sickness insurance, in accordance with the Convention.
With reference to its previous comments, the Committee notes with regret that for the second consecutive time, the Government's report has not been received. It therefore hopes that a report will be supplied for examination at its next session and that it will contain information on the measures taken or contemplated, with the assistance of the ILO, if need be, to progressively set up a system of general sickness insurance, in accordance with the Convention.
With reference to its previous comments, the Committee notes in particular that, following the adoption of the Decree to institute the National Protection and Social Security Office, published in Le Moniteur on 11 January 1990, the evaluation report and recommendations concerning the application of a social security scheme, prepared in the context of the technical assistance mission carried out by the ILO in 1988 have been revised and updated. In this respect, the Committee notes with interest that the Government has requested the technical assistance of the ILO, particularly with regard to sickness insurance. The Committee therefore hopes that this assistance will be provided when circumstances permit and that, with the assistance of the ILO, the Government will be able to progressively set up a system of general sickness insurance, in accordance with the Convention. It requests the Government to report any progress achieved in this respect.
The Committee notes the text of the Decree to institute the National Protection and Social Security Office, issued in Le Moniteur on 11 January 1990 and transmitted by the Government. It also notes the information supplied by the Government in its report to the effect that this Decree should make it possible to restructure the insurance system and that a prerequisite for this restructuring is the installation of the new Government.
The Committee therefore once again hopes that, with the technical assistance of the ILO, the Government will be in a position to implement progressively the general sickness insurance scheme in compliance with the Convention. It requests the Government to indicate all progress made in this respect.
[The Government is asked to report in detail for the period ending 30 June 1992.]
Referring to its earlier comments, the Committee notes that the Government is in the process of studying the recommendations formulated during the technical assistance mission carried out by the ILO in 1988, namely: the priority to be accorded to maternity insurance; measures to be taken in respect of occupational diseases; the progressive extension of sickness insurance to the agricultural sector. Consequently, the Committee can only once again express the hope that, with the technical assistance of the ILO, the Government will be in a position to implement progressively the general sickness insurance scheme in compliance with the Convention. It requests the Government to indicate all progress made in this respect.