Annual progress report 2015 albanian contribution – input I september 2014 – may 2015 table of contents
Source: 2011 Roma and Egyptian Social Economic Survey; **INSTAT
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- ANNEX III.19.10: REPORTING ON COMPULSORY HEALTHCARE INSURANCE SCHEME
- ANNEX III.23.1: TRAINING ACTIVITIES DONE DURING THE ACADEMIC YEAR 2014-2015, THE PERIOD NOVEMBER 2014 - APRIL 2015
Source: 2011 Roma and Egyptian Social Economic Survey; **INSTAT, Population of Albania, 2011 ANNEX III.19.6 According to data from the Ministry of Education and Sport, 42 per cent of Roma children 3-6 years old attend pre-school education77. In 2014 about 4,000 Roma and Egyptian children attended preschool education. In the 2014-2015 school years, 4437 Roma pupils are attending compulsory education, of which 1,954 are girls. MES has estimated that during this academic year, 780 Roma and Egyptian (230 Roma and Egyptian 550) attended vocational education and general secondary schools. In 2014-2015, 38 Roma and Egyptian Bachelor university students benefited from scholarships (with no registration fee). In 2014-2015, 26 Roma and Egyptian Bachelor students benefited from the quota, with the exception of the registration fee and 9 for Master studies. 20 quotas are offered to Roma and Egyptian students benefiting 50% of the registration fee while following their master studies. The number of unemployed Roma registered with the National Employment Service offices countrywide is 9,273 (out of 141,286 registered unemployed in total)78, but it is estimated that this number is actually higher. Annually, some 220 Roma are employed through the employment promotion programmes in Albania79 (data about Egyptian beneficiaries is not available). In 2014, the government tripled the Employment Fund, which covers the employment promotion programmes to USD 2.7 million, so outreach to Roma and Egyptian communities will be essential to ensure that they benefit from the available active labour market programmes. Small grants program provided by Ministry of Urban Development to improve the living conditions of the Roma community implemented in 2014, 22 Roma families benefited reconstruction of their houses in Lushnje municipality and 36 flats owned by Roma and Egyptians in Lezha were reconstructed. Based on the Operational Conclusions of the EU-Albania seminar on Roma Inclusion and the National Action Plan for Roma and Egyptian Integration, 2015-2020, the government of Albania will review the existing legislation and amend it in order to ensure the respect for rule of law (including alternative housing and social aid) in cases of eviction of Roma and Egyptians in line with the international guidelines on forced evictions. During the reporting period, the Tufina emergency shelter hosting Roma evicted families has been reconstructed and its living conditions, facilities and services delivered are improved. The Ministry of Social Welfare and Youth has followed closely the latest developments concerning a group of Roma families living in Selite, Tirana, which risk to be evicted due to the constructions of the big ring road of the city. The PM’s office issued a DCM on this particular case based on which every Roma family effected will be supported with two (2) years paid rent by the state. Other measures to prevent and deal with eviction are foreseen in the Social Housing Strategy, which is under development. Currently only Roma and Egyptians who are registered as unemployed, disabled, pregnant or minors can access free healthcare. Those working informally to survive are unable to attend employment programmes offered by the National Employment Service, so they are not registered or deleted from the registry of unemployed workers, thus quickly losing access to health insurance. As a consequence, many Roma and Egyptians do not go through the process of registering as unemployed and cannot access free healthcare services. The Action Plan for Integration of Roma and Egyptians, 2015-2020 envisions stronger outreach activities and assistance for Roma and Egyptians who fall into categories eligible for free healthcare (disabled, pregnant, under 18, registered unemployed) but do not yet have their health card. The Action Plan also envisions the establishment of mobile units of health personnel and the introduction of health mediators (coming from the Roma and Egyptian communities) in order to facilitate outreach and provide healthcare services to the most vulnerable communities. Currently nurses visit new-born babies and doctors visit immobile patients but services to Roma, Egyptians and other inhabitants of isolated areas need to be expanded. During the reporting period, the MSWY in cooperation with UNDP’s SSIREC project trained 60 local government officials in Korce, Berat and Vlore regions on participatory planning and budgeting and they were assisted to develop 4 inter-locals Roma and Egyptian Community Development Plans with active participation of Roma and Egyptian Community members and young professionals. More than 3000 Roma and Egyptian households have benefited from public information campaigns related to available public and social services. A comprehensive training and coaching package related to NGO management, fundraising, financial reporting, human resources management as well as human rights, advocacy and lobbying has been offered to Roma and Egyptian Associations preceded by capacity and training needs assessment. In addition, Roma and Egyptian NGOs were provided with small-grants for implementing 18 local community development initiatives. A manual “100 innovative ideas for self-employment” accompanied with practical guidelines on preparation of business plans was developed and widely disseminated to local Roma and Egyptian youth and other potential beneficiaries in the three regions. The manual was widely embraced and triggered new income-generation ideas and activities amongst Roma and Egyptians. This led to transforming the employment profile of Roma and Egyptian individuals from passive service beneficiaries to active participants. An intensive public awareness and advocacy campaign has been implemented featuring the Goodwill Ambassadors for Cultural Diversity and Roma and Egyptian role models. Also, a training manual for reporters on minority issues with a focus on Roma and Egyptian Communities was produced and widely disseminated among young reporters. Reporters enhanced their skills on fair and ethical reporting on cultural diversity and social inclusion. To advance social inclusion and respect for cultural diversity, several documentaries have been produced such as “Equal in Diversity”, and “When Dreams Become Reality The National Strategy for Gender Equality and Reduction of Gender Based and Domestic Violence is highly relevant for the integration of Roma and Egyptian communities as it outlined measures for promoting “equal participation of women and girls, and men and boys in the social, economic, and political life of the country, as well as equal opportunities for them to enjoy all their rights and to place their individual potential at the service of the society”80. It also defined a framework for protection of victims of domestic violence. Inter alia¸ the Strategy recognized the position of Roma and Egyptian women who are unemployed and seek new opportunities, possibly in the form of social enterprise or vocational education programs. Established and functioning by the Prime Minister Order No. 230/2013 "On the functioning of the National Council for Gender Equality". Pursuant to the Regulation of this Council and gender equality priorities, there are organized during 2014 two regular meetings, respectively: on the International Women's Day and the national campaign for the 16 days being active involved against women violence (2nd meeting held on 24.11.2014). In the two meetings were discussed the Albanian Government priorities for gender equality issues and the fight against domestic violence; the civil society cooperation and support; issues of gender budgeting; the role of civil servant involved in gender equality issues in every ministry; presentation of two national reports Beijing + 20 and CEDAW IV Report and the presentation of the Plan for Men and Boys. The tasks and recommendations have to be followed up by MSWY and the Secretariat that prepares the relevant reports. National Strategy for Employment and Training 2014-2020 enables the government to foster decent job opportunities, offer quality vocational education and training, promote social inclusion and territorial cohesion, and strengthen the governance of labour market and qualification systems81. Support to unemployed women is one of the most important employment promotion programmes. Under this programme, employers providing employment to marginalized female job seekers for at least one year receive 100 per cent of the minimum wage for four months and 70 per cent of their part of social insurance contributions. In the case of two-year contracts, employers received the minimum wage for six months and 85 per cent of their part of social insurance contributions. Similarly, in the case of three-year contracts, employers received the minimum wage for four months and 100 per cent of their part of social insurance contributions. Based on official statistics of the National Employment Service, in 2014 there were 9.469 Roma persons registered as unemployed job seekers, of which 4.773 are women. Annually, some 220 Roma are employed through the employment promotion programmes82 In 2014, the government tripled the Employment Fund which covers the employment promotion programmes to USD 2.7 million, so outreach to Roma and Egyptian communities, especially women will be essential to ensure that they benefit from the available active labour market programmes. ANNEX III.19.7
ANNEX III.19.8 Acts adopted in the field of Social Protection for the period September 2014: 1. Law no. 163/2014 dated 04.12.2014 "On the Order of Social Workers in the Republic of Albania". 2. Decision No. 838 dated 03.12.2014 "On some amendments to the Decision no. 904, dated 12.12.2012, "On defining the criteria, procedures and documentation for economic assistance in the pilot areas", as amended. 3. Decision no. 837, dated 03.12.2014 "On recognition of sign language in the Republic of Albania". 4. Decision no. 582, dated 09.10.2014 "For anamendment in decision no. 846, dated 09.27.2013 for the transferring on management responsibilities, from the defense ministry to the ministry of social welfare and youth, some objects and functional land, part of the property no. 84, with the label "former chemistry regiment ", located in Shish –Tufinë area In Tirana, and for an amendment in Decision no. 515 dated 18.7.2003 of the Council of Ministers' approval of the inventory list of state immovable property which is transferred to the defense ministry administration responsibility ", as amended. 5. Decision no. 840, dated 03.12.2014 "On amendments and additions to the Decision no. 114, dated 31.01.2007 "For the purpose of determining the contributions of persons placed in public residential institutions of social care services". 6. Decision no. 839, dated 03.12.2014 "On some amendments to the Decision no. 425, dated 27.06.2012 "On defining the criteria and documentation necessary for the admission of persons in public and private residential social care institutions ". 7. Decision no. 250 dated 03.18.2015 "On some amendments to the Decision no. 850, dated 15.12.2006, to transfer ownership, some municipalities, the properties, which are the responsibility of the directorate general administration of the state social service and for some amendments to the Decision no. 60, dated 01.02.2006, the Council of Ministers "On approval of the inventory list of state immovable properties, which exceed the responsibility of the State Social Service Administration". 8. Instruction No. 16, dated 11.05.2014 “On some additions and amendments to Instruction No. 338/3 on the implementation of Decision No. 787 dated 14.12.2005 "On defining the criteria, procedures and measures of economic assistance", as amended. 9. Instruction No. 12, dated 29.09.2014 “On the implementation of the Decision No. 31 "On the status of disability benefits, paraplegic and quadriplegic"as amended. 10. Instruction No. 13 dated 09.29.2014 “On the implementation of Decision no. 618 "On defining the criteria, documentation and amount of benefit to persons with disabilities", as amended.
11. Instruction No. 14 dated 09.29.2014 “On the implementation of Decision 277 "for benefits from the status of the blind" amended. 12. Common Instruction of the Minister of Social Welfare and Youth, Minister of Finance and Minister of Energy and Industry no. 1, dated 02.02.2015, "On the implementation of the Decision no. 8, dated 01.14.2015 of the Council of Ministers for the protection of vulnerable groups removing protective threshold up to 300 kWh for the billing of electricity price. 13. Instruction No. 8, dated 25.02.2014 "For the planning of funds for economic assistance". 14. Instruction No. 7, dated 25.02.2015 “On the amendment of the Instruction No. 3, dated 03.10.2014 "On the planning of funds for disability payments". 15. Instruction No. 9, dated 25.02.2014 "On the implementation of Decision No. 404, dated 20.06.2012 of the Council of Ministers" For the purpose of determining the criteria and procedures to obtain financial compensation from persons with status of the blind and disabled, paraplegics and quadriplegics, the electricity bill and land line phone bill ". 16. Instruction no. 11, dated 03.09.2015 "On the implementation of DCM. 89 dated 26.01.2012 "On defining the criteria, documentation and procedures in foster care service". ANNEX III.19.9 The realization of the social security reforms requires the following measures to be taken:
ANNEX III.19.10: REPORTING ON COMPULSORY HEALTHCARE INSURANCE SCHEME Law no. 141/2014, dated 23.10.2014, "On some amendments to Law no. 10383, dated 24.02.2011, ‘On compulsory health insurance scheme in the Republic of Albania’, as amended". (Published in the Official Gazette of the Republic of Albania, No. 175, dated 18 November 2014). Changes made to the law were mostly intended at the expansion of social protection by including even the category of the trafficked victims into the compulsory insurance and that the Compulsory Health Insurance Fund finance health service packages provided by health service providers (hospitals) abroad. In this way, the government targetsto enhance the health services quality delivered to the population shall be executed. In continuation of the work for drafting of bylaws pursuant to Law no. 10383, dated 24.02.2011, "On compulsory health insurance scheme in the Republic of Albania", as amended, the Compulsory Health Insurance Fund has contributed to the adoption of thesebylaws: Decision no. 77, dated 28.01.2015, "On compulsory contributions and the benefits from social security and health insurance system." (Published in the Official Gazette of the Republic of Albania, No. 9, dated 3 February 2015). Council of Ministers Decision no. 737, dated 05.11.2014, "On the financing of public health services of primary health care from mandatory health care insurance scheme." (Published in the Official Gazette of the Republic of Albania No. 173, dated 13 November 2014). The target of this decision is to establish some new rules for the organization, operation and financing of the Health Centres. Adopted DCM aims to simplify the way of health centres operation by clearly separating government from funding. Accountability is improved and clarified in this way. The decision specifies new ways of how the Compulsory Health Insurance Fund provides financing and it sets out thatthe primary health care services are defined by the ministry responsible for health, the objective of which is the addition of new elements in the basic package of health services, for which the health centres are contracted. CMD no. 932, dated 29.12.2014, "On the financing of hospital health services from compulsory health care insurance scheme for 2015". (Published in the Official Gazette of the Republic of Albania, No. 200 dated 31 December 2014). The adopted decision aims at hospital care funding for 2015 and intends to meet the needs of hospital services with the respective budget, funding of hospital health service packages at public and private health institutions, the prices of which are approved by the Council of Ministers Decision, health care at non-public institutions at home and abroad, according to case-by-case approval by the Council of Ministers Decision, as well as involvement in the financing of all packages of services covered by health insurance scheme as provided for in the law. Council of Ministers Decision no. 955, dated 29.12.2014,"On the determination of those insured personscategories that are exempted from health services direct payments". (Published in the Official Gazette of the Republic of Albania,No. 214, dated 21 January 2015). The adopted DCM specifies briefly those categories, which receive benefits from health insurance scheme on free of charge basis. The group of children from 0 to 18 years old, the disabled, veterans, orphans and those who enjoy the status of ex-convicts and persecuted are included at the categories which are specifically patronized. The act provides for exemption from co-payments of reimbursable drugs some categories such as pensioners, detainees and prisoners, asylum seekers and victims of trafficking, which were recently added to the scheme. Council of Ministers Decision no. 101, dated 04.02.2015, "On approval of health services package at public primary health care, which is financed by Compulsory Health Insurance Fund".(Published in the Official Gazette of the Republic of Albania,No. 16, dated 12 February 2015). This decision comes in the framework of the implementation of the respective basic law which refers to the health services packages approved by the Government. Previous packages approved by order of the Minister of Health, in 2009, presented the need for changes or additions that reflect the growth of health services in primary care and their quality. Important chapters are those related to child care, women and reproductive health. In this context, the legal and regulatory basisaffecting mainly the primary health care institutions is updated. Reporting on the National Health Card Compulsory Health Insurance Fund has started on December 31, 2014 the process of distributing the Health Card. The health cards are already distributed into 43 (forty-three) counters, out of which 10 (ten) are located in Tirana. About 60 (sixty) thousand health cards, which are gradually replacing the health booklets are distributed so far. The process of the Health Cards distribution is spread throughout the Republic of Albania. ANNEX III.23.1: TRAINING ACTIVITIES DONE DURING THE ACADEMIC YEAR 2014-2015, THE PERIOD NOVEMBER 2014 - APRIL 2015
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