Escolar Documentos
Profissional Documentos
Cultura Documentos
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This National Human Development Report Ukraine: Towards Social Inclusion calls attention to the specifics and the roots
of social exclusion in Ukraine, identifies socially excluded groups and proposes a range of recommendations in support to
the Government for the development of policies and programmes to address the current barriers to social inclusion for all.
The Report investigates the issue of social inclusion from a human development perspective, treating both concepts social
inclusion and human development as mutually complementary and reinforcing. The key drivers of social exclusion are
examined across core domains of peoples life: political, cultural, economic and social. The Report also provides an account
of individual experiences of exclusion that demonstrate the magnitude and severity of the challenges vulnerable individuals
face. It also introduces a novel methodology to assess the multidimensional aspects of social exclusion to allow for the effective prioritization and targeting of social inclusion policies.
This Report is one of a series of National Reports in the region dedicated to the subject of social inclusion, developed within
the framework of the Regional Human Development Report, Beyond Transition Towards Inclusive Societies.
For over 20 years since 1990 UNDP has published annual Global Human Development Reports, examining the development trends of most UN member states. In addition, more than 600 National Human Development Reports in 140 countries
and a number of Regional Human Development Reports have been produced during this time. In 1995, Ukraine was the
first post-Soviet country to publish a National Human Development Report. Since then, eight National Reports have been
produced, providing a vision of human development trends in Ukraine.
The Report is an independent publication of UNDP in Ukraine, prepared in close cooperation with national and international
experts. The views, conclusions and recommendations are those of the authors and compilers of this document and do not
necessarily represent the views of UNDP.
The UN Development Programme is the UNs global development network, advocating for change and
connecting countries to knowledge, experience and resources to help people build a better life. We are on
the ground in 176 countries, working with them on their own solutions to global and national development
challenges. As they develop local capacity, they draw on the people of UNDP and our wide range of partners.
Since 1993, UNDP has been committed to helping Ukraine on its way to better living standards, prosperity
and democracy. We are bringing best international practices to help the government, local authorities and
communities to overcome human development challenges and implement effective policies in Ukraine. In
cooperation with our partners, we support initiatives that work to reduce poverty and improve quality and
access to basic social services. UNDP helps in further development of democratic governance, reforming state
institutions, protecting the environment, empowering women to play a more active role in decision-making
and guaranteeing effective local development. In its activities, UNDP ensures a balance between policy and
advocacy work, capacity building activities and pilot projects.
More information about UNDP-led activities in Ukraine is available at www.undp.org.ua
ISBN 978-966-2153-61-3
Copyright 2011
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Foreword
Social exclusion has many faces. And it can happen to anyone. It can be: a child with
a disability who cannot go to school and socialize because there are no ramps or
elevators in the building; a young man with HIV who cannot find friends because of
fear and stigma; orphans who lack basic life skills and often do not even know how
to cook a simple dish or wash clothes; a woman in her fifties who faces discrimination from an employer because of her age; a single mother whose working day is
stretched from dawn to midnight that leaves her with no time for herself. There
are countless examples of social exclusion.
This National Human Development Report examines issues of social exclusion and
its relation human development in Ukraine. It advocates that everyone should have
the opportunity to live a long and healthy life, be educated and be free to use their
knowledge and talents to shape their own destiny. High levels of human development cannot be achieved when individuals and groups are excluded socially and
face barriers to their participation in the economic, social, cultural and political life.
The National Report is part of a regional initiative that examines economic exclusion, exclusion from social services and exclusion from civic and social networks
in Europe and Central Asia. In the same manner as the Regional Human Development Report Beyond Transition Towards Inclusive Societies, this document
considers human development as the ultimate goal, and strategies and interventions promoting social inclusion as the means for achieving it.
In addition to providing solid research and analysis based on statistical and qualitative data, this Report makes it possible to see the perspectives of those who are
excluded.
The Government of Ukraine has expressed its commitment to building a modern,
stable, open and competitive economy, to reforming the countrys public administration, to address all its citizens needs and raise the nations welfare. This commitment and its actual realization are critically important to address the exclusion of
some individuals and groups from the economic, social, cultural and political life.
The Report provides specific recommendations on how to promote social inclusion and human development. We hope it will contribute to public debate and
will attract the attention of policy-makers, think-tanks, the private sector and civil
society to these important issues for achieving human development.
Ricarda Rieger
Country Director
United Nations Development Programme in Ukraine
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Abbreviations
AIDS
ARC
CIS
CSO
EC
EU
GDP
GII
GNI
HBS
HDI
HDR
HIV
HPI
HRW
IHDI
ILO
MDG
MPI
NGO
OECD
PPP
PSEI
UN
UNAT
UNDP
UNESCO
UNICEF
UNFPA
WHO
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Table of Contents
Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CHAPTER 1
Human Development, Social Exclusion and Social Inclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
1.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
1.2 Human Development Concept and Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
1.3 Defining Social Exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
1.4 Defining Social Inclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
1.5 Relationship between Human Development and Social Exclusion
and Social Inclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
1.6 Social Exclusion in Ukraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
CHAPTER 2
Exclusion from Political Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
2.1 The Democratic Transition and Participation of the Population in Political Life . . . . . . . 33
2.2 Exclusion from Political Life Faced by Certain Groups of the Population . . . . . . . . . . . . . 39
Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
CHAPTER 3
Exclusion from Cultural Life and Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
3.1 Exclusion from Cultural Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
3.1 Exclusion from Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
CHAPTER 4
Exclusion from Economic Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
4.1 Exclusion from the Labour Market . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
4.2 Exclusion due to Low Income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
4.3 Exclusion due to Poor Housing Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
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CHAPTER 5
Exclusion from Health Care and Social Protection Systems,
Social Networks and Means of Communication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77
5.1 Exclusion from the Health Care System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
5.2 Exclusion from the Social Protection System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
5.3 Exclusion from Social Networks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
5.4 Exclusion from Means of Communication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
CHAPTER 6
Multidimensional Aspects of Social Exclusion in Ukraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95
6.1 Assessment of Acute Social Exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
6.2 Assessment of Critical Social Exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101
CHAPTER 7
Conclusions and Policy Recommendations for the Social Inclusion of All . . . . . . . . . . . . . . . . 103
7.1 Overcoming Exclusion from Political Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104
7.2 Overcoming Exclusion from Cultural Life and Education . . . . . . . . . . . . . . . . . . . . . . . . . . .104
7.3 Overcoming Exclusion from Economic Life. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105
7.4 Overcoming Exclusion from the Health Care System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107
7.5 Overcoming Exclusion from the Social Protection System . . . . . . . . . . . . . . . . . . . . . . . . . .107
7.6 Overcoming Social Exclusion of Certain Groups of Population. . . . . . . . . . . . . . . . . . . . . .108
REFERENCES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113
ANNEXES
Calculating the Human Development Indices: Graphic Presentation . . . . . . . . . . . . . . . . . . . .119
Calculating the Human Development Index: Technical Note . . . . . . . . . . . . . . . . . . . . . . . . . . . .121
Share of Excluded Households of Ukraine by Characteristic (%). . . . . . . . . . . . . . . . . . . . . . . . . .123
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LIST OF FIGURES
3.1 Number of Places in Pre-school Educational Institutions and Number
of Children, 19912010 (thousands). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
4.1 Unemployment Levels by Age, 2010 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
4.2 Distribution of the Unemployed by Way of Finding Job, 2010 (%) . . . . . . . . . . . . . . . . . . . 60
4.3 Level of Forced Part-Time Employment, 19952010 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
4.4 Distribution of Employed People by Duration of Service at Current
Workplace, 2009 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
4.5 Representation of Women within Authorities by Category, 2010 (%). . . . . . . . . . . . . . . . . 65
4.6 Gender and Age Pyramid of the Excluded due to Low Income, 2008 (%) . . . . . . . . . . . . 66
4.7 Share of Excluded Households due to Low Income by Number of Children, 2008 (%). . 67
4.8 Risks of Exclusion of Childless Households due to Low Income
against the Average, 2008 (times) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
4.9 Share of Households Excluded due to Low Income, by Status in the
Labour Market, 2008 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
4.10 Risk of Exclusion due to Low Income against the Average by
Presence and Number of People with Higher Education, 2008 (times) . . . . . . . . . . . . . . . 69
4.11 Risks of Excluded due to Low Income against the Average by
Educational Level of the Household Head, 2008 (times) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
4.12 Share of Households by Key Characteristics of Exclusion due to
Housing Conditions, 2007 (%). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
4.13 Distribution of Households by Number of Persons per One Room (%) . . . . . . . . . . . . . . . 72
4.14 Share of Households Excluded due to Housing Conditions by Type of
Settlement, 2007 (%). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
5.1 Share of Households Receiving Assistance among Those Entitled, 2009 (%) . . . . . . . . . 86
5.2 Awareness of the Population of Assistance for Children by Household
Type, 2008 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
5.3 Households without Access to Telephone Services by Settlement Size, 2007 (%) . . . . 92
5.4 Risk of Exclusion Owing to Unavailability of Transport Connections,
2007 (% against Average) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
6.1 Cumulative Share of Households According to Number of
Characteristics of Exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
6.2 Structure of Households with Acute Social Exclusion by Settlement Type, 2007 (%). . 99
6.3 Households with Characteristics of Critical Social Exclusion by
Settlement Type, 2007 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101
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LIST OF TABLES
1.1 Ukraines Human Development Index Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
1.2 Ukraines HDI Indicators in 2010 Relative to Selected Countries . . . . . . . . . . . . . . . . . . . . . . 27
2.1 Distribution of Population by Self-assessment of Level of Adaptation
to Current Situation (%). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
2.2 Distribution of Population by Participation in Voting during Elections (%) . . . . . . . . . . . 35
2.3 Assessment by Population of Activities of Different Political Actors in
Protecting Their Interests, 2009 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
2.4 Distribution of the Population by Self-assessment of Own Influence
on Political Situation (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
2.5 Distribution of Population by Age and Self-assessment of Personal
Responsibility for Community Affairs, 2009 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
3.1 Assessment of Major Social Problems of School Environment, 2009 (%) . . . . . . . . . . . . . 51
3.2 Differences in Inaccessibility of Professional Education by Settlement Size, 2007 (%) . . . 52
4.1 Unemployment in Ukraine, 20002010 (Average per Year) . . . . . . . . . . . . . . . . . . . . . . . . . . 56
4.2 Levels of Unemployment by Sex and Levels of Education, 2010 (%) . . . . . . . . . . . . . . . . . 58
4.3 Unemployment by Reason, 20002010 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
4.4 Households Structure by Types of Settlements, 2008 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
4.5 Distribution of Respondents by Evaluation of Personal Career
Opportunities in Comparison with Colleagues, 2009 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
4.6 Risks of Exclusion due to Low Income of Households of Different
Types against the Average, 2008 (times) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
4.7 Risks of Exclusion due to Low Income against the Average by Size of
Settlement, 2008 (times) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
4.8 Risks of Exclusion due to Low Income of Different Types of
Households against the Average by Settlement Type, 2008 (times) . . . . . . . . . . . . . . . . . . 70
4.9 Share of Households Suffering from a Shortage of Funds to Maintain
Housing, 2007 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
5.1 Restrictions of Access to Medical Goods and Services Owing to
Insufficiency of Funds, 2007 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
5.2 Households with a Member Unable to Access Medical Services as
a Share of Total Number of Households with Members in Need of
Medical Services, 2010 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
5.3 Coverage of Different Types of Households with Social Assistance, 2009 (%). . . . . . . . . 84
5.4 Matching of a Right for Assistance to Subjective Need for Such
Assistance, 2008 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
5.5 Reasons why Potential Users Did Not Apply for Assistance, 2009 (%). . . . . . . . . . . . . . . . . 86
5.6 Problems with Purchasing of Goods and Services for Recipients of
Assistance (Persons with Disabilities from Childhood and Children
with Disabilities), 2009 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
5.7 Population Awareness of Types of Targeted Assistance, 2008 (%). . . . . . . . . . . . . . . . . . . . 88
5.8 Distribution of Population by Spare Time Activity (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
6.1 Risks of Acute Social Exclusion of Households by Different
Demographic Composition, 2007 (% Compared with Average). . . . . . . . . . . . . . . . . . . . . . 97
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LIST OF BOXES
1.1 Regional Human Development Report, Beyond Transition Towards
Inclusive Societies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
1.2 Human Development Classic Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
1.3 Social Inclusion and Human Development in Ukrainian Translation of Terms . . . 27
1.4 Human Development and Social Inclusion Evolving Concepts Centred on People. . . 29
2.1 Exclusion of Homeless People from Public Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
2.2 Exclusion of Immigrants from Public Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
3.1 Language Situation in the ARC, the UNAT and Transcarpathia . . . . . . . . . . . . . . . . . . . . . . . 45
3.2 Displays of Prejudice towards Children in the Education System. . . . . . . . . . . . . . . . . . . . . 50
3.3 Exclusion of Street Children from Education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
3.4 Exclusion of Orphans from Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
3.5 Exclusion from Education of Children with Disabilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
4.1 Unemployment in Small Mono-company Towns: Inhabitants View . . . . . . . . . . . . . . . . . 60
4.2 Employment Problems of Orphaned Children. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
4.3 Employment Problems of the Homeless . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
4.4 Employment Problems of Immigrants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
4.5 Employment Problems of Former Convicts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
4.6 Exclusion due to Income Evidence from Orphaned Children . . . . . . . . . . . . . . . . . . . . . . 70
4.7 Living Conditions of Street Children. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
4.8 Living Conditions of Orphaned Children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
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TABLE OF CONTENTS
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Overview
Social exclusion covers a wide range of social and economic processes which lead to the isolation
of separate people or groups of the population from social links, practices and life styles that are
common to society. As a result of social exclusion, some groups of the population do not have the
opportunity to fully take advantage of their rights to access education and health care services; to
be employed and enjoy adequate living standards; and to satisfy their cultural, religious and social
needs. Social exclusion is associated not only with the reproduction of social inequality but also
with the disappearance of social links and with identity crisis, which may affect a significant share
of the population.
This National Human Development
Report, Ukraine: Towards Social Inclusion is a part of the Regional Human
Development Report, Beyond Transition Towards Inclusive Societies. It calls
attention to the specifics and the roots
of social exclusion in Ukraine, identifies
socially excluded groups and proposes
a range of recommendations in support
to the Government for the development of policies and programmes to
address the current barriers to social
inclusion for all. The Report investigates the issue of social inclusion from
a human development perspective,
treating both concepts social inclusion and human development as
mutually complementary and reinforcing. The key drivers of social exclusion are examined across core domains
of peoples life: political, cultural,
economic and social. The Report also
provides an account of individual experiences of exclusion that demonstrate
the magnitude and severity of the challenges vulnerable individuals face. It
also introduces a novel methodology
to assess the multidimensional aspects
of social exclusion to allow for the effective prioritization and targeting of social
inclusion policies.
Chapter 1 deals with the theoretical
foundations of human development,
social exclusion and social inclusion, and
explains linkages between these para-
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16
UNDP (2010a).
OVERVIEW
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OVERVIEW
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OVERVIEW
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OVERVIEW
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Human Development,
Social Exclusion and Social Inclusion
CH APTER
Social exclusion covers a wide range of social and economic processes which lead to the isolation of
separate people or groups of the population from social links, practices and lifestyles. Some groups in
society do not have the opportunity to utilize in full their rights to access education and health care
services; to be employed and enjoy adequate living standards; and to satisfy their cultural, religious and
social needs. Social exclusion is associated not only with the reproduction of social inequality but also
with the closing-down of social links and with identity crisis, which may affect a significant share of the
population.
1.1
Introduction
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1.1
BOX
The Regional Human Development Report articulates a single conceptual framework for social inclusion and human development. It treats
human development as the ultimate goal and social inclusion as the means to get there.
Analytical approach. Defining the excluded is a major challenge both of analyses of social exclusion and of social inclusion policies. The
Report distances itself from the traditional group-based approach to assume that each individual has a number of characteristics that can
put him or her at risk of social exclusion. Not all individual risks will necessarily materialize as actual social exclusion. Whether or not social
exclusion manifests depends on the interaction of risks with a set of drivers which can be institutions and norms, policies or behaviours.
Individual risks are also influenced by the local context (the parameters of the local reality shaping individuals everyday lives). These include
characteristics of the local economy (such as diversity of employment opportunities), history of local conflict, environmental legacy, state of
repair of basic infrastructure or distance to the capital or regional centres.
The Report develops a new indicator, the Multidimensional Social Exclusion Index, which is experimental in nature and can be adapted to specific
country circumstances. This includes 24 indicators reflecting deprivations in three dimensions: economic exclusion; exclusion from social services;
and civic exclusion. These should not be understood as fixed but rather as a point of departure in national discourses on measuring social
exclusion, from which nationally relevant indicators should be selected in an inclusive and participatory way.
Findings
More than one-third of the population of the region is socially excluded. The report estimates that, on average, 35 percent of the population
in the region experiences social exclusion, ranging from 12 percent in the Former Yugoslav Republic of Macedonia to 72 percent in Tajikistan.
Social exclusion is not determined by economic deprivation alone. On the contrary, the three dimensions of social exclusion all make
a broadly similar contribution, and each plays a specific, necessary and complementary role in bringing about exclusion as an outcome. As
such, in order to tackle social exclusion, all three dimensions of exclusion must be addressed.
The share of socially excluded people varies from country to country but the depth of their social exclusion is similar. Despite the wide
range of population sizes, GDPs and levels of human development, the intensity of social exclusion is remarkably similar across the six countries. Being
socially excluded in the Former Yugoslav Republic of Macedonia or Kazakhstan means facing generally the same number of deprivations.
Children, youth, the elderly, the unemployed, those with poor education and people living in rural areas face a larger than
average magnitude of social exclusion. Social exclusion is highest for elderly people in all countries, at almost twice the national average,
as in Ukraine (43 percent) and the Former Yugoslav Republic of Macedonia (22 percent). On average, 42 percent of children and 35 percent
of youth (aged 1529) in the six countries live in households that experience social exclusion. The share of socially excluded children is
particularly high in Tajikistan (73 percent) and the Republic of Moldova (47 percent).
Social exclusion outcomes are linked to drivers and local context. The report links the outcome of social exclusion to individual risks,
drivers and local context, demonstrating that values and behaviour matter. For example, persons with disabilities constitute an important
group at risk of social exclusion. The data allow a correlation of exclusion outcomes for persons with disabilities with the level of the local
populations tolerance of diversity. The magnitude of social exclusion of a person with disabilities ranges from 16 percent when living in a
community in which the vast majority of the population is either in favour of, or at least not against, inclusive education, to 30 percent when
living in a community less open to educational inclusion (with at least one-third of the population against such measures).
Tolerance of corruption increases exclusion outcomes. Magnitude of social exclusion is nine times higher in villages and seven times
higher in small towns where most respondents are tolerant of informal side payments not only for medical treatment, education and social
benefits but also to for results from local administrations.
Social exclusion also has a clear territorial dimension. The further people live away from the capital city, the higher the magnitude of
exclusion. The share of people found to be socially excluded is almost four times higher in rural areas than in urban areas. Living in rural areas
with fewer job opportunities; limited access to goods, social services and means of transport; and weak social networks adds up to a massive
disadvantage, driving more people into cities.
Social exclusion is highest in communities that were dominated by one or two companies prior to 1989. If these communities
were to diversify their economic base and provide more employment opportunities, their average magnitude of social exclusion would
decrease from 18 to 11 percent. Expansion of employment opportunities would be particularly effective in addressing social exclusion among
young people. Magnitude of social exclusion for a young person with secondary education in a rural community with only one employment
provider is more than three times higher than that for a young person with primary education in a small town with a variety of employers.
Recommendations.The Report concludes that social exclusion is a multidimensional phenomenon that can and should be measured. The specifics
of the local context have profound implications for social exclusion. Governments need to break the vicious cycle of social exclusion and ensure an
enabling environment that curtails the risks of social exclusion and enhances the opportunities for people to participate in society. Focusing on reducing
income poverty or economic inclusion alone will not face down the challenge of social exclusion sustainably. The Report therefore argues that social
inclusion requires integrated approaches targeting all three dimensions of social exclusion simultaneously cases where addressing a single individual
risk or driver leads to a sustainable and marked reduction in the magnitude of social exclusion would be the exception. As such, approaches based on
multiple areas of interventions implemented in a concerted manner are needed, reflecting the complexity and dynamic nature of social exclusion.
24
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1.2
1.2
BOX
UNDP (2010a).
UNDP (2003).
UNDP (2010a).
NATIONAL HUMAN DEVELOPMENT REPORT 2011
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1.1
TABLE
Expected years
of schooling
Mean years
of schooling
HDI value
69.7
67.8
67.4
67.9
68.6
12.4
11.9
12.9
14.2
14.6
9.1
10.4
10.7
11.1
11.3
8,928
4,153
3,882
5,976
6,535
0.690
0.644
0.649
0.696
0.710
1990
1995
2000
2005
2010
Source: UNDP (2010a).
26
Ukrainian experts have developed a national methodology to calculate the HDI at regional level within the country,
allowing for the coverage of many more aspects of human development at regional level. See Libanova (2009a).
Maternal mortality estimates are those available when preparing the Report. For updated estimates, see WHO (2010).
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intensity of the deprivations, is 0.008. Kazakhstan and the Russian Federation have MPIs of
0.002 and 0.005, respectively (Table 1.2).
The Millennium Development Goals
(MDGs), including targets and indicators, are
based on the concept of human development,
each relating to key dimensions of this process.
These comprehensive goals, developed
through a series of global conferences and
special meetings organized by the United
Nations (UN), provide specific targets in
all critical areas of human development.
They cover reducing hunger and poverty;
achieving access to education; promoting
gender equality; reducing maternal and child
mortality; slowing down the spread of HIV/
AIDS and other infectious diseases; ensuring
environmental sustainability; and harmonizing
foreign aid to developing countries. The MDGs
do not cover all areas of human development;
they do not mention, for instance, expanding
peoples participation in the decisions that
affect their lives or increasing their civil and
political freedoms.
Providing the same absolute targets for
all countries would have meant unrealistic
Goals for some countries and Goals that
presented no challenge for others. Consequently, the Goals are generally established
for each country in accordance with the
national specifics of its development and
the status of social progress at this moment
in time. In these terms of progress towards
achieving the MDGs, Ukraine has succeeded
in reducing absolute poverty6 from 9 percent
in 2005 to 4.5 percent in 2009; however,
relative poverty according to the nationally
defined poverty line7 has remained stable at
a level of 27 percent.8Moreover, the poverty
level in rural areas is almost twice as high as
in urban areas (38.2 percent vs. 21.5 percent).
Ukraine has made significant achievements
1.2
1.3
BOX
Any application of terms and categories from other languages and their
translation cause numerous difficulties. In particular, the human development
concept, which has been used in Ukraine for over two decades, is usually
translated as or ,
even though the translation () seems
quite possible and to reflect the essence of the concept.
Social exclusion was introduced into circulation well after, so there are no
established Ukrainian equivalents yet. Purely linguistic foundations suggest
, , , , , ,
. Correspondingly, social inclusion is ,
, , , . As for the social exclusion social inclusion idea
itself, seems to be the most
accurate.
TABLE
Armenia
Georgia
Ukraine
Azerbaijan
Kazakhstan
Russian Federation
HDI value
MPI value
Intensity of
deprivation (%)
0.695
0.698
0.710
0.713
0.714
0.719
0.008
0.003
0.008
0.021
0.002
0.005
2.3
0.8
2.2
5.4
0.6
1.3
36.5
35.2
35.7
38.6
36.9
38.9
5.5
5.3
1.2
12.4
5.0
0.8
6
7
8
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1.3
28
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1.4
1.4
BOX
Social inclusion and human development have evolved largely in parallel and
are tending towards convergence. Both are people-centred concepts, extending
beyond economic growth. Social exclusion, which prevents access through
institutional, community and personal barriers to important social goods and
services, as a result of deliberate discrimination or lack of capacity to deliver,
reduces peoples opportunities and the real freedoms they have to lead a life
they have reason to value.
The human development perspective adds value to social exclusion. Human
development identifies shortcomings and inequalities in opportunities for
developing capabilities which contribute to social exclusion outcomes. In
addition, it assesses the outcomes of the social inclusion process using a variety
of indicators. Human development also takes into account the contextual aspects
in improvements in human well-being, going well beyond focusing solely on the
excluded population.
Social inclusion also adds value to human development through its focus on
processes of exclusion (the agents, groups and institutions that exclude). It
reinforces the notion of agency that exists within the human development
framework by investigating through what mechanisms, as a result of whose
actions and why people are excluded. A social inclusion perspective can thus
help sharpen strategies for achieving human development by addressing the
discrimination, powerlessness, accountability failures and unequal power
relationships that lie at the root of every type of social exclusion.
Kieselbach (2003).
EC (2004).
NATIONAL HUMAN DEVELOPMENT REPORT 2011
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1.5
30
1.6
The terms social exclusion, social inclusion and participation in public life are
not used widely in the expert literature in
Ukraine, and they are not reflected in legislation, policies and other official documents.
In practice, however, Ukrainian legislation
and policies address the goals of social inclusion and target some identified vulnerable
groups (families or individuals). Furthermore,
the terms social rehabilitation, social integration or integration into the society,
re-socialization and social adaptation are
used in many policy documents.
The Constitution of Ukraine recognizes
that every person has the right to free development of his or her personality if this does
not violate the rights and freedoms of other
persons. Citizens have equal constitutional
rights and freedoms and are equal before
the law. The Constitution of Ukraine affirms
that there shall be no privileges or restrictions
based on race; colour of skin; political, religious or other beliefs; sex; ethnic and social
origin; property status; place of residence; or
linguistic or other characteristics. Equal rights
are assured to women and men. These provisions comply with the European legislation.
Freedom of movement; speech, mindset
and confession; and association in political
parties and civil society organizations (CSOs)
is guaranteed to anyone, as are the rights to
employment; entrepreneurial activities; social
protection; a decent level of living for the
individual and his or her family; health care;
medical assistance and insurance; an environment safe for life and health; education, etc.
Realization of these rights is ensured
through the adoption and execution of
sectoral laws, bylaws and other policy instru-
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Exclusion from
Political Life
CH APTER
Political rights are among the main constitutional rights and freedoms of citizens. The Universal Declaration of Human Rights determines that:
Everyone has the right to take part in the Government of his or her country, directly or through freely
chosen representatives.
Everyone has the right of equal access to public service in his or her country.
The will of the people shall be the basis of the authority of Government; this will shall be expressed
in periodic and genuine elections which shall be by universal and equal suffrage and shall be held
by secret vote or by equivalent free voting procedures.1
Political inclusion is impossible in the absence of democratic institutions and practices. The notion
of democracy broadly implies freedom, equality and efficient control of Government by the citizens,
Governments responsibility towards its citizens, transparency and honesty of political decisions and
equal political participation and access to power.2 Democratic institutions and practices should be fair
and accountable and protect human rights and basic freedoms.3 They should allow society to identify
the most important barriers to accelerated human development and social inclusion, agree on the best
solutions to these and implement them in the most efficient manner. In the absence of democratic
institutions and practices, there is a serious risk that those responsible for government decisions will be
unaware of the true needs of vulnerable and socially excluded groups.
The key indicators of exclusion related to political life include:
Level of participation in public and political life;
Ability to influence the governance of a country at national and local levels;
Access to political power.4
2.1
UN (1948).
Huntington (1991).
UNDP (2002).
Economist Intelligence Unit (2010).
NATIONAL HUMAN DEVELOPMENT REPORT 2011
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34
Carothers (2002).
Hale (2005).
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the media into political loyalty to the authorities in exchange for economic incentives.
The dual nature of the executive authorities
established by the constitutional amendments
undermined the mechanisms of administrative coordination and strengthened political
corruption. The weakening of the vertical
power of the executive and its unwillingness
to exercise direct pressure on the opposition purely on political grounds decreased
the influence of administrative factors during
the most recent elections. The parliamentary
elections of 2006 and 2007 and the presidential elections of 2009 reflected the increased
contentiousness of the election process.
Although there have been some improvements to formal political institutions and
processes, the degree of political transformation was insufficient to develop a system
that could withstand the impact of the global
economic crisis. The political system has been
dominated by competition among interest
groups, rent-seeking within state agencies, corruption and an expanding shadow
economy. Political instability and frequent elections have severely undermined the effectiveness of economic and social policies. Political
squabbling between top decision-makers has
paralyzed decision-making at a crucial time
when the financial crisis hit the countrys steel
industry and banks collapsed. The country has
failed to push through its economic reforms
and is facing economically and politically challenging gas disputes with Russia.
As a result, society has been through a transformation of identity, economy and social struc-
2.1
TABLE
1997
1999
2001
2003
2007
2009
7.3
36.3
44.9
7.4
36.6
46.7
7.2
38.0
43.3
8.3
30.5
36.2
16.0
32.5
37.6
18.0
33.6
34.0
11.5
9.3
11.5
25.0
13.9
14.4
2.2
TABLE
Age of respondent
Participated in voting
Did not participate in voting
Not eligible to vote
Uncertain
Total
1524
2549
5064
65+
47.5
39.5
10.7
2.3
100.0
87.6
11.6
0.2
0.6
100.0
92.6
6.5
0.0
0.9
100.0
89.3
9.5
0.0
1.2
100.0
All respondents
83.6
13.8
1.6
1.0
100.0
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2.3
TABLE
Assessment
President
Parliament
Prime Minister
Government
Mass media
Local authorities
Trade unions
Heads of enterprises
Army
Law enforcement authorities
Church
Workers of culture and science
Other
None of the above
It is difficult to say
3.7
1.6
5.8
2.6
6.2
3.0
3.7
1.9
2.2
2.9
8.3
1.5
1.0
55.7
12.5
2.4
TABLE
Evaluated positively
Evaluated negatively
Uncertain
Total
1524
2549
5065
65+
26.3
53.2
20.5
100.0
29.2
58.9
11.9
100.0
34.4
56.2
9.4
100.0
34.9
50.9
14.2
100.0
All respondents
30.9
55.9
13.2
100.0
36
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2.5
TABLE
Age
1825
2640
4155
56+
Responsible
Not responsible
Undecided
Ukraine
Ukraine
Ukraine
24.7
25.7
23.5
21.1
28.5
30.5
30.5
22.9
62.0
61.2
61.3
66.9
58.2
57.3
57.2
66.2
13.3
13.1
15.3
12.0
13.3
12.2
12.3
10.9
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access by the citizens of Ukraine to information on national and local authorities; unify
the procedure for journalists accreditation;
reduce the terms for receiving responses to
requests; and cancel the obligation to agree
interviews with authorities.
Mass media are not always free, which may
limit access to objective and impartial information. Access to information is a major tool to
improve transparency and accountability and
promote the goals of social inclusion. In the
context of restricted freedom of mass media,
information provided by the latter run the
risk of being disordered; thus they would not
be able to perform its watchdog functions.
At the same time the public and in particular vulnerable groups would not be able to
engage in a timely and effective manner in
political processes and ensure the accountability of officials.
Freedom House rates freedom of the
press in Ukraine in 2010 as partly free.9 It finds
that the legal framework provides for media
freedom and is one of the most progressive in Eastern Europe, but also that respect
of these laws has remained poor since the
Orange Revolution. Journalists have sometimes been reported to become the victims
of threats, harassment and attacks, and the
countrys seemingly weak and politicized
criminal justice system cannot protect them
effectively. As many major media outlets are
owned by economic groups, their presentation of information is often distorted in favour
of their owners.
An institutionally weak civil society does not
have sufficient capacity to address the needs
of vulnerable and excluded groups and to
promote their interests. At the beginning of the
transition, reformers in Ukraine, as in many
other post-Soviet states, shared the idea that
support to civil society would generate a
wide range of CSOs that would participate in
public life, strengthening democratic institutions and promoting market policies. These
expectations proved to be inflated: they did
not reflect the institutional, historical and
political context of the post-Soviet transition.
The long-term development of a strong
and dynamic civil society required a sustainably functioning economic system.
Economic uncertainty and confrontation
within the political elite has pushed civil
society issues to the background during the
whole period of Ukraines independence.
The state has not become a leading agent in
terms of supporting civil society as the basic
9
38
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2.2
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2.1
BOX
We are pariahs in society. We are rubbish. I do not feel part of society any more
[] I feel part of society only in the reintegration centre. Apart from this, I think
there is no society in our country (Oleksandr, Sumy).
We are treated like dogs. If you do not have identification documents, nobody
needs you. And you think it is possible not to suffer when nobody considers you
as a person? On the other hand, why should I suffer? You find a place to spend a
night and a piece of bread, and then you can enjoy your life. Why are we worse
than the others? We are exactly the same as all the others; we have two legs to
walk (Oleksandr, Odesa).
2.2
BOX
40
Ukraine joined the Convention on the Status of Refugees in January 2002 and the Protocol on the Status of Refugees
in 1967. The country has also ratified the UN Educational, Scientific and Cultural Organization (UNESCO) Declaration on
Races and Racial Prejudices (1978), the UNESCO Declaration on the Principles of Tolerance (1995), the European Social
Charter (1996), the European Convention on Nationality (1997) and the Framework Convention for the Protection of
National Minorities (1998). Ukraine signed an agreement with the EU on readmission in 2010.
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Conclusions
An inclusive society entails the ability of
all citizens to have their voices heard. Effective political inclusion is ensured by means
of complex mechanisms, processes and
practices through which citizens and groups
articulate their interests and exercise their
rights and obligations.
The coexistence of new democratic
elements and elements of old Soviet institutions in Ukraine has resulted in low levels of
state transparency and accountability, inadequate separation of politics and the public
administration and weak rule of law. As a
result, the political and economic spheres
are still not independent from each other,
meaning that powerful vested interests can
capture political processes and state institutions to advance their economic interests,
with negative effects on democratic reform.
Meanwhile, old institutions also influence the
political behaviour of many citizens.
Existing political institutions and practices mean poor empowerment for the
12
13
Almashy (2008).
Eastern European Development Institute (2008).
NATIONAL HUMAN DEVELOPMENT REPORT 2011
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42
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CH APTER
In a modern and dynamic world, citizens prosperity, as well as a country success depends, among
others, on the possibility to use the cultural assets of a society and to ensure favorable conditions for
creativity and cultural diversity. The state policy in the cultural sphere should therefore aim at creating
such a favourable environment that ensures the inclusion of all. Preventing or overcoming cultural
exclusion, that is, limitations to the opportunities of representatives of any social, ethnic, religious or
other groups to utilize their cultural achievements and participate in their creation, is important for the
development of individuals, society and the state.
In one or another way, cultural exclusion
may be pertinent to ethnic Ukrainians,
as well as to the national minorities,
large and small religious groups and
language minorities; groups different
in terms of their economic status;
migrants; elderly people; sexual minorities; people living with HIV; drug users;
persons with disabilities; and those who
live far from cultural centres.
Education systems are traditionally
meant to integrate people into systems
of socio-cultural values and relationships. Education as a social institute
ensures that the needs of society are
fulfilled in relation to the reproduction
and transfer of accumulated knowledge and skills to younger generations through teaching, upbringing
and practical socialization, and helps
to elevate younger generations to a
higher cultural level. Education also
has as a major goal developing the
personality. Experts consider education
not only as the most important tool to
decrease young peoples innate social
inequality and support their upward
mobility, but also a condition of their
successful inclusion and active participation in social life. Education level
is an important factor determining
a persons entrance into the labour
market, competitiveness and socioeconomic status.
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3.1
Exclusion
from Cultural Life
44
Degterenko (2008).
The only representative source of the data is the All-Ukraine Census of 2001.
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3.1
BOX
In the ARC, 99.7 percent of Russians, 93.0 percent of Crimean Tatars, 67.8
percent of Tatars, 52.9 percent of Armenians, 40.4 percent of Ukrainians,
23.8 percent of Greeks, 18.4 percent of Bulgarians and 17.1 percent of
Byelorussians consider their own language the mother tongue. That is twice
as many Russians and Crimean Tatars as Ukrainians consider the language of
their nationality as their mother tongue. The level of knowledge of the mother
tongue among Russian nationality inhabitants of the ARC is around four
times, six times and almost eleven times higher than the analogous indicator
of representatives of ethnic Greek, Byelorussian and German communities,
respectively. In particular, during the All-Ukrainian Census of 2001, 88.7
percent of Germans named Russian language as the mother tongue, as did
81.8 percent of Byelorussians, 77.6 percent of Bulgarians, 71.8 percent of
Greeks, 46.1 percent of Armenians, 25.0 percent of Tatars and 5.9 percent of
Crimean Tatars. The majority of ARC Ukrainians (59.5 percent) also consider
Russian language their mother tongue.
In the UNAT, Russian is considered as the mother tongue by 98.6 percent of
Russians, 40.8 percent of Armenians, 38.9 percent of Bulgarians, 36.1 percent
of Ukrainians, 32.1 percent of Roma, 25.2 percent of Tatars, 20.6 percent of
Georgians, 14.1 percent of Moldovans, 10.5 percent of Byelorussians, 5.3
percent of Germans, 4.9 percent of Greeks, 3.7 percent of Poles and 2.7 percent
of Jews. Almost three times as many Russians consider their national language
as the mother tongue than Ukrainians do for their national language. Level of
knowledge of the mother tongue among Russians is 20 times higher than that
for Greek ethnic community.
Therefore, UNAT and ARC communities are characterized by the tendency
towards a gradual substitution of national languages as the mother tongue by
Russian. In particular, during the All-Ukrainian Census of 2001, 94.0 percent
of Jews named Russian language as their mother tongue in UNAT, as did 92.8
percent of Greeks, 87.4 percent of Germans, 86.1 percent of Byelorussians,
78.2 percent of Poles, 78.0 percent of Moldovans, 76.7 percent of Georgians,
71.8 percent of Tatars, 57.8 percent of Bulgarians, 56.7 percent of Armenians
and 49.3 percent of Tatars. The majority of Ukrainians in the UNAT (63.8
percent) also considered Russian their mother tongue.
The situation in Transcarpathia is different. 99.2 percent of Ukrainians, 97.1
percent of Hungarians, 99.0 percent of Romanians, 91.7 percent of Russians
and 20.5 percent of Roma consider their national languages their mother
tongue. Russian language is said to be the mother tongue by 0.5 percent
of Ukrainians, 0.2 percent of Hungarians, 0.1 percent of Romanians and 0.2
percent of Roma. Ukrainian is considered the mother tongue by 2.6 percent
of Hungarians, 0.5 percent of Romanians, 7.9 percent of Russians and 16.7
percent of Roma.4
general educational institutions, who have
insufficient proficiency in the state language,
can suffer from lower competitiveness when
applying for and studying in higher educational institutions.
In the ARC in the 2010/11 academic year,
13,609 students were taught in Ukrainian in
Kuras Institute of Political and Ethnic Studies of the National Academy of Sciences of Ukraine (2008).
Kuras Institute of Political and Ethnic Studies of the National Academy of Sciences of Ukraine (2008).
NATIONAL HUMAN DEVELOPMENT REPORT 2011
UNDP_magazine_ENG_v10j.indd 45
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general educational institutions, which represent, 8.1 percent of all students enrolled.
In the same academic year, a total of 318
general educational institutions had Russian
as the language of instruction in the ARC.
A total of 160 classes with Russian as the
language of instruction (3,624 students) were
opened in 9 schools with a Ukrainian language
instruction system. Another 142 general
educational institutions with two languages
of instruction (Russian and Ukrainian) had
2,307 classes with Russian as the language
of instruction (49,967 students). In 27 general
educational institutions with two languages
of instruction (Russian and Crimean Tatar),
6,889 people studied with Russian as the
language of instruction in 366 classes. In addition, 551 classes (with 12,132 students) with
Russian as the language of instruction functioned in schools with three languages of
tuition (Russian, Ukrainian and Crimean Tatar).
Overall, in the 2010/11 academic year 149,793
students, which represent 88.6 percent of all
students enrolled, were taught in Russian. The
decrease in the number of students studying
in Russian can be attributed to both a reduction in the number of students generally and
an increase in the number of students with
Ukrainian or Crimean Tatar as the language of
instruction.
Meanwhile, 15 general educational institutions with Crimean Tatar as the language
of instruction (3,115 students), 1 general
educational institution with Ukrainian and
Crimean Tatar as the languages of instruction,
27 schools with two languages of instruction
(82 classes, 882 students) and 34 schools with
three languages of instruction (117 classes,
1,365 students) operate in the ARC. Experts
state, however, that not the whole education
in schools with Crimean Tatar language of
instruction is performed in the Crimean Tatar
language, due to a lack of handbooks and
teachers. Overall, 5,903 students (16.6 percent
of all students of Crimean Tatar nationality)
are being taught in Crimean Tatar; 29,413
students have Crimean Tatar language as a
discipline (82.7 percent of the general number
of students of Crimean Tatar nationality).
Insufficiency of textbooks, training materials and qualified teachers is a major obstacle
to improving the quality of the Crimean Tatar
language study. A total of 88.9 percent of
classes with Crimean Tatar as the language
of instruction have the necessary amount
of textbooks (for classes with Ukrainian as
the language of instruction the share is 94.2
percent and for classes using Russian it is 97.8
percent). Opportunities to study their mother
46
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tions; providing state support for the development of the Ukrainian language; support
to activities of national cultural associations,
and carrying out the restoration and repair of
cultural heritage objects.
Exclusion could be also caused by religious beliefs and identities. According to polls
conducted by UNDP in 2007 in Crimea, 73
percent of respondents defined themselves as
believers. There is a wide diversity of churches
in the ARC, enabling believers to satisfy their
spiritual needs. Meanwhile, opportunities for
believers to execute their rights differ in some
religious groups, depending on the group size,
it solidarity and other factors.
In the ARC, similar to the whole Ukraine,
churches were given various opportunities to
claim back the property formerly belonging
to communities, as well as to educate clergy,
conduct services and missionary activities.
The number of temples increased by 16.5
times in the period of 19912007, though
it may still correspond to only 50 percent of
the needs. Although there are educational
establishments for the main religions, nearly
all confessions lack well-educated clergy to
cover the whole territory of the ARC. Religious beliefs in Crimea coincide to a large
extent with ethnic identities: 7278 percent
of Russians and Ukrainians attribute themselves to the Orthodox Christianity, and 94
percent of Crimean Tatars to Islam.
The relationship between the state and
the church is a separate issue: some religious
groups formulate their own agenda towards
the state officials, some even blame authorities of favouritism towards other confessions,
corruption and lack of coherent state policy
in this area. Several issues have been raised
by representatives of various confessions,
and especially of Islam with regard to the
slow return of property.
There are cases when some religious
groups blame others in manipulating the
legislation, thus gaining advantage and extra
resources for development. There is certainly
a need to work out a coherent policy with
regard to the development of the religious
sphere. Such a policy is especially important,
because changes in the spiritual sphere
and the structure of religious organizations
are rapid, and many factors have a significant impact on their dynamics. These factors
include, among others, clashes and controversies within particular religious groups over
the leading role in Ukraine (or in a region),
presence and missionary activity from abroad,
significant dependence of confessional situation from policies conducted by local authoriNATIONAL HUMAN DEVELOPMENT REPORT 2011
UNDP_magazine_ENG_v10j.indd 47
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ties, use of religions by some politicians. Therefore, some tendencies among various religious
groups may deepen the exclusion of their
adherents and limit access to education and
cultural assets in Ukraine.
3.2
Exclusion
from Education
9
10
48
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3.1
FIGURE
12
13
groups. In some instances, children visit traditional PSEIs temporarily (for a few hours).
Almost 40 percent of childcare institutions are located in modified and adapted
buildings and therefore do not have the
needed infrastructure. Only 4 percent of
them have swimming pools. An absence
of necessary equipment hinders childrens
balanced development, which is especially
important in the context of an increase of
hypodynamia and child morbidity. Private or
privileged institutions remain unaffordable
for the majority of families.
General secondary education. According
to the legislation, general secondary education is mandatory and free of charge in Ukraine.
Coverage could be considered complete:
99 percent of children aged 618 years are
enrolled.13 However, a general decrease in the
number of school-age children in rural areas,
combined with underdevelopment of the road
and transport network, has led to the spread
of ungraded schools, which do not organize
students formally according to age-based
grade levels.
These schools appear to provide a lower
quality of education due to poor quality
of teaching materials. In addition, in each
second village with children of 717 years
of age there are no schools.In such a case,
This indicator is at its minimum in Cherkasy and Sumy oblasts (32 percent) and at its maximum (64 percent) in IvanoFrankivsk oblast.
Capacity to increase the number of groups on the basis of operating institutions, which were used widely in previous
years, is almost exhausted. As a result, inhabitants of big cities often register their child at birth in a queue to secure a
spot in a PSEI.
Record-keeping data for children of 618 years of age. Record keeping is a function of education authorities. 88.3 percent of children complete secondary education in general secondary education institutions, 4.7 percent in vocational education institutions
and 5.9 percent in central branches of higher education institutions of all accreditation levels in 2010/11 academic year.
NATIONAL HUMAN DEVELOPMENT REPORT 2011
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3.2
BOX
50
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3.1
3.3
BOX
4 percent of youth aged 1019 years living and working on the streets have
never visited school (the largest number is among the youngest); the majority of
street children do not have education documents (certificates or diplomas); 57
percent of children older than 15 years do not have basic secondary education;
86 percent of those aged 1819 years do not have a secondary education. There
are also no specialized programmes for this category of children.
3.4
BOX
Orphans often do not have the opportunity to study owing to the prejudice of
educational institutions and to poverty (They did not want to accept me in
school. They told me that there are no places, there are no rooms in dormitories;
I did not receive any help in the school and there were no free meals; I had to
go and make efforts to obtain what I am eligible for; I was told that people like
me are a burden for them; We strove to obtain clothes for three months []
we received it in February [] almost the whole winter we were unclothed;
They saw that I am from a boarding school and refused [] They were scared
as they should provide me with a dormitory and privileges).
TABLE
Very
serious
Serious
enough
Not very
serious
Not serious
at all
Problem does
not exist
No answer
Do not know
16.4
16.4
23.2
28.6
20.4
18.3
8.9
11.3
27.4
23.0
1.2
1.4
2.40
0.9
7.2
9.1
12.6
12.0
9.1
15.5
21.3
13.8
23.0
25.3
14.8
18.8
10.1
23.2
21.5
13.4
15.9
7.9
17.1
11.7
46.6
31.9
48.7
22.3
26.2
1.0
1.6
2.6
1.0
1.9
1.4
1.4
4.4
1.2
4.4
5.4
6.3
7.2
11.0
14.8
16.1
14.3
15.0
15.2
11.7
12.6
12.0
52.5
47.1
43.5
1.2
1.4
1.7
3.8
2.8
4.4
63.6
27.3
9.1
17
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3.2
TABLE
Big city
Small town
Village
Total
All
43.3
25.9
30.8
100.0
30.9
23.7
45.4
100.0
71.7
91.5
146.5
100.0
Source: Institute for Demography and Social Studies of the National Academy of Sciences of Ukraine.
18
19
20
52
Kuras Institute of Political and Ethnic Studies of the National Academy of Sciences of Ukraine (2008).
Osaulenko (2004).
Ukrainian Institute of Social Studies.
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Conclusions
Large-scale changes in the structure and
the nature of cultural activities and leisure
of citizens have taken place in Ukraine
since independence. Modernization and
accelerated cultural changes, especially
when they take extreme forms, may have a
serious impact on traditional cultural values,
and this, in its turn, may strengthen exclusion
of certain groups of population.
There are vast and sometimes striking
discrepancies in forms of leisure and patterns
of cultural consumption between the rich
and the poor, which create, to some extent,
a threat to social harmony and consolidation.
These discrepancies, caused by economic
gaps in the society, lead to a gap in access to
culture; thus, some groups become excluded
from the cultural life due to low income (and
low capacities to purchase cultural goods),
distance from cultural centres, poor education and other factors.
The cultural environment of Ukraine is not
sufficiently inclusive of the cultural diversity
that is created by the presence of a number
of nationality groups. Socio-economic challenges and inadequate state policy create
barriers to cultural inclusion and even lead
to cultural discrimination against certain
groups. Differences in cultural practices in the
capital, oblast centres and rayons also create
barriers to cultural inclusion for many groups
and individuals.
Language is among the important
factors to determine cultural exclusion of
some groups of population in Ukraine. This
relates above all to the language policy, and
the status and conditions of studying and
3.5
BOX
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53
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54
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Exclusion
from Economic Life
CH APTER
An objective analysis of economic exclusion is usually rendered difficult by the
presence of informal economy, remittances, and poorly targeted and ineffective
social transfers. Exclusion from economic life is studied in three main areas that
characterize access to a means of livelihood and a level of living standards: participation in the labour market; incomes; and housing conditions.
Exclusion from the labour market.
Economic activity (whether in the form of
entrepreneurship activity or employment)
gives economic status and purchasing
power to an individual who, as a consequence, can have access to wide opportunities for human development. Economic
activity and employment are fundamental human rights and major means of
preventing poverty and social exclusion.
In Ukraine, as in many countries of the
world, the highest risks of exclusion
from to the labour market and employment exist for the following groups:
The unemployed, especially the
long-term unemployed;
A few categories of the economically
inactive population, in particular
those who have stopped looking for
a job having lost hope of finding one
(those who have lost faith);
The employed with non-standard
labour contract conditions or a
specific nature of work which makes
them socially vulnerable.
Exclusion related to the labour market
and employment is analysed using the
following indicators:
Unemployment levels, disaggregated by locality type, gender, age
group and educational level;
Share of the overall number of the
unemployed who: 1)have lost their
jobs for economic reasons; 2) are
searching for their first job and have
not worked for a long period of time;
and 3)have been unemployed for 12
or more months;
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4.1
TABLE
2000
2005
2006
2007
2008
2009
2010
1,178.7
891.9
784.5
673.1
596.0
693.1
452.1
2,655.8
1,600.8
1,515.0
1,417.6
1,425.1
1,958.8
1,785.6
44
56
52
47
42
35
25
4.1
FIGURE
56
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4.1
UNDP_magazine_ENG_v10j.indd 57
57
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4.2
TABLE
Total population
Women
Men
8.1
6.8
9.3
8.6
7.1
6.8
14.6
7.4
9.1
7.9
6.4
15.1
6.5
7.4
5.4
7.4
14.0
8.9
10.2
9.9
7.1
16.6
7.7
9.9
10.9
5.3
11.0
6.7
7.8
6.4
84.0
180.2
91.4
112.3
97.5
79.0
186.4
80.2
91.4
66.7
91.4
172.8
233.3
125.9
122.2
87.7
204.9
95.1
122.2
134.6
65.4
135.8
82.7
96.3
79.0
Source: State Statistics Committee of Ukraine, Institute for Demography and Social Studies of the National Academy of Sciences of Ukraine.
4.3
TABLE
Voluntary termination
of service
Other reasons
40.2
37.1
33.6
33.2
32.9
31.3
30.0
28.9
28.1
45.5
39.0
29.8
33.8
37.5
38.9
37.8
35.1
37.4
38.2
38.6
27.0
29.1
18.3
17.5
16.8
15.6
18.0
16.3
17.0
17.4
18.3
14.1
16.2
5.1
4.8
5.6
5.9
3.6
7.7
10.3
10.3
10.9
9.0
10.4
6.6
6.8
6.5
6.4
7.7
9.6
5.3
5.2
4.1
4.4
5.3
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
58
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4.4
TABLE
Type of settlement
Big city
Small town
Rural area
43.3
36.1
83.8
25.9
39.4
152.7
30.8
24.5
79.0
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4.1
BOX
Our town is small. There were 15,000 inhabitants here before. As of now
there are 9,000. Young people leave the town and head towards big cities as
youngsters do everywhere in Ukraine. They do this in order to get educated
and obtain a decent job. Not even one factory of seven existing is operational.
Children who are good at studying try to leave the town and settle in big cities.
Those guys who still stay in Vilkovo can become either fishermen or gardeners,
which is not too inspiring for them (homeroom teacher, Vilkovoschool).
4.2
FIGURE
60
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4.2
BOX
When people see that I am from a boarding school, they try to find different
reasons to deny me an employment.
4.3
BOX
They do not give you a job without registration, even a low-paid one. You also
will get a dwelling under no conditions. Even if you agree to a job with the most
harmful conditions at a factory, you will get a room in the dormitory after paying
a big amount of money (Oksana, Simferopol).
4.4
BOX
The EU monitors status of employment using such characteristics. See Fernndez-Masas and Hurley (2008) and
European Foundation for the Improvement of Living and Working Conditions (2004).
NATIONAL HUMAN DEVELOPMENT REPORT 2011
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4.5
BOX
Even though more than half of convicts work in places of detention, just 510
percent can work in professions demanded by the labour market. All the rest do
not have the professional education and skills for non-criminal work. Owing to
difficulties obtaining a passport and registration, illness and the fact of having been
convicted (even though an employer who refuses to employ a former convict based
on this fact is violating the Ukrainian legislation, it is almost impossible to bring a
case to court), not more than 35 percent of former convicts are employed.
Problems with housing and obtaining a passport, registration and employment
create a vicious cycle institutions of execution of sentences provide former
convicts with temporary certificates instead of a passport. Without a passport
a person cannot register and have the right to their former place of residence.
Without a place of residence one cannot obtain a passport and registration,
without which one cannot get employed.
The first problem people with stigma like mine meet is employment, the second
is trust and the third is disrespect by both management and all surrounding
people. You wouldnt come and tell everyone you have changed and become
the same as other people. They wouldnt believe you anyway (Volodymyr,
Cherkasy).
4.3
FIGURE
62
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4.4
FIGURE
UNDP_magazine_ENG_v10j.indd 63
63
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11
64
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4.2
Exclusion due
to Low Income
4.5
TABLE
10.6
71.4
9.8
8.2
6.6
65.8
17.9
9.7
Smaller
Equal
Big
Unknown
Source: Calculated based on data of the Social Exclusion Survey (2009).
4.5
FIGURE
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years old (who are not yet able to work) are the
most vulnerable to exclusion by income level:
their risk of economic exclusion is 2.2 times
higher than that calculated for working-age
people. People of 80 years of age and older
who are already unable to work face a risk of
economic exclusion that is twice as high as
that for those of working age. The share of
economically excluded people decreases for
both men and women starting from 35 years
of age. The most favourable period of life in
terms of economic inclusion is 5564 years of
age for both genders: people are at the peak
in their career and also continue working
after reaching retirement age (Figure 4.6).
Low pensions, which are the main source
of income for the elderly, particularly for
those aged 80 years and older, determine
their monetary exclusion. As a result of their
low financial standing, elderly pensioners
are often limited in terms of access to
adequate nutrition, medication and health
care services, cultural events, travel opportunities, new clothes and home appliances.
Limited opportunities to meet the most
basic needs at this age can lead to feelings
of insecurity and unfairness, and can cause
pensioners to develop grievances against
society, seeing it as unable to take adequate
care of citizens. These feelings can generate
to depression and other psychiatric disorders, which are related directly to worsening health. A vicious circle of exclusion is
created, in which low incomes (such as a low
pension level) are a starting point, followed
by social, political, cultural and other forms
of exclusion.
4.6
Gender and Age Pyramid of the Excluded due to Low Income, 2008 (%)
FIGURE
66
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4.6
TABL E
Risk of exclusion
0.98
1.49
1.17
1.33
4.7
FIGURE
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4.8
FIGURE
4.9
FIGURE
Share of Households Excluded due to Low Income, by Status in the Labour Market,
2008 (%)
68
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4.10
FIGURE
4.11
FIGURE
Risks of Excluded due to Low Income against the Average by Educational Level of the
Household Head, 2008 (times)
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4.6
BOX
We have no winter clothes and footwear. Well, we also dont have summer
clothes either [] But we dont have money to buy bare essentials; []
lonely, without housing, job [] how to live, what to eat; significant financial
problems, we often starve; If we ate a baguette and drank milk a day, this was
really good [] we lived in park for two weeks; [] neither clothes, nor food
[] visit friends to eat at least; After leaving [boarding school] there was no
place to live, we spent nights at front doors. We experience many things.
4.7
TABLE
4.3
Risks of Exclusion due to Low Income against the Average by Size of Settlement, 2008
(times)
Type of settlement
Risk of exclusion
Village
Small town
Big city
Capital (Kyiv city)
On average in Ukraine
1.42
1.05
0.65
0.36
1.00
4.8
TABLE
Risks of Exclusion due to Low Income of Different Types of Households against the
Average by Settlement Type, 2008 (times)
Household type
Risk of exclusion
Urban area
Rural area
0.97
0.80
1.31
1.96
0.60
0.46
0.78
0.67
0.93
0.80
1.71
1.43
1.90
2.49
1.01
0.83
1.31
0.93
1.26
1.42
70
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4.7
BOX
Street children live mostly on the streets, in railway stations, in bus stations (36
percent) and in temporary ill-fitted out housing (23 percent).
On the roof [] I dont need a house. I am on the road all the time. Well, maybe
I need a house in winter, when its too cold (girl, commercial sex worker,16
years old).
4.8
BOX
4.9
BOX
4.10
BOX
4.11
BOX
Our friend rented a flat for us and all eight of us live there together (Nariman,
citizen of Armenia, Zhytomyr).
We were promised this at the migration station. Living conditions are poor. They
provide rations which are so horrible that there is nothing normal to eat. Shower
rooms are not operational. Rooms are overcrowded (Serge and KhindaValeri,
citizens of Cameroon, Odesa).
NATIONAL HUMAN DEVELOPMENT REPORT 2011
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4.12
FIGURE
4.13
FIGURE
72
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4.14
FIGURE
UNDP_magazine_ENG_v10j.indd 73
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4.9
Share of Households Suffering from a Shortage of Funds to Maintain Housing, 2007 (%)
TABLE
Type of household
Rural areas
Rural areas
16.4
20.5
34.4
21.8
17.0
17.4
17.9
17.1
12.8
11.8
24.8
14.1
11.3
14.3
12.3
13.1
15.4
17.8
19.4
15.3
8.8
10.2
12
13
74
Ukrainian Centre for Social Reforms, State Statistical Committee of Ukraine, Ministry of Health of Ukraine and Macro
International Inc. (2008).
Size of payment for housing and communal services is determined depending on the number of people in a
household and the housing area.
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Conclusions
The issue of exclusion from a countrys
economic life is a crucial one as it attracts
a variety of other interlinked exclusions.
Economic exclusion takes place when an
individual cannot enter the labour market
and perform economic activities to generate
an income. Exclusion of an individual on the
basis of housing conditions is a direct consequence of economic exclusion.
The following groups are among the
groups with the highest risk of being unemployed: young people, especially graduates
of educational institutions searching for their
first job; women of active child-bearing age
(2029 years old) or of pre-retirement age
(older than 40 years of age); those who have
lost their jobs for economic reasons (structural
unemployment); and those who have experienced a long-lasting interruption in work.
Risks of economic exclusion, through unemployment or lack of employment opportunities, is significantly higher for rural inhabitants
and inhabitants of small mono-company
towns, people without higher education and
representatives of almost all marginal groups
(labour migrants, former convicts, homeless
people, etc.). Those who have been in long
term unemployment and have lost faith in
finding work are particularly excluded. Risks
of exclusion related to gender inequality in
employment are reflected in the professional
segregation of women into lower-paid types
of economic activities. Non-standard forms
of employment, such as partial employment, employment under fixed-term labour
contracts and self-employment are forms of
employment which can, also, create exclusion risks.
26.4 percent of the Ukrainian population
who are living below the official poverty line
have an insufficient purchasing power and
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76
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CH APTER
When real opportunities to satisfy needs in terms of social protection, health care and communications are
absent or limited, some people can become socially excluded. One group of barriers to social inclusion is
objective and does not depend on individuals. This includes such factors as underdeveloped social infrastructure or its non-uniform distribution across regions; inadequacy of communications infrastructure; and
low quality of social services. Another group of barriers is specific to individuals or groups of people, and
includes such characteristics as low individual incomes; physical disabilities; or personal views and beliefs.
Social exclusion is a relative category and
it relates largely to the level of inequality
in society. If inequality is significant,
perceptions of social exclusion among
vulnerable groups are sharper. Individuals
may tend to blame the state for failing to
protect them from economic and social
hardships and exclusion. These feelings
and expectations were often formed
under the Soviet system as a result of
its deep-rooted paternalistic orientation. Such expectations of the state as a
provider of unlimited support are difficult
to justify in a market economy.
Exclusion from the health care system.
The health care system in Ukraine has
not been changed organizationally
since Soviet times. It is financed from
budget revenues, predominantly taxes.
Mandatory medical insurance has not
been introduced. Despite constant
growth in expenditure in this sector
in absolute terms, the sectors ratio to
GDP remains low. A resource intensive
hospital infrastructure, combined with
the low quality of services and widespread informal payments, and limited
accessibility of services for some groups
of population are some of the features
of the current system.
Exclusion related to health care has two
aspects: restrictions of access to services
and restriction of abilities to take part in
day-to-day activity and exclusion as a
result of poor health.
There are four main barriers to inclusion
in the health care system: 1) economic
(insufficient household incomes to
cover the necessary health care expenditures); 2) physical (medical institu-
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5.1
Restrictions of Access to Medical Goods and Services Owing to Insufficiency of Funds, 2007 (%)
Urban
households
Rural
households
Households with
children
Households
without children
Funds are insufficient to pay for emergency medical services on paid basis (under
condition whereby getting free services is difficult)
Funds are insufficient to pay for services of hospitals (under condition whereby
getting free services is difficult)
Funds are insufficient to buy medications and medical devices prescribed by doctor
Funds are insufficient to pay for services of a dentist (under condition of usage of
cheap materials) or cheap prosthetic dentistry
Funds are insufficient to pay for services of in-patient departments (hospitals)
without performing surgery (under condition of getting free services)
All households
TABLE
23.3
22.1
25.9
19.3
25.7
24.1
24.1
24.2
19.6
26.9
23.4
21.1
23.1
21.4
24.1
20.4
19.4
18.6
25.9
22.7
26.8
27.3
25.5
22.8
29.2
5.2
TABLE
Households
Urban
Rural
With children
Without children
14.9
15.9
12.7
13.5
15.9
11.4
1.1
6.9
4.6
3.6
5.8
3.3
3.1
11.9
0.8
7.0
4.9
4.2
5.7
3.4
2.9
10.2
1.7
6.7
3.8
2.1
6.0
3.2
3.7
10.4
1.3
7.7
5.7
2.9
5.6
3.3
2.9
12.0
1.0
6.4
3.9
4.0
6.0
3.4
3.3
78
Spellerberg (2001).
CHAPTER5.EXCLUSIONFROMHEALTHCAREANDSOCIALPROTECTIONSYSTEMS,SOCIALNETWORKSANDMEANSOFCOMMUNICATION
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5.1
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79
04.07.2011 17:40:22
5.1
BOX
Each second individual (53 percent) among children and young people living on
the street does not have a medical history sheet or does not know where it is. The
vast majority believe that most likely they will face an unfriendly attitude on the
part of medical personnel as their friends have had negative experiences when
trying to get services.
5.2
BOX
5.3
BOX
I often fall sick but we try to wash ourselves more often. The problem is to find
a place to wash our clothes. This a big problem for us because scabies can nest in
dirty clothes. We cannot get a medical examination (Oleg, Simferopol).
5.4
BOX
The following illnesses are widespread among the homeless: alcoholism (60
percent), drug addiction, mental disorders, tuberculosis (50 percent), hepatitis
(37.5 percent) and HIV/AIDS.
have to travel 310km, if they need medical
assistance. 5 6 7 8
High level of public distrust in the health
care system is common for Ukraine. Around
one-fourth of those interviewed (24.9
percent) strongly believe that the domestic
health care system was not able to provide
the necessary services. Only a very small
group of respondents (6.1 percent) firmly
believed in the systems capacity to meet
their needs.
Exclusion owing to poor health. A significant share of Ukraines population has
health issues. Poor health conditions are
influenced by a wide variety of factors, such
as an unhealthy lifestyle, bad habits, ignorance related to personal health and hygiene,
5
6
7
8
80
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5.5
BOX
5.6
BOX
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5.7
BOX
I arrivedat the policlinic. How could I get in? They said, Next time here will
be a ramp. I went there one more time. Yes, there is a ramp. With the help of
two doctors (!) I was able to go up the ramp to the reception desk but what
next? The general practitioner was on the first floor and the neurologist was
on the second.16
Lack of access to health care. There is a
wide range of barriers in the area of provision to persons with disabilities of health care
services needed owing to the nature of their
disability. These services are important for
rehabilitation, minimization of difficulties and
prevention of the subsequent emergence
of disability, especially for children and old
people. 17 18
Inaccessible buildings, roads and infrastructure. Lack of adaptation of buildings, roads,
transportation, schools, housing, health care
institutions, shops and work places is a major
barrier to many persons with disabilities
enjoying a full life in society. Existing informational, communication, electronic and emergency services are insufficiently adapted and
modified to meet the needs of persons with
disabilities.
Lack of access to information. Sign
language used by the deaf and hard of
hearing; the Braille alphabet used by the
blind; and other kinds, methods and formats
of communication of persons with special
needs are barely used in official communications. Such practices as encouraging private
enterprises to provide services to the wider
public in forms that are understandable to
and acceptable by persons with disabilities
15
16
17
18
82
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5.8
BOX
Recently I visited a private dental clinic where a very good doctor refused to
treat my teeth. We have a mutual friend, so I informed her about my status. But
she told me frankly, I am sorry, but you should understand that if anybody knows
that I am assisting a HIV-infected person, then nobody will visit me anymore.
She is not afraid to become sick but she is afraid that people will know.22
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5.3
5.2
TABLE
Type of household
Level of coverage with social assistance (share of recipients Share of social assistance in households
of at least one type of social assistance in the overall group)
overall incomes
49.4
14.2
98.3
15.4
84.5
3.8
59.6
6.3
25
26
84
Veritas (2007).
Veritas (2007).
CHAPTER5.EXCLUSIONFROMHEALTHCAREANDSOCIALPROTECTIONSYSTEMS,SOCIALNETWORKSANDMEANSOFCOMMUNICATION
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5.4
Matching of a Right for Assistance to Subjective Need for Such Assistance, 2008 (%)
TABLE
Groups of households
32.4
27.5
32.2
39.7
33.2
32.0
30.8
41.1
57.7
32.1
33.0
31.0
42.1
29.6
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5.5
Reasons why Potential Users Did Not Apply for Assistance, 2009 (%)
TABLE
Share of households
Number of households
in Ukraine
32.8
31.8
163,458
158,392
104
109
8.3
41,466
31
18.7
8.4
100.0
93,041
41,993
49,8350
54
26
324
5.1
FIGURE
86
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5.6
TABLE
Problems with Purchasing of Goods and Services for Recipients of Assistance (Persons
with Disabilities from Childhood and Children with Disabilities), 2009 (%)
Types of good (service)
Share of recipients of assistance who have problems with purchasing a particular good or service
Medications
Rehabilitation in a specialized sanatorium
Specialized treatment in a day and night clinic
Foodstuffs
Education
Employment
Medical services at home
Car
Means of rehabilitation
Services for examination and support at home
Special equipment
63.3
46.7
31.6
23.5
16.6
14.8
14.2
12.4
8.6
8.2
8.0
5.2
Awareness of the Population of Assistance for Children by Household Type, 2008 (%)
FIGURE
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5.9
BOX
Living conditions are harsh because there are no hot meals, you want to take a
bath but you have to content yourself with cold water and junk food (Oksana,
Simferopol).
I heard that there are places where the homeless obtain food, where they can
wash themselves, cut their hair and nails and get medical services, but I didnt
manage to find them (Enver, Simferopol).
5.7
TABLE
Type of locality:
Big city
Small town
Rural area
Living in poverty: *
Very poor
Poor (including very poor)
Not poor
Total
67.3
73.0
76.4
71.7
72.8
71.2
71.6
88
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5.10
BOX
Pozniak (2008).
NATIONAL HUMAN DEVELOPMENT REPORT 2011
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89
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means they do not pay pension contributions and can claim only social pensions (the
minimum) in the future. Among the urban
employed, just 10 percent work within the
informal sector. These different levels of
pension coverage and differences in wages
mean the gap between urban and rural areas
will increase further in the future.
Gender inequality is also present when
determining pension amounts. A lower retirement age is set for women (55 years vs. 60
years for men). Even though this is considered a privilege for women, in reality a lower
retirement age means women are exposed
to higher risks of poverty on retirement. Given
their shorter employment period, the average
pension for a woman is equal to just 68.5
percent of the correspondent pension for a
man. According to data from the State Statistics Committee of Ukraine, the average wage
of a woman was equal to 77.2 percent of that
of a man in 2009. Given high mortality rates
of men, working-age women constitute twothirds of the overall number of pensioners, and
many of them live alone. Therefore, the lower
retirement age creates high risk of social exclusion of women in old age.
The majority of the population (69.6
percent) does not believe in the ability of the
existing pension system to satisfy their needs.
Even more people (71.8 percent) do not trust
the existing state social protection system.
Another major characteristic of social
exclusion of the elderly is their isolation and
the impossibility of satisfying their needs in
terms of communication, leisure, participation
in the life of younger generations and interaction with people outside the family. Highly
educated people who remain able-bodied
(5565 years of age) are pushed out of the
labour market and do not have access to jobs
that are appropriate to their qualifications.
Non-state forms of social assistance. Mutual
assistance at the family level is traditional in
Ukraine. Older generations try to support
their adult children both financially and
morally, primarily by taking care of grandchildren. This, to some extent, counteracts old
peoples social exclusion and stimulates their
need to feel useful. Often, old parents living in
villages support their children living in cities
by supplying them with foodstuffs grown
on their subsidiary plots. The majority of the
population (65.6 percent) thinks that parents
more often support their children and just
14.0 percent think that children more often
support their parents. 32
32
90
5.3
Exclusion
from Social Networks
CHAPTER5.EXCLUSIONFROMHEALTHCAREANDSOCIALPROTECTIONSYSTEMS,SOCIALNETWORKSANDMEANSOFCOMMUNICATION
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5.8
5.4
5.11
BOX
Former convicts need psychological assistance very much because they feel
themselves lost. Prison takes away your will to live. You get used to eating
on schedule and you have shelter. When you are released, and achieve
what you have dreamt about for so long, you start to lose understanding of
what is happening around you. Prison takes away the feeling of insecurity.
I know many examples of people committing crimes just after their release
in order to come back to prison. This is very convenient for recidivists. This is
an absolutely stupid punishment. There is no system of inclusion of former
convicts in public life in our country. It is impossible to find a job. []
Psychological assistance is needed because everything has changed. How
to adapt? I could not even recognize the town during this time (Valeriy,
Simferopol).
TABLE
Never
Seldom
Several times in a month
Several times in a week
Almost every day
No answer
Total
Family/relatives
Neighbours
Close friends
Friends, colleagues
1.0
9.6
9.6
11.0
68.2
0.6
100.0
11.9
32.9
14.8
24.5
15.1
0.8
100.0
8.6
18.7
28.1
26.9
10.5
7.2
100.0
6.9
32.6
22.8
19.4
14.3
4.0
100.0
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5.3
FIGURE
5.4
FIGURE
92
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Conclusions
In Ukraine 14.9 percent of households
with members who required medical assistance were not able to receive it for a number
of reasons, such as the high cost of medical
services; absence of specialists; and absence of
medical institutions close to place of residence.
People with low incomes and rural inhabitants
are the main population groups facing barriers
to accessing the health care system. Around
one-fourth of population does not believe
that the national health care system is able to
provide the necessary services.
Persons with disabilities, people with
socially dangerous diseases (HIV, tuberculosis) and chronically sick patients feel themselves excluded, mostly as a result of their
health.
The main factors excluding persons
with disabilities from a full life in society are
barriers to employment and reduced opportunities to work and earn enough in a chosen
profession; lack of access to education; lack of
access to health care; inaccessible buildings,
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94
CHAPTER5.EXCLUSIONFROMHEALTHCAREANDSOCIALPROTECTIONSYSTEMS,SOCIALNETWORKSANDMEANSOFCOMMUNICATION
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Multidimensional Aspects
of Social Exclusion in Ukraine
CH APTER
Traditionally, researchers and policy-makers rely on economic indicators to measure social exclusion.
Both the processes and the results of social exclusion are very complex, so indicators reflecting other,
non-economic aspects should also be taken into consideration to present a comprehensive picture
of its drivers and outcomes. A more complex model of social exclusion, which would include indicators from various fields, needs to be developed. Such indicators as access to education and health
care; housing conditions; position in the labour market; communication opportunities; accessibility
and availability of social infrastructure; and inclusion in political and socio-cultural processes should
be taken into account along with standard measures of the populations economic opportunities.
The sources that could be used in the
multidimensional assessment of social
exclusion in Ukraine are as follows:
The Household Budget Survey (HBS),
regulary conducted by the State
Statistics Committee of Ukraine;
The HBS separate module of selfassessment of availability of certain
goods and services;
Surveys of Economic Activity of the
Population in Ukraine.
Based on the available data, the
following quantitative indicators are
used to identify and evaluate degree of
social exclusion in Ukraine:
1. Household in which all adults of
working age have low status in the
labour market (unemployed, selfemployed or household members
working for free);
2. Unemployed for a long period of
time (over 12 months), according to
the ILO methodology;
3. The poor defined in accordance with
the relative national criterion;
4. Households unable to ensure
adequate nutrition during a year,
according to self-assessment;
5. Households that experience a
shortage of funds for visiting friends
with presents or for inviting friends
to visit, according to self-assessment;
6. Households that experience a
shortage of funds for family vaca-
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6.1
FIGURE
96
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6.1
6.1
TABLE
6.1
BOX
Without pensioners
At least one pensioner but number of pensioners less
than number of adults
All are pensioners
Total
Source:
6.2
TABLE
85.5
101.0
75.1
98.5
90.6
100.9
166.9
219.9
127.7
100.0
127.7
102.3
92.8
186.7
Without pensioners
At least one pensioner but number of pensioners less
than number of adults
All are pensioners
Total
Source:
Including
Including
without children with 12 children with 3 or more children
45,7
19,5
17,8
11,2
25,8
7,8
2,1
0,5
34,7
100,0
34,7
63,8
0,0
33,6
0,0
2,6
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97
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6.3
TABLE
Total
without
unemployed
persons
at least one
unemployed
person*
123.9
45.2
33.7
100.0
115.5
40.2
33.2
91.6
156.7
77.6
54.5
139.4
197.4
197.4
Number of unemployed persons or persons with higher education is less than the number of adult household members.
Source:
6.4
TABLE
98
Total
without
unemployed
persons
at least one
unemployed
person*
88.2
8.3
3.5
100.0
68.2
6.4
3.4
78.0
15.6
1.9
0.1
17.6
4.4
0.0
0.0
4.4
Number of unemployed persons or persons with higher education is less than the number of adult household members.
Source:
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6.2
6.5
6.2
FIGURE
Source:
Risks of Acute Social Exclusion by Settlement Type, 2007 (% Compared with Average)
TABLE
Big city
Small town
Rural area
Source:
6.6
TABLE
63.3
94.3
155.6
Without pensioners
At least one pensioner but number of pensioners
less than number of adults
All are pensioners
Total
Source:
Including
without children
with 12 children
47.4
21.2
18.1
11.4
26.2
8.8
3.1
1.0
31.4
100.0
31.4
60.8
0.0
35.0
0.0
4.1
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experiencing so-called all family unemployment, which is common in small monocompany towns, face even bigger barriers to
social inclusion. Their risk of critical exclusion
is 2.7 times higher than the average and 3.2
times higher than the risk of families with
no unemployed people (and 28.0 percent
higher than the risk of acute exclusion of
such families). The probability of acute unemployment becoming critical is equal to 16.9
percent. Therefore, the presence of one or
more unemployed persons is a very important factor in the critical exclusion of many
households.
Taking into account the fact that households with unemployed people amount to
6.7
TABLE
Without pensioners
At least one pensioner but number of
pensioners less than number of adults
All are pensioners
Total
Source:
6.8
TABLE
without children
with 12 children
88.7
109.4
76.1
100.1
92.2
113.4
246.2
413.5
115.5
100.0
115.5
97.7
96.8
273.5
Total
without unemployed
persons
129.5
31.9
18.7
100.0
113.1
27.3
18.4
85.7
193.9
61.8
30.3
165.1
273.4
273.4
Note: * Number of unemployed persons or persons with higher education is less than the number of adult household members.
Source:
6.9
TABLE
None
At least one*
All adults
Total
Total
without unemployed
persons
92.1
5.8
2.0
100.0
66.7
4.3
1.9
72.9
19.3
1.5
0.1
20.9
6.1
0
0
6.1
Note: * Number of unemployed persons or persons with higher education is less than the number of adult household members.
Source:
100
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Conclusions
A multidimensional assessment of social
exclusion identifies the most vulnerable
groups that cannot overcome barriers to
social inclusion by themselves. It is clear that
these groups need support from the state,
local communities and civil society to achieve
social inclusion.
Two levels of social exclusion have been
identified. Acute exclusion occurs when
households have at least five characteristics
of exclusion among broader characteristics
related to their lifestyle and conditions of
living. Critical exclusion occurs when households have at least seven of such social exclusion characteristics. Overall, 37.7 percent of all
6.3
FIGURE
Source:
6.10
TABL E
Big city
Small town
Rural areas
Source:
54.1
96.2
167.0
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101
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102
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CH APTER
Social inclusion policy should be informed by an objective analysis of drivers and outcomes of social
exclusion. Policy priorities should be defined based on a thorough assessment of the acuteness and
extent of exclusion. Once adopted, policy promoting social inclusion should be supported by adequate
action plans and state funding.
According to the results of the multidimensional assessment of the extent and scope of social exclusion, 16.9 percent of households in Ukraine are in a critical situation and face high risk of marginalization.
More than half of them reside in rural areas. A typical household that faces acute or critical social exclusion is one that lives in a rural area and consists of working-age people and one or two children. Usually,
all adult household members have complete general secondary education, and they are employed or
unemployed. In most of cases, they live below the monetary poverty line.
The multidimensional assessment
allowed also to identify the most vulnerable population groups that cannot
overcome barriers to social inclusion by
themselves and need assistance from
the state, local communities and civil
society. Sometimes, the human rights
of socially excluded groups are violated.
For example, elderly people often
cannot buy the necessary medications and access adequate health care
services owing to lack of funds; young
people cannot cover tuition costs and
continue their education for the same
reason.
Social exclusion is not a static phenomenon; everyone is at risk of being left
out of society. Vulnerable groups are
indeed overrepresented among the
socially excluded, but not everyone
from these groups is excluded, and not
all the excluded are from these groups.
The determinants of social exclusion
are linked to and reinforce one another.
Exclusion in one area can trigger a
series of exclusions in other areas.
Multiple interventions implemented in a
concerted manner are needed, reflecting
the complexity and the dynamic nature
of social exclusion. Therefore, social
inclusion policies should include the
following components:
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7.1
Enhancing peoples trust in political institutions is a key task, one which will define
the success of the inclusion policy and will
represent a cornerstone of any comprehensive social inclusion system. The majority
of the population appears to have pessimistic expectations of political processes to
be constant; laws and regulations adopted
may often remain statements of good intent
without any follow-up implementation and
proper reporting. Traditions of cooperation
and dialogue between the authorities and
the population are not yet well developed.
To address the barriers to political inclusion,
it is necessary to:
Bring real legal practices in line with the
adopted laws;
Establish a practice of systematic clarification of the authorities plans, by providing to the population a clear and honest
presentation of expected results and
possible risks;
Ensure connections between fundamental
Government reforms and the populations
expectations by introducing a mandatory
requirement to conduct public consultations.
In general, the population does not
appear to believe that opportunities exist
to influence policy decisions. This results
in low level of participation in political life.
These trends are observed at both national
and local levels. This is a consequence of
the absence of a developed civil society
on the one hand and the extremely limited
legal culture in Ukraine on the other hand.
Combined with corruption, this creates
almost insumountable barriers for the
majority of the population to influence any
authority decision and monitor its proper
execution. To facilitate public participation
in decision-making and encourage more
active involvement in the public life, it is
important to:
Hold awareness-raising interventions to
familiarize the population with opportunities to be involved in and monitor the activities of the authorities;
Popularize legal knowledge and societal
rules of behaviour;
Simplify the mechanism of registration of
CSOs.
The inclusion of all groups in political life
entails the mobilization of communities that
do not currently realize their political rights.
The most important right is the right to
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7.3
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of the methodology for calculating the aggregated family income for the purpose of
determining eligibility for targeted social
assistance;
Minimization of possible negative consequences of social protection programmes,
such as a decrease in economic activities
among the population and a strengthening of the welfare mentality in society.
These goals can be achieved by imposing relevant additional eligibility criteria
for those of working age to participate in
programmes and improving the system of
social inspection, including its legal foundations;
Introduction of a progressive taxation
scale for personal incomes as the means to
decrease social inequality.
Overcoming social exclusion based on
housing conditions. Decent housing conditions along with income level determine full
participation in public life. Policy in this area
should aim to enhance the availability of
housing and decrease the burden of the cost
of housing and utility services on the family
budget. Policy actions should ensure:
Development of a system of social and
temporary housing;
Improvement of the access to mortgages
(particularly for young families);
Stimulation of the development of the
long-lease housing market;
Improvement of housing infrastructure.
7.4
7.5
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7.6
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part of other people. Therefore, implementation of outreach, education and awarenessraising activities aimed at building tolerance
towards persons with disabilities should
be strengthened significantly. The society
should be made aware that persons with
disabilities have the same rights and ability
to participate fully in society, including in
the labour market, and therefore should be
informed about the professional successes
and labour capacity of persons with disabilities. Furthermore, it is necessary to develop
the culture of perception of persons with
disabilities as equal members of the society
in such socially important spheres of life as
public administration, management, manufacturing, science, finance, etc. The media
and the educational sector should play an
important role to ensure this.
One important pre-condition for the
social inclusion of persons with disabilities
is the creation of opportunities for them to
live independent lives and participate in all
spheres of life, by providing equal access to
infrastructure, transport, information and
communication. Therefore, the following
actions must be implemented:
Provision of a sufficient number of rehabilitation means;
Creation of an accessible information and
communication environment, including
emergency services, in particular to address the needs of persons with impaired
hearing or vision and people with intellectual disabilities;
Creation of a barrier-free environment
through the reconstruction of roads and
residential and public buildings, including secondary and higher education and
health care institutions;
Improvement of the accessibility of public
transport for persons with disabilities;
Ensuring accessibility of workplaces.
Quality education increases the chances
of all individuals for a better life, but persons
with disabilities often cannot access it. Children
with disabilities should have the opportunity to
obtain education in a mainstream school with
their peers, if possible. This will stimulate the
socialization of children and youth with disabilities and help them achieve better educational
outcomes and acquire life and labour skills.
Access for persons with disabilities to higher
education can be ensured through the introduction of flexible curricula, training on an individual schedule, distance learning, etc.
Exclusion of persons with disabilities is
closely related to their participation in the
labour market. The following measures can
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tion of Roma in realisation of social housing and other projects established for their
benefit;
Creation and organization of the work of
pre-school institutions and also primary
schools to prepare Roma children to pursue general and special secondary education with children of other nationalities.
The policy aimed at the inclusion of Roma
who are not willing to live a sedentary life
should include:
The study of traditional nomadic routes;
Creation of settlements of temporary and
permanent (mixed) residence with adequate social infrastructure, including
boarding and regular schools for Roma
children (adapted for work during the
whole calendar year and especially in winter) in common stopping places for nomadic Roma.
People living with HIV/AIDS. Policy for
the social inclusion of people living with HIV
should create prerequisites for their full and
harmonic integration into the society in all
its essential functions and spheres. The key
barrier relates to the stigma associated with
HIV status, to discrimination and to violations
of human rights in such important areas as
health care, education and employment.
Therefore, actions aimed at overcoming HIVrelated stigmatization and reducing discrimination to a zero level, along with legal protection for those affected with HIV, should be at
the centre of the policy of social inclusion.
Impact of such factors, as low awareness,
fear, false stereotypes and prejudice, spread
in society towards people living with HIV,
should be addressed by activities in educational and general informational spheres.
The specific medical needs of people living
with HIV include antiretroviral therapy and
also substitution maintenance treatment for
those with drug dependency. Both should
be featured in the set of medical services
offered by health care facilities throughout
the country. Social services to support adherence to treatment, to ensure preventive
care and social support as well as psychological counselling should be fully present, in
conformity with adopted standards. Also, for
those living with HIV, who belong to the risk
groups, it is essential to maintain re-socialization programmes. Hence, the national HIV/
AIDS programmes should include such services with sufficient budget.
Legal protection of people living with HIV
and representatives of risk groups is absolutely
essential in terms of both the effective fight
against the epidemic and the social inclusion
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AN N EX
The Human Development Index (HDI) is a summary measure of human development. It
measures the average achievements in a country in three basic dimensions of human development: a long and healthy life, access to knowledge and a decent standard of living. The HDI is
the geometric mean of normalized indices measuring achievements in each dimension.
Data sources
Life expectancy at birth: UNDESA1
Mean years of schooling: Barro and Lee2
Expected years of schooling: UNESCO Institute for Statistics3
Gross national income (GNI) percapita: World Bank4 and IMF5
67
Creating the dimension indices. The first step is to create sub-indices for each dimension.
Minimum and maximum values (goalposts) need to be set in order to transform the indicators into indices between 0 and 1. Because the geometric mean is used for aggregation, the
maximum value does not affect the relative comparison (in percentage terms) between any
two countries or periods oftime. The maximum values are set to the actual observed maximum
values of the indicators from the countries in the time series, that is, 19802010. The minimum
values will affect comparisons, so values that can be appropriately conceived of as subsistence
values or as natural zeros are used. Progressis thus measured against minimum levels that a
society needs to survive over time. The minimum values are set at 20 years for life expectancy,
at 0 years for both education variables and at US$ 163 for per capita GNI. The life expectancy
minimum is based on long-run historical evidencefrom Maddison6 and Riley.7 Societies can
subsist without formal education, justifying the education minimum. A basic level of income
Life expectancy
Mean years of schooling
Expected years of schooling
Combined education index
Per capita income (PPP US$)
Observed maximum
Minimum
20.0
0
0
0
163 (Zimbabwe, 2008)
Example: Ukraine
Indicator
Value
68.6
11.3
14.6
6.535
UNDESA (2009).
Barro and Lee (2010).
UNESCO Institute for Statistics (2010).
World Bank (2010).
IMF (2010).
Maddison (2010).
Riley (2001).
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is necessary to ensure survival: US$ 163 is the lowest value attained by any country inrecorded
history (in Zimbabwe in 2008) and corresponds to less than US$ 0.45 a day, just over a third of
the World Banks US$ 1.25 a day poverty line.
Having defined the minimum and maximum values, the sub-indices are calculated as
follows:
actual value minimum value
Dimension index =
(1)
maximum value minimum value
For education, equation 1 is applied to each of the two subcomponents, then a geometric
mean of the resulting indices is createdand, finally, equation 1 is reapplied to the geometric
mean of the indices, using 0 as the minimum and the highest geometric mean of the resulting
indices for the time period under consideration as the maximum. This is equivalent to applying
equation 1 directly to the geometric mean of the two subcomponents. Because each dimension index is a proxy for capabilities in the corresponding dimension, the transformation function
from income to capabilities is likely to be concave.8 Thus, for income, the natural logarithm of the
actual minimum and maximum values is used.
Aggregating the sub-indices to produce the Human Development Index. The HDI is the
geometric mean of the three dimension indices:
1/3
1/3
1/3
( Life Education Income ) (2)
Expression 2 embodies imperfect substitutability across all HDI dimensions. It thus addresses
one of the most serious criticisms of the linear aggregation formula, which allowed for perfect
substitution across dimensions. Some substitutability is inherent in the definition of any index
that increases with the values of its components.
68,6 20
Life expectancy index =
= 0,769
83,2 20
11,3 20
Mean years of schooling index =
= 0,856
13,2 20
14,6 20
Expected years of schooling index =
= 0,709
20,6 20
0,856 0,708 0
Education index =
= 0,819
0,951 0
Income index = ln(6,535) ln(163) = 0,568
ln(108,211) ln(163)
3
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AN N EX
Characteristic of exclusion
Household in which all adults of working age have low status in the labour market
5.5
1.8
24.0
4.1
Households that experience shortage of funds for visiting friends with presents or for
inviting friends to visit
17.6
Households that experience shortage of funds for family vacations outside the home
and not with relatives at their place residence
34.0
Households that experience shortage of funds for purchasing tickets to the cinema
(or theatre or concert) once or twice a year
13.4
Households with a share of social assistance and assistance from relatives amounting
to 33 percent of total income
1.7
8.4
10
Households in which not one member 25 years of age or older has professional
education
48.6
11
39.2
12
Households that experience shortage of funds for paid emergency medical services
23.1
13
55.1
14
21.5
15
12.6
16
7.7
17
Households that have not accessed services in the field of culture during a year
23.7
18
Households that shift responsibility for their well-being onto the state
34.0
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