Woman Plus...
  #1, 2000

The Women’s Budget

Evgeniya Alekseeva

How does the alloccattion of resources in the state budget influence the life and well-being of women? This question has been raised by two South African organizations – the Community Agency for Social Enquiry (CASE) and the Institute for Democracy in South Africa (IDASA). They took initiative to carry out a gender analysis of budgets in all state departments. This initiative received a name of «the Women’s budget» and became an academic research which is to provide recommendations and to adjust budget according to the state constitutional values. Since then gender analysis of different state departments budgets of South Africa has been carried out each year in South Africa and it draws attention of the public worldwide. It is impossible to cover all aspects of the initiative in this short article, that is why I would like to focus on results of budget research of two departments: the Department of Trade and Industry and the Department of Health. I have chosen these departments because I found a similar situation related to the work of the same departments in Russia. Considering examples of the work of these departments in South Africa, it is possible to see the way researchers work, assess the questions they ask, analyze conclusions they made, and examine recommendations they gave to the government.

Women in South Africa

South Africa is a developing country where the regime of apartheid has been thrown away not so long time ago. The majority of population comprises black Africans who live in poverty. Women represent the most disadvantageous group among other disadvantaged rural, illiterate and unemployed groups. The statistical data and observations on the streets of cities and in rural areas confirm this state of affairs. On budget day every year, we hear the usual question: How will the latest budget affect men? The question emphasizes the fact that women are ignored and their interests are not given consideration to, women’s interests are confused with men’s interests. Yet, whether it is possible to confuse interests of men and women if, for example, men earn one and a half or two times more than women (if comparing monthly earnings of white men and African women then the gap in income is huge). The educational level is also different – only 18 % of African women and 22% of African men have a completed matric, whereas the percentage for white women and men are 66% and 75%.

Repeating the experience of women world wide, women in South Africa perform considerable part of unpaid work: cooking, cleaning, nursing children and the sick, fetching water and wood, and other activities. Unfortunately, economists do not take into consideration these activities. However, if women stop to perform these tasks the whole economy will collapse. People will not be able to survive without this day-to-day routine, which is traditionally accepted as women’s responsibilities. It takes time and efforts to change the situation socially constructed during many centuries. As a result, when a woman begins working outside the household she experiences a double burden. Thus, women have limited time to raise their qualifications and limited chances to have high paid jobs. For example, over a third of South African women who work for money are in the social services (nursing, teaching and domestic work), while men are engaged in the work in a production sphere. Men hold high-ranking positions in economy, politics and social sphere. Less than 5% of women hold the position of director in campaniles listed on the Johannesburg Stock Exchange. Very few women (particularly white women) hold high-level positions and have the opportunity to influence decision-making process in the sphere of economics. Almost half of African women (47%) want to earn money but do not have opportunities. This figure could have been higher if the Ministry of Economics had considered women who have to rear children at home because of absence of functioning child rearing facilities.

The Analysis of Programs and Recommendations of the Department of Trade and Industry.

The task of the Department is to promote production and trade. The program policy influences the every day life of all South African people, however, very often the outcome of the policy is that women find themselves disadvantaged. For example, economic stimuli the government offers may make a company create or decrease number of working places. One of these stimuli is tax holidays. Those who benefit from the policies of the Department depend on where tax holidays are used: in agriculture where the majority of workers are women or in metallurgy where the majority of workers are men.

The department allocated about R2,4 billion in the 1998/9 budget, it is a little over 1% of total government spending for 1998/9. Nearly 46% of the department’s budget is poured into the Foreign Trade Relations and Export Promotion Program. Most of the money was spent on subsidies to South African manufactures who export their goods to other countries under the General Export Incentive Scheme (GEIS). The scheme benefits big South African companies with male-domineering stuff and workers but does not benefit women. Moreover, experts argue that GEIS does not provide government with profit because it costs a lot of money and it does not assist in promoting exports. In the place of GEIM the department has developed new schemes which include: expanding the export marketing assistance program to assist South African companies in selling their products outside the country; supporting new business ideas and technology department; bringing down new investors’ costs by offering incentive schemes and tax holidays; promoting exports by the SMME sector.

A third of the total Department of Trade and Industry’s budget financed its Trade Facilitation program. A big part of the department activity has been directed to work towards liberalizing South Africa’s foreign trade relations. Liberalization of trade means abolition of tariffs on goods produced by foreign firms in exchange of abolishing of tariffs on goods produced by South African firms. This experience lowers the cost of goods and increases sales. The advantage of having tariffs is that South Africans buy goods produced in their country and, consequently, more jobs for local workers have been created. It is not clear yet to what extent trade liberalization will affect South African women. Judging by experiences of other countries, it is possible to assume that more women will be employed. Export industries are often labor intensive, so that entrepreneurs find it profitable to employ many women workers because female work is low paid. On the other hand, industries that have been highly protected from international competition by tariffs will be most affected by trade liberalization. The most protected industry in manufacturing in South Africa has been the textiles, clothing and leather industry – where women are employed. Already thousands of women have lost their jobs because of competition from imported goods and the number of unemployed women will rise after trade liberalization. Government, labour and business representatives have started to discuss a social plan which will look at ways to help workers who lose their jobs. Such help would include training and helping to find new jobs.

Still another important part of the Department work is its Regional Industrial Development Program (RIDP). The program was closely linked to the apartheid government’s bantustan policy, which aimed to control the movement of African people. As most people living in the bantustans are women (most men work in cities), the RIDP had an important impact on their lives. The previous government wanted to create economic growth areas outside the main cities – to try to keep black people out of the cities. It used many incentives, like allowing companies to offer poor wages (particularly for women) and working conditions, to cut the expenses and to attract industries to the rural areas. On the one hand, the program investments offered women job opportunities in poverty-stricken places: women work for low wage under bad conditions but it was better than unpaid domestic work or farm work. On the other hand, some experts say that city women lost their jobs when companies decided to move to rural areas.

The Regional Industrial Development Program was changed in 1991 and now it does not target the creation of cheap jobs in the poorest areas. In place of the program, the government has introduced new schemes, such as a tax holiday for large investors who in their turn have to create new jobs. To spur the creation of new jobs, the government has introduced the program for small size and medium size businesses – the Small Medium Manufacturing Development Program (SMMDP). The department has allocated R50 million for the tax holiday scheme and the same amount of money for the SMMDP. Up until now, many of the firms that get assistance have been in textiles where women dominate. The department is monitoring the companies that get support at present.

One of the important sectors of economy is small medium and micro enterprises (SMMEs). The Department of Trade and Industry allocated 3% of the budget to the SMME sector. Though women benefit from the SMME program, it should be stated clearly that women do low-skill, low-paying work. The reasons for that are: men have greater access to credits; women have less time to put into their business because of their unpaid work at home; often when women’s businesses become profitable, men take them over; stereotypes and prejudices against women create obstacles to their success.

There are three main categories of SMMEs:

  • medium enterprises have assets worth about R5 million
  • micro enterprise involves the owner, some family members and one or two employees
  • survivalist enterprises are managed by people who cannot find other jobs; they work on their own or with family members.

    Women work mainly in the survivalist enterprises, that is why government should channel resources into programs that target survivalist and micro enterprise categories. The government should spend money not only on initiative program and tax holidays, but also on such crucial factors as

  • development of infrastructure (childcare, transport, accommodation and storage facilities)
  • formation of policies directed to improve women’s access to finance, information and markets.
  • providing access to training courses
  • legalization of street trading
    The government pays outside business a lot of money to get some of its work done. It channels payment for this work through tender boards that is why it is called tendering. The government advertises the work it need done and invites businesses to quote on how much they would charge to do the job. R4 billion are allocated to the tender contracts yearly (this is twice much than the budget of the Department of Trade and Industry). The government promotes policies to provide more opportunities for women in SMMEs to participate in tendering. To do that, the government tries to make information about tendering and tenders accessible, divide large contracts into smaller ones, to make smaller contracts available, make it easier for SMMEs to get contracts. Besides, there is a rule of price preference, by which a woman-owned company can win a contract even if it will cost slightly more than that from another company. Yet, the price preference is not likely to have any major impact on women. In conclusion, it should be pointed out that paid work provides economic independence for women and this in turn makes it possible for them to have more control over their lives. Government policies should be controlled at all times to see whether it is making access easier to economic independence for women or not.

    The Analysis of the Program and Recommendations of the Department of Health.

    The Department of Health is responsible for providing health services, but is not responsible for providing decent living conditions, clean water, sanitation and work opportunities. People need all of this to be healthy. It is only when the Department of Health works together with other departments that it can properly see to people’s health. The Department of Health has a lot of good policies to provide health care services and services to prevent illnesses. The main focus of the department is on primary health care. It presupposes decentralization in management, development of small local clinics and medical institutions, which deal with everyday health problems. The preferences are given to develop services in small towns and in rural area. These programs require financial resources, strategic planning and change in hierarchical structure of the Health Department management. The problem of women’s health is not only related to their reproductive function but also to the their traditional behavior to put the well-being of others (children and men) before their own; this is often the cause for deterioration of women’s health. A good illustration to that is mealtimes, when women dish out for men and children before themselves. Moreover, pregnancy and childbirth are not the only factors which affect women’s health. Social conditions play important role in this situation. Thus, poverty and poor health are intertwined. Women and men who live in rural and poor provinces find it more difficult to have medical treatment because there are fewer clinics and fewer doctors and nurses. As it has been written the above, the majority of women live in poverty and in rural areas. Consequently, primarily health care plan should be carried out by taking into account the whole complex of factors that affect women’s health.

    The Department of Health allocated R25,1 billion in 1998/9, this is 12% of total government expenditure. Almost 80% of the sum was allocated to the 9 provinces health departments. Provinces then allocate their amounts to professional training and research, big hospitals, specialized health services and the primary school nutrition program. Only about 20% of the total health budget is spent by the national Department of Health.

    The government is not the main health service provider. About 60% of the total amount spent on health in the country is spent in the private sector. 63% of general doctors, 66% of specialists, 93% of dentists and 89% of pharmacists practice in the private sector. Private sector health care services are expensive but only 20% of South Africans have medical insurance to pay to cover these expenses. Typically, among those who have medical insurance women are in minority. It is a worrisome trend because it shows that the healthcare system is difficult to access.

    The health survey demonstrates that nearly 75% of Africans (and 25% of whites) do not go to the health clinics when they needed it, as they could not afford to do so. Several reasons were named such as lack of money, the time spent on travelling to the health care facilities (half an hour or one hour), and the time spent on waiting before they are seen by a health care professional (around one hour). The Department of Health makes everything possible to eradicate injustices left after the apartheid in the health care sphere. The main emphasis is made in giving more self-governance to local healthcare facilities. Local authorities participate actively in formation of a decentralized health care politics. President Mandela introduced free health care for pregnant women and children under 6 years old in 1994. This program was directed to serve the interests of poor people and it cost the government R5,3 billion in the 1996/97 budget year. The program was assessed after two years and it turned out that staff cost which make up the biggest proportion of ongoing public sector health spending, was not increased much while the extra drug cost was less than 1% of total ongoing health expenditure. The loss in fees was only just over 1% of the program budget. More women and children have begun using public health care facilities since the free care program was brought into being. This shows that when people had to pay fees, many could not use the public sector. The program has clearly made access to health services better for women, however, it has its disadvantages. One of the disadvantages is that the double workload is laid on nurses (generally nurses are mostly women) and it is not paid. It is clear that in order to make the program more effective, it is necessary to increase capital inflow in the program to pay for additional staff, medicines, and supplies.

    Women say there are three important things that they would like to receive in health care facilities: integrated services at a clinic level, a wide range of services and respectful attitude of professionals towards them (basically, Russian women want the same things). An NGO called the Women’s Health Project in cooperation with the Department in three northern provinces has begun working towards the integration of reproductive health services. In all provinces there were many problems with physical infrastructure, equipment and supplies. At the same time the research shows that buildings and equipment can’t solve the problem. It is necessary to have better staff management and medical professionals. Many women raised concerns about nurses and even doctors being unfriendly and having ‘bad attitudes’». These are barriers to health care and they can be approved if there is better management and training and if the right skills are used.

    The integration of services in clinics also is very important. It is more convenient for women to be able to access different services at one place on the same day. Such integrated clinics are efficient budget-wise because they provide medical treatment and focus on prevention of illnesses as well. An early diagnosis will save money.

    Abortions were legalized in the South Africa when the Choice of Termination of Pregnancy Act came into effect on February 1, 1998. This was the end of a long and hard struggle for women to have greater choice over abortion. At present the situation has been improved, however women who want terminations still have to face problems: some doctors and nurses refuse to perform them, some are hostile towards women who ask for help.

    Still another problem is domestic violence. Many women cannot talk to their male partners about using contraception and having safe sex because of the treat of sexual abuse. In the past, and sometimes even now, health workers, police and neighbors have ignored domestic violence and called it a ‘private affair’. In most cases NGOs provide most of the available support services to victims of domestic violence. The Department of Health does not finance these organizations. They depend on donor funding and this has to be changed. The department should investigate funding shelters and counseling services for victims of domestic violence. The Department of Health should consider financing of non-profit organizations, which are engaged in primary health care. As women are forced to leave their work or studies to care for sick children and relatives, the support of organizations which provide primary health care services at home will be very helpful to women.

    It is crucial to raise the question about the decision-making prices in the health care sphere. Most doctors are men. Most nurses (94%) are women. The majority of regional managers are men, though there are regions where women hold more managerial jobs than men. The salary of doctors two times higher than the one of nurses. It is necessary to promote women actively and provide necessary conditions for that (raising qualification, psychological training and others). In conclusion, it should be said that the Department of Health has a lot of progressive ideas and plans to improve the women’s health and there are number of ways to improve it at very little cost.

    I think that it doesn’t take long when the gender analysis of the government budget will be carried out in Russia. The initiative to make such research should be taken by Russian women organizations. I hope the experience of the South Africa will be valuable to promote the initiative, the importance of which is priceless for women and for the state as a whole. We are waiting for you feedback. You can contact us at: womplus@mail.ru.

    The author uses materials from the book «Money Matters. Women and the government budget» edited by Karen Hurt and Debbie Budlender.