2. Socio-economic system
Interaction between the social and economic activities of countries,
communities and individuals. All economic activities that involves people
require an element of care.
Care supports the socioeconomic
system
Care is the base of development. But this base frequently remains invisible and
is not granted the priority it deserves. That is why we say that care is the base
of the iceberg.
When referring to the ‘care system’ we refer to the invisible base.
25%
75
%
A care sensitive approach: a bottom-up
perspective
3. The two components of the care
economy
Provision of
unpaid care work
by the households
and communities
Paid jobs in the
care sectors
4. What is care work ? care work?
What is care work ?
5. Physical and
emotional care
• Care is comprised of all those activities necessary to re-create, day after day
the physical and emotional well-being of people..
7. Fulfilling and difficult
Care is a changing reality. It has a gratifying and
pleasant side as well as a difficult or tedious side,
because the lives of human beings always have this
double dimension of enjoyment and hardship.
How difficult or how gratifying this work is depends
on the needs to be covered. It also depends on the
conditions surrounding care and personal
preferences and characteristics.
8. Multi-faceted character of the motivation to
care: One can take care of others out of love, but also because:
One feels responsible
for others
It is seen as one’s job
There are no
alternatives
Care is often provided
free of charge (unpaid)
in close networks
involving care of family
members, friends and
neighbours.
9. When is care paid for…
When care takes place in exchange for a salary, it can take place at
home (domestic employment and home helpers) or in other locations
such as residences for the elderly and inform and childcare centres.
These paid positions are usually low paid and involve difficult work.
There are also mixed formulas, for example, work carried out by
volunteers in associations that look after the sick.
10. Changes in care needs over a lifetime
At 12 years old, the situation varies
greatly depending on whether the person
is a girl or a boy, or from a worse-off or
better-off family. While in some contexts
at that age, a child’s only obligation is to
attend school, in other (mainly girls) are
expected to take responsibility for tasks
such as washing and ironing clothes..
12 years old
Most people aged 42 years are able to
take care of themselves and others. Often
at this age, there are children,
grandchildren and parents to care for.
However, for men, it is likely that more
time will be devoted to paid work and less
to caring responsibilities. For women ,it is
likely that caring responsibilities will be
42 years old
Two year olds still need assistance with
bathing, clothing eating and in many cases
moving around/walking..
2 years
When aging, individuals might become senile
and in need of total care, but it is just as
possible that they are still working. If we are
fortunate at this age one would be retired and
receiving a pension, but at the same time
might be doing unpaid care work, such as
looking after grandchildren.. Women are less
likely to receive a pension than men because
the care work they perform during their lives
does not entitle them to this benefit; they are
also more likely to be taking care of others.
72 years old
13. Children and elderly
in the population
Population ageing is happening globally, with
the elderly forming a relatively high
percentage of the population. On the African
continent in general the majority on the
population is still young.
The population pyramid of the population of
Kenya shows that the majority of the
population is below 24 years of age. This
means that at present the bulk of the care
economy and care work has to be aimed at
children. However, since fertility rates
(number of children per woman) have been
declining and life expectancy increase this
will be changing in the coming decades. It is
important to already start to think and
prepare for the coming care economy needs
of older people.
Source: KNBS Population Census 2019
14. Children and elderly in
the population,
according to the
population prospects of
the UN Population
Division
Population ageing starts to have an
impact from 2020, and particularly 2030
onward, while the weight of population
aged 0-5 remains at a maximum until
2050/60 when a slight decrease starts
occurring
Source: UN Population Division 2019 Medium variant
Population aged
0-5
Population aged
25-64
Population aged
65+
0
10000
20000
30000
40000
50000
60000
70000
1
9
5
0
1
9
6
0
1
9
7
0
1
9
8
0
1
9
9
0
2
0
0
0
2
0
0
5
2
0
1
0
2
0
1
5
2
0
1
9
2
0
2
0
2
0
2
5
2
0
3
0
2
0
4
0
2
0
5
0
2
0
6
0
2
0
7
0
2
0
8
0
2
0
9
0
2
1
0
0
UN Population perspectives Kenya
Population aged 0-5 Population aged 6-11
Population aged 12-14 Population aged 15-17
Population aged 18-23 Population aged 25-64
Population aged 65+
15. Care needs may change and
increase unexpectedly
e.g. during pandemics such
HIV/AIDS and COVID-19
17. A
1
2
3
INDIVIDUAL AND TEAM INTERACTIONS OVER
PROCESSES AND TOOLS
Is infrastructure adequate for care?
Do housing, urban infrastructure and urban
policies impact on care?
Does sexual and reproductive policy recognize care
needs?
Public policies, particularly infrastructure
policies, impact on care
Key questions
19. Organization of time
The more time that must be devoted to
employment the less time there is available
for providing for one’s care needs and the
care needs of others.
There are examples of regions where limits
have been set on the number of hours in the
work week. For example, directive
2003/88/EC raised the maximum work week
for up to 48 hours in the European Union.
20. Cultural
dimensions of care
•In addition to the relevance of those
materials conditions, it should be
stressed that caring is not a
homogeneous notion. Each society can
be said to have its own overall culture
of care.
•Caring is intimately related to moral
norms that define what good care is,
who must care, who must be cared for,
and so on. And within each society,
diverse cultures of care may coexist.
21. Working with cultural attitudes towards care
The diversity of cultural
attitudes should be kept in
mind when implementing
care policies in order to
avoid imposing a certain
culture of care.
It is particularly important
not to hold the cultures of
disadvantaged social
groups and ethnic
‘minorities’ in disdain.
22. Discussion points on culture and care
CHILDREN
Child-care-taking is a major point
of disagreement among cultures
of care in the contemporary
world. Some may think it is
morally inadequate to ask a
teenager to cook for the family.
Others may expect it as a matter
of course.
MIGRANTS
Learning how to answer to different
notions of good care provision might
involve significant effort on the part of
migrant domestic employees.
This effort ranges from cooking
unfamiliar meals to clashing ideas on
children’s education. Migration implies
that diverse cultures of care come
together. If appropriately managed, this
can be mutually enriching; but if not, it
can lead to misunderstandings
23. Cultural norms can affect all aspects
of care, from who engages in care to
how the state and individuals
support those who need care.
24. The burden of
care
Once we have understood the care needs of a given
context we need to understand how these needs are met.
This means understanding:
• Which actors take a role and assume responsibility for
guaranteeing the care that society on the whole needs?
• How do these different actors operate?
• Which actors take on the greatest burden?
26. Challenges for organizing care
01
02
03
04
05
STATE and
HOUSEHO
LD
In some countries the
state participates
significantly in
providing care; in
others the burden
falls almost entirely
on households.
COMMODIFIED
VS UNPAID
In some societies care is
paid for and sometimes
at very high prices - in
others paid care is not
always available.
SHIFTING
COMPONENTS
When clothes are bought
and convenient foods
consumed the nature of
care and its components
change.
EXTENDED
FAMILY AND
COMMUNITY
The community or
extended family can
play an important role in
spreading care work.
FEMINIZED
OCCUPATIONS
When care is
paid for it is still
an activity linked
to women and
undervalued.
28. There are countries where the State plays a role
in care irrespective of the citizen’s income,
family status or formal employment
29. Defining “work”
• The System of National Accounts (SNA) definition of work:
► SNA production boundary
• All production of goods and services for the market (for pay or profit) and all production of goods for own final use by
the households. Examples of care activities included in the GDP:
• Processing crops (Agriculture)
• Manufacturing clothing (Manufacturing)
• Servicing corporate front offices (Professional, managerial, administrative)
• Teaching (Education)
• Nursing (Medicine)
• Domestic work such as cooking, laundry performed by domestic workers
• Caring for children (Child care)
► General production boundary: includes all production of services for own final use by the households and defined by the criterion
of the third person, that is anything that one could theoretically pay someone else to do for you. Examples:
• Preparing meals, laundering, ironing, cleaning performed by household members for their own use
• Caring for children by mothers (or fathers or brothers/sisters)
These are not included in GDP
30. Defining “unpaid work”
• 'Unpaid' means that the person doing the activity does not receive a wage and
that the work is not counted in GDP
• 'Care' means that the activity serves people and their well-being, including both
personal care and care-related activities such as cooking, cleaning, washing
clothes – everyday household duties, in the home and in the community
• 'Domestic' means that it does not take place in markets but takes place primarily
within the household
• 'Work' means that that activity requires conscious expenditures of time and
energy
31. Defining work according to the 2013 Resolution
of Labor Statisticians
a) own-use production work comprising production of goods and services for own
final use;
b) employment work comprising work performed for others in exchange for pay or
profit;
c) unpaid trainee work comprising work performed for others without pay to acquire
workplace experience or skills;
d) volunteer work comprising non-compulsory work performed for others without
pay;
e) other work activities (not defined in this resolution)
32. Types of unpaid work
• Direct active care: unpaid labor services provided directly to dependents on a face-
to-face basis, where concern for the well-being of the care recipient is likely to affect
the quality of the services provided
• Direct active care is difficult to subject to commodification/economies of scale – e.g.,
not possible to read a bedtime story in 2 mins vs. 30 mins
• Direct supervisory care: unpaid labor services that supervise dependents who cannot
be safely left on their own
• Indirect care: unpaid labour services that are inputs into direct care, but do not
necessarily involve personal interactions, such as preparing meals or laundry
• Historically, a driver of economic growth has been the transformation of unpaid care
and domestic work into paid care work
• Paid care work is found within the national accounts
34. There are huge gender inequalities when it
comes to time spent on unpaid work
ILO, 2019
35. The purple economy
• Joan Tronto (2003): care is “a species of activity that includes everything we do to
maintain, continue and repair our ‘world’ so that we can live in it as well as
possible. That world includes our bodies, ourselves, and our environment, all of
which we seek to interweave in a complex, life-sustaining web”.
• The purple economy refers to an economic order organized around the
sustainability of caring labour through a redistributive internalization of the costs
of care
• Similar to the green economy: organized around the sustainability of provisioning
by nature through internalization of environmental costs into production and
consumption patterns
37. Why we need unpaid work
• Some unpaid care and domestic work is extremely rewarding
• Some unpaid care and domestic work is a drudgery
• But all unpaid care and domestic work is socially necessary to
- prepare people for income-generating activities during the
day, thus ensuring the household's well-being
- raise children to want to assume their household and
social responsibilities, thus building human and social
capital
- “produce” labor, which is an input into all economic
activity, along with capital
38. IMF | African Department 38
Beyond the unpaid care economy: the
paid care sector
40. Direct and indirect care jobs
Household Production:
16.4 billion hrs/day.
performed by women
(≈2 billion full-time jobs)
381 million workers
11.5% of global
employment
2/3 are women