• KHOA HOC XA H O I *>
CHINH SACH AN SINH XA HQI GAN VCJI DINH HlTOtNG PHAT TRIEN KINH TE CUA TINH NINH THUAN:
HIEN TRANG VA GIAI PHAP GIAI DOAN 2020-2025, TAM NHIN DEN NAM 2030
HOVIETHANH'*'
PHAN THI SONG THLTONG '"'
Tom tat: Phat trien kinh te'cua nUdc ta co dinh hudng la di len chu nghia xa hdi. mot .v.-i hgi Uu Viet vi con ngudi. Chinh vi vay, an sinh xa hdi ludn khdng tach rdi khoi mdi budc phat tnen cun kinb te. Mong mud'n td't dep nhu viiy song lam sao de bien dieu do thanh hien thuc la mot bai toan khong de cd ldi giai thoa dang. A'h.ini gop mgt phin nho b^ vao muc tieu cao ca do, bAi viel tAp trung xem x^t thUc trang chinh sach an sinb xa hdi gdn vdi dinh hUdng phat tnen kinh te cun mgt dia phuong con ngheo thudc mien trung da't nudc. tinh Sinh Tbuan. TU dd. dUa ra mgt so giai phap cbo nhiing vA'n dedAtra trong giai doan 2020-2030.
Tit khda: Chinh sacb, an sinh xa hdi: pbat tnen kinh te; Nmh Tbuan.
Abstract: Vietnam's economic development is oriented towards socialism, a preeminent society for the people. As such, social security is inseparable from economic development. However, to put this orientation into practice, it requires tremendous efforts. This paper discussed current social siKurity policies associated with economic development orientation in Ninh Thuan province, a poor locality in the central part of Vietnam. Solutions were proposed to address potential problems in 2020-2030 period.
Keywords: Pohcy, social security; economic development: Ninh Tbuan.
SgM nhan bai: 10/3/2020; Ngnv sda bai: 15/5/2020; Ngay duyet dang bai: 7/6/2020.
1. Dat van de xem xet d pham vi rdng thi ASXH 6 Viet Thuat ngfl ASXH'^' dfldc hieu theo Nam cdn bao gdm ca cac npi dung khae nhieu each tie'p can khac nhau gifla cac nhfl: cbinh sach Lfu dai xa hdi, chfldng qudc gia, gifla cac nhfi khoa hpc tren the
gidi. at ca'u true, he thd'ng ASXH cl Viet
^ • ' . ft , " PGS.TS., Vien trUdng. Vien KHXH vung Trung Bo.
Nam hien nay co sfl tfldng thich va phu Email: hanhcjs@>'ahoo com.
h p p v d i q u a n n i e m v e A S X H e i i a T o c h f l c '••' T S . Pho Giam doc. Trung tam Nghien CLTU Chinh L a o d p n g q u d ' c t e ( I L O ) d f l p c c a u t h a n h tri - Xa hoi, Vien KHXH vung Trung B6. , . , . , , • L - i . i - T i ' i . - - ' - U - - Email: [email protected].
gom hai bo phan chinh la: Bao hiem xa hoi „,^.. . , ,. ^ , cT , i. j-u .-• ,,-.
" , • ^ ^' I Tieng Anh la Social Secunty khi mch ra tieng Viet,
(gom cac khoan trd ea'p dai ban, trd cap ^gj,^, .^gxn thi thuat nga nay c6n duoc dich la bao
n g a n b a n , b a o h i e m t h a t n g h i e p vfi b a o dam xa hoi. bao trg xa hoi, an nmh xa boi. an toan xa
hi^m V te) vfi Cflu trd xa hdi (eflu trd ^^'- '^^' ^^ s ^ ^^^^ "^^^ "^^ "^^'^" '^'^" "^ ^"^''^
, . ^v - , , • a . ' .- V »T-' dinh chinh sach da thong nhat sU dung thuat ngU "An
thfldng xuyen va cflu trd dot xuat). Neu .• , . . ..„
sinh xa hoi .
SO 7-2020 NHAN Lire KHOA HOC XA HOI Q
CHINH S.ACH .\N- SINH X.\ HOI G.^N V6l BiXH HUONO ..
trinh xoa doi giam ngheo. chaong trinh trd pup cac dia phuong dac biet kho khan...
va gom ca cac loai quy tiet kiem va cac loai bao hiem khac (Bui S\ Ldi. 2010).
Hoan thien he thong an sinh xa hoi I.VSXHl la mot tru cot chinh trong phat t nfll nen kinh te thi trUOng djnh hudng xa hoi chu nghia. gop phan quan trong thuc hien thanh cong xay dung xa hpi cong bang, tien bp. van minh va bao dam on dinh chinh tri - xa hpi, ddi song nhan dan.
Chinh .sach an sinh xa hoi ciia tinh Ninh Thuan trong thdi gian qua da dat dUdc nhieu ket qua kha quan. Ty le hp ngheo theo chuan da chieu da giam xuong tU I 1,93% nam 2015 xuong con S,86"i> nam 201.s. ty le ho can ngheo con 9%. Ty Ie bao phu bao hi^m xa hpi (BHXH). bao hiem y te (BHYT) va bao hiem that nghiep (BIITN) cung tang Ien qua cac nam, nam 201S toan tinh co 90".i lUc lUdng lao dpng tham gia vao BHXH va 8H.6"ii dan so tham gia BHYT (vupt 2.6% so vdi ke hoach). Chinh sach hUu tri, trd cap va Uu dai xa hpi da thuc hien co hieu qua. Ddi song vat chat va tinh than ciia ngUdi co cong ngay cang dUdc cai thien. khoang 99" 0 hp ngUcfi cd cdng c6 mUc song hiing va cao hdn mUc song trung binh cua dan cU ndi cu tru. Tuy nhien. chinh sach an sinh xii hpi tren dia ban tinh van cdn nhieu han che nhU: Ty le hp ngheo cao nhat so vdi cac tinb vung Nam Trung Bp (6,4"o) va so vdi mUc trung binh chung ciia ca nudc (6.8",.): .So ngudi tham gia BHXH co xu hudng tiing cham va tham gia BHXH tu nguyen chiem ty le rat tha'p (nam 2018 chi chiem khoang 1,1% tong so' doi tupng thupc dien tham gia): Ty le ngudi tham gia BHT.N tu nguyen vin con chiem ty le Ihap. khoang 8.92",, td'ng luc lUdng lao
Q NH«N lUC KHOA HOC XA HOI
ddng dang lam viec: Tinh trang no dpng BHXH, BHYT, BHTN vjn con ton tai; Dfic hiet. tinh trang boi chi quy bao hi6m ciia tinh dang co xu hudng tang trong ba nam gin day...
Tinh Ninh Thuan da va dang tich cue day manh viec thu hut dau tU xay dung va phat trien, phan da'u xay dung Ninh Thuan trd thanh tinh phat trien kha ciia khu vuc va ca nUdc. Td'c dp tang trUdng binh quan giai doan 2016-2018 dat 8,6%.
Cd ca'u kinh te dich chuyen theo hudng tich cUc, trong dd ty le nganh cong nghiep - xay dung chiem 22,4%; nganh dich vu chiem 40,3% va ndng lam ngU nghiep chiem 37,3% vao nam 2018. Thu nhap binh quan dau ngUdi dat 39,7 trieu dong/ngUdi. Tuy nhien, cac chi tieu phat trign kinh te - xa hpi ciia tinh hien van tha'p hdn so vdi mUc trung binh ciia ca nudc. Du thao phat then kinh te tinh Ninh Thuan dUa ra 2019 da dinh hudng den nam 2025 GRDP binh quan dau ngUdi dat 113 - 115 tneu dong/ngudi, tong thu ngan sach dat 6.600-6.700 ty dong, tang binh quan 10-11%/nam, diim bao tU can doi thu chi ngan sach thUdng xuyen va thuc hien chinh sach ASXH theo hudng nang cao chat lupng va hieu quii (ty le hp ngheo hang nam 0,5-1%, trong dd huyen ngheo giam tren 4%/nam, ty le bao phu bao hiem y te toan dan dat 95%). De dat dudc muc tieu vUa phat trien ve kinh te vUa nang cao chat lUdng cupc sd'ng ciia ngudi dan ddi hoi tinh Ninh Thuan can trien khai dong bp cac nhdm chinh sach, trong dd cd chinh sach ASXH, gfin vdi dinh hudng phat trig'n cua dja phUdng. Bai viet tap trung danh gia hien trang chinh sach ASXH tren dia ban tinh Ninh Thuan tren ba khia canh gom giam ngheo, cong tac
SO 7-2020
HO VIET HAXH. PH.VN THI SOXC THUOXC
bao h i e m (BHXH. BHYT. BHTXi. hflu tri, trd cfi'p vfi bao trd xa hoi. Tren cd sd dd. b a i viet de xufi't mdt so' giai phfip nhfim h o a n tbien chi'nb sfich ASXH gfin vdi d i n h hfldng p h a t trien kinh t e d t i n h \ i n h Thufin t r o n g giai doan 2020-2025 vfi t a m nbin d e n nfim 2030.
2. H i e n t r a n g e h i n h s a c h a n s i n h x a h o i c u a t i n h N i n h T h u a n g i a i d o a n 2016-2019
2.1. Nhvtngki't qua dat diidc 2.1.1. Giam ngheo
T r o n g thdi gian q u a , cac c h i n b s a c h , dfl a n ve g i a m n g h e o dUdc t a p t r u n g t n e n k h a i d a y dii, k i p t h d i vfi d u n g dd'i tfldng. D a n g c h u y, t r i e n k h a i h i e u q u a Chfldng t r i n h mue t i e u qud'c gia g i a m ngheo b e n vflng t h e o N g h i quye't 30a ciia Chi'nh phii hfldng de'n m u c tieu eai t h i e n , n a n g eao ddi sd'ng v a t cha't vfi g i a m ngheo b e n vflng d vflng dfic b i e t k h d khfin. Tdng vd'n d a u tfl cho Chfldng t r i n h
la 1.625 t y d d n g , t r o n g do von n g a n sach 1.606 ty d o n g (ngfin sfich dia phUdng 257 ty dong. vd'n long g h e p cac chfldng t r i n h , dfl fin khfic 1.349 ty dong) vfi vd'n tfii trd 19 ty dong. T r o n g dd, cac ndi d u n g t a p t r u n g hd t r d d a u tfl cd sd vfit c h a t , bo trd p h a t t r i e n s a n xua't; da d a n g h d a s i n h ke vfi n h a n r o n g cfic md h i n h g i a m ngheo;
d u y t u . bao dfldng cd sd vfit cbfi't va ho t r d ngfldi lao ddng t h u o c ho ngheo, hd can n g h e o t h a m gia hdp dong Ifim viec cd tbdi h a n d nfldc ngoai. T h d n g q u a wbc t r i e n k h a i cac chfldng t r i n h dfl fin dfi gdp p h a n g i a m ty le ho n g h e o (theo chufin mdi) tfl 14,93% nfim 2015 xud'ng edn 8.86"i. nfim 2018, ty le hd c a n n g h e o edn 9% vfi fldc t i n h de'n nfim 2020 g i a m xud'ng cdn 5,94% nfim 2020. T u y n h i e n , N i n h T b u a n hien v a n lfi t i n h cd ty le ho n g h e o eao nhfi't so vdi cac t i n b vflng N a m T r u n g Bp vfi so vdi mflc t r u n g b i n h c h u n g cfla ca nfldc (6,8%) ( H i n h 1).
H i n h 1: Ty le h o n g h e o c a c t i n h N a m T r u n g B o g i a i d o a n 2016-2018
160 14.0 12.0 100 8.0 6.0 4.0
2 0 ^-'i-ftg
I I I
0.0
137 1 2.6
1.51 2.
9.9
' 4 2.6 1 0
I
4.4i 8 9 2 .7.9 J.9
Da Quang Qu.ing Binh Pliii Yen Klianll N'inli Binh Nam Ca nuoe Nine Nam N2<ii Dinh Hoa Thuan Thuan Tning
Bd
NguSn: Xien giam tliong Ice ca nifdc nam 2018
NHAN LUC KHOA HOC X A H O I Q
CHINH ,.A(H A N S I H 2 ^ A H 0 I ^ A N V 6 H M ^ ^ De trita khai hieu qui cong tac giam ngheo ben viing. mpt trong nhiJng chinh sach dUdc chinh quyen dia phUdng quan tam thuc hien tich cue do la ho trd san xuat, da dang hoa sinh ke va nhan rpng md hinh giam ngheo nh&m giup ngUdi ngheo vUdn Ien trong cupc sd'ng. Trong giai doan 2016-2018. tinh da tri§n khai 28 mo hinh giim ngheo ben vising, tap trung vao cac mo hinh nuoi bd thit. bd sinh san, de sinh san, trdng bUdi da xanh, trong mit thai. Ket qua thu nhap cua ngUdi ngheo da tang tU 15-20",.. Ben canh dd. chinh sach tin dung ho trd giam ngheo da hd trd cho cac hp ngheo va cac doi tUdng chinh sach dfiu tu phat trien san xua't. nang cao thu nhap. Trong 3 nam (2016-2018), tinh da giai qu>et cho 86.000 hp ngheo va cac ddi tUdng chinh sach khac vay vd'n d4u tU phat trien san xuiit. nang cao thu nhap vdi td'ng so' tien tren 2.000 ty dong. Dong thdi, tinh cung da trit^n khai song song cac chinh sach ve y te^'\ nha d. dat san xua't, nUdc sinh hoat, dao tao nghe va giiii quye't viec liim... gdp phdn giup cho cac hp ngheo tU lUc vUdn l(?n. cai thien ddi sdng.
X;i hpi hda trong cdng tac giam ngheo dupc tinh quan tam trien khai mpt mat gdp phan lam giam ganh nang tai chinh cho ngan sach nha nudc, mot mat giup cho cac hp ngheo cd dieu kien thoat ngheo va nang cao mUc sd'ng. Dac biet, tinh da huy dpng cac doanh nghiep. to' chUc, ca nhan trong va ngoai tinh hd trp cac chudng trinh ve nha d, ho trd bd gid'ng sinh san...
Don ci. ily ban MTTQ Viet Nam tinh da van ddng Quy •Vi ngudi ngheo" tren 28 ty dong: ho trd 1.000 con bd cho 750 hp ngheo. vdi so tien 19 ty dong do Victtinbank. tap doan VinGroup, Ngan hang Ngoai thUdng va Bp dpi Bien phdng a HHANLVC KHOA HOC XAHOI
trao tang; tie'p nhan qua ciia cac to chttc ttt thien trong va ngoai tinh vdi td'ng tri gia tren 58 ty dong, tang qua tet cho cac hp ngheo qua cac dip Tet Nguyen dan; ngoai ra cdng dong dan cU trong cac thon, xdm, ddng tdc da ho trd cac hp ngheo phat trien kinh te, dpng vien tinh than d^ hp vudn len trong cudc sd'ng™.
Nhin chung, thdng qua tri^n khai day du, kip thdi cac chinh sach giam ngheo da gdp phan giam ty Ie hp ngheo, cai thien ddi sd'ng, tang thu nhap va dam bao an sinh xa hpi, dac biet la d cac dia ban khd khan'^'. Ben canh dd, tinh ciing trien khai nhiing chinh sach tao dieu kien de ngUdi ngheo tiep can cac dich vu xa hpi cd ban, theo dd trinh dp dan tri, ddi sd'ng vlit chat tinh thiln ciia dong bao dan tpc mien nui dupc cai thien rd net hdn.
2.1.2. Bao hiem xa hoi, Bao hiem y te, Bao hiSm that nghiep
So ngitdi tham gia bao hiem
Theo so' lieu thd'ng ke cap tinh, so' ngudi tham gia BHXH, BHYT cd xu hudng tang len, trong giai doan 2015 - 2018, sd'ngUdi tham gia tang 1,25 lan. Nam 2018, toan tinh cd hdn 554 nghin ngUdi tham gia, trong dd ty le bao phu BHYT dat 88,6%
(vUdt 2,6% so vdi ke hoach), ty le tham gia BHXH bat budc 90% va BHXH tU nguyen 1,1%. So ngudi tham gia BHTN tang tti 27,96 nghin ngUdi nam 2015 len hdn 30,8
"' Tinli da cap 180.593 BHYT, trong do hp nglieo 24785 the, ho can ngheo 40.545 the, dong bao DTTS 67.125 the, ho i vung dac biet liho khan 48.138 the va tre em 78.479 the.
'^'http://baoninhthuan.coni.vn/newB/106166p0cl51 /thuc-hien-cong-tac-giam-ngheo-theo-huong-ben- vung.htm.
'^' Huyln Bac Ai, ty le ho ngheo giam dan qua tiftig nam. til 58,62% nam 2008 giam con 40,31 % vao cuoi nam 2018.
SO 7-20211
HO VIET HAXH. PH.-\N THI .'^ONC, THL'ONC nghin ngudi nSm 2018. tang 1,1 I4n trong
vdng 4 n4m. Ty Ie ngUdi tham gia BHTN chiem 90% tong so'luc lUdng lao dpng thuoc ddi tUdng dupc tham gia. Tuy nhien. ty le
ngudi tham gia BHTN. dSc biet BH IN tU nguyen van con chiem ty le cdn thap.
khoang 8.92" i. tdng lUc lUdng lao dpng dang lam viec tren dia ban tinh .Nmh Thuan.
Bang 1: So ngiidi t h a m gia BHXH, BHYT, BHTN d tinh Ninh Thuan DVT: Sghu} nguai
Chi t i e u 1. So ngitcri t h a m gia bao h i e m Bao hiem xii hdi
Bao hiem y te Bao hiem thii't nghiep
2. So ngitd(i/Ii*c(t ngudi dUdc hu Biio hiem xa hdi
- Sd ngudi hudng h a n g t h a n g - So lUdt ngudi hudng 1 lan (nghin lUdt)
Biio hiem y te
- So lupt ngudi hudng BHYT (nghin lUdt)
Biio hiem t h a t nghiep - So ngudi hudng hang t h a n g - So' lUdt ngudi h u d n g trd cap 1 Ian. hpc nghe, tim viec lam (lUdt ngudi)
2010 311,728
29.678 258.6.58 23,.392
2015 467,295
33,777 405.549 27,969 fding b a o h i e m
3,399 2,609
540,276
655 6,187 3,568
974,287
2,141 9
2016 535,053
34,995 471,:331 28,727
6,643 3,733
1,201,997
2,141 2017 583,017
3.i.l93 518,633 29,191
7,068 4,162
1,435,175
2,316 6
S d b o 2018 585,260
37,541 516,895 ,30,824
7,441 4,407
1,496,627
3,007 4
Nguon: Nien giim thd'ng ki tinh Xmh Thuin 2018 Chinh sfich BHXH dflde thflc hien cai
each phu hdp vdi tinh hinh thflc te dia phfldng nhfl tich cflc phd'i hdp vdi cac nganh, chinh quyen dia phfldng to chflc ky ket lien tich, doi mdi phfldng thflc tuyen truyen theo hfldng chuyen ngbiep de pho bien ehinh saeh, phap lufit BHXH, dfic biet la BHXH tfl nguyen de'n tflng ngfldi dan. BHXH tinh da phd'i hdp vdi Bflu dien Ninh Tbuan, Buu dien cac huyen, thanh pho tang cfldng day manh cdng tae truyen
thdng, md hdi nghi tuyen truyen ehinh sach BHXH tfl nguyen den tan thdn, xdm, khu phd'; ky ke't lien tich vdi 12 nganh lien quan de xay dflng chfldng trinh phd'i hdp tuyen truyen, thflc hien chinh sfich phap luat BHXH, BHYT nhfim nang cao cbfi't Ifldng phuc vu ngfldi dan... Ngoai ra, BHXH tinh thflc hien nhflng md hinh, each thflc tuyen truyen doc dao nhfl: to phu nfl thdn Thfldng Diem, xa Cfi Na, H.Thuan Nam thflc hien md hinh "tiet
$67-2020 NHAN LUC KHOA HOC XA HOI Q
CHINH S.AfH .\N SINH X.4 HQI (^--^N VOI DINH HrONC,
kiem (nuoi heo dat) t h a m gia BHXH til nguyen"; UHND xa T h a n h Hai. huyen Ninh Hal t u y e n truyen. van dong can bo xa khdng chuyen trach t h a m gia BHXH tii nguven dem Iai hieu q u a cao. Ket q u a n a m 2019. toan t i n h cd 516.613 BHYT. ty Id bao phu BHYT toan tinh dat 89.3°«.
tiing 3.2",. .-^o vdi nftm 2i)l.s. 37.043 ngUdi t h a m gia BHXH biit budc; 1.785 ngUdi t h a m gia BHXH t u nguyen. t i n g 1.490 ngUdi so vdi nftm 201S' "
Cong tac can dot thu chi bao hiSm 'Ihu bao hiem: Td'ng thu BHXH. BHYT.
BHTN toan tinh n a m 2019 dat 1.066 ty dong. tAng 91.!l ty dong so vdi cUiig kv nSm 2<il.s dat un.S",. k e h o a c h BHXH Viet Nam giao*'. Theo sd heu nien giam thdng ke t m h Ninh Thuan nftm 20I,-^. coca'u ngudn t h u til BHXH. BHYT nftm 201.-; lan lupt chiem ty tiung 51.9°I. vii 11.6",1 tong thu til bao hiem.
Trong giai doan 2015-201.-<. thu tU bao hiem tang Ien qua ciic nftm, t r u n g binh t a n g khoang S",i;nftm. Thu tU BHTN cd xu h u d n g t i n g tU 2 1.6 ty dong nftm 2015 len 33.5 ty ddng nftm 20 KS. nhimg chi chiem :).4:i"'o tdng thu bao hiem tren dia ban tinh.
BAng 2: ( a n d o i t h u c h i BHYT. B H X H , B H T N g i a i d o a n 2010-2018 DVT: Ty dong
C h l t i e u 1. Tniig s o t h u llao hiem xa hoi Bao hitini v te lino liii'in ihiit nghiep 2. T d n g s o c h i B;in hu'in xii hdi Hao hicni y It"' _ B;i(i hiem thai nghiep 3 . S o d u c u o i n a m B.io hiem xii hdi H.tu liiem \ tc Bao liicm t h a t nghiep
2010 267,53
1 19.75 Klll.sii
10.92 200,08 _ 125^4
7'> f,,-,
67,45 23.81 r 34.." •
9.:i3 2015 70O.;l8
:196.73
21,6(1 679,55 351, 19 3111.23
20,83 15.24 ol.lK) 6.77
2 0 ) 6 786,36 424.57 : 134.04
27,75 7<H),()9
•107.58 .1111.1111 18,51 ; (3,74) • 16,99 (29,')Hl 9,2.1
2017 I 897,91
I d s SS 19S,(,1
30,39 979,41 162,90, 19:^.92
2.1.59 (81,.50) r, 9 s (?4,28)_
li -so
Sc( b o 2018 9 7 4 , 5 9
.")0(1, 17 434J)2 33,50 1.108,84 _ y . 3 j 8 5 ^ _ 565,1 5
29.81 (134,25) (7,38) (iiio.nii) 3.66 .V,i,'Uon; .Mi'ti giim thong ki tinh Xmh Tbuan nam 2018
Chi bao hiim: Tinh Ninh Thufin dfi trien khai tdt cac chinh sach bao hiem de (lam bao quyen ldi cua ngfldi t h a m gia bao hiem tron dia b a n tinh. S("i luui ng^Udi dfldc hitdng cac che do bao hiem cung dfldc tang Ien qua cac n a m . cu t h e sd'Ifldt ngUdi dUdc hfldng BHXH I I^n tfing tfl :i 3HS ludt nfim 2015 len 4 107 h(dt n a m 201S vdi tdng so
Q NHAN l\fO KHOA HOC XA Hdi
tien ebi tra cho cfic che do BHXH la 513.S.5 ty dong. Tong k i n h phi k h a m chfla
https//ninhthuan.baohiemxahoi.gov.vn/tintuc/
PaEes/hoat-dong-bhxh-dia- phu(jnE-aspx?CateID=52&ItemID=4775 ' hitps.//ninhthuan.baohiemxahoi gov.vn/tintiic/
I'ae'-'h();it-dong-bhxh-dia- phuo,is!;ispx'CateID=.5:i&ItemID=4775
Sti7-at20
HO VIET HANH. PHAN THI SONC. THCOXd b^nh BHYT la 565,15 ty dong vdi hdn 1,49
trieu Ifldt khfim chfla benh nfim 2018.
Mdc dg bin vdng ve tii chinh: Tinh trang bdi chi quy bao hiem dang cd xu hfldng tfing ke tfl nam 2016. Bdi chi quy BHXH. BHYT, BHTN nfim 2018 la 134,25 ty dong. Nguyen nhan mot ph^n do tinh trang "nd" BHXH, BHYT, BHTN tren dia ban tinh vfin cdn phd bien. Sd' doanh nghiep nd BHXH tfl 8 thfing trd len la 150 doanh nghiep thang 8/2017 vdi tong sd' tien 17,43 ty dong)*^. Theo thd'ng ke cua Bao hiem xa hoi tinh, tinh den thang 6/2019, tofin tinb cd tong gifi tri nd BHXH, BHYT, BHTN tren 38 ty dong, trong dd cd 262 doanh nghiep nd dong BHXH, BHYT.
BHTN tfl 3 thang trS len vdi tdng sd' tien hdn 24 ty dong'*^'. Trong sd'cac ddn vi dang
"nd" bao hiem, cd nhflng doanh nghiep nd dong bao hiem eua ngUdi lao dpng tfl 2-5 nfim, cd doanh nghiep nd tfl 6-7 nam.
Tdng bdi chi luy ke giai doan 2015-2018 lfi khoang 219,5 ty ddng vfi dfl bfio tinh trang bdi chi quy bao hiem se tiep tue tang trong nhflng nam tdi ne'u khdng kip thdi cd nhflng giai phap hflu bieu.
Dam bao quyen lpi cho ngUdi tham gia bao hiem
Nang cao cha't Ifldng y te vfi chfim sdc sflc khoe edng dong lfi mot tieu chi quan trong de dam bao quyen ldi cho ngfldi tham gia bao hiem. Trong thdi gian qua, tinh dfi kien toan mang Ifldi ed s6 y te. Sd' cd sd kham ehfla benh do dia phfldng quan ly tai thdi diem 31/12/2018 la 282 cd sd, trong dd co 10 benh vien, 6 phdng kham da khoa khu vflc va 65 tram y te xfi, phfldng. Sd'gifldng benh tai thdi diem tren la 2.005 giUdng tang 4.2''o so nam 2017, trong do co 1.560 gifldng trong cae benh vien tang 9,1%; 70 gifldng tai phdng kham 5d7-2Q2a
da khoa khu \-Uc giam 30% va 325 gifldng tai cfic tram y te Cd sd vfit cbfi't vfi trang thiet bi kham chfla benh dflde quan tam dau tu theo hfldng phfit trien Benh vien da khoa tinb len hang I vfi dat quy md 1.000 giUdng. Cfic cbinh sfich khfim chfla benh cho cac ddi tUdng chinb sacb, tre em dfldi 6 tudi vfi edng tac van ddng kham ehfla benh tfl thien eho benh nhfin ngheo dfldc trien khai dat ket qua'^'. Cdng tfic xfi hoi hda y te cd bfldc phfit trien cu the nfim 2018, Benh vien da khoa Sai gdn - Phan Rang quy md 100 gifldng dfldc th^m dinh ea'p phep va dfla vfio boat dong. Ngoai ra, edng tac dao tao, bdi dfldng, thu hut ngudn nhan Iflc cho nganh y te dflde quan tfim.
Trong giai doan 2016-2019, tinh dfi cii di dfio tao 455 bfic sy, cd. nhan, chuyen khoa I, II (trong dd; 46 bac sy/tien sy ehuyen khoa II. 104 bae sy chuyen khoa I/thac sy, 248 dai hoc vfi 57 cao dfing); bdi dfldng 567 ngfldi trinh dp trung cfi'p y, dfldc vfi nhfin vien y te thdn ban; thu hut 44 bae sy, thac sy bae sy. Xam 2018, tong so nhan Ifle trong nganh y dfldc do dia phfldng quan ly lfi 2.593 ngfldi, tfing 2,2% so vdi nfim 2017, trong dd 1.898 ngfldi lam viec trong ngfinh Y, tang 4,6%; 695 ngfldi lam viee trong ngfinh Dude, giam 3,7%. De'n cuoi nfim 2020, nganh y te cua tinh fldc dat 10 bac sy/van dan.
Cdng tac phd'i hdp ehuyen phfit sd BHXH cho ngfldi lao ddng gifla BHXH tinh va Bflu dien tinh dflde trien khai. Nam 2017. Bflu dien tinh da bd tri Iflc Ifldng
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<"' Ty le tiem chung tre em dUcli 1 tuoi h ^ g n&m dat tren 98" 11, suy dinh dudng dadi 5 tuoi giam con dudi 12.9%.
NHAN LUC KHOA HOC XA Hdi Q
t'HIXH .-^.^CH . W SINH X.-\ HOI C.KS VOI DINH HL'OXt;
chuye'n p h a t 12.047 so' d e n t a y ngfldi lao ddng. Ty le sd dfi c h u y e n p b a t d e n t a y ngfldi lao ddng so vdi ^6 .so B u u dien t i n b nhfin bfin giao t u ngfinh BHXH t i n b N i n h T h u a n d a t 9 5 . ^ ' , , , va ty le sd dfi dUde n g h i e m t h u t r o n g h a i ddt nfim 2017 d a t 4.0.11%.
De t h u a n Iqli cbo viec chi t r a tien trd ea'p bao hiem. t h a n g 9/lii)19 BHXH tinh N i n h T h u a n da ky ket Chuong trinh phdi h(?p ehi t r a trd cap t h a t nghiep q u a phUdng tien t h a n h toan khdng d u n g tien m a t vdi Ngan h a n g Ndng nghiep vfi P h a t trien ndng thdn tinh Ninh Thufin, T r u n g t a m Dich vu v i ^ Ifim t i n b N m h Thufin.
Hien naw t r e n dia bfin t i n h ed k h o a n g 39"o tdng so'ddi tUdng dUdc nhfin trd cfi'p BHXH, BHTN h a n g t h a n g qua the ATM va tinh bien d a n g pha'n dfi'u den nfim 2020 dat ty 1^ 50",."°'.
2.1.3. Huu tri, trp ci'p vi bao trp xi hdi Cdng tac chi tra Ifldng hflu vfi trd cfi'p BHXH t r e n dia bfin t i n h thdi gian q u a ve ed ban dfldc thfle hien d a m bao du vfi d u n g thdi gian quy dinh. Dieu kien cd sci vfit ehfi't vfi cac can bp t h a m gia thflc bien viec chi t r a dUdc td cbfle ed ke hoach cho tflng diem ehi cu t h e va tittig thfing d a m bao an toan. Nfim 2018, t i n b da thflc hien chi t r a cho 6.970 ngUdi hfldng lUdng h u u va trd cap BHXH, tUdng flng vdi so' tien da chi tra lfi bdn 302.9 ty ddng.
Cbinb sfich ngfldi cd cdng va phong trfio den dn dap nghia dupc trien kbai sau rdng vfi dam bao day dia. Tofin tinh hien cd 100"o xa, phfldng dflpc cdng nhfin Ifim tdt edng tae thfldng binh h e t sy vfi ngfldi ed cdng vfi 100% Ba me \'iet Nam a n b h u n g dfldc cham sdc n h a n dd dau p h u n g dfldng.
Cac phong trfio "Den dn dap ngbia". "Udng nfldc nhd ngudn" va cac ehinh sach flu dai.
cham lo ddi sd'ng vat chat tinh than ng^^^
cd cdng vdi each m a n g dfldc thflc hien to^
gdp p h a n n a n g eao mflc sdng gia * "
ngUdi cd cdng tren dia b a n tinh. Trong g^
doan 2016-2018. tinh da tridn khai xay dfling vfi siia ehfla 1.254 cfin nhfi cho gia dinh cd edng vdi tdng sd tien tren r.- " '^
trieu ddng. Ty Ie hd ngircfi cd cdng co mflc sd'ng cao bdn mflc .-^dng t r u n g binh cua d a n cfl ndi cfl trfl dat 99%. Tinh de'n het t h a n g 9/2019. tinh da huy ddng dupe 10,64 ty ddng eho Quy den dn dap nghia, gdp p h ^ n n g a n sach de trien khai tdt cfic c h i n h saeh de ra. Trong dip Tet N g u y e n D a n nfim 2019, tinb da tfing q u a cho ddi tfldng gia dinh chinh sfich, ngfldi cd edng 17.320 sufi't/
4.5 ty ddng.
C h i n b sacb cho ddi tfldng ye'u t h e , ddi t u p n g bao trd xfi hoi dfldc q u a n t a m , thflc h i e n d^y du, k i p thdi, d u n g ddi tfldng t h e o d u n g quy dinh. N h a n dip T e t N g u y e n D a n n a m 2019, T i n h d a t a n g 104.736 sua't q u a cho ngfldi n g h e o va cae doi tfldng bao trd xa hpi vdi t o n g sd' t i e n k h o a n g 29 t y ddng. T i n b d a cfi'p p h a t k i p tbdi 797,28 ta'n gao hd t r d ciia C h i n h p h u eho 13.247 hp n g h e o , hd trd 2 3 5 . 8 5 0 kg gao eho 3.198 hpc s i n h v u n g d a c b i e t k h d k h a n t r o n g hpc ky I n a m hpc 2 0 1 9 - 2 0 2 0 . Cfic c b i n h sach ho trd vflng ddng b a o d a n tdc t h i e u so' khd k h a n e u n g dupc c h u t r p n g t r i e n k h a i n h u d a ca'p 162.281 t h e BHYT cho cac hp ddng bfio d a n tdc t h i e u sd vfi hd d v u n g dac biet khd khfin.
Ben canh dd, cfic c h i n h sfich t a n g cd hdi cd viec lara, bao d a m t h u n h a p td'i t h i e u va giam ngheo b e n vflng cho ngudi lao dpng yeu t h e t h d n g q u a ho trd cfi nhfin vfi hd
'•"' http.//www.bhxhninhthuan.gov.vn/nt'w id=469&sc=ll
Q NHAN L^C KHOA HOC XA HOI $67. -2020
HO VIET HANH. PH.VN THI SOXC THrOXC^
gia dinh phat tri^n san xufi't, hd trd tin dung, giai quye't viec Ifim vfi ke't noi thdng tin thi trfldng lao ddng dflcfc tap trung chi dao vfi dat ke't qua tich cflc. Theo Dfl thao bao cfio eiia UBND tinh Ninh Thufin, nfim 2019 tinh da giai quye't viec lam mdi eho 17.174 lao dpng, dat 110,8% KH vfi tfing 3% so cflng ky, trong dd lao ddng trong tinb 6.387 ngfldi, ngoai tinb 10.577 ngfldi;
210 ngfldi di lao ddng 6 nfldc ngofii. vfldt 40% KH vfi tang 4% cflng ky; Tuyen mdi 9.326 HV, trong dd 755 HV trinh do trung ca'p, eao dang nghe, dat 60,4% ke hoach, bang 59,6% so eung k^ va 8.571 hpc vien sd ca'p nghe vfi nghe thfldng xuyen; Day nghe cho LD ndng thdn 2.872 lao ddng, dat 110,5% KH vfi bang 99% cflng ky.
Nhin chung, chinh sach ASXH tren dia bfin tinh da dflpc trien khai d^y du, kip thdi vfi dat dfldc ket qua tren nhieu phfldng dien nhfl da de cfip cu the d tren.
Cae dia phfldng tren dia bfin tinh da ddi mdi cfich tie'p can vfi cd nbieu each lam mdi, sang tao trong qua trinh trien khai cac Chfldng trinh, dfl an, chinh saeh ASXH. Ke't qua eha't Ifldng ddi sd'ng cua ngfldi dan dfldc dam bao, nfing eao. Ngoai ra, tinh da ehii ddng cac ngudn Iflc tai chd, ddng tbdi huy ddng cac ngudn Ifle xfi hdi de hd trd, tao dieu kien dn dinh ddi sdng vfi san xua't, gdp phan dam bao an sinb xa bdi.
2.2. Nhvinghan cheva nguyen nhan 2.2.1. Giam ngheo
Ket qua giam ngheo ciia tinb hien vfin chfla that ben vflng. Ninh thuan hien hien van la tinh ed ty le hd ngheo cao nha't so vdi eac tinh viing Nam Trung Bd va so vdi mflc trung binh chung ciia ca nfldc (B-B^o).
Ty le hp dan toe thieu sd' tai ngheo, phat sinh ngheo, can ngheo deu cao hdn ty le
chung ea nfldc. Sd hd thofit khdi ngheo trong nam cd xu hfldng giam. nam 2016 cd 4.873 hg thofit ngheo (chiem 24% tdng so hd ngheo) nhung de'n nfim 2018 chi cd 3.466 hd va nam 2019 udc cd 2.317 hp (chiem 19% tdng sd' hp ngheo). Sd' hd can ngheo van cdn chiem ty Ie cao, nam 2018 la 9,17''o. Nen kinh te cua tinh van chua cd nhflng dot pha phat trien ben vflng nen thu nbfip binh quan dau ngfldi khu vfle ndng thdn nfim 2018 dat 25,82 tri^u ddng/ngfldi/nfim keo theo eha't lupng cudc sd'ng ciia ngfldi dfin trong tinb edn nhieu khd khfin. Tinh trang thieu hut cae dich vu xfi hpi cd ban eho cfic hd ngheo dan tdc thieu sd' van cdn didn ra, nhfi't lfi cac chi sd' tbie'u but ve cbfi't Ifldng nhfi d, dien tieh nhfi d, nhfi tieu hdp ve sinh, nudc sinh boat. Ke't qua nfiy xufi't phat tfl nhieu nguyen nhan khae nhau, eu the:
- Cdng tae phd'i hdp trong ed ehe quan ly, van hanh de trien khai eac ehUdng trinh, du an, ehinh saeh hd trd giam ngheo cdn ban cbe. Mpt so' ngudn kinh phi sau khi phan bd ve dia phUdng nhflng viec sii dung, giai ngan dat ke't qua tha'p, nha't la kinh phi sU nghiep hd trd phat trien san xufi't thudc ChUdng trinh 30a vfi ChUdng trinh 135.
- Viee ldng ghep chinb sfich va can ddi ngudn Iflc chung edn han che do eae chinh saeh hd trd giam ngheo thfldng cd muc tieu ldn, nhflng thdi gian thflc bien ngfin, dinh mflc hd trd tha'p.
- Mpt sd chfldng trinh, dfl an giam ngheo phai keo dai thdi gian thflc hien do dinh mflc hd trd thfi'p vfi ngudn vdn ca'p khdng dii va thieu ddng bd. Mdt so' chinh saeh hd trd phat tridn san xufi't cdn manh mfln, da^n trai, mdt sd chinh sach trung Ifip ve ndi dung vfi dia bfin, dd'i tfldng thu hfldng.
$07-2020 NHAN LUC KHOA HOC XA HOI Q |
CHINH S.\CH AN SINH XA HOI C.AX V 6 l DINH HUOXC.
- Vdi dfic diem dfin so ndng thdn hien chiem ty le c h u yeu (tren 6A.2"i> tdng dfin sd tofin tinh) va k h o a n g 21''o la ty le ngfldi d a n tpc thieu so (ehu yeu lfi Chfim. Raglai.
K'Ho ngUdi boa) t r e n dia b a n tinh. \*iec trien kbai cac chinh sach giam ngheo ddi hdi nguon Iflc ldn va s a n g t a o phfl hpp vdi tflng ddi tupng. D;u biet d Huyen Bfic Ai lfi mot trong nhflng dia phUdng ngheo nha't ca nUdc, nfim 2018 ty le bd ngheo tofin huyen cdn 40.31"o, giam 6,06% so vdi n a m 2017.
- Ninh T h u a n la t m h nui, gd ddi ban sdn dia va v u n g ddng bang ven bien. trong dd dia binh ddi nui cua tinh chiem 6'.i.'2"<>.
gd ddi chiem 14.4°o nen cdng tfic t n e n khai cfic chuong trinh, dfl fin giam ngheo cdn nhieu b a n cbe vfi khd k h a n . Ben canh dd, yeu td' thdi tiet n a n g b a n lien tie'p xay ra trong nbflng nfim qua dfi gfiy thiet h a i den san xufi't cua ngfldi dan; mdt sd' chfldng t r i n h du an, md h i n h s a n xufi't vi t h e chUa phfit huy dflpc hieu qua.
- Cdng tfic tuyen t r u y e n , v a n ddng cac ngudn Iflc trong nhfin dfin de p h u c vu p b a t trien kinh te - xa hdi vfi t h a m gia vfio thflc hien cfic chfldng t r i n h giam ngheo d dia phfldng cdn b a n cbe. Do vay. mdt bd p h a n ngUdi dfin vfin cdn t u tUdng trdng chd, y lai vao su hd trd ciia N b a nfldc va cdng dong. dac biet lfi ddng bao dfin tdc t h i l u so va mien nui.
2.2 2. Bao hiim xi hdi. bao hiem y te.
bao hiim thit nghiep
Tfl ket qua phfin tich thflc t r a n g t r e n cho thay tinh t r a n g t»di chi quy bao h i e m la mdt trong nhflng b a n ehe c h u yeu cua t i n h trong nbflng nfim tdi. Nguyen n h a n chinh gdm:
Mot li. nguon thu td boat dpng bao hiim dang trong xu budng giam dan mdt Q N H A N U B KHOA HOC XA HOI
p h a n do ty le ngUdi t h a m gia BHTN. die b i e t B H T N tfl n g u y e n v a n cdn chiem ty le cdn thfi'p. k h o a n g S.9:^'\. tdng Iflc 1^^"^
lao d d n g d a n g Ifim viec t r e n dia bfin t m h X i n h T b u a n .
Hai la. tinb trang np BHXH. ^^'^' BHTN tren dia bin tinh vin cdn pbd biin.
Thuc t r a n g nay mdt p h ^ n do cae d o a n h nghiep gfip khd khfin t r o n g san xuat. k m h d o a n h nen tim cfich trd'n ddng bao h i e m cho ngUdi lao ddng h a y t i n h ebi phi ddng BHXH b a t budc khdng d u n g thflc te. Mdt so' doanh nghiep cd t i n h chay y. chiem d u n g tien ddng BHXH vao muc dieh k i n b doanh khfic. Ben c a n b dd, che tfii xd p h a t vi p b a m h a n h chinh t r o n g Iinh vflc B H X H cdn n b i e u bfi't cap nhfl mflc xd p h a t thfi'p va hieu q u a b o a t dpng phd'i h d p ddn ddc t h u nd BHXH cdn n h i e u b a n che t r o n g k h a u phdi hdp.
Ba la, sd'tien chi tra hao hiem cho cac ddi tupng dupc hudng tuang doi ldn va ngiy cing tang. N i n h T h u a n la t i n h cd t y le bd ngheo cao nha't so vdi cac t i n h t r o n g v u n g N a m T r u n g Bd. M a c d u dieu kien k i n h te - xa hdi v u n g k h o khfin cd p h a t t r i e n nhUng d a u tfl va flng d u n g cho b o a t ddng k h o a hpc-cong n g h e vao ddi sd'ng s a n xua't edn h a n cbe. Do vay, ddi sd'ng m p t bp phfin ngfldi dfin d k h u vflc m i e n n u i , v u n g cao, v u n g ddng bao dfin tpc t h i e u so vfin cdn khd khfin n e n b a n g nfim s d t i e n chi t r a cho cfic doi tfldng dupe h u d n g lfi tfldng ddi ldn.
2.2.3. Huu tri, trp ci'p vi bao trp xa hoi Cdng tfic q u a n ly ngfldi h u d n g ludng bflu vfi trd cfi'p vfin cdn n h i e u b a n che nhfl Quy t r i n h dieu t r a , k h a o s a t , xac dinh ddi tfldng t h u hfldng n b i e u ndi hien lam chua d u n g theo quy d i n h ; Dpi ngu can bp Ifim cdng tac c b i n h sacb xa hpi, nha't lfi d cp sd
**7-282B
HO VIET HANH. PHAN THI SOXt; THCOXC cdn thieu, trinh dp chuyen mdn, nghiep vu
chUa dap flng dfldc yeu cau nhiem vu:
Tinh trang linh thay khdng cd gifi'y uy quyen cdn khfi phd bien do thieu cfip nhat thdng tin ve ngfldi dfldc hfldng cfic che dp BHXH hang thfing.
Viec mcl rdng ddi tfldng tham gia BHXH tfl nguyen cua tinh vfin edn ban ehe xufi't phfit tfl nhieu nguyen nhan khfic nhau. Ngfldi tham gia BHXH tfl nguyen dflde Nha nfldc ho trd mdt phan mflc ddng tfl ngfiy 01/01/2018"" nhflng mflc hd trd nfiy edn tha'p vfi chfla khuyen khich cac ddi tfldng tham gia. Quy dinb ngfldi tham gia ddng BHXH tfl nguyen phai ddng BHXH tdi thieu lfi 20 nam de dfldc hUdng che dp hUu tri. Mang lUdi cung flng dich vu BHXH tfl nguyen chfla d^y du. Cdng tae thdng tin tuyen truyen van cdn ban che dan de'n nhieu ngfldi dan chfla thflc sfl hieu day dii ve chinh sach BHXH tfl nguyen.
3. Giai p h a p hoan thien chinh sach an sinh xa hoi gan vdi dinb hfldng phat t r i e n kinh te - xa hoi t i n h Ninh t h u a n 2020-2025, t a m nhin den 2030
Vdi muc tieu day manh cd cfi'u lai kinh te, flng dung khoa hpc - cdng nghe, ddi mdi sfing tao. huy dpng, sfl dung ed hieu qua eae ngudn Iflc de phat trien kinh te nhanh vfi ben vflng, kinh te bien la dpng Ifle, bao dam an sinh xa hpi, nang cao ddi sd'ng vfit cbfi't, tinh than ciia nhan dan, tinh Ninh Thufin phfi'n da'u trd thanh tinb pbat trien kha cua khu vflc vfi ca nfldc.
Theo dd, chinh saeh an sinh xfi hpi can dflde md rdng nhflng vdi td'c dp mfi ngudn tfii chinh eong cd the dam dfldng, tranh tinh trang mfi't can doi tfii khda. Vdi phfldng cham nang cao cbfi't Ifldng ddi sd'ng vfit eha't vfi tinh than eiia ngfldi dan, sd 7-2120
mdt sd'giai phap hofin thien chinh sfich an sinh xfi hdi gfin vdi dinh hudng phat tridn kinh te - xa hdi tinh Ninh thufin 2020- 2025, tfim nhin de'n 2030, eu the:
Mot li. tang dp bao phii BHXH bat bupc dfla tren ddng gdp cua ngUdi lao dpng va ngudi sfl dung lao ddng va BHXH tu nguyen cua nhflng ngUdi khdng cd hdp ddng lao ddng. Mdt sd' bien phap cd the tnen khai nbfl: Tang cfldng cac bien phap ddi vdi nhiing doanh nghiep khdng tuan thu nghia vu ddng BHXH vfi cd cfic hinh thflc xii phat hdp Iy; Tfing cfldng edng tac tuyen truyen nbfim nfing eao nhfin thflc cua ngUdi dan ddi vdi eae ldi ich khi tham gia eae loai hinh bao hiem...
Hai li, dieu chinh cfic khoan chi cho chinh sach an sinh xa hpi theo hUdng bfii hda gifla Idi ich cua ngfldi sfl dung lao ddng, ngUdi lao ddng vfi cfic tfing ldp xa hpi. Qua dd dam bao tinb cdng bfing, tao niem tin cho ngfldi dan khi tham gia vfio he tbdng BHXH.
Ba li, khi thfi't nghiep trd thfinh va'n de nghiem trpng trong qufi trinh phat trien kinh te giai doan tdi, tinh cfin trien khai cfic chinh sfich khuyen khich mpi ngUdi dan tham gia vfio thi trUdng lao ddng thdng qua eac boat dpng dfio tao. bUdng nghiep va gidi thieu viec Ifim...
Bd'n li, tap trung trien khai hieu qua cac chinh sach nhfim day manh phat trien san xua't kinh doanh. Dinh hudng phat tridn cac thanh ph^n kinh te ciia tinh trong thdi gian tdi can hudng de'n thu hut cac du an, doanh nghiep ldn. Tie'p tuc td chflc ed hieu qua cac boat ddng xuc tien
" ' ' MUc h6 trd b ^ g 30% doi vdi ngUdi tham gia BHXH tu nguyen thuoc ho ngheo; bang 25% doi vdi ngUdi tham gia BHXH tU nguyen thuoc ho can ngheo; bang 10% doi vin cac doi tUdng khac
NHAN LUC KHOA HOC XA Hftl Q
CHIXH .^ACH AX SIXH X.\ HOI tl.AX VOI DINH HUOXd,,
d a u t u nhfim t h u hflt ngudn vd'n doanh nghiep trong nfldc vfi dau tfl nfldc ngoai.
Theo dd. vfla t a n g ngudn t h u cho n g a n saeh dia phfldng vfla md rdng ty le bao p h u cae hinh thflc bao hiem. Ddng thdi.
vdi dinh hudng md rdng kinh te t a p t h e t r o n g cac nganh, linh vUc"'', chinh sach an sinh xfi hdi cfin tinh de'n dam bao ngbia vu t h a m gia bao hiem vfi quyen Ipi cua cfic xfi vien va ngUdi lao ddng khi t h a m gia p h a t trien kinh t e h d .
Nun li, thflc hien nghiem tuc va hieu qua cdng tfic quan ly ngUdi hUdng lUdng hUu, trd r a p BHXH theo quy dinh hien hfinh, tfing cfldng gifim s;ii ngUdi hfldng thdng qua edng Iiic chi tra. Ddng tbdi, thUdng xuyen phdi hdp vdi cfic td chflc, ca nhfin de nfim bfit thdng tin ngfldi hfldng giam do di ehuyen hp kbfiu thfldng trfl, mat tich hdac do chet. Ben eanh dd, day manh iing dung cdng nghe thdng tin trong cdng tac chi tra cbo ngfldi hfldng tfl cfic chinh sfich an sinh xfi hpi de vfla dam bao tinh linh boat, rainb bach trong trien khai vfla gdp phan nang cao hieu qua cdng tac quan ly ngfldi bUdng va ddn gian hda cac thu tuc h a n b cbinh.
S.-iij la, td chflc thflc hien efic giai p h a p nfing cao trfich nhiem cdng dfin cua ngUdi bUdng. dam bao so' tien cbi t r a de'n dflpe d u n g ddi tupng dfldc bUdng. trfinb t i n h t r a n g ngfldi hUdng di khoi ndi eU t r u qufi thdi b a n quy dinb. ma't tich hay chet mfi vfin dUde n h a n lUdng bUu va trd cap. gay t i n h t r a n g t h a t thdfit quy bao hiem.
Bay la. ddi vdi ngfldi hUdng la ngUpi gia. yeu. dm dau, benh tat. ngUdi eo ddn khdng cd k h a nfing trflc tiep di n h a n h a y uy quyen eho ngfldi khae linh t h a y Ifldng hflu. trd cap BHXH tai diem chi t r a . tinb c^n day m a n h edng tac cbi t r a t a n ndi cu t n i cho cae ddi t u p n g nay.
[ Q NHAN LMC KHOA HOC XA HOI
Tim li. cai t h i e n cha't lUdng va bieu q u a ciia he thd'ng y te. Ben c a n h viec ifi'^^
CUdng d a u t u cd scf vkt chat thiet bi y '<^ ^'^
ddi n g u y bac si, t i n h cfin cd cac giai p h a p t a p t r u n g eai t h i e n thfii dp va phong each p h u e vu ciia n h a n vien y te. nfing cao sfl h a i long cua b e n h nhfin. cai thien ky nfing giao tiep vfi tfl va'n t r o n g dieh vu y te cho n h a n vien y te.
Chin li, n a n g cao n h a n thflc cua ngfldi dfin ve BHYT vfi c h a m sde y te' thdng q u a cfic b o a t ddng t u y e n t r u y e n nbflng ldi ich khi t h a m gia BHXH. BHYT. Tinh cd t h e h i n h t h a n h mdt p h d n g q u a n h e edng chflng chiu t r a c h n b i e m thflc h i e n cac chien Ifldc q u a n he cdng c h u n g k h a c n h a u va fip d u n g cfic h i n h thfle k h a c n h a u n h ^ m khuye'n khich ngfldi d a n tiep c a n dd dfing hdn vdi BHYT, BHXH, B H T N .
Mudi li, xa hdi h d a vfi tfing cfldng sfl t h a m gia c u a k h u vflc n g o a i nhfi nfldc vfio thflc h i e n cae c h i n h s a c h A S X H nhfl k e u gpi d d n g gdp tfl cac d o a n h n g h i d p , td chflc, ngfldi d a n , v a n g u d n b e n n g o a i n h u ODA, v i e n t r p k h d n g h o a n l a i tfl nfldc n g o a i .
K e t l u a n
P h a t t r i e n k i n b t e b e n vflng la mong mudn eiia tfi't ea cfic qud'c gia t r e n t h e gidi.
Ddi vdi nfldc ta, mdt nudc t h u c h i e n c h u trUdng p h a t t r i e n k i n h te t h i trfldng d i n h hfldng xa hpi c h u n g b i a t h i muc dich dd cfing can dUdc xac dinh rd r a n g va bie'n t b a n b hfinh ddng cu t h e cua cac ea'p c h i n b quyen tfl t r u n g Udng de'n dia p h u d n g . Xinh T h u a n mdt t i n b ngheo cua m i e n
"^' Trong d6 hinh thUc hdp tac xa \& nong cot; x4y dun?
nhan rpng cac rao hinh hen ket Ban xuiit giUa ca^ ^ <
tac, hdp tac xa vdi doanh n ^ $ p theo chuoi gia tri' ta dieu ki^n cho kinh t^ h$ phat trien c6 hi6u qua trfiri cA Iinh vUc nong nghiep, cong nghiep. dich vy,
S6 7-2020
HO \'IET HANH. PHAN THI SONG THUOXC.
Trung dfi lam dUdc nhieu dieu thdng qua viec thUc bien ehinh sach an sinh xfi hdi tren ba khia canh gdm giam ngheo. cdng tae bao bie'm (BHXH, BHYT, BHTN), hUu tri, trd cfi'p vfi bao trd xa hdi bpi ddng tbdi cung cd nhiing viec chfla Ifim dupc nbu mong mud'n. Thflc trang cua nhflng van de dd cung vdi nguyen nhfin cua thfinh cdng cung nbfl chfla thfinh cdng da phan nfio dfldc de cfip den trong bfii viet nfiy.
Trong tfldng Iai, khi nen kinh te cua tinh cang phfit trien, ddi sd'ng vat ehfi't vfi tinh than cua ngfldi dan dfldc nang eao kem theo dd la nhflng rui ro va nguy cd tiem ^n nhu tha't nghiep, pban hda giau nghdo, te nan xfi hdi... nhu cau ve ASXH trong dfin cfl tang len ca ve mat cha't va lupng. Chinh vi vay, trong dinh budng phat trien kinh t§' xa hdi, tinh rat c^n cd nhflng du bao ve Iflc lupng lao ddng dich chuyen tfl boat ddng ndng nghidp sang eae boat dpng phi ndng nghiep; xu hfldng gia hda dfin so' d dia phfldng, qua do dfl doan dfldc mflc can ddi thu chi nhfim trien khai hieu qua cfic chinh sach ASXH. Cae giai phap dfinh cho tfldng Iai ehi cd the dfldc coi la phfl hdp khi nd dfldc xac dinh tren nen tang ciia nhflng dfl bao ehu^n xac.
TAI LIEU THAM KHAO 1. Mac Tien Anh (2005), "Khai luan chung ve an sinh xa hdi", Tap chi Bao hiem xi hpi so' 1/2005.
2. Beveridge.W.H. (1924b), Insurance for/ill and Everything, l^ndon: The Daily News LTD.
3. Bfli Sy Ldi (2010), Ca'u true hi thd'ng an sinb xa hpi cua Viet Nam: Td hiin tai tdi md hinh tUcfng lai.
4. Hd Viet Hanh, Nguyin Thi Sdng Thflpng (2020), "Chinh sach an sinh xa hdi eua tinh Quang Nam: Thfle trang. thach thfle va giai phap". Tap chi Nhin lUc khoa hpc xa hpi, so 1(80).
5. Park Jin va cpng sfl (2018). "He thd'ng kinh te cua Viet Nam: He thd'ng an sinh xa hpi", Du in ChUOng trinh Ddi tic chia se kinh nghiim phat triin (DEEP) vdi Han Qudc.
6. Tinh uy Ninh Thufin (2018), Bfio cfio Tdhg kit 10 nim thUc hien ChUOng tiinh hanh ddng 104-CTr/TU cua Tinh uy ve thUc hiin Nghi quyi't 09-NQ/TW cda Ban Chi'p hinh Trung uong Dang (khoa X) ve Chien lupc biin Viet Nam di'n nim 2020.
7. UBNN tinb Ninh Thuan (2016), Bao cao Tinh hinh thUc hiin nhiem vu kinh ti' - xa hpi nim 2016, phUOng hUdng, nhiem vunim 2017.
8. UBNN tinh Ninh Thufin (2018), Bfio cao Tinh binh thUc hiin nhiem vu kinh te - xi hpi nim 2018, phuang hUdng, nhiem vunim 2019.
9. UBNN tinh Ninh Thufin (2019), Bao eao Chuyen di' kinh te - xa hpi phuc vu xiy dung vin kien Dai hpi tinh Dang bp lin thd XT/nhiem ky 2020-2025.
10. UBNN tinh Ninh Thufin (2019), Dfl thao bfio cfio Tinh hinh thuc hien nhiim vu kinh ti' - xa hpi nim 2019, phUOng hudng, nhiem vu nam 2020.
11. UBNN tinh Ninh Thuan (2019), Thuyet minh Nhiim vu lip quy hoach tinh Ninh Thuan thdi ky 2021-2030, tam nhin de'n nam 2050.
12. A'j'en giim thd'ng ki ca nUdc nim 2018.
13. Nien giim thd'ng ki tinh Ninh Thuan nim 2018.
SO 7-2020 NHAN LUC KHOA HOC XA Hdi Q
