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‘It really saves us’ versus ‘it doesn't cover everything’: the benefits and limitations of a non-contributory pension in the Bolivian Altiplano

Published online by Cambridge University Press:  11 September 2017

RACHEL GODFREY-WOOD  and
GRACIELA MAMANI-VARGAS
RACHEL GODFREY-WOOD*
Affiliation:
Institute of Development Studies, London, UK.
GRACIELA MAMANI-VARGAS
Affiliation:
Fundacion ‘Jacha Uru’, Bolivia.
*
Address for correspondence: Rachel Godfrey-Wood, Institute of Development Studies, 140 Fairbridge Road, London N19 3HU, UK E-mail: [email protected]
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Abstract

Non-contributory pensions have become extremely popular in the last decade, with 78 developing countries currently distributing money in this way, and their acclaimed impacts are increasingly celebrated. Studies have found them to contribute not only to ‘obvious’ needs such as increased consumption and income security but also to investments in productivity, social relationships, health, increased access to credit and savings, while it has become common to claim that they contribute to intangible goals such as dignity and citizenship. The danger of some of these claims is that they assume that wellbeing is heavily responsive to monetary wealth, rather than other areas. To study this, an ethnographic methodology, based on participant observation and semi-structured interviews, was employed in two rural communities located in the La Paz department in the highland Altiplano region of Bolivia close to Lake Titicaca. Our analysis shows that while the Renta Dignidad increases older persons’ livelihood security, its contributions to other areas where non-contributory pensions are claimed to have major impacts, such as productive investment, health care and relational wellbeing, are actually relatively limited. The policy implication of this is that a more integral approach needs to be adopted to older persons' wellbeing, going beyond cash transfers to greater efforts to bring health-care services to older people in remote rural areas.

Keywords

later lifeolder peopleRenta Dignidadsocial protectionnon-contributory pensionswellbeingBolivian Altiplanorural livelihoods
Type
Article
Information
Ageing & Society , Volume 39 , Issue 1 , January 2019 , pp. 17 - 44
Copyright
Copyright © Cambridge University Press 2017 

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References

Alvarado, B. E., Zunzunegui, M. V., Béland, F. and Bamvita, J. M. 2008. Life course social and health conditions linked to frailty in Latin American older men and women. Journal of Gerontology, 63a, 12, 1399–1406.Google Scholar
Aponte, G., Jemio, L. C., Laserna, R., Martinez, S. W., Molina, F., Schulze, E. and Skinner, E. 2007. La Inversión Prudente: Impacto del Bonosol Sobre la Familia, la Equidad social y el Crecimiento Económico [The Prudent Investment: Impact of the Bonosol on the Family, on Social Equity and Economic Growth]. Fundación Milenio, La Paz.Google Scholar
Barrientos, A. 2005. Non-contributory Pensions and Poverty Reduction in Brazil and South Africa. Department for International Development, Institute for Development Policy and Management, University of Manchester. Available online at http://www.sed.manchester.ac.uk/research/events/conferences/documents/Social%20Protection%20Papers/Barrientos2.pdf [Accessed 17 September 2014].Google Scholar
Barrientos, A. 2013. Inequality, Poverty and Antipoverty Transfers. Research Paper, High Level Panel on the Post-2015 Development Agenda. Available online at http://www.post2015hlp.org/wp-content/uploads/2013/05/Barrientos_Inequality-Poverty-and-Antipoverty-Transfers.pdf [Accessed 15 November 2015].Google Scholar
Barrientos, A. and Lloyd-Sherlock, P. 2002. Older and poorer? Ageing and poverty in the South. Journal of International Development, 14, 8, 1129–31.Google Scholar
Barrientos, A. and Sabates-Wheeler, R. 2009. Do Transfers Generate Local Economy Effects? Brooks World Poverty Institute Working Paper 106. Available online at http://www.bwpi.manchester.ac.uk/medialibrary/publications/working_papers/bwpi-wp-10609.pdf [Accessed 17 November 2015].Google Scholar
Barrientos, A., Gorman, M. and Heslop, A. 2003. Later life poverty in developing countries: contributions and dependence in later life. World Development, 3, 3, 555–70.Google Scholar
Black, K. and Dobbs, D. 2014. Community-dwelling older adults’ perceptions of dignity: core meanings, challenges, supports and opportunities. Ageing & Society, 34, 8, 1292–313.Google Scholar
Brusco, E. 1993. The reformation of machismo: asceticism and masculinity among Colombian Evangelicals. In Garrard Burnett, V. and Stoll, D. (eds), Protestantism in Latin America. Temple University Press, Philadelphia, 143–58.Google Scholar
Bukuluki, P. and Watson, C. 2012. Transforming cash transfers: beneficiary and community perspectives on Senior Citizen Grant (SCG) in Uganda. Working Paper, Overseas Development Institute, London.Google Scholar
Burman, S. 1996. Intergenerational family care: legacy of the past, implications for the future. Journal of Southern African Studies, 22, 4, 585–98.Google Scholar
Camfield, L., Choudhury, K. and Devine, J. 2009. Wellbeing, happiness, and why relationships matter: evidence from Bangladesh. Journal of Happiness Studies, 10, 1, 71–91.Google Scholar
Case, A. 2001. Does money protect health status? Evidence from South African pensions. NBER Working Paper 8495, National Bureau of Economic Research, Cambridge.Google Scholar
Castro Mantilla, M. D. 2011. Heterogeneidad, desigualdad y derechos en salud de las personas adultas mayors. In Salazar de la Torre, C., Castro Mantilla, M. D. and Medinacelli Monrroy, M. (eds) Personas Adultas mayores: Desiguales y Diversas: Políticas Públicas y Envejecimiento en Bolivia [Older People: Unequal and Diverse: Public Policies and Ageing in Bolivia]. Cuaderno de Futuro 29, HelpAge-PNUD, La Paz.Google Scholar
Chant, S. 1998. Households, gender and rural–urban migration: reflections on linkages and considerations for policy. Environment and Urbanization, 10, 1, 5–21.Google Scholar
Chant, S. 2002. Researching gender, families and households in Latin America: from the 20th into the 21st century. Bulletin of Latin American Research, 21, 4, 545–75.Google Scholar
Chida, Y. and Steptoe, A. 2008. Positive psychological well-being and mortality: a quantitative review of prospective observational studies. Psychosomatic Medicine, 70, 7, 741–56.Google Scholar
Chumacero Viscarra, M., Escobar Loza, F. and Mendizabal, J. M. 2013. Documento Descriptivo de Resultados de la Encuesta de Hogares con Personas Adultas Mayores y Cercanas a la Edad de 60 Años – EPAM 2011 [Descriptive Document of the Results of the Survey of Households with Older People and People Close to the Age of 60 Years – EPAM 2011], Unidad de Análisis de Políticas Sociales y Económicas (UDAPE), HelpAge and UN Population Fund, La Paz.Google Scholar
Davies, S. and Davey, J. 2008. A regional multiplier approach to estimating the impact of cash transfers on the market: the case of cash transfers in rural Malawi. Development Policy Review, 26, 1, 91–111.Google Scholar
De Haan, A. 2014. The rise of social protection in development: progress, pitfalls and politics. European Journal of Development Research, 26, 3, 311–21.Google Scholar
Delgado, G. and Cardoso, J. Jr 2005. Ageing and rural social security: the recent experience of Brazilian universalization. In Camarano, A. (ed.), Sixty Plus: The Elderly Brazilians and Their New Social Roles. Instituto de Pesquisa Economica Aplicada, Rio de Janeiro, 291–316.Google Scholar
Deneulin, S. and McGregor, J. A. 2010. The capability approach and the politics of a social conception of wellbeing. European Journal of Social Theory, 13, 4, 501–19.Google Scholar
Department for International Development 2011. Cash Transfers Literature Review. Department for International Development Policy Division. Available online at http://www.cashlearning.org/downloads/cash-transfers-literature-review.pdf [Accessed 16 August 2015].Google Scholar
Devereux, S. 2001. Social Pensions in Namibia and South Africa. IDS Discussion Paper 379, Institute of Development Studies, Brighton, UK. Available online at https://www.ids.ac.uk/files/dp379.pdf [Accessed 25 November 2015].Google Scholar
Devereux, S. and McGregor, A. 2014. Transforming social protection: human wellbeing and social justice. European Journal of Development Research, 26, 3, 296–310.Google Scholar
Devereux, S., Roelen, K. and Ulrichs, M. 2015. Where Next for Social Protection? Evidence Report 124, Institute of Development Studies. Available online at http://www.ids.ac.uk/publication/where-next-for-social-protection [Accessed 16 July 2015].Google Scholar
Drogus, C. A. 1998. Private power and public power: pentecostalism, base communities, and gender. In Cleary, E. L. and Stewart-Gambino, H. W. (eds), Power, Politics and Pentecostals in Latin America. Westview Press, Boulder, Colorado, 55–75.Google Scholar
Du Toit, A. and Neves, D. 2009. Trading on a Grant: Integrating Formal and Informal Social Protection in Post-Apartheid Migrant Networks. Brooks World Poverty Institute, University of Manchester. Available online at http://www.bwpi.manchester.ac.uk/medialibrary/publications/working_papers/bwpi-wp-7509.pdf [Accessed 17 August 2015].Google Scholar
Fehring, R. J., Miller, J. F. and Shaw, C. 1997. Spiritual well-being, religiosity, hope, depression, and other mood states in elderly people coping with cancer. Oncology Nursing Forum, 24, 4, 663–71.Google Scholar
Gasparini, L., Alejo, J., Haimovich, F., Olivieri, S. and Tornarolli, L. 2007. Poverty Among the Elderly in Latin America and the Caribbean. Background paper for the World Economic and Social Survey, 2007: The World Ageing Situation. United Nations, New York. Available online at http://www.un.org/esa/policy/wess/wess2007files/backgroundpapers/lac.pdf [Accessed 2 April 2017].Google Scholar
Gill, L. 1990. ‘Like a veil to cover them’: women and the Pentecostal movement in La Paz. American Ethnologist, 17, 4, 708–21.Google Scholar
Gorman, M. 1995. Older people and development: the last minority? Development in Practice, 5, 2, 117–27.Google Scholar
Gorman, M. 1999. Development and the rights of older people. In HelpAge International, The Ageing and Development Report. Earthscan, London.Google Scholar
Gorman, M. and Heslop, A. 2002. Poverty, policy, reciprocity and older people in the South. Journal of International Development, 14, 8, 1143–151.Google Scholar
Gough, I. and McGregor, J. A. (eds) 2007. Wellbeing in Developing Countries: From Theory to Research. Cambridge University Press, Cambridge.Google Scholar
Grosh, M., Del Ninno, C., Tesliuc, E. and Ouerghi, A. 2008. For Protection and Promotion: The Design and Implementation of Effective Safety Nets. World Bank, Washington DC.Google Scholar
Heehan, D. 2010. Social capital and older people in farming communities. Journal of Aging Studies, 24, 1, 40–6.Google Scholar
HelpAge International 2013. Pension Watch: Social Protection in Older Age. Available online at http://www.pension-watch.net/ [Accessed 15 May 2014].Google Scholar
HelpAge International 2014. Why Social Pensions. Available online at http://www.pension-watch.net/about-social-pensions/about-social-pensions/why-social-pensions/ [Accessed 15 April 2014].Google Scholar
Humboldt, S. V., Leal, I. and Pimenta, F. 2015. Sense of coherence, sociodemographic, lifestyle, and health-related factors in older adults' subjective well-being. International Journal of Gerontology, 9, 1, 15–19.Google Scholar
Ibrahim, F. 2013. Uganda's Old-age Pension: Who Benefits? Development Pathways (UK). Available online at http://www.developmentpathways.co.uk/resource-centre/blog/post/104-the-oldage-pension--who-benefits [Accessed 15 August 2015].Google Scholar
Inglehart, R. F. 2010. Faith and freedom: traditional and modern ways to happiness. In Diener, E., Helliwell, J. F. and Kahneman, D. N. (eds), International Differences in Well-Being. Oxford University Press, Oxford, 351–97.Google Scholar
James, M. P. 1992. The Elderly as Victims of Crime, Abuse and Neglect. Australian Institute of Criminology. Available online at http://www.aic.gov.au/publications/current%20series/tandi/21-40/tandi37.html [Accessed 15 November 2015].Google Scholar
Kabeer, N. and Joekes, S. 1991. Editorial – researching the household: methodological and empirical issues. IDS Bulletin, 22, 1, 1–4.Google Scholar
Khondker, B. H. 2014. Economic Impacts of a Universal Pension in Bangladesh. Development Pathways’ Perspectives 17. Available online at http://www.developmentpathways.co.uk/resources/economic-impacts-universal-pension-bangladesh-pathways-perspective-17/ [Accessed 16 August 2015].Google Scholar
Kidd, S. D. 2010. Cash in care: an examination of a Social Cash Transfer Scheme for the elderly in rural eastern Zambia. Unpublished dissertation, University of Cambridge, Cambridge.Google Scholar
Landi, F., Onder, G., Carpenter, I., Cesari, M., Soldato, M. and Bernabei, R. 2007. Physical activity prevented functional decline among frail community-living elderly subjects in an international observational study. Journal of Clinical Epidemiology, 60, 5, 518–24.Google Scholar
Lazar, S. 2008. El Alto, Rebel City: Self and Citizenship in Andean Bolivia. Duke University Press, Durham, North Carolina.Google Scholar
Leisering, L. and Barrientos, A. 2013. Social citizenship for the global poor? The worldwide spread of social assistance. International Journal of Social Welfare, 22, 1, 50–67.Google Scholar
Litwin, H. and Shiovitz-Ezra, S. 2006. The association between activity and wellbeing in later life: what really matters? Ageing & Society, 26, 2, 225–42.Google Scholar
Lloyd-Sherlock, P. 2000. Later life and poverty in developing countries: new policy challenges. World Development, 28, 12, 2157–68.Google Scholar
Lloyd-Sherlock, P. 2006. Simple transfers, complex outcomes: the impacts of pensions on poor households in Brazil. Development and Change, 37, 5, 969–95.Google Scholar
Lloyd-Sherlock, P. and Agrawal, S. 2014. Pensions and the health of older people in South Africa: is there an effect? Journal of Development Studies, 50, 11, 1570–86.Google Scholar
Lloyd-Sherlock, P., Barrientos, A., Møller, V. and Saboia, J. 2012 a. Pensions, poverty and wellbeing in later life: Comparative research from South Africa and Brazil. Journal of Aging Studies, 26, 3, 243–52.Google Scholar
Lloyd-Sherlock, P. and Locke, C. 2008. Vulnerable relations: lifecourse, wellbeing and social exclusion in a neighbourhood of Buenos Aires, Argentina. Ageing & Society, 28, 6, 779–803.Google Scholar
Lloyd-Sherlock, P., Minicuci, N., Beard, J., Chatterji, S. 2012 b. Social protection and preventing illness in developing countries: Establishing the health effects of pensions and health insurance. International Social Security Review, 65, 4, 51–8.Google Scholar
Lloyd-Sherlock, P., Saboia, J. and Ramírez-Rodríguez, B. 2012. Cash transfers and the well-being of older people in Brazil. Development and Change, 43, 5, 1049–72.Google Scholar
Martinez, S. 2004. Pensions, Poverty, and Household Investments in Bolivia. Berkeley. http://eml.berkeley.edu/~webfac/bardhan/e271_f04/martinez.pdf [Accessed 7 September 2014].Google Scholar
Matijascic, M. and Kay, S. J. 2014. The Brazilian pension model: the pending agenda. International Social Security Review, 67, 1, 71–93.Google Scholar
McGregor, A. and Sumner, A. 2010. Beyond business as usual: what might 3-d wellbeing contribute to MDG momentum? IDS Bulletin, 41, 1, 104–12.Google Scholar
McGregor, J. A. 2006. Researching Wellbeing: From Concepts to Methodology, ESRC Research on Wellbeing in Developing Countries. Working Paper 20. Available online at http://www.welldev.org.uk/research/workingpaperpdf/wed20.pdf [Accessed 12 September 2014].Google Scholar
Ministerio de Salud 2014. Guia alimentaria para el adulto mayor, La Paz. Available online at https://www.minsalud.gob.bo/images/Libros/DGPS/PDS/p346_g_dgps_uan_guia_alimentaria_para_el_adulto_mayor_1.pdf.Google Scholar
Møller, V. 2011. Perceptions of Fortune and Misfortune in Older South African Households: Social Pensions and the ‘Good Life’. Research Report 16, Institute of Social and Economic Research, Rhodes University. Available online at http://www.sed.manchester.ac.uk/research/ageingandwellbeing/documents/ISERResearchReport16Brazza2.pdf [Accessed 15 September 2014].Google Scholar
Møller, V. and Ferreira, M. 2003. Non-contributory Pensions and Poverty Study. South African Survey Report. http://www.sed.manchester.ac.uk/research/ageingandwellbeing/ncpps/report.htm [Accessed 10 September 2014].Google Scholar
Mudege, N. N. and Ezeh, A. C. 2009. Gender, aging, poverty and health: survival strategies of older men and women in Nairobi slums. Journal of Aging Studies, 23, 4, 245–57.Google Scholar
Neves, D., Samsom, M., van Niekerk, I., Hlathswayo, S. and du Toit, A. 2009. The Use and Effectiveness of Social Grants in South Africa. Institute for Poverty, Land and Agrarian Studies (PLAAS), Economic Policy Research Institute, Cape Town. Available online at http://www.finmark.org.za/blog/publication/the-use-and-effectiveness-of-social-grants-in-south-africa-case-studies/ [Accessed 16 September 2014].Google Scholar
Oddone, M. J. 2001. Actitudes, percepciones y expectativas de las personas de mayor edad [Attitudes, Perceptions and Expectations of People in Older Age]. Working Document 2, Buenos Aires. Available online at http://www.168.83.61.132/posgrados/cursos/ig/pdf/TomoI/pdf [Accessed 15 September 2014].Google Scholar
Pagina Siete 2016. En Bolivia hay 90,000 casos de diabetes, en 5 años se duplicarán. Available online at http://www.paginasiete.bo/sociedad/2016/4/7/bolivia-90000-casos-diabetes-anos-duplicaran-92381.html [Accessed 11 February 2017].Google Scholar
Prince, M. J., Wu, F., Guo, Y., Gutierrez Robledo, L. M., O'Donnell, M., Sullivan, R. and Yusuf, S. 2015. The burden of disease in older people and implications for health policy and practice. The Lancet, 385, 9967, 549–62.Google Scholar
Sagner, A. and Mtati, R. Z. 1999. Politics of pensions sharing in urban South Africa. Ageing & Society, 19, 4, 393–416.Google Scholar
Salazar de la Torre, C. 2011. Vejez, envejecimiento y desigualdad en Bolivia. In Salazar de la Torre, C., Castro Mantilla, M. D. and Medinacelli Monrroy, M. (eds), Personas adultas mayores: Desiguales y diversas: políticas públicas y envejecimiento en Bolivia [Older People: Unequal and Diverse: Public Policies and Ageing in Bolivia]. Cuaderno de Futuro 29, HelpAge-PNUD [UNDP], La Paz, 17–47 .Google Scholar
Schatz, E. 2007. ‘Taking care of my own blood’: older women's relationships to their households in rural South Africa. Scandinavian Journal of Public Health, 35, 69, 147–54.Google Scholar
Schatz, E., Gómez-Olivé, X., Ralston, M., Menken, J. and Tollman, S. 2012. The impact of pensions on health and wellbeing in rural South Africa: does gender matter? Social Science & Medicine, 75, 10, 1864–73.Google Scholar
Schröder-Butterfill, E. 2004. Inter-generational family support provided by older people in Indonesia, Ageing & Society, 24, 4, 497–530.Google Scholar
Schröder-Butterfill, E. and Marianti, R. 2006. A framework for understanding old-age vulnerabilities. Ageing & Society, 26, 1, 9–35.Google Scholar
Schwartzer, H. and Querino, A. 2002. Non-contributory pensions in Brazil: the impact on poverty reduction. ESS Paper 11, International Labour Organization Social Security Policy and Development Branch, Geneva.Google Scholar
Sinembargo 2015. Bolivia combatirá desnutrición de adultos mayores. Available online at http://www.sinembargo.mx/21-07-2015/1422743 [Accessed 15 July 2015].Google Scholar
Skinner, E. 2006. Livelihood strategies in later life: older people and poverty in Bolivia. Unpublished PhD thesis, University College London.Google Scholar
Skinner, E. 2007. Proteger y mejorar los medios de subsistencia de los adultos mayores: el ol del Bonosol en La Paz’ [Protecting and improving the means of subsistence of the older people: the role of Bonosol in La Paz]. In Aponte, G., Jemio, L. C., Laserna, R., Martinez, S. W., Molina, F., Schulze, E. and Skinner, E. (eds), La inversión prudente: Impacto del bonosol sobre la familia, la equidad social y el crecimiento económico [The Prudent Investment: Impact of Bonosol Regarding the Family, Social Equity and Economic Growth]. Fundación Milenio, La Paz.Google Scholar
Spedding, A. 1994. Wachu Wachu: Cultivo de coca e identidad en los Yunkas de La Paz [Wachu Wachu: Cultivation of Coca and Identity in the Yunkas of La Paz]. hisbol-Cocayapu-Cipca, La Paz.Google Scholar
Spedding, A. and Llanos, D. 1999. No hay ley para la cosecha: un estudio comparativo del Sistema productivo en Chari (provincia Bautista Saavedra) y Chulumani (Provincia Sud Yungas) [There is No Law for the Harvest: A Comparative Study of the Productive System in Chari (Bautisa Saavedra Province) and Chulumani (South Yungas Province)]. PIEB/SINERGIA, La Paz.Google Scholar
Staunton, S. 2011. Hard cash in hard time: a social accounting matrix multiplier analysis of cash transfers and food aid in rural Zimbabwe. Paper presented at the Social Protection for Social Justice Conference, 13–15 April, Centre for Social Protection at the Institute of Development Studies, London.Google Scholar
Steptoe, A., Deaton, A. and Stone, A. A. 2015. Subjective wellbeing, health, and ageing. The Lancet, 385, 9968, 640–8.Google Scholar
Steptoe, A., Demakokos, P. and de Oliveira, C. 2012. The psychological well-being, health and functioning of older people in England. In Banks, J., Nazroo, J. and Steptoe, A. (eds), The Dynamics of Ageing: Evidence from the English Longitudinal Study of Ageing 2002–10. Available online at http://www.ucl.ac.uk/news/pdf/elsa5final.pdf [Accessed 15 July 2015].Google Scholar
Varley, A. and Blasco, M. 2003. Older women's living arrangements and family relationships in urban Mexico. Women’s Studies International Forum, 26, 6, 525–39.Google Scholar
White, S. C. 2010. Analysing wellbeing: a framework for development practice. Development in Practice, 20, 2, 158–72.Google Scholar
Wood, G. 2006. Using Security to Indicate Wellbeing. WeD Research Paper 22, ESRC Research Group on Wellbeing in Developing Countries. Available online at http://www.welldev.org.uk/research/workingpaperpdf/wed22.pdf [Accessed 15 October 2014].Google Scholar
World Health Organization 2014. WHO Guidelines for Indoor Air Quality: Household Fuel Combustion. Available online at http://www.who.int/indoorair/guidelines/hhfc/HHFC_guidelines.pdf [Accessed 15 August 2015].Google Scholar