Ligestillingsudvalget 2019-20
LIU Alm.del Bilag 46
Offentligt
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Time to care
Unpaid and underpaid care work and the global
inequality crisis
Summary
LIU, Alm.del - 2019-20 - Bilag 46: Henvendelse af 23/1-2020 fra Oxfam IBIS om deres årlige rapport om ulighed, der i år har fokus på køn og med titlen: "Time to care - unpaid and underpaid care work and the global inequality crisis"
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OXFAM SUMMARY – JANUARY 2020
Economic inequality is out of control. In 2019, the world’s billionaires, only
2,153 people, had more wealth than 4.6 billion people. This great divide is
based on a flawed and sexist economic system that values the wealth of
the privileged few, mostly men, more than the billions of hours of the most
essential work – the unpaid and underpaid care work done primarily by women
and girls around the world. Tending to others, cooking, cleaning, fetching
water and firewood are essential daily tasks for the wellbeing of societies,
communities and the functioning of the economy. The heavy and unequal
responsibility of care work perpetuates gender and economic inequalities.
This has to change. Governments around the world must act now to build a
human economy that is feminist and values what truly matters to society, rather
than fuelling an endless pursuit of profit and wealth. Investing in national care
systems to address the disproportionate responsibility for care work done by
women and girls and introducing progressive taxation, including taxing wealth
and legislating in favour of carers, are possible and crucial first steps.
© Oxfam International January 2020
This paper was written by Max Lawson, Anam Parvez Butt, Rowan Harvey,
Diana Sarosi, Clare Coffey, Kim Piaget and Julie Thekkudan.
The authors are grateful to a range of experts who generously gave their assistance:
the Women’s Budget Group, Corina Rodriguez and Florencia Partenio of Development
Alternatives with Women for a New Era (DAWN) global network, Salimah Valiani,
FEMNET, Danny Dorling, Christoph Lakner, Jonathan Ostry and Branko Milanovic.
Oxfam acknowledges the assistance of Charlotte Becker, Ranu Bhogal, Kira Boe,
Rosa Maria Cañete, Rukia Cornelius, Anna Coryndon, Katha Down, Ellen Ehmke,
Patricia Espinoza Revollo, Tim Gore, Irene Guijt, Victoria Harnett, Emma Holten,
Didier Jacobs, Anthony Kamande, Thalia Kidder, Inigo Macias Aymar, Franziska
Mager, Jessica McQuail, Alex Maitland, Katie Malouf Bous, Liliana Marcos Barba,
Valentina Montanaro, Joab Okanda, Quentin Parrinello, Oliver Pearce, Lucy Peers,
Kimberly Pfeifer, Angela Picciariello, Anna Ratcliffe, Lucia Rost, Susana Ruiz,
Alberto Sanz Martins, Emma Seery, Rocio Stevens Villalvazo, Annie Thériault,
David Wilson and Deepak Xavier in its production. The paper is part of a series
written to inform public debate on development and humanitarian policy issues.
For further information on the issues raised in this paper please email
[email protected]
This publication is copyright but the text may be used free of charge for the purposes
of advocacy, campaigning, education, and research, provided that the source is
acknowledged in full. The copyright holder requests that all such use be registered
with them for impact assessment purposes. For copying in any other circumstances,
or for re-use in other publications, or for translation or adaptation, permission must
be secured and a fee may be charged. E-mail [email protected].
The information in this publication is correct at the time of going to press.
Published by Oxfam GB for Oxfam International under ISBN 978-1-78748-542-6
in January 2020. DOI: 10.21201/2020.5419
Oxfam GB, Oxfam House, John Smith Drive, Cowley, Oxford, OX4 2JY, UK.
Cover photo: Clarice Akinyi washes clothes in Mashimoni village, Nairobi, Kenya.
Clarice is proud to be a domestic worker but was frustrated and angry at the bad
treatment by employers. Clarice is now an active member of the Wezesha Jamii
project, in which women work together to support each other and improve their
community. Photo: Katie G. Nelson/Oxfam (2017)
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forewords
My name is Rowena and I am a day care worker from Salcedo Town
in the Philippines.
In the past in my community, women used to just work in the house –
cooking, cleaning and taking care of children. They also fetched
water. Men had more opportunities than women. With all the work that
was assigned to women, we could never catch up with the men in our
community. There would always be a gap between women and men –
with the amount of money they earned, with the education they got
or with the time they could spend on things outside the house.
I’ve been a day care worker in a school for ten years. And I’m also a
housewife. Being a housewife takes so much time. I have so many things
to do that I can’t finish right away. The heaviest housework is fetching
water. It takes us three to four hours to go and get water because our
water source is far. We have to go to the river and lift our own water cans.
In the past, my husband didn’t help in the household at all. It was a lot of
work that I had to do on top of what I did in the school, but my husband and
I didn’t question it. That changed when we started to attend trainings and
seminars and learned about unpaid care work. Now he always helps around
the house. He helps me do the housework, like cooking, doing the laundry,
and cleaning the house, especially when I am working in the school.
We also have water tanks now through the help of Oxfam and SIKAT*.
We finally have taps and a hose, so we don’t have to carry water cans and
pails anymore. We spend less time fetching water now. While we wait for
the water to fill our water cans and drums, we can focus on other work.
Not being responsible for all the work alone or having to walk long hours
to get the water we need, changes who I am. I have more time to help in
the community. We have a Self-Help Group, a group for women who live
near each other. We help in
barangay
(village) clean-up drives, and in
other activities where women are involved in the community. It’s where
we also get funding for our livelihood, for the school fees of our children
and for emergencies.
There are many communities where women are still struggling a lot. I am
happy that now there is equality here between women and men. Women
are more empowered. Someday I hope this will happen not just here in
Salcedo, but hopefully in the whole Philippines.
* SIKAT – Sentro para sa Ikauunlad ng Katutubong Agham at Teknolohiya –
is a non-profit, non-government organization in the Philippines. It envisions
empowered, sustainable and resilient coastal communities that call for
transparent, accountable, participatory and responsive government programmes
and processes. With the WE-Care programme, SIKAT works with women-led
self-help groups and men to mobilize community members in disaster
preparedness and economic empowerment.
ROWENA ABEO,
DAY CARE WORKER,
SALCEDO TOWN,
EASTERN SAMAR,
PHILIPPINES
S UMM A RY
3
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It is a well-known fact that despite being the backbone of informal
workers’ families, the poorest of poor in the world are women workers.
The Self-Employed Women’s Association (SEWA), which I serve, is the
largest trade union of poor informal sector women workers in India, with
a membership of more than 1.9 million women workers. SEWA strongly
believes that poverty is the worst form of violence perpetrated with the
consent of society. Only work, a steady source of employment, and asset
ownership can reduce this violence.
From SEWA’s experience working with these poor women workers from
the informal sector, we have learned that for these women workers,
access to care-services is a basic right. If women do not have access to
affordable care services, they have to shoulder the care responsibilities
of the family, and either reduce their number of work hours and thus
income or entrust the elder children with this responsibility – thereby
compromising their education. Our founder Ela Bhatt said: ‘Women should
be paid full-time wages, even if they work part-time.’ Only then can one
break women’s fall into starker poverty.
REEMA NANAVATY,
EXECUTIVE DIRECTOR,
SELF-EMPLOYED
WOMEN’S ASSOCIATION
(SEWA)
In our experience, poor women workers do not only contribute to their
family and national economy, but also to natural ecology. Therefore,
SEWA believes that care work should be considered as skilled work and
paid at par with other skilled work. Organizing care workers, building their
capacity, designing proper curriculum and training to improve the quality
of their services, certification and enabling policies for care givers would
bring dignity and self-respect to these workers, and also set standards
for the care economy. And this should not start from the top down, but
from the care worker herself.
However, we also believe that care services should not replace family
care, especially in the informal sector, because informal sector workers
often work as a family. Family and care cannot be completely segregated.
There is a need to establish this delicate balance.
Never have we faced such an opportunity for welcoming and valuing the
work of millions of care workers in the mainstream economy, be it formal
or informal. Oxfam’s report ‘Time to Care’ shows us the nature and extent
of this opportunity. And if we grab it, we will all move closer to what SEWA
calls ‘Building an Economy of Nurturance’ – a society where economic
growth is non-violent.
4
TIME TO CARE
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People sometimes call me a ‘self-made’ multi-millionaire. Nothing could
be further from the truth. Yes, I have worked hard in my life. I am proud of
what I have achieved. But the truth is I could not have done any of this
without help from the Danish welfare system, and the taxes paid by the
people to create our happy and equal society.
I was born in Tehran, Iran in 1961. My family moved to Denmark when I
was a child, after a series of rejected immigration applications, forced
separations and the turmoil in my birth country pushed my family to our
limits. I finished my education here, married a Danish woman and had two
amazing children, and built my fortune as a self-employed entrepreneur.
I credit my good fortune to Denmark and its robust, inclusive social
system that values equality and opportunity for everyone. My country
has embraced an advanced social tax system and the tax revenues
are used to invest in the people of Denmark. Our tax revenues give
everyone health, education and a strong social support system,
including universal childcare.
DJAFFAR SHALCHI,
FOUNDER AND CHAIR
OF THE BOARD, HUMAN
ACT FOUNDATION
It is quite simple. If we want fairer, more equal and happier societies,
then the richest have to pay their fair share of tax. When a billionaire
is paying a lower rate of tax than their secretary, something is deeply
wrong with society.
I think it is not surprising that some are calling for the abolition of
billionaires. They see that these super-rich people think that there
is one rule for them, and another for ordinary people.
We must tax wealth properly. The rich must pay their fair share of tax.
Just a 1% tax on billionaire wealth for example could raise billions
to fight global poverty and reduce inequality.
Are we prepared to build a fair society in which wealth and power –
including political power – are evenly distributed? Are we ready to resist
the myth that poverty is a natural phenomenon – something that will
always be there – no matter what we do?
These are the most important questions of our time. Oxfam’s report
‘Time to Care’ addresses these questions and shows that with the right
political decisions inequality and poverty can be tackled. Together we
must fight economic inequality, structural violence, discrimination and
exclusion, environmental destruction and despotic ideology so that the
future of our world looks brighter for all of us. There is no time to lose,
time is running out.
S UMM A RY
5
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Time to Care
The world’s billionaires, only
2,153 people
in 2019, have more
wealth between them than
4.6 billion people.
1
The combined wealth of the world’s
22 richest men is more than the
wealth of all the women in Africa.
22
The world’s
richest 1%
have
more than twice as much wealth
as
6.9 billion people.
If you saved $10,000 a day since the
building of the pyramids in Egypt you
would have only one-fifth the average
fortune of the 5 richest billionaires.
$
$
The monetary value of
unpaid
care work
globally for women aged
15 and over is at least $10.8 trillion
annually –three times the size of
the world’s
tech industry.
Taxing an additional 0.5% of the wealth
of the richest 1% over the next 10 years
is equal to investments needed to create:
117 million jobs
in education, health and elderly care
and other sectors, and to close
care deficits.
6
TIME TO CARE
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SUMMARY
A tale of two extremes
Economic inequality is out of control. In 2019, the world’s billionaires,
only 2,153 people, had more wealth than 4.6 billion people.
2
The
richest 22 men in the world own more wealth than all the women
in Africa.
3
These extremes of wealth exist alongside great poverty.
New World Bank estimates show that almost half of the world’s
population live on less than $5.50 a day, and the rate of poverty
reduction has halved since 2013.
4
This great divide is based on a flawed and sexist economic system.
This broken economic model has accumulated vast wealth and power
into the hands of a rich few, in part by exploiting the labour of women
and girls, and systematically violating their rights.
At the top of the global economy a small elite are unimaginably rich.
Their wealth grows exponentially over time, with little effort and
regardless of whether they add value to society.
Meanwhile, at the bottom of the economy, women and girls, especially
women and girls living in poverty and from marginalized groups, are
putting in 12.5 billion hours every day of care work for free,
5
and countless
more for poverty wages. Their work is essential to our communities.
It underpins thriving families and a healthy and productive workforce.
Oxfam has calculated that this work adds value to the economy of at
least $10.8 trillion.
6
This figure, while huge, is an underestimate, and the
true figure is far higher. Yet most of the financial benefits accrue to the
richest, the majority of whom are men. This unjust system exploits and
marginalizes the poorest women and girls, while increasing the wealth
and power of a rich elite.
Without decisive action things will get far worse. Ageing populations,
cuts in public spending, and climate change threaten to exacerbate
further gender and economic inequality, and to fuel a spiralling crisis
for care and carers. While the rich and powerful elite may be able
to buy their way out of facing the worst of these crises, the poor
and powerless will not.
Governments must take bold and decisive action to build a new,
human economy that will deliver for everyone rather than a rich few,
and that values care and wellbeing above profit and wealth.
IN 2019, THE WORLD’S
BILLIONAIRES, ONLY
2,153 PEOPLE, HAD
MORE WEALTH THAN
4.6 BILLION PEOPLE.
CARE WORK IS
ESSENTIAL TO OUR
COMMUNITIES.
IT UNDERPINS
THRIVING FAMILIES
AND A HEALTHY
AND PRODUCTIVE
WORKFORCE.
S UMM A RY
7
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The scale of the gap between rich and poor today
A woman rides a
scooter through
a low-income
neighbourhood
that is surrounded
by upscale
developments on
the outskirts of
Ho Chi Minh City,
Vietnam. Photo:
Sam Tarling/Oxfam
(2017)
The gap between the super-rich and the rest of society remains
unimaginably huge.
7
In 2019, the world’s billionaires, only 2,153 people, have more
wealth than 4.6 billion people.
The 22 richest men have more wealth than all the women in Africa.
The world’s richest 1% have more than twice as much wealth
as 6.9 billion people.
If you saved $10,000 a day since the building of the pyramids
in Egypt you would have one-fifth the average fortune of the
5 richest billionaires.
If everyone were to sit on their wealth piled up in $100 bills, most
of humanity would be sitting on the floor. A middle-class person
in a rich country would be sitting at the height of a chair. The
world’s two richest men would be sitting in outer space.
The monetary value of women’s unpaid care work globally,
for women aged 15 and over, is at least $10.8 trillion annually –
three times the size of the world’s tech industry.
Taxing an additional 0.5% of the wealth of the richest 1% over the
next 10 years is equal to investments needed to create 117 million
jobs in education, health and elderly care and other sectors,
and to close care deficits.
8
TIME TO CARE
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BOX 1
Measuring
wealth
inequality
in the world
When highlighting the extent of global economic inequality, Oxfam
focuses primarily on wealth inequality, because it fuels the capture
of power and politics and perpetuates inequality across generations.
In compiling the facts on economic inequality
8
for our annual reports
Oxfam’s wealth analysis makes use of the Credit Suisse Global Wealth
report, as it is the most comprehensive dataset of global wealth
distribution.
9
Collecting figures on wealth is very difficult due to
the poor quality of much of the data. It is widely felt that the data
used by Credit Suisse and others to estimate wealth systematically
underestimates the true scale of wealth.
10
There is an urgent need for much greater investment in wealth and wealth
inequality data collection, so that every country can understand the true
scale of the inequality crisis and can measure progress in tackling it.
Leaders are failing to act, people are taking to the streets
Despite much handwringing about the divide between rich and poor,
and the evidence of its corrosive effects, most world leaders are still
pursuing policy agendas that drive a greater gap between the haves
and the have nots. Strongman
11
leaders like President Trump in the US,
and President Bolsonaro in Brazil, are exemplars of this trend. They are
offering policies like tax cuts for billionaires,
12
obstructing measures
to tackle the climate emergency, or turbo-charging racism,
13
sexism
14
and hatred of minorities.
15
Faced with leaders like these, people everywhere are coming together
to say enough is enough. From Chile to Germany, protests against
inequality and climate chaos are huge. Millions are taking to the streets
and risking their lives to demand an end to extreme inequality and
demand a fairer, greener world.
Below: Naima Hammami, the first
woman elected to the executive board
of the National Trade Union Centre
of Tunisia (Union Générale Tunisienne
du Travail – UGTT), celebrating with
colleagues. The Women Commission
of the UGTT works on the participation
of women in public and political
space and the rights of women in
the MENA region. Photo: Ons Abid/
Oxfam Novib (2017)
S UMM A RY
9
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The view from the top: all pay and no work
The very top of the economic pyramid sees trillions of dollars of wealth
in the hands of a very small group of people, predominantly men.
Their wealth is already extreme, and our broken economy concentrates
more and more wealth into these few hands.
Recently some commentators have asked whether it would be better
for the world to ‘abolish billionaires’,
16
suggesting that they are a
sign of economic sickness rather than economic health. It has been
estimated that one-third of billionaire wealth exists because of
inheritance.
17
Such levels of inheritance have created a new aristocracy
that undermines democracy.
Once secured, the fortunes of the super-rich take on a momentum
of their own; the wealthiest people can simply sit back and watch their
wealth grow over time, with the help of highly paid accountants who
have delivered them an average annual return of 7.4% on their wealth
over the last ten years.
18
Despite admirably committing to give his money
away, Bill Gates is still worth nearly $100bn, which is twice what he
had when he stood down as head of Microsoft.
One reason for these outsized returns is a collapse in taxation of the
super-rich and the biggest corporations because of falling tax rates and
deliberate tax dodging. At the same time, only 4% of global tax comes from
taxation of wealth,
19
and studies show that the super-rich avoid as much
as 30% of their tax liability.
20
Extremely low corporate taxation helps them
cream the profits from companies where they are the main shareholders;
between 2011 and 2017 average wages in G7 countries increased by 3%,
while dividends to wealthy shareholders grew by 31%.
21
ONLY 4% OF
GLOBAL TAX COMES
FROM TAXATION
OF WEALTH.
FIGURE 2: RETURNS TO RICH SHAREHOLDERS COMPARED WITH AVERAGE WAGES
GROWTH BETWEEN 2011 AND 2017
Average wages in G7 countries
Dividends to wealthy shareholders
31%
3%
Today’s extreme wealth is also founded on sexism. Our economic system
was built by rich and powerful men, who continue to make the rules
and reap the lion’s share of the benefit. Worldwide, men own 50% more
wealth than women.
22
Men also predominate in positions of political
and economic power; just 18% of ministers and 24% of parliamentarians
globally are women, and they occupy an estimated 34% of managerial
positions in the countries where data is available.
23
10
TIME TO CARE
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FIGURE 3: THE WORLD’S ECONOMIES REWARD MEN MORE THAN WOMEN
Worldwide, men own 50%
more wealth than women.
On average, globally, 18% of government ministers
and 24% of parliamentarians are women. As a result,
women are often excluded from decision making.
Goverment ministers
$
$
Parliamentarians
Women are supporting the market economy with cheap and free labour
and they are also supporting the state by providing care that should be
provided by the public sector.
24
Oxfam has calculated that women’s unpaid
care work alone is adding value to the economy to the tune of at least
$10.8 trillion a year, a figure three times larger than the tech industry.
This figure, while huge, is an underestimate; because of data availability
it uses the minimum wage and not a living wage, and it does not take
account of the broader value to society of care work and how our economy
would grind to a halt without this support. Were it possible to put a figure
on this support, the total value of unpaid care work would be even higher.
What is clear is that this unpaid work is fuelling a sexist economic system
that takes from the many and puts money in the pockets of the few.
WOMEN’S
UNPAID CARE WORK
ALONE IS ADDING
VALUE TO THE
ECONOMY OF AT LEAST
$10.8 TRILLION
A YEAR.
Lan works in a factory and has two other jobs in Dong
Nai province, Vietnam. Her low wages and high cost
of living mean that she can’t afford for her children
to live with her full time, and relies on her parents
to take care of them while she is away working.
Photo: Sam Tarling/Oxfam (2017)
S UMM A RY
11
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The view from the bottom: all work
and no pay
Nearly half the world is trying to survive on $5.50 a day or less,
25
according to new figures from the World Bank. Many people are just
one hospital bill or failed harvest away from destitution. Inequality
is one of the major reasons for this; a huge share of global income
growth consistently accrues to those at the top, leaving those at the
bottom further and further behind. Thomas Piketty and his team have
shown that between 1980 and 2016, the richest 1% received 27 cents
of each dollar of global income growth.
26
This was more than twice the
share of the bottom 50%, who secured only 12 cents of every dollar.
27 28
If the economic system is left to distribute the fruits of growth
so unevenly, we will never eliminate poverty.
29
Unequal and unbridled
growth is also unsustainable and makes it impossible to live within
the environmental boundaries of our planet.
30
Economic inequality is also built on gender inequality, and the majority
of those at the bottom of the economic pyramid are women. Women
and girls are more likely to be found in poorly paid and precarious
employment, and they do the bulk of unpaid and underpaid care work.
31
The dominant model of capitalism actively exploits and drives traditional
sexist beliefs that disempower women and girls,
32
counting on them
to do this work, but refusing to value them for it.
MANY PEOPLE ARE
JUST ONE HOSPITAL
BILL OR FAILED
HARVEST AWAY FROM
DESTITUTION.
ECONOMIC
INEQUALITY IS ALSO
BUILT ON GENDER
INEQUALITY.
Shienna Cabus and her daughter
collect water from a local water
source in Eastern Samar,
Philippines. They use a cart to
transport the heavy load home.
Shienna is a member of the
Bangon Pangdan Self-Help
Association. Photo: Aurelie
Marrier d’Unienville/Oxfam (2017)
12
TIME TO CARE
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Understanding who cares
Care work is crucial to our societies and to the economy. It includes
looking after children, elderly people, and those with physical and
mental illnesses and disabilities, as well as daily domestic work like
cooking, cleaning, washing, mending, and fetching water and firewood.
33
Without someone investing time, effort and resources in these
essential daily tasks, communities, workplaces, and whole economies
would grind to a halt.
Across the world unpaid and underpaid care work is disproportionately
done by poor women and girls, especially those from groups who, as
well as gender discrimination, experience discrimination based on race,
ethnicity, nationality, sexuality and caste.
34
Women undertake more
than three-quarters of unpaid care and make up two-thirds of the paid
care workforce.
35
WITHOUT SOMEONE
INVESTING TIME,
EFFORT AND
RESOURCES IN THESE
ESSENTIAL DAILY
TASKS, COMMUNITIES,
WORKPLACES,
AND WHOLE
ECONOMIES WOULD
GRIND TO A HALT.
FIGURE 4: THE HEAVY AND UNEQUAL RESPONSIBILITY FOR UNPAID
CARE WORK FALLING ON WOMEN AND GIRLS
Women
Men
The gap in income poverty between women
and men increases during women’s peak
productive and reproductive ages.
36
Time
poverty increases the gender gap further.
37
Women in rural communities and low-income
countries spend up to 14 hours a day on
unpaid care work, which is five times more
than men do in such communities.
38
EXTREME
POVERTY
RATES
4%
22%
HOURS PER DAY
Globally, 42% of women of working age
are outside the paid labour force,
compared with 6% of men, because of
unpaid care responsibilities.
39
Girls who undertake a large amount
of unpaid care work have lower
rates of school attendance than
other girls.
40
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As well as doing care work for free at home, many poor women also work
providing care for others, for example as domestic workers,
41
who are
among the most exploited workers in the world. Just 10% of domestic
workers are covered by general labour laws to the same extent as other
workers,
42
and only around half enjoy equal minimum wage protection.
43
More than half of all domestic workers have no limits on work hours
under national law.
44
In the most extreme cases of forced labour and
trafficking, domestic workers find themselves trapped in people’s homes
with every aspect of their lives controlled, rendering them invisible and
unprotected.
45
It is estimated that globally, the 3.4 million domestic
workers in forced labour are being robbed of $8bn every year, equating
to 60% of their due wages.
46
FIGURE 5: DOMESTIC WORKERS – AMONG THE MOST EXPLOITED WORKERS IN THE WORLD
Of the estimated 67 million domestic
workers worldwide, 80% are women.
47
Only 1 in 10 domestic workers have
equal protection in labour laws compared
with other workers.
48
Around 50% of domestic workers lack
minimum wage protection and more than
50% of domestic workers have no legal
limits on their work hours.
An estimated 90% of domestic workers
have no access to social security
(e.g. maternity protection and benefits)
49
90%
no minimum
wage
no legal
limits
no SOCIAL
SECURITY
BOX 2
Abuse of
domestic
workers
‘Regina’ (not her real name) was trafficked to the UK by a rich employer to
work in their private household. Regina explained that once she arrived in
London she was made to work from 6am to 11pm every day in the employers’
smart central London apartment. She was not paid at all during her time there
and was not allowed to contact her family or to speak to people outside of
her employers’ household. She slept in the laundry room and ate leftovers.
Her passport was taken from her and she described being regularly verbally
abused by her employers, who would call her ‘stupid’ and ‘useless’.
50
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Catalina Sántiz puts
firewood into the oven
before cooking. Yocwitz,
Chiapas, Mexico.
Photo: Martiza Lavin
The heavy and unequal responsibility of care work perpetuates gender
and economic inequalities. It undermines the health and wellbeing of
predominantly female care workers and limits their economic prosperity
by fuelling gender gaps in employment and wages. It also leaves women
and girls time-poor, unable to meet their basic needs or to participate in
social and political activities. For example, in Bolivia, 42% of women say
that care work is the biggest obstacle to their political participation.
51
BOX 3
Time poverty
in India: ‘I have
no time, not
even to die’
Buchhu Devi gets up at 3am to cook, clean and prepare breakfast
and lunch for her family. There is a well nearby, but as a Dalit from the
lowest caste she is not allowed to use it, and instead has to travel
3 km to collect water. She does this three times a day. She says she
works at a road construction site from 8am till 5pm, and then has to
perform her evening household duties of fetching water and fuel wood,
washing, cooking, cleaning the house, and helping her children with
their studies. Her day ends at midnight. If she fails to fetch wood the
family cannot eat, and she is often beaten up for this by her husband.
She says, ‘I have no time, not even time to die for they will all curse…
Who will look after them and bring money to the family when I’m gone?’
Source: D. Dutta (2019). ‘No Work is Easy! Notes from the Field on Unpaid Care
Work for Women’ in Mind the Gap: The State of Employment in India 2019. Oxfam
India. https://www.oxfamindia.org/Mind-Gap-State-of-Employment-in-India
Even though it lays the foundation for a thriving society, unpaid and
underpaid care work is fundamentally invisible. It both perpetuates and
is perpetuated by economic and gender inequality. Care work is radically
undervalued and taken for granted by governments and businesses. It is
often treated as ‘non-work’, with spending on it treated as a cost rather
than an investment, leading to care being rendered invisible in measures
of economic progress and policy agendas.
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The looming care crisis
The world is facing a care crisis due to the impacts of an ageing
population, cuts to public services and social protection systems,
and the effects of climate change – threatening to make it worse
and increase the burden on care workers.
The International Labour Organization (ILO) has estimated that there will
be an extra 100 million older people and an additional 100 million children
aged 6 to 14 years needing care by 2030.
52
Elderly people will need more
acute and long-term care as they age
53
from healthcare systems that are
ill-prepared to support them.
54
FIGURE 6: THE LOOMING CARE CRISIS
By 2030 there will be an estimated extra:
By 2025 up to
100
million
older people
100
million
children 6–14 years
2.4 billion
people
WORLDWIDE
could be living in areas without enough water
as a result of climate change. Many women and
girls will have to walk further to find water.
needing care globally.
Rather than ramping up social programmes and spending to invest in care
and tackle inequality, countries are increasing taxation on poor people,
reducing public spending and privatizing education and health, often
following the advice of financial institutions such as the International
Monetary Fund (IMF). Oxfam recently showed how IMF programmes using this
approach in Tunisia, Egypt and Jordan have negatively impacted women,
threatening to increase inequality.
55
Governments continue to rely on VAT,
despite the fact that this is a regressive tax that hits the poor hardest
56
and evidence that it places a disproportionate burden on women carers.
57
Government cuts are also putting pressure on women’s organizations.
In Brazil in 2017, cuts to public spending contributed to a reduction of
66% in federal funding in the budget initially allocated in 2017 to women’s
rights programmes that promote gender equality.
58
Climate breakdown is already placing a greater burden on women. It is
estimated that by 2025, up to 2.4 billion people will be living in areas
without enough water, meaning women and girls will be forced to walk
further and further to find it.
59
Climate change will also reduce the amount
of food produced and will increase sickness, which will place further
stress and time demands on women and girls, who will be expected to
provide the increased work needed to cope, committing ever more hours
in their days.
CLIMATE CHANGE
WILL REDUCE THE
AMOUNT OF FOOD
PRODUCED AND
INCREASE SICKNESS,
PLACING FURTHER
STRESS AND TIME
DEMANDS ON WOMEN
AND GIRLS.
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Lucas Aldana is a farmer who
lives with his wife and children
in Caparrosa, Guatemala.
The family grows a variety of
crops, but harvests have been
affected by the lack of rainfall.
Photo: Pablo Tosco/Oxfam
Intermón (2019)
A fairer world is possible
Governments around the world can, and must, build a human economy that
is feminist and benefits the 99%, not only the 1%. This world would be one
where everyone has secure jobs paying decent wages, where nobody lives
in fear of the cost of falling sick, and where every child has the chance
to fulfil their potential. In this world, our economy would thrive within the
limits of our planet, handing a better world to every new generation.
Both the dramatic level of economic inequality and the looming care
crisis can be tackled, but it will require concerted efforts and bold policy
decisions to mend the damage done and to build economic systems
that care for all citizens. Building national care systems with the full
participation of civil society, and in particular women’s rights groups,
is a fundamental step in this direction. Further actions to redistribute
care work should be part of a comprehensive approach of redistributive
policies in order to close the gap between rich and poor, such as
progressive taxation, free public services and social protection systems,
and policies to limit the influence of corporations and the super-rich.
Feminist economics and gender equality are fundamental to a human
economy; and a core part of this new, fairer, human economy is to
fully address the role of unpaid and underpaid care work. Only by
fundamentally changing the way that this work is done and how it is
valued can we build a more equal world.
BOTH THE DRAMATIC
LEVEL OF ECONOMIC
INEQUALITY AND
THE LOOMING CARE
CRISIS CAN BE
TACKLED, BUT IT WILL
REQUIRE CONCERTED
EFFORTS AND BOLD
POLICY DECISIONS TO
MEND THE DAMAGE
DONE AND TO BUILD
ECONOMIC SYSTEMS
THAT CARE FOR
ALL CITIZENS.
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For decades, feminist economists, civil society and care advocates have been
proposing a set of solutions to radically reprioritize care: the transformative
‘4Rs’ framework. These principles must be taken into account:
Recognize
unpaid and poorly paid care work, which is done
primarily by women and girls, as a type of work or production
that has real value.
Reduce
the total number of hours spent on unpaid care tasks
through better access to affordable and quality time-saving
devices and care-supporting infrastructure.
Redistribute
unpaid care work more fairly within the household
and simultaneously shift the responsibility of unpaid care work
to the state and the private sector.
Represent
the most marginalized caregivers and ensure that
they have a voice in the design and delivery of policies, services
and systems that affect their lives.
Change is possible. From Engna Legna Besdet bringing together Ethiopian
domestic workers in Lebanon, to the Domestic Workers Rising campaign
in South Africa, women are demanding change and claiming their rights.
And governments are starting to listen. Uruguay’s groundbreaking national
integrated care enshrines the right to care and be cared for, as well as care
workers’ rights, and New Zealand introduced a celebrated wellbeing budget
in 2019. But more action is needed.
FIGURE 7: MOVEMENTS FOR
CHANGE, STORIES OF HOPE
Engna Legna (Lebanon) has united
domestic workers and activists, together
calling for an end to the
kafala
system
that enables employers’ abuse of
domestic workers. Photo: Engna Legna
In
Bolivia,
some members
of the ‘Plataforma por
la Corresponsabilidad
Social y Pública del Cuidado’
pushed for a new care
law in Cochabamba.
Photo: Yamil Antonio
In
South Africa,
the
Domestic Workers Rising
campaign successfully
campaigned for rights
to compensation for
occupational injuries
and diseases. Photo:
Rukia Cornelius/Oxfam
Led by the National
Rural Women’s Coalition
(Philippines), women
carrying domestic cleaning
tools called for time
poverty to be addressed,
inspiring the We-Care
ordinance in Salcedo.
Photo: Alyssa Balite
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Recommendations
Oxfam is proposing the following six actions to help realize the rights of
carers and to start closing the gap between unpaid and underpaid care
workers and the wealthy elite, who have profited most from their labour.
1
Invest in national care systems to address the disproportionate
responsibility for care work done by women and girls:
Governments
must invest in cross-governmental national care systems, in
addition to investing in and transforming existing public services
and infrastructure. National care systems must include the
provision of universal access to safe water, sanitation and
domestic energy systems, and investments to deliver universal
childcare, eldercare and care for people with disabilities. These
should also include access to quality healthcare and education,
as well as the provision of universal social protection, such as
pensions and child benefits. As part of national care systems
governments must ensure a minimum of 14 weeks of paid maternity
leave and the progressive realization of one year of paid parental
leave, including a phase of use-it-or-lose-it paternity leave.
End extreme wealth to end extreme poverty:
Extreme wealth is
a sign of a failing economic system.
60
Governments must take
steps to radically reduce the gap between the rich and the
rest of society and prioritize the wellbeing of all citizens over
unsustainable growth and profit, to avoid a world that caters only
to a privileged few and consigns millions of people to poverty.
Governments must take bold and decisive steps by taxing
wealth and high incomes and cracking down on loopholes and
the inadequate global tax rules that allow rich corporations
and individuals to escape their tax responsibilities.
Legislate to protect the rights of all carers and secure living
wages for paid care workers:
As part of their national care
systems, governments must ensure that legal, economic and
labour market policies are in place to protect the rights of all
carers and paid care workers, in both formal and informal sectors,
and monitor their implementation. This must include ratifying ILO
Convention 189 on the protection of domestic workers and policy
to ensure that all care workers are paid a living wage, and working
towards the elimination of gender wage gaps.
Ensure that carers have influence on decision-making processes:
Governments must facilitate the participation of unpaid carers
and care workers in policy-making fora and processes at all
levels, and invest resources into collecting comprehensive data
that can better inform policy making and evaluate the impact of
policies on carers. This should be alongside consulting women’s
rights actors, feminist economists and civil society experts on
care issues, and increased funding for women’s organizations
and movements working to enable their participation in decision-
making processes. These measures are important building blocks
of national care systems.
2
GOVERNMENTS
MUST ENSURE THAT
LEGAL, ECONOMIC
AND LABOUR MARKET
POLICIES ARE IN
PLACE TO PROTECT
THE RIGHTS OF ALL
CARERS AND PAID
CARE WORKERS.
3
4
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5
Challenge harmful norms and sexist beliefs:
Harmful norms and
sexist beliefs that see care work as the responsibility of women
and girls lead to an unequal gendered distribution of care work and
perpetuate economic and gender inequality. As part of the national
care systems, governments need to invest resources to challenge
these harmful norms and sexist beliefs, including through
advertising, public communication and legislation. Further, men
need to step up to equally fulfill their responsibilities on care work
to address the disproportionate amount of care done by women
within households and communities.
Value care in business policies and practices:
Businesses must
recognize the value of care work and sustain the wellbeing of
workers. Further, they should support the redistribution of care
through the provision of benefits and services such as crèches
and childcare vouchers and ensure living wages for care
providers.
61
Companies and business should assume their
responsibility for contributing to achieving the Sustainable
Development Goals by paying their fair share of taxes,
implementing family-friendly employment practices such as
flexible working hours and paid leave, and using progressive
advertising and public communication to challenge the gendered
distribution of care work.
6
BUSINESSES MUST
RECOGNIZE THE
VALUE OF CARE
WORK AND SUSTAIN
THE WELLBEING
OF WORKERS.
Ayan on her way to fetch water from a well. She lives
in a camp for internally displaced people in Garadag,
Somaliland. Because of prolonged drought in the region,
the family lost their herding livelihood and struggle to find
food and water. Photo: Petterik Wiggers/Oxfam (2017)
20
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Notes
All online sources were checked on 12 December 2019.
1
For more on the sources and methodology for
these figures, see P. Espinoza (2020). Time to
Care: Methodology Note. Oxfam. http://dx.doi.
org/10.21201/2020.5419. Source for data on
billionaires is Forbes billionaires list 2019: https://
www.forbes.com/billionaires/#b91420e251c7 and
on wealth inequality is Credit Suisse. Annual Reports.
https://www.credit-suisse.com/about-us/en/
reports-research/annual-reports.html
P. Espinoza Revollo (2020). Time to Care: Methodology
note. Oxfam. DOI: 10.21201/2020.5419, http://dx.doi.
org/10.21201/2020.5419
P. Espinoza Revollo (2020). Time to Care: Methodology
note. Oxfam. DOI: 10.21201/2020.5419, http://dx.doi.
org/10.21201/2020.5419
The World Bank (2018). Poverty and Shared Prosperity
2018. Piecing Together the Poverty Puzzle. https://
www.worldbank.org/en/publication/pover-
ty-and-shared-prosperity
L. Addati, U. Cattaneo, V. Esquivel and I. Valarino (2018).
Care Work and Care Jobs for the Future of Decent
Work. Geneva: International Labour Organization.
https://www.ilo.org/wcmsp5/groups/public/---dgre-
ports/---dcomm/---publ/documents/publication/
wcms_633135.pdf
P. Espinoza Revollo (2020). Time to Care: Methodology
note. Oxfam. DOI: 10.21201/2020.5419, http://dx.doi.
org/10.21201/2020.5419
For Oxfam’s calculations for these facts, see the
methodology note: P. Espinoza Revollo (2020). Op, cit.
P.Espinoza Revollo (2020). Time to Care: Methodology
note. Op. cit.
Credit Suisse annual reports: Global Wealth Reports,
see https://www.credit-suisse.com/about-us/en/
reports-research/global-wealth-report.html
14
J. Lange. (2018, 16 October). 61 Things Donald Trump
Has Said About Women.
The Week.
https://theweek.
com/articles/655770/61-things-donald-trump-said-
about-women
2
15 G. Epps (2016, 13 October). Donald Trump’s Attacks on
the Rights of Minority Voters. The Atlantic. https://
www.theatlantic.com/politics/archive/2016/10/
trump-election-intimidation-minority-voters/504014/;
M. Savarese (2019, 3 January). Jair Bolsonaro: Brazil’s
far-right President targets minorities on first day in
office. The Independent. https://www.independent.
co.uk/news/world/americas/jair-bolsanaro-brazil
-first-day-executive-orders-indigenous-lands-
lgbt-privatisation-gun-control-a8709801.html
16 F. Manjoo. (2019, 6 February). Abolish Billionaires: A
Radical Idea is Gaining Adherents on the Left. It’s the
Perfect Way to Blunt Tech-driven Inequality.
The New
York Times.
https://www.nytimes.com/2019/02/06/
opinion/abolish-billionaires-tax.html
17
D. Jacobs (2015). Extreme Wealth is not Merited.
Available from https://www-cdn.oxfam.org/
s3fs-public/file_attachments/dp-extreme-wealth-is-
not-merited-241115-en.pdf
Oxfam calculations, see the methodology note: P.
Espinoza Revollo (2020). Op, cit.
3
4
5
18
6
7
8
9
19 Max Lawson, et al. (2019). Public Good or Private
Wealth? Universal health, education and other public
services reduce the gap between rich and poor,
and between women and men. Fairer taxation of the
wealthiest can help pay for them. Oxfam. https://
policy-practice.oxfam.org.uk/publications/public-
good-or-private-wealth-universal-health-education-
and-other-public-servi-620599. DOI: http://dx.doi.
org/10.21201/2019.3651
20 A. Alstadsaeter, J. Niels and G. Zucman (2017). Tax
Evasion and Inequality. National Bureau of Economic
Research. DOI: 10.3386/w23772 https://www.nber.org/
papers/w23772
21 C.Mariotti (2019). The G7’s Deadly Sins: How the G7 is
fuelling the inequality crisis. Oxfam. https://www.
oxfam.org/en/research/g7s-deadly-sins
22 Credit Suisse (2018). Global Wealth Report 2018.
https://www.credit-suisse.com/about-us-news/en/
articles/news-and-expertise/global-wealth-report-
2018-us-and-china-in-the-lead-201810.html
23
World Economic Forum (2018). The Global Gender Gap
Report 2018. http://www3.weforum.org/docs/WEF_
GGGR_2018.pdf
10 The three sources used by Credit Suisse are: national
Household Balance sheets, wealth survey data, and
Forbes’ billionaire rankings (to help adjust for the wealth
of those at the top end). All three have been shown to
underestimate the scale of wealth at the top end of
society, mostly because the richest are unwilling to
answer surveys, or to answer surveys accurately.
11 Fairbank Center for Chinese Studies (2018).
Strongman Politics in the 21st Century. https://
fairbank.fas.harvard.edu/events/panel-discusi-
son-strong-man-politics-in-the-21st-century/
12
J. Nunns, L. Burman, J. Rohaly, and J. Rosenberg
(2016). An Analysis of Donald Trump’s revised Tax Plan.
Tax Policy Center. https://www.taxpolicycenter.org/
publications/analysis-donald-trumps-revised-tax-plan
24 Max Lawson, et al. (2019). Public Good or Private
Wealth? Op. cit.
25
The World Bank (2018). Poverty and Shared Prosperity
2018: Piecing together the poverty puzzle. https://
www.worldbank.org/en/publication/pover-
ty-and-shared-prosperity
13 K. Lum (2019, January). The Effects of Bolsonaro’s Hate
Speech on Brazil. Racism Monitor.
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26 World Inequality Report (2018). https://wir2018.wid.
world/
27 World Inequality Report. (2018). https://wir2018.wid.
world/
28 Income inequality figures are most accurate for this
historical perspective. Taking a similar historical view
on the evolution of wealth inequality is possible, but
not based on nearly as much accurate and reliable data.
29 C. Larkner, D. Mahler, M. Negre and E. Prydz (2019).
How Much Does Reducing Inequality Matter for Global
Poverty? World Bank Policy Research Working Paper
8869. http://documents.worldbank.org/curated/
en/328651559243659214/pdf/How-Much-Does-Re-
ducing-Inequality-Matter-for-Global-Poverty.pdf
30 K. Raworth (2017). A Doughnut for the Anthropocene:
Humanity’s compass in the 21st century.The Lancet:
Planetary Health. DOI: https://doi.org/10.1016/
S2542-5196(17)30028-1 https://www.thelancet.com/
journals/lanplh/article/PIIS2542-5196(17)30028-1/
fulltext#articleInformation
31 L. Addati, U. Cattaneo, V. Esquivel and I. Valarino (2018).
Care Work and Care Jobs for the Future of Decent
Work. Geneva: International labour Organisation.
https://www.ilo.org/wcmsp5/groups/public/---dgre-
ports/---dcomm/---publ/documents/publication/
wcms_633135.pdf
32 C. Arruzza, T. Bhattacharya, and N. Fraser (2019).
Feminism for the 99%: A Manifesto. London: Verso.
https://www.versobooks.com/books/2924-femi-
nism-for-the-99 and S. Federici (2004). Caliban and the
Witch. Autonomedia Publishing.
33 L. Addati, U. Cattaneo, V. Esquivel and I. Valarino (2018).
Care Work and Care Jobs for the Future of Decent Work.
Op. cit.
34 L. Addati, U. Cattaneo, V. Esquivel and I. Valarino (2018).
Care Work and Care Jobs for the Future of Decent Work.
Op. cit.
35 L. Addati, U. Cattaneo, V. Esquivel and I. Valarino (2018).
Care Work and Care Jobs for the Future of Decent Work.
Op. cit.
36 UN Women (2018). Turning Promises into Action:
Gender equality in the 2030 Agenda for Sustainable
Development. UN Women. https://www.unwomen.
org/-/media/headquarters/attachments/sections/
library/publications/2018/sdg-report-gender-equali-
ty-in-the-2030-agenda-for-sustainable-development-
2018-en.pdf?la=en&vs=4332
37 A. Zacharias (2017). How Time Deficits and Hidden
Poverty Undermine the Sustainable Development Goals.
Levy Economics Institute, Bard College. http://www.
levyinstitute.org/pubs/pn_17_4.pdf
38 L. Karimli, E. Samman, L. Rost and T. Kidder (2016).
Factors and Norms Influencing Unpaid Care Work:
Household survey evidence from five rural communities
in Colombia, Ethiopia, the Philippines, Uganda and
Zimbabwe. Oxfam.
39 L. Addati, U. Cattaneo, V. Esquivel and I. Valarino. (2018).
Care Work and Care Jobs for the Future of Decent
Work. Geneva: International Labour Organization (ILO).
https://www.ilo.org/global/publications/books/
WCMS_633135/lang--en/index.htm
40 A.A. Marphatiaand R. Moussié (2013). A question of
gender justice: Exploring the linkages between women’s
unpaid care work, education, and gender equality.
International Journal of Educational Development.
https://doi.org/10.1016/j.ijedudev.2013.05.005
41 The ILO defines domestic work as work performed in
or for one or more households. This can include live-in
and live-out, those working on an hourly or daily basis
for multiple employers, those working through an
intermediary (public or private), and those who perform
a range of indirect and direct care work including caring
for children and elderly, cleaning, cooking, washing
clothes, etc.
42 International Labour Organization (2013). Domestic
Workers Across the World: Global and Regional
Statistics and the Extent of Legal Protection. Geneva:
International Labour Office.
43 International Labour Organization. (2013). Domestic
Workers Across the World: Global and Regional
Statistics and the Extent of Legal Protection. Op. cit.
44 L. Addati, U. Cattaneo, V. Esquivel and I. Valarino (2018).
Care Work and Care Jobs for the Future of Decent Work.
Op. cit.
45 International Labour Organization. (2013).Domestic
Workers Across the World: Global and Regional
Statistics and the Extent of Legal Protection. Op. cit.
46 ILO (2014). Profits and Poverty: the economics of
forced labour. Geneva: ILO. https://www.ilo.org/
wcmsp5/groups/public/---ed_norm/---declaration/
documents/publication/wcms_243391.pdf
47 ILO website. Who are domestic workers? https://
www.ilo.org/global/topics/domestic-workers/
WCMS_209773/lang--en/index.htm
48 International Labour Organization. (2013). Domestic
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49 L. Addati, U. Cattaneo, V. Esquivel and I. Valarino. (2018).
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50 Kalayaan. Case study. http://www.kalayaan.org.uk/
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51 Tiempo para cuidar. Website. https://actions.oxfam.
org/bolivia/CUIDADO2019/petition/
52 L. Addati, U. Cattaneo, V. Esquivel and I. Valarino (2018).
Care Work and Care Jobs for the Future of Decent Work.
Op. cit.
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LIU, Alm.del - 2019-20 - Bilag 46: Henvendelse af 23/1-2020 fra Oxfam IBIS om deres årlige rapport om ulighed, der i år har fokus på køn og med titlen: "Time to care - unpaid and underpaid care work and the global inequality crisis"
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53 R. Jackson, N. Howe and T. Peter (2013). The Global
Aging Preparedness Index. Second Edition. Center for
Strategic and International Studies (CSIS). https://
csis-prod.s3.amazonaws.com/s3fs-public/legacy_
files/files/publication/131010_Jackson_GlobalAging-
PreparednessIndex2E_Web.pdf
54 Population Reference Bureau (April 1, 2016). Health
Care Challenges for Developing Countries with Aging
Populations. https://www.prb.org/healthcarechal-
lengesfordevelopingcountrieswithagingpopulations/
55 N.Abdo (2019). The Gendered Impact of IMF Policies in
MENA: The case of Egypt, Jordan and Tunisia. Oxfam.
https://policy-practice.oxfam.org.uk/publications/
the-gendered-impact-of-imf-policies-in-mena-the-
case-of-egypt-jordan-and-tunisia-620878
56 Programme Promoting Gender Equality and Women’s
Rights (no date). Why Care About Taxation and Gender
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development/44896295.pdf
57 United Nations (2018). Effects of foreign debt and
other related financial obligations of States on the full
enjoyment of all human rights, particularly economic,
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58 Centre for Economics and Social Rights. (2017,14
Dec). Brazil’s Austerity Cap Stunting Rights to
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ing-rights-food-health-and-education
59 CARE Danmark (2016). Fleeing Climate Change:
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uploads/2016/11/FleeingClimateChange_report.pdf
60 D. Hardoon. (2017). An Economy for the 99%: It’s time
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just the privileged few. Oxfam. https://policy-practice.
oxfam.org.uk/publications/an-economy-for-the-
99-its-time-to-build-a-human-economy-that-
benefits-everyone-620170. DOI: http://dx.doi.
org/10.21201/2017.8616
61 Oxfam GB and Unilever (2019). Business Briefing
on Unpaid Care and Domestic Work: Why unpaid
care by women and girls matters to business,
and how companies can address it. Oxfam GB
and Unilever. https://policy-practice.oxfam.
org.uk/publications/business-briefing-on-un-
paid-care-and-domestic-work-why-unpaid-
care-by-women-and-620764. DOI: http://dx.doi.
org/10.21201/2019.4405.
Margarita Garfias is the
primary carer for her son,
who has epilepsy. Mexico
City, Mexico. Photo: Estela
Bishop Zermeño/Oxfam
Mexico (2018)
S UMM A RY
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LIU, Alm.del - 2019-20 - Bilag 46: Henvendelse af 23/1-2020 fra Oxfam IBIS om deres årlige rapport om ulighed, der i år har fokus på køn og med titlen: "Time to care - unpaid and underpaid care work and the global inequality crisis"
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