The National Assessment of essential inputs conducted in 2010 also highlighted the importance of the financial barrier in the area of access to basic health care. According to this document, 92% of Congolese believe that financial constraints prevent them from accessing health facilities. In fact, in 1996, the Cost recovery system was established by decree in Congo as a primary strategy for financing care in the context of the implementation of the Integrated Health System. This system consists in charging the population for the consumed services and care (consultation, purchase of medicines, hospitalisation). The assessment of the National Health Accounts 2009-2010 showed that in 2010, households covered health expenditures for up to 39%, against 58% for the central government, 1% for companies and 2% for international cooperation. In order to reduce the financial barrier for accessing services, the Congolese government has initiated policies of free services. Interventions affected by this measure are the management of malaria in women and children up to 15 years, screening and care of HIV and tuberculosis as well as caesarean sections and other major obstetric interventions. These measures have not yet been the subject of an overall assessment. However, the actors of the health system already find that shortages of drugs and the lack of financial transfers from the central level to compensate for the shortfall of health structures, especially at the CSI could limit the beneficial impact of these measures. 5.4. Social security and services and facilities for the development of the child 5.4.1. Social Security Congo has taken many measures for the best interests of the child in terms of legislation, basic social services, protection. These measures and the results achieved are presented in the sections relating to these different sectors: jurisdiction, health, education, protection of vulnerable groups, etc. However, it appears that, despite numerous government initiativesespecially those relating to the introduction of cost exemption for the provision of certain services - significant sections of the population are excluded from the full enjoyment of their fundamental rights. According to most analysts, the explanatory factor for this is poverty. Poverty is indeed regularly cited as one of the main barriers for accessing basic social services. However this poverty is not offset by the introduction of a non-contributory social protection system that could help poor households to cope with health costs. Congo has not yet established a regular social transfer programme on a large scale, as social old-age pensions, family allowances and / or transfers to the poorest households, on a noncontributory basis, funded by the state. Family allowances and existing pensions are limited to those provided by the two social security funds, which cover only the small minority of employees and retirees of the formal sector and their beneficiaries. The absence of a national social protection policy for non-employees, who represent the vast majority of the population, does not help in the education of children from vulnerable and disadvantaged families. The vision of the Way to the future of the President of the Republic includes a commitment to "restructure social protection in order to extend in its basic aspects, to the entire population." This commitment was reaffirmed in December 2011 in the Letter of national social action 82