On Monday 11th, during the parallel event "Public care services for the second social development summit" organised by the Global Initiative for Economic, Social and Cultural Rights (GI-ESCR) at the Ministry of Foreign Affairs, PSI was represented by Varia Altamirano, Secretary of Equal Opportunities of the National Federation of University Health Services Professionals (Fenpruss).

Altamirano clearly described the diagnosis that underpins PSI's proposal: in Latin America and the Caribbean, care work—both paid and unpaid—continues to be feminised, precarious and, largely, invisible. Women perform three times more unpaid care tasks than men, whilst public investment remains insufficient and commodification advances. "It's not just about recognising the importance of care, but about guaranteeing the dignity of those who provide care. Care is a human right, and as such, must be supported by universal, quality public services with decent work," she stated.

There is no gender justice without labour justice for those who provide care, and there are no fair care systems without robust public services

The intervention emphasised that the current care crisis, deepened by austerity policies, institutional fragmentation and family overload, requires a just transition. This must include binding state commitments, sufficient funding through progressive taxation, strict regulation of the private sector as a complementary rather than substitute actor, and prominent trade union participation in the design and monitoring of policies. "There is no gender justice without labour justice for those who provide care, and there are no fair care systems without robust public services," Altamirano declared.

PSI's proposal, based on its 5R framework (Recognise, Reward, Reduce, Redistribute and Reclaim), suggests breaking with the idea that care should be shared equally between family, state and market, to assume that it is primarily the responsibility of states, ensuring dignified working conditions, professionalisation and union representation for workers in the sector.

In her presentation, Altamirano also warned that the most recent ILO resolution and the Tlatelolco Commitment (still being negotiated) present critical gaps by diluting state responsibility and not recognising the principle of decent work with sufficient force. "States must accept that care cannot be left to the mercy of the market or family goodwill. It must be guaranteed by solid public policies, sufficient resources and with the voice of care workers at the decision-making table," she emphasised.

With this intervention, PSI made it clear that its agenda is not limited to improving services, but to depatriarchalising, decommodifying and democratising care, understanding that dignifying those who provide care is an essential step towards building more equal societies.

if care sustains life, supporting those who provide care is an unavoidable political and ethical obligation

This positioning takes on special relevance ahead of the Second World Summit on Social Development, where the recognition of care as an autonomous human right will be key to defining binding international commitments. PSI arrives at this process with a solid proposal: placing care at the heart of development agendas, ensuring that public provision is the norm and that decent work for those who provide care becomes a global standard. In Altamirano's words, "if care sustains life, supporting those who provide care is an unavoidable political and ethical obligation".