(c) CBM (c) CBM CALL TO ACTION Continuing Global Leadership: Strengthening the effectiveness of Australia’s aid program through disability-inclusive development Australian Disability and Development Consortium • CBM Australia 56 Rutland Road, Box Hill VIC 3128 • www.addc.org.au • FREE Call: 1800 678 069 1 Australia has positioned itself as a global leader in including people with disability within its aid program. We have received international acclaim for AusAID’s Development for All: Towards a disabilityinclusive Australian aid program 2009-2014 strategy. The 2012 Mid-Term Review1 of this strategy made strong recommendations for Australia to continue its global leadership in disability-inclusive development. While we have made progress in improving the quality of life of many people with disabilities in developing countries; there is still much to do. People with disabilities continue to be routinely excluded from economic, education, health and social opportunities, and make up over one in five of the world’s poorest people.2 Given this high prevalence of disability in developing countries, failure to actively include people with disability jeopardises the effectiveness of development work. This woman with vision impairment received vocational training through an AusAID funded project. Photo: Showkat Akber, BPKS/Caritas/AUSAid Prioritising and adequately resourcing disability-inclusive practices is therefore essential to ensuring Australia’s aid program is effective in reaching the poorest of the poor. We are calling upon our politicians to ensure that Australia continues its global leadership in strengthening the effectiveness of Australia’s aid program through disability-inclusive development. This call to action outlines key opportunities to do so on both national and individual levels. Summary: Opportunities for Australia to continue its global leadership 1. Keep the promise: increase Australia’s aid budget in the 2013-14 budget 2. Appoint an Ambassador for Disability-Inclusive Development 3. Champion disability in the post-Millennium Development Goal framework 4. Include people with psychosocial disabilities within Australia’s aid program 1 http://www.ausaid.gov.au/aidissues/did/Documents/dfa-mtr.pdf 2 http://www.who.int/disabilities/world_report/2011/en/index.html 2 Opportunities for Australia to continue its global leadership We call upon Australian politicians to help end the cycle of poverty and disability by ensuring you: 1. Keep the promise: increase Australia’s aid budget in the 2013-14 budget The 2013-14 federal budget presents an opportunity to confirm Australia’s commitment to its aid program and deliver on its promise and 0.5% GNI by 2016. (c) CBM Along with thousands upon thousands of Australians, we were deeply disappointed by the decisions in 2012 to delay the timeframe for reaching 0.5 percent of GNI to the aid budget and to use at least $375 million of Australia’s foreign aid budget to pay for domestic asylum seeker costs. Increasing the aid budget to allocate 0.37% GNI in this year’s budget is essential; not only to ensure that Australia plays its fair share in fighting global poverty, but also to provide the funding predictability required to administer an effective aid program. 2. Appoint an Ambassador for Disability-Inclusive Development As a world leader in disability-inclusive development, Australia has a role to play in providing direction and support to other donor and partner countries regarding disability inclusion. ‘Effective leadership’ is the third core outcome under AusAID’s Development for All strategy. Recommendations of the 2012 Mid-Term Review focused on the need for AusAID to continue its leadership in this regard.3 In order to meet these recommendations and bring a targeted approach to strengthening Australia’s leadership in this area, we recommend the creation of an Australian ‘Ambassador for Disability-Inclusive Development’ within AusAID. The Ambassador would provide a focal point for promoting effective strategies to mainstream disability as a crosscutting issue across Australia’s aid program and partnerships. The Ambassador would also promote leadership and accountability for disability-inclusive development both within and external to AusAID. Following the successful model of AusAID’s ‘Ambassador for HIV/AIDS, Tuberculosis and Malaria’, the Ambassador for Disability-Inclusive Development should be created at First Assistant Director General level. 3 http://www.ausaid.gov.au/aidissues/did/Documents/dfa-mtr.pdf 3 3. Champion disability in the post-Millennium Development Goal framework There is already much debate internationally regarding what framework should replace the Millennium Development Goals (MDGs) when they end in 2015. The strong links between poverty and disability mean that in order to overcome poverty with effectiveness and equality, all major development frameworks including the post-2015 agenda must explicitly address disability. As world leaders in disability-inclusive development, Australia must spearhead debate on this issue and champion the inclusion of disability throughout the post-2015 framework. This was another key recommendation of the Mid-Term Review of the Development for All strategy, and presents a critical opportunity for Australia to influence the global development agenda. CBM Australia and the Australian Disability and Development Consortium (ADDC) have developed detailed submissions regarding the inclusion of disability throughout the post-2015 framework. We would be pleased to provide a further briefing on this issue, outlining practical recommendations and next steps for Australian involvement, upon request. A critical upcoming opportunity for international leadership is the World Health Assembly in May 2013, where member states will debate a draft resolution calling for better health care for people with disabilities.4 We urge you to write to the Health Minister requesting that Australia take a lead in this debate to ensure strong outcomes for people with disabilities worldwide. We would be pleased to provide further briefing information on this. This picture tells a story of integration – of children with a disability and children without a disability playing together. Playground equipment and school buildings are often not designed for children with physical impairments, yet simple adaptations can make them accessible for all. Photo: India, Adele Perry 4 See draft resolution: http://apps.who.int/gb/ebwha/pdf_files/EB132/B132_R5-en.pdf 4 4. Include people with psychosocial disabilities within Australia’s aid program While people with disabilities are already routinely excluded from society and development programs, those with psychosocial disabilities such as poor mental health are often the most marginalised, and last to be included in broader disability and health initiatives. The international community is increasingly recognising how crucial mental health care and promotion is, with the World Health Organisation recently adopting the principle ‘There is no health without mental health’.5 Australia has led the way internationally in including people with disabilities in our aid programs: the next challenge is to prioritise strategies to include people with psychosocial disabilities in our development efforts. A key opportunity in this regard is the Draft Comprehensive Mental Health Action Plan 2013 – 2020 recently released by the World Health Organisation.6 This Plan provides a strong framework for addressing psychosocial disabilities internationally, including targets for national action plans, resource planning, and multi-sectoral collaboration. Australia has a central role to play in supporting the development and implementation of this Action Plan: we urge you to write to the Health Minister to recommend that Australia take a lead in this over the coming months. We also recommend that Australia draw upon the framework of this Action Plan to develop its own strategy to address and include people with psychosocial disabilities within the Australian aid program. “The fits came during the night. Some people say this sickness is the devil. People won’t come to my house because they think the devil will get them.” In many countries, fear and lack of knowledge means impairments like Stephan’s epilepsy become disabling, isolating them from local community life. Challenging disabling attitudes, policies and environments is as important as addressing the physical or mental impairment at hand (CBM; 2006). Photo: Cote d’Ivoire, Marie Hatzoudis, CBM 5http://apps.who.int/gb/ebwha/pdf_files/EB132/B132_8-en.pdf 5 Key facts – the cycle of poverty and disability7 One billion people live with disability worldwide, and 80 per cent of people with a disability live in developing countries. Over 20 per cent of the world’s poorest people in developing countries live with disability. Children with a disability are much less likely to attend school than children without a disability. Globally, 151 million people live with depression, 26 million people live with schizophrenia and 24 million people live with dementias. 80% of people with poor mental health live in low and middle income countries, where 75 to 85% of people with severe mental health conditions do not have access to any appropriate treatment.8 When Keth lost his leg he had to leave the army and his source of income. Since being fitted with an artificial limb, and receiving a small-business loan from an AusAID funded program, he’s set up his own business as a barber and is earns enough income for himself and his family. People with disabilities in developing countries are at much higher risk of poverty. This is due to being frequently excluded from education, health care, employment, community support and development programs. Those living in poverty are at higher risk of acquiring a disability. This is because circumstances related to poverty such as poor nutrition, lack of health care and unsafe environments often lead to disability. The cycle of poverty and disability can be broken when development efforts include specific programs to support people with disabilities, and where all initiatives are designed to include people with disabilities. Through AusAID supported programs, these volleyball players they have access to the artificial limbs and training facilitates, and are now part of the Cambodian National Volleyball League. Photos: Cambodia, Kevin Evans, AusAID 7 See http://www.who.int/disabilities/world_report/2011/en/index.html 8 http://www.who.int/mental_health/policy/mhtargeting/en/index.html 6 Australia’s aid program Everyday Australians care about ending poverty through our aid program. A 2012 study found that 84% of Australians supported an increasing or maintaining Australia’s current spending on international aid. Only 8% of Australians said that there should be a decrease in aid spending.9 Each year, over 2 million households in Australia donate to the charities that are members of the Australian Council for International Development Our aid is making a difference Global primary school enrolment rates have increased from 64% in 2005 to 85% in 2010, with the help of Australian aid.10 In Samoa, an inclusive education program funded by AusAID has seen increases to overall enrolment and access to early intervention programs by 59% from 2009-2011.11 Since 1990, the proportion of the world’s people living on less than $1.25 per day fell from 47% to 24% in 2008.12 Australia can and should do more Australia has one of the strongest economies in the world, yet our current aid budget to GNI ratio is well below the average country effort and ranks at only 13th in the world.13 The Labor Government committed to increasing the aid budget to 0.5% by 2016, and 0.37% in the 2013 budget. These commitments must be kept in order to ensure predictability and effectiveness within the aid program, and to do our fair share in fighting poverty in our neighbouring region. A commitment to resourcing disability-inclusive initiatives within our aid budget is necessary to strengthen the effectiveness of our aid program. Photo: India, Damian Bennett 9 http://www.childfund.org.au/static/G/c/4e8e469d047fc8c137b7cc51f0eacdb8.pdf http://www.ausaid.gov.au/anrep/rep11/program1_2eastasia.html 11 http://www.ausaid.gov.au/aidissues/did/Documents/dfa-mtr.pdf (p16). 12 http://www.www.undp.org/content/dam/undp/library/MDG/english/The_MDG_Report_2012/pdf (p 4) 13 http://www.acfid.asn.au/resources/docs_resources/docs_submissions/acfid-budget-analysis-2012-13-final.pdf, http://webnet.oecd.org/oda2011/ 10 7 Opportunities for individual action We encourage you to take action to support Australia continuing its leadership in ending the cycle of poverty and disability through our aid program: Deliver a speech in Parliament regarding the need for disability-inclusive development and the opportunities above. We would be pleased to provide speech notes upon request. Write to the Foreign Minister, Health Minister and/or Treasurer expressing support for Australia taking a lead on the above opportunities. Ensure that your party’s policy platform this year confirms your party’s commitment to Australia’s aid program, and to enhancing the lives of people with disabilities through our aid program. Visit a disability-focused development project on your next trip overseas. Please contact CBM Australia to make arrangements if you have any travel plans. Contact for further information: For more information about disability-inclusive development, please contact: Lucy Daniel Christine Walton Policy Officer CBM Australia +61 3 8443 4447 ldaniel@cbm.org.au Executive Officer Australian Disability and Development Consortium (ADDC) +61 3 8843 4587 cwalton@cbm.org.au • www.addc.org.au ADDC is an Australian based, international network focusing attention, expertise and action on disability issues in developing countries. ADDC aims to promote the rights and inclusion of persons with disabilities in development activities. CBM is an international development agency, committed improving the quality of life of people with disabilities in low income regions of the world. CBM Australia has an Australian NGO Cooperation Program (ANCP) partnership with AusAID. 8