THE WORLD BANK:
INCLUSIVE DEVELOPMENT
and DISABILITY
Millennium Development Goals:
Inclusion of People with
Disabilities
Bratislava, Slovakia
May 14 – 15, 2007
Sándor Sipos
Panel Discussion:
MDGs – the challenges and opportunities
May 15, 2007
9:15 – 10:30
Sector Manager
Social Protection & Labor
(HDNSP)
Human Development
Network (HDN)
Sizeable Disability Portfolio
From 2002-2006, 4% of all World Bank
projects by number and 5% of new lending
commitments were projects with a disability
component ($4.8 bn) and 6% of Economic
and Sector Work.
In July 2004, 10% of projects in Europe &
Central Asia had a had a Disability
Component
Implementing Inclusive
Development
Through prevention, rehabilitation and
inclusion with a complementary twin track
approach:
– Economic – disability & MDGs
– Legal – Human Rights relevance for
development and International
Convention on the Rights of Persons with
Disabilities (ICRPD) passed in December
2006 – National Legislation
Human Rights and
the World Bank
“There should be a clear understanding that in
certain cases and under certain circumstances,
Human Rights generate actionable legal
obligations. Such obligations may arise from
international treaties, or from rights enshrined in
national laws. Here the Bank’s role is to support its
Members to fulfill those obligations where they
relate to Bank projects and policies”
Ana Palacio, Senior Vice President
World Bank Group General Counsel
2006
World Bank Action Items
Mainstreaming Disability in WB
Operations
– Lending/Safeguards
– Economic and Sector Work
– Capacity: Awareness and Training
Building Partnerships
Lending and Analytical Work
– Poverty Reduction Strategy Programs
– Investment Lending
– Technical Assistance
– Project Monitoring & Evaluation / Results
Policy Lending and Dialogue
Poverty Reduction Strategy Papers
– “Making PRSPs Inclusive” Handicap International
and Cristoffel-Blindenmission (January 2006).
Funded by Germany. Facilitated by World Bank,
presented at December 2006 Berlin conference
Developmental Policy Lending:
Promoting Inclusive Policies
– Legislation
– Implementing Regulation
– Specific Agreed Policy Measures
Safeguards at the World Bank
– Mandatory Safeguard Reviews and Clearance apply to all
Bank managed investment lending in ten priority areas;
disability is not one of the ten
– Safeguards can: pilot and mainstream process innovations,
introduce universal design, prevent further disabilities
– Safeguards cannot: create a new disabilities policy, new
projects or go beyond project framework
– Most Relevant Safeguards/Entry Points: Environmental
Assessment, Involuntary Resettlement, Indigenous Peoples,
Disclosure and Consultation
Alternative Approach to
Safeguards: Guidance & Support
– Social Analysis and Disability Guidance Note: Incorporating
Disability-Inclusive Development into Bank-Supported Projects. By
Social Development Department and HDNSP Disability &
Development (March 2007)
– Incorporating Disability-Inclusive Development into Bank-Supported
Projects
– Operational Toolkit and Compendium of Country Access Laws
– Making Inclusion Operational: Legal and Institutional Resources
for World Bank Staff on the Inclusion of Disability Issues in
Investment Projects. Guernsey, K., Nicoli, M. and Ninio, A.
(October 2006)
– Good Analytical Work
– SP Discussion Paper: Measuring Disability Prevalence. Daniel
Mont (March 2007)
– Awareness Raising & Capacity Building
Investment Project Cycle
Regional Projects with a
Disability Component
India
Persons with Disabilities in India: From Commitments to Outcomes.
– This was a flagship country report on disability, covering major
dimensions of the socio-economic situation of PWD in India, and
possible policy responses. It addresses the living standards profile,
education of children with disabilities, health needs, social security,
employment for people with disabilities, institutions and policies,
accessibility and prevention.
Regional Projects with a
Disability Component
India
Andhra Pradesh Rural Poverty Reduction Program
– Targeted 560 disadvantaged mandals in 16 districts based on human,
economic, and infrastructural development indicators. The disabled
were then specifically selected, and the targeting was facilitated by
NGOs/DPOs and disability Self Help Groups.
– Interventions: providing surgical corrections and assistive devices,
family support programs, training para-professionals in community
based rehabilitation (CBR), reviving defunct rehabilitation centers and
establishing bridge residential schools for disabled children, micro
credit loans, small enterprise development, and vocational training
Regional Projects with a
Disability Component
Pakistan
-
-
Earthquake Disability Project: $5 million grant from IBRD surplus
to support community-based rehabilitation through NGO contracts
Two JSDF grants: $1.6 million for Handicap International and
Milestone (national DPO), establishing resource and information
centers for community based rehabilitation and independent living,
respectively.
Pakistan Development Marketplace on disability financed 23
DPOs, a second one will take place in May 2007
Establishment of a Trust for the Disabled, a partnership between
the Bank and Private Sector organizations for further funding of
grants to Disability Organizations
Regional Projects with a
Disability Component
Pakistan
-
Punjab Education DPC ongoing dialogue
TA to the Pakistan Census Organization which resulted in
changing how disability will be measured
Small Grants Program annually since 2002 has funded over 17
grants on disability issues
Bangladesh
- Formally requested a project on Disability and Vulnerable Youth
to be prepared over the next year
Regional Projects with a
Disability Component
Africa Multi-Country Demobilization & Reintegration
Program
– Multi-agency effort that supports the demobilization and
reintegration of ex-combatants in the greater Great Lakes region
of Central Africa.
– Provides assistance for medical rehabilitation based on the type
and degree of disability.
– Services typically include the provision of physical
rehabilitation assistance (prosthesis and orthesis),
counseling, vocational training and/or support for microenterprise activities
– Aims to reinforce key medical facilities
– Provide systematic prosthetic and physiotherapy services,
including maintenance of prosthetic devices.
Regional Projects with a
Disability Component
Romania
– Pension Reforms Support: A component of the Social Sector
Development Project supports the rehabilitation of the disabled
by strengthening the capacity of the National Institute for Medical
Expertise and Work Capacity Recovery. It is also bolstering the
local medical expertise offices of the National House of Pensions
and Other Social Insurances Rights (CNPAS) ($50 million, of
which $6.32 million targets the disabled)
– Social Inclusion Project: Assist governmental implementation of
Joint Inclusion Memorandum through assistance given to the
existing or emerging programs that address the needs of the
vulnerable and/or disadvantaged groups of Roma, People with
Disabilities, youth at risk and victims of domestic violence
Regional Projects with a
Disability Component
Vietnam
– Primary Education for Disadvantaged Children Project
– Combined project funds of US$ 243 million for technical support
to improve administrative planning and management; enhanced
delivery of acceptable quality education; linkages to
communities;
– National level child development report and policy on inclusive
education and accessible schools
– introduce disability questions on census
– HIV/AIDS project run by young people with disabilities received
support from the Bank. This project is a fully mainstreamed
project with young people with disabilities raising awareness
Regional Projects with a
Disability Component
Cambodia, Indonesia, Mongolia and Vietnam
– Building administrative capacity and develop an inclusive
Educational Management Information Systems (EMIS)
Thailand
– JSDF post Tsunami reconstruction work
Philippines
– Social Expenditure Management Project: component of social
assistance for disadvantaged groups (US$25m)
– Development Marketplace (DM) support for access to justice
for the Deaf; Several other DM competitions to distributed grants
to various stakeholders working on independent living.
Regional Projects with a
Disability Component
Egypt
– Social Protection Initiative Project - Disability Component
– Develop and test integrated programs for children with
disabilities and youth at risk through a range of providers,
and to use the experience of these programs to develop a
new strategy for improving services.
– Main Results
– Exposure to new inclusive approaches
– Awareness of issues for policy formulation
Regional Lessons Learned
– Inclusive development is a multi-stakeholder responsibility
– NGOs, made more effective as delivery of services to the
vulnerable children, through a “contracting” rather than
“grant” approach
– Robust monitoring and evaluation (M&E) system is essential
for learning and accountability
– A learning and innovation lending instrument (LIL) is
effective to pilot and test initiatives, and to build consensus
– Field-based management provides effective, quick response
– Use range of providers to help develop a new strategy for
improving services
Main Themes of Analytical Work
-
Disability Data Collection and Poverty Analysis
Inclusive Education
Access to Health Services
Access to Microfinance
Information and Communication Technologies
Social Protection: Social Insurance and Assistance
Accessibility of Infrastructure
HIV/AIDS
International Convention on the Rights of Persons
with Disabilities
- Post-conflict
- Natural Disasters
- Employment
Awareness Raising and Training
on Inclusion of Disability
Cross-sectoral awareness raising and training
– World Bank Management & Operational Staff in
Headquarters and Country Offices
– Civil Society
– Client Countries
– Joint WHO-World Bank World Report on Disability,
Rehabilitation and Inclusion (WRDRI- started in 2006
to be launched in 2009)
Operational Toolkit and
Compendium of Country Access
Laws
Building Partnerships
WB role: facilitating and leveraging
– Global Partnership for Disability and Development
and the Multi-Donor Trust Fund for Disability and
Development
– Secured additional $350,000 in GDF financing for
coordination for 2007-8 in April 2007
– Washington City Group on Data
– Development Grant Facility also to support workshops and
testing
– Direct collaboration
– WHO-Bank World Report on Disability Rehabilitation
and Inclusion
– ILO on law and policies
– OECD Disability Statistics on Education (planned)
Disability Structure at the WB
Human Development Network (HDN)
Social Protection & Labor Sector (HDNSP)
Disability & Development (D&D) Team
Regional Counterparts
Regional Disability Working Group Coordinators
Network Counterparts
Legal, Infrastructure, Environmentally and Socially
Sustainable Development, Information Solutions
Group, Development Economics
Human Development Network
Social Protection (HDNSP)
www.worldbank.org/sp
HDNSP
Disability & Development (D&D)
www.worldbank.org/disability
Global Partnership on Disability
and Development (GPDD)
www.worldbank.org/disability/gpdd