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1
Persons with disabilities in Development
Cooperation of Germany and of the European
Union
Dorothea Rischewski Social Protection Section, GTZ
Brown Bag Lunch at WB 6th of March 2008
2
Overview
  • Part 1
  • Relevance of persons with disabilities for
    development cooperation
  • GTZ and Persons with disabilities
  • Conceptual approaches
  • Alliances and partners
  • Implementation strategies
  • Activities of German Development Cooperation
    relating to disability
  • Examples of Technical Assistance

3
Overview
  • Part 2
  • Disability and Development in the European Union
  • Overview of Europes approach to disability and
    development
  • Actors in the EU
  • Short history of disability and development in EU
  • Analysis of EUs work in disability and
    development
  • Policies of selected European member states
    regarding disability in development

4
Relevance of persons with disabilities for
development cooperation
  • Considerable share of world population (10-12)
  • 80 of persons with disabilities are believed to
    live in the LIC and MIC
  • Disability and poverty are intertwined,
    relationship multidimensional, multidirectional
  • Lack of cross-sectional data on socioeconomic
    status and disability prevalence (measurement,
    definition, cost and quality issues)

5
  • monetary poverty
  • micro level contradicting evidence
  • Uganda families with head of hh with disability
    are 38 more likely to be poor
  • HH surveys in Indonesia, Romania (more youth with
    disabilities among the poor), Burundi, Cambodia
    and Mongolia (no clear pattern), Mozambique
    (concentration of disability among the less poor)
  • Rwanda children with severe musculoskeletal
    impairment belong to the poorest tercile (based
    on assets)
  • February 08 new evidence WB on positive
    correlation when disability severe
  • macro level The Gambia, net gain of national eye
    care program due to increased economic activity
    after successful intervention cost was
    0.10/person/year, rate of return was 10-19
    (Frick/Foster)

6
  • non-monetary poverty access to social services,
    capabilities
  • Rwanda children with disabilities are 60 less
    likely not to be enrolled in school than their
    age and sex matches without disabilities, they
    are more than 3x more likely to have missed
    school, and they live in bigger households
    adults with disabilities are more than 3x more
    likely not to have an occupation
  • Serbia PRSP, only 13 have employment
  • Mortality rates are as high as 80 among children
    with disabilities, even in countries where
    average lt5 mortality is about 20 (WHO)
  • Correlation between poverty and disability
    depends on definition of disability
    (impairment/function/participation based) and
    severity of disability

7
Invisibility of persons with disabilities in
development
  • Despite the evidence of social exclusion, leading
    to low human capital, low capabilities and to
    wide-spread chronic poverty among this target
    group, there is still too little policy advice
    available and few operational experiences
    regarding instruments of social protection for
    persons with disabilities, and regarding
    interventions in other sectors such as education,
    employment, health and rehabilitation
  • Excluded from mainstream development programs
    (MDGs, PRSPs)

8
GTZ and persons with disabilities conceptual
foundations
  • Policy Paper Disability and Development 2006
    (GTZ)
  • Development Action Plan for Human Rights 2008
    2010 (BMZ)
  • Human rights persons with disabilities are part
    of the diversity of any culture, hold same rights
    to equal participation and deserve same respect
  • Social model of disability disability is a
    result of the interactions of a persons limited
    functioning in her/his physical, cultural and
    political environment
  • UN Convention on the Rights of Persons with
    Disabilities 2007

9
UN Convention on the Rights of Persons with
Disabilities
  • Under German EU Presidency March 07 the EU and
    most EU member states signed - First time the EU
    signed a human rights treaty
  • Third pillar to promote inclusion of persons with
    disabilities in development World Action Plan
    (1982), UN Standard Rules (1993) those were
    non-binding legally
  • Till today 17 signatories of the convention
    will become valid 1 month after 20th ratification
    7 months after coming into force a committee to
    promote and supervise the implementation will be
    elected
  • Human rights treaty and development tool,
    clarifies the language of human rights for
    persons with disabilities and sets benchmarks for
    their participation
  • Focus on article 32, 4 pillars inclusive
    development programs, capacity development,
    research and accessibility
  • GTZ Study on implications of UN CRPD for German
    Development Cooperation expect recommendations
    for further strategic guidelines and operational
    activities

10
GTZ and persons with disabilities alliances
and partners
  • Global Partnership on Disability and Development
    (GPDD) network of stakeholders in disability
    with objective of reducing poverty of persons
    with disabilities and increasing inclusion,
    multi-donor trust fund held at WB
  • VENRO AG association of German NGOs working on
    disability issues in development
  • Operational cooperation with civil society from
    the North and civil society from the South
    (Cambodia, Tanzania, Vietnam)
  • Planned cooperation with African Decade on
    implementing the UN CRPD in Kenya
  • Consultation with other bi - and multilateral
    donors (DfID, WHO, UNICEF, etc.)

11
GTZ and persons with disabilities
Implementation Strategies
  • Twin-Track Approach
  • programmes to cover the specific needs and rights
    of persons with disabilities, and
  • inclusion of persons with disabilities within
    other programmes
  • Inclusive Development
  • Capacity development of DPOs in the South

12
Activities of German Development Cooperation
relating to disability
  • Bilateral German Development Cooperation in last
    20 years
  • 180 programs in 40 countries
  • 30 directly targeted to persons with disabilities
    (70 Mill. Euro)
  • 15 currently in implementation (17 Mill. EUR)
    Albania, Angola, Chile, Ghana, Indonesia,
    Cambodia, FRM, Rwanda, Sri Lanka, Tanzania,
    Vietnam
  • Additionally churches and private organisations
    assist projects in the South with funds from BMZ
    (21 Mio. Euro)
  • Additionally a number of private donor funded
    projects, implemented by German Civil Society

13
Examples of Technical Assistance
  • Design and implementation of strategies for
    inclusive education (Chile, Ghana)
  • Implementation of national disability law and
    strategies, in the context of decentralisation
    and de-institutionalization (Albania)
  • Design of national disability law and of
    implementation strategy, identification of
    regulatory and service gaps, coordination of
    stakeholder community, in the context of EU
    adaptation process (FYR Macedonia)
  • Development of capacities of civil society for
    inclusive poverty reduction strategies (Cambodia,
    Tanzania, Vietnam)
  • Handbook Making PRSP inclusive WB, HI, CBM
    cooperation
  • Making not only design phase, but also
    implementation and ME of PRSP more inclusive
  • Socio-economic reintegration of ex-combatants
    (Angola, DRC)
  • Build up of training institutions for Orthopaedic
    technicians (Angola, Morocco)

14
Overview of the EUs approach to disability and
development
  • Actors in the EU
  • Short history of disability and development in EU
  • Analysis of EUs work in disability and
    development
  • Policies of selected European member states

15
Actors at the EU
  • The European Parliament
  • The European Commission (DG Development, DG
    EuropAid, DG RELEX, ECHO, DG Employment and
    Social Affairs)
  • The European Council
  • NGO networks (CONCORD, International Disability
    and Development Consortium)
  • Disabled Peoples Organisations in Europe
    (European Disability Forum) and in partner
    countries (SADDP)

16
Short history of disability and development in EU
  • 2001-2002
  • Article 13 of the Treaty of Nice (respect for
    fundamental rights as a constitutional principle
    of the EU, including disability)
  • Resolution on the rights of disabled and older
    people in ACP countries
  • Resolution on health issues, young people, the
    elderly and people living with disabilities
  • 2003 DG DEVELOPMENT
  • The Guidance Note on Disability and Development
    reference document in the EU
  • 2004
  • Project Cycle Management guidelines include
    disability
  • 2005
  • Minor reference to disability in key documents
    (Strategy for Africa, Consensus for Development)
  • ECHO Cross cutting issues paper (chapters on
    disability)
  • 2006
  • Parliamentary Resolution on disability and
    development
  • Research/ mapping of disability supported
    projects - EC supporting over 160 disability
    specific projects

17
The EU Guidance Note
  • The only specific guidance from the Commission on
    disability and development
  • States that the MDGs cannot be reached unless
    persons with disability are included
  • Deals with specific key areas
  • Exclusion, marginalization and vulnerability
  • Basic resources food, health care, education
  • HIV/AIDS
  • Employment
  • Exploitation
  • Poverty
  • Access barriers
  • Political Processes
  • Specific concerns of women with disabilities

18
2006-2007
  • 2006 The Development Cooperation Instrument
    reference to disability in health, and to
    combating discrimination and promoting social
    inclusion in respect to sectors education and
    employment
  • 2007-2010 The European Instrument for Democracy
    and Human Rights promotes capacity building of
    disabled peoples organisations
  • 2007-2013 Thematic Programme Investing in
    People first European policy document which
    regards disability as a cross cutting issue

19
recent and on-going
  • Policy on Action in Fragile States (includes need
    to consider situation of people with disabilities
    in fragile states)
  • EU Africa Strategy and Action Plans
  • tackle disability in health and education
  • action plan on MDGs regarding Persons with
    Disabilities
  • Currently the EC - (DG Employment and Social
    Affairs) are developing a competency list for UN
    Convention (ie working out legally how it will
    effect them practically)

20
Analysis
  • Strengths
  • Increasing awareness of disability issues amongst
    policy makers and programme staff
  • Some commitment expressed in recent policy
    documents and in the signing of the UN Convention
  • Evidence of more NGOs getting funded for
    disability programmes from EC
  • Contact person on disability nominated for each
    DG (strength and weakness)
  • Weaknesses
  • Lack of capacity for new issues in general
  • Some policy statements have been made but yet to
    be translated into strengthened action
  • Failure to fully implement other commitments like
    child rights, gender equality
  • Contact person in each DG (disability among many
    other issues in their portfolio)
  • Hesitation of taking on disability because it is
    perceived as complicated

21
Analysis
  • Opportunities
  • UN CRPD offers a new start in taking a more
    committed approach to including disability
  • Strengthening civil society organisations on
    disability issues
  • Move towards decentralisation (more chance of
    influencing EC in their delegations in each
    country)
  • Donor Harmonisation (if other donors strengthen
    their approach to disability this will have an
    influence)
  • Threats
  • Issue fatigue/ issue competition

22
Policies of selected European Member States
regarding disability in development
  • Snapshot from selected countries
  • Old Europe before extension rounds 04 07
  • New members are in transition of becoming donors,
    little evidence on development activities
    regarding persons with disabilities
  • Performance on disability and development varies
  • Possible actions at EU member states government
    level
  • Disability specific or inclusive development
    policies/ Mainstreaming disability
  • Bringing disability into dialogue with partner
    governments and other donors
  • Implement specific programmes/ actions
  • Earmarking of resources (human, technical,
    financial)
  • Developing capacity (training own staff,
    developing tools)
  • Partnership with disability organisations or DPOs

23
  • Sweden
  • Swedish Policy for Global Development is rights
    based
  • 2001 policy for development cooperation in the
    education sector Education For All - A Human
    Right and Basic Need
  • 2002 Position Paper Education, Democracy and
    Human Rights
  • 2003 Reference Paper The right to education for
    children, young people and adults with
    disabilities and special learning needs
  • 2005 Position Paper Children and Adults with
    disabilities
  • Implementation
  • Supported ad hoc committee for UN CRPD
  • Support WBU and World Federation of deaf-blind
    and have a partnership agreement with SHIA (DPO
    umbrella organization with support to projects in
    24 countries)
  • Fund training run by SHIA Advanced International
    Training Program on Human Rights and Disability

24
  • Finland
  • 2003 Label us Able (STAKES), an evaluation of
    the disability dimension of Finlands development
    cooperation (5 of total budget on disability)
  • 2004 Human rights in development policy
  • Ministry for Foreign Affairs of Finland has
    outsourced the administration of disability
    specific NGO-projects to FIDIDA (DPO umbrella
    organisation)
  • 2006 Education Strategy for Finland's Development
    Cooperation includes disability
  • 2007 Finnish Development Policy Guidelines for
    the Health Sector includes disability
  • UK
  • 2000 Disability, Poverty and Development
  • 2001 DFID and Disability A Mapping of the
    Department for International Development and
    Disability Issues,
  • 2007 Internal implementation note How to for
    field operational staff
  • 2007 grant by DFID to Federation of South African
    DPO umbrella organisation for participatory
    research, capacity development and policy design

25
  • France
  • No specific disability and development policy or
    operational guidelines
  • Ireland
  • Specific reference (half page) on disability in
    the White Paper, no implementation note, or
    operational guidelines
  • Italy
  • 2003 Guidelines for Italian cooperation on themes
    concerning handicap
  • Luxemburg
  • No specific policy on disability and development
    but do provide support to disability programmes
  • The Netherlands
  • No specific policy on inclusion of disability in
    development cooperation, but implicitly included
    in health, education and human rights policy
  • Italy, Norway and Finland are donors to the
    Multi-Donor Trust fund of GPDD

26
Cooperation of European Commission with Civil
Society Organisations of the North
  • 2 year project mainstreaming disability in
    development cooperation
  • www.make-development-inclusive.org
  • Output is material and conferences about
  • Disability and HIV/AIDS
  • Disability in emergency situations
  • Disability and the MDGs
  • UN CRPD
  • Inclusive PRSP
  • Mapping reports about disability and development
  • Website with resources on disability and
    development
  • Operational Manual for EC members for inclusion
    of disability
  • Disability sensitive indicators to use in program
    design and evaluation

27
Possible areas of cooperation WB/GTZ/EU
  • Universal guidelines on implementation of UN CRPD
  • Aspiring member states to the EU are under
    pressure to adapt social policy to EU and UN
    guidelines assistance (technical and financial)
    needed
  • Guidelines and support to national governments
    for establishing disability indicators for
    surveys and census, and for the conduct of
    disability specific surveys (prevalence and
    services)
  • Guidelines (theoretical framework and approaches)
    for bi- and multilateral agencies on including
    civil society in the south in development
    processes
  • Creation of best practice (operational) for
    inclusive development in different sectors
    accessibility, education, employment, health,
    rehabilitation, social protection, etc.
  • Create program data on disability in mainstream
    programs (e.g. CCTs, PAs) in all regions to
    examine the participation and outcomes of PwD in
    these programs

28
  • Thanks
  • Dorothea.rischewski_at_gtz.de
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