THE WORLD BANK: INCLUSIVE DEVELOPMENT and DISABILITY

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THE WORLD BANKINCLUSIVE DEVELOPMENTand
DISABILITY
European Conference on Disability Development
Cooperation The UN Convention on the Rights of
Persons with Disabilities Impact and
Opportunities for Persons with Disabilities in
Developing Countries Session Title How to
implement inclusive development approaches Day
Two - 21 November 2006 1030-1230 Brussels
Sándor Sipos Sector Manager Social
Protection Labor (HDNSP) Human Development
Network (HDN)
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Sizeable Disability Portfolio

• From 2002-2006, 4 of all World Bank projects by
  number and 5 of new lending volume were projects
  with a disability component (4.9 bn) and 6 of
  Economic and Sector Work.
• In July 2004, 10 of projects in Europe Central
  Asia had a had a Disability Component

S. Sipos The World Bank November 26, 2006
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Implementing Inclusive Development

• Complementary twin track approach
• Economic disability MDGs
• Legal Human Rights relevance for development
  and International Convention on the Rights of
  Persons with Disabilities (ICRPD) National
  Legislation

S. Sipos The World Bank November 26, 2006
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Human Rights andthe 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 Banks 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

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World Bank Action Items

• Mainstreaming Disability in WB Operations
• Lending/Safeguards
• Economic and Sector Work
• Capacity Awareness and Training
• Building Partnerships
• Inclusive Work Environment

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Lending and Analytical Work

• Poverty Reduction Strategy Programs
• Investment Lending
• Technical Assistance
• Project Monitoring Evaluation - Results

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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

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Investment Project Cycle
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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.
• The largest program of its kind in the world,
  MDRP currently targets an estimated 450,000
  ex-combatants in seven countries Angola,
  Burundi, the Central African Republic, the
  Democratic Republic of Congo, the Republic of
  Congo, Rwanda and Uganda. Support will also be
  extended to Namibia and Zimbabwe if and when
  appropriate.
• MDRP 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 micro-enterprise activities.
• Aims to reinforce key medical facilities
• provide systematic prosthetic and physiotherapy
  services, including maintenance of prosthetic
  devices.

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Africa Angola Burundi DRC Republic of Congo Rwanda
Projected number of program ex-combatant beneficiaries 166,662 55,000 90,000 30,000 50,000
Projected number of disabled ex-combatants (subject to change). ADRP has planned for approx. 12,500 disabled ex-combatants from various military forces (6,500 less severe and 6,500 severe). DRRP has planned for approximately 4,140 disabled ex-combatants. DRCDRP anticipates 9,000 disabled ex-combatants with 2,221 actively involved in the program to date. NA -RDRP anticipates that of the 8,400 disabled and chronically ill ex-combatants, it is estimated that 4,129 are disabled.
Budget Allocation (special groups is a broad category, e.g. disabled, children, women, chronically ill) Special Groups US31,625,000 or US1,100 pc. 17.6 of ADRP budget. Special Groups US5,463,636 or US1,583pc. 15 of DRRP budget. Special Groups US3,950,000. 11 of DRCDRP budget. Special Groups US1M or US33 pc. 4 of RCERP budget.-Medical and psychosocial services US800.000 Special Groups US5,615,000 or US759pc. 11 of RDRP budget.
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Europe and Central Asia

• 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 o f domestic violence in four components
• Priority Interventions Program
• Inclusive Early Childhood Education of Roma
• Social Assistance Programs
• Capacity Building for Roma Social Inclusion

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Europe and Central Asia cont.

• Lithuania
• School Access for Children with Disabilities A
  Lithuania Education Improvement Project is making
  62 schools accessible to disabled children and is
  fully renovating the Vilnius School for the Deaf
  as well as providing teacher training. (25.29
  million)
• Turkey
• Teacher Training Training 6,678 Special
  Education Teachers in schools, reaching 150,000
  students of which 35,000 were students with
  disabilities
• Visually and Hearing impaired primary school
  children are receiving specialized equipment
  through phase 2 of a Basic Education project.
  The project is building 70 special education
  primary schools and installing 770 computers.
  Special educational materials and teacher
  training will cover 1,340 preschool classrooms.

S. Sipos The World Bank November 26, 2006
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East Asia Pacific Region

• 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

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East Asia Pacific Region cont.

• Cambodia, Indonesia, Mongolia and Vietnam
• Building administrative capacity and develop an
  inclusive Educational Management Information
  Systems (EMIS)
• Indonesia
• BNPP trust funds for baseline data collection on
  children with disabilities in the education
  sector envisioned that there will be some policy
  directives supporting inclusive education as a
  result of this study
• Thailand
• JSDF post Tsunami reconstruction work
• Philippines
• Social Expenditure Management Project component
  of social assistance for disadvantaged groups
  (US25m)
• 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.

S. Sipos The World Bank November 26, 2006
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East Asia Pacific Region cont.

• Region-wide
• Access to Information All Public Information
  Centers (PICs) in region ensuring accessible
  information Supported the translation of the
  UNESCO toolkit on embracing diversity into at
  least three languages in the region. accessible
  PIC resulted in an increase use of the centers by
  people with disabilities in Philippines
• Transport project addresses disability from the
  perspective of prevention and road safety.

S. Sipos The World Bank November 26, 2006
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Middle East North Africa Region

• Egypt
• Social Protection Initiative Project - Disability
  Component
• Project Objective
• 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

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Middle East North Africa cont.

• Main Outputs
• A total of 36 subprojects were developed with an
  average cost of approximately US100,000 per
  subproject.
• 1,028 facilities were rehabilitated to adapt the
  infrastructure to the needs of disabled children.
• Numerous resource materials were developed to
  support future interventions
• Institutional Development
• Impact on Ministry of Insurance and Social
  Affairs
• Impact on the service providers and the
  communities
• Impact future international collaborations

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South Asia Region

• Principles
• Mainstreaming in inclusive development
• Two country focus (Pakistan and India), others on
  demand
• Build on existing momentum
• Strategy
• Operationalizing mainstreaming through
  prevention and inclusion
• Improving data and information
• Awareness and Outreach

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Pakistan

• Earthquake Disability Project 5 million grant
  from IBRD surplus to support community-based
  rehabilitation through contracting NGOs
• Two JSDF grants 1.6 million for Handicap
  International and Milestone (national DPO) for
  establishing resource and information centers for
  community based rehabilitation and independent
  living

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India

• Andhra Pradesh Rural Poverty Reduction Program
• The project targeted 560 disadvantaged mandals in
  16 districts based on levels of human, economic,
  and infrastructural development indicators. The
  disabled were then specifically selected, and the
  targeting was facilitated by NGOs/DPOs, as well
  as by the Self Help Groups of the disabled
  themselves.
• 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
• People with Disabilities in India From
  Commitments to Outcomes, Draft June 2006

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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 (ME) 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

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Safeguards

• Mandatory Safeguard Reviews and Clearance apply
  to all Bank managed investment lending in ten
  priority areas
• Borrower responsibility
• Bank conducts due diligence
• Decentralized Regional Function (down to the task
  team for low- and medium-risk projects)
• Centralized coordination/dispute resolution
  mechanism
• Objectives of Safeguard Policies
• Ensure that Environmental and Social issues are
  evaluated in decision making
• Reduce and Manage Project Technical Risks
• Provide a mechanism for Consultation and
  Disclosure of Information

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No Direct Disability Safeguard

• Most Relevant Safeguards/Entry Points
• Environmental Assessment
• Involuntary Resettlement
• Indigenous Peoples
• Disclosure and Consultation

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DisabilityWhat Safeguards Can Do

• Pilot and later mainstream process innovations
  (public consultation, environmental protection
  clauses,..)
• Reminders of National Laws
• Introduce Universal Design
• Prevent further disabilities

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DisabilityWhat Safeguards Cannot Do

• Create a new disabilities policy
• Extend disabilities concerns beyond project scope
  if there is no national requirement/legislation
• Create stand-alone disabilities access projects

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Operational Toolkit and Compendium of Country
Access Laws
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Main Themes of Analytical Work

• Disability Data Collection and Poverty Analysis
• Inclusive Education
• Access to Health Services
• Youth Leadership
• 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 and Natural Disasters
• Employment

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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

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Building Partnerships

• WB role facilitating and leveraging
• Washington City Group on Data
• Development Grant Facility to support workshops
  and testing
• Direct collaboration
• Global Partnership for Disability and Development
  (GPDD)
• WHO on Disability Report
• ILO on law and policies

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Inclusive Work Environment

• Working Group on Organizational Issues
• HR policies and practices
• Physical accessibility of HQ, Country Offices and
  Public Information Centers (PICs)
• Assistive technologies
• Disability Accommodation Fund

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Disability Structure at the WB

• Human Development Network
• Social Protection Labor Sector
• Disability Development (DD) Team
• Regional Counterparts
• Regional Disability Working Group Coordinators
• Network Counterparts
• Legal, Infrastructure, Environmentally and
  Socially Sustainable Development, Information
  Solutions Group, Development Economics

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Human Development Network Social Protection
(HDNSP) www.worldbank.org/sp
HDNSP
Disability Development (DD) www.worldbank.org/
disability
Global Partnership on Disability and Development
(GPDD) www.worldbank.org/disability/gpdd