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Escaping Stigma and Neglect

Escaping Stigma and Neglect. People with Disabilities in Sierra Leone. Working paper 164 – forthcoming Giuseppe Zampaglione Mirey Ovadiya Africa Human Development 2 With support from the Disability and Development Team World Bank. Objective of the Policy Note.

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Escaping Stigma and Neglect

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  1. Escaping Stigma and Neglect People with Disabilities in Sierra Leone Working paper 164 – forthcoming Giuseppe Zampaglione Mirey Ovadiya Africa Human Development 2 With support from the Disability and Development Team World Bank

  2. Objective of the Policy Note • Provide a diagnosis on the scale and nature of the problem; • Analyse current public policies in support of People with Disabilities; • Review public and private programs and; • Propose policy options to policy makers and development partners.

  3. A. Diagnosis • Poverty a cause and consequence of disability

  4. A. Prevalence of Disability in Sierra Leone • 2004 Census prevalence of disability at 2.4% • Likely to be underestimated – Census only captures severe physical disability not including mental disability • Reasonable global estimate is 10-12% prevalence • Estimated 5% of HHs have one or more disabled person

  5. A. Nature of Disability

  6. A. Geographic Distribution • Incidence of People with Disabilities higher in the South and East, and more pronounced in rural areas than in urban ones. • People with Disabilities more concentrated in the Southern (2.9%) and Eastern regions (2.8%), followed by the Northern (2.2%) and the Western (1.7%) regions.

  7. A. Access to Basic Services and Employment • Access to Health • Access to Education • Access to Transport/Mobility • Income and employment

  8. B. Policy Framework in support of PWD • Legal Framework • Institutional Environment and Policies • Constitution • Parliament • TRC • Human Rights Commission of SL • Ministry of Social Welfare, Gender and Children Affairs • NaCSA

  9. C. Public and Private Programs in support of PWD • Public Programs • NGO implemented programs • Successes to date • Challenges • Funding • Involve more CSO – communities • Strenghten DPOs • Definition

  10. B. Definition beyond the emergency From: People made disabled by an act of violence during the war/ People with a preexistent or war unrelated disability To : All Sierra Leoneans were disabled by the war and all people with a disability were victims of the war

  11. D. Policy Options • Grouped as: • (i) measures that will specifically target people with disabilities and • (ii) measures that will work to mainstream disability issues through sector programs.

  12. D. Policy Options (2) • The recommended measures are grouped under three categories: • (i) knowledge building and analysis; • (ii) strengthening of the legal and institutional framework; and • (iii) amelioration of public and private service coverage and financing

  13. D. Knowledge building

  14. D. Coverage and financing

  15. D. Legal and Institutional Framework

  16. Thanks!

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