THE WORLD BANK: INCLUSIVE DEVELOPMENT and DISABILITY

1. THE WORLD BANK:INCLUSIVE DEVELOPMENTand DISABILITY Millennium Development Goals: Inclusion of People with Disabilities Bratislava, Slovakia May 14 – 15, 2007 Panel Discussion: MDGs – the challenges and opportunities May 15, 2007 9:15 – 10:30 Sándor Sipos Sector Manager Social Protection & Labor (HDNSP) Human Development Network (HDN)

2. 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

3. 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

4. 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 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

5. World Bank Action Items Mainstreaming Disability in WB Operations • Lending/Safeguards • Economic and Sector Work • Capacity: Awareness and Training Building Partnerships

6. Lending and Analytical Work • Poverty Reduction Strategy Programs • Investment Lending • Technical Assistance • Project Monitoring & Evaluation / Results

7. 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

8. 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

9. 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

10. Investment Project Cycle

11. 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.

12. 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

13. 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

14. 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

15. 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 micro-enterprise activities • Aims to reinforce key medical facilities • Provide systematic prosthetic and physiotherapy services, including maintenance of prosthetic devices.

16. 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

17. 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

18. 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.

19. 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

20. 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

21. 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

22. 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)

23. Operational Toolkit and Compendium of Country Access Laws

24. 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)

25. 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

26. 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