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
Session Title: How to implement inclusive
development approaches
Day Two - 21 November 2006
Sándor Sipos
Sector Manager
Social Protection & Labor
Human Development
Network (HDN)
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
S. Sipos The World Bank November 26, 2006
Implementing Inclusive
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
S. Sipos The World Bank November 26, 2006
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
World Bank Action Items
Mainstreaming Disability in WB
– Lending/Safeguards
– Economic and Sector Work
– Capacity: Awareness and Training
Building Partnerships
Inclusive Work Environment
S. Sipos The World Bank November 26, 2006
Lending and Analytical Work
– Poverty Reduction Strategy Programs
– Investment Lending
– Technical Assistance
– Project Monitoring & Evaluation - Results
S. Sipos The World Bank November 26, 2006
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
S. Sipos The World Bank November 26, 2006
Investment Project Cycle
S. Sipos The World Bank November 26, 2006
– Multi-Country Demobilization & Reintegration Program
– Multi-agency effort that supports the demobilization and reintegration of excombatants 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
– MDRP provides assistance for medical rehabilitation based on the type and degree of
– 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.
Republic of
number of
program excombatant
number of
disabled excombatants
(subject to
ADRP has
planned for
approx. 12,500
disabled excombatants
from various
military forces
(6,500 less
severe and
6,500 severe).
DRRP has
planned for
4,140 disabled
9,000 disabled
with 2,221
involved in the
program to
anticipates that
of the 8,400
disabled and
chronically ill
it is estimated
that 4,129 are
(special groups
is a broad
category, e.g.
chronically ill)
Special Groups:
or US$1,100
pc. 17.6% of
ADRP budget.
or US$1,583pc.
15% of DRRP
11% of
Special Groups:
US$1M or
US$33 pc. 4%
or US$759pc.
11% of RDRP
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
• Priority Interventions Program
• Inclusive Early Childhood Education of Roma
• Social Assistance Programs
• Capacity Building for Roma Social Inclusion
S. Sipos The World Bank November 26, 2006
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. ($25.29 million)
– Turkey
– Teacher Training: Training 6,678 Special Education Teachers in
schools, reaching 150,000 students of which 35,000 were
students with disabilities
– Visually and Hearing impaired primary school children are
receiving specialized equipment through phase 2 of a Basic
Education project. The project is building 70 special education
primary schools and installing 770 computers. Special
educational materials and teacher training will cover 1,340
preschool classrooms.
S. Sipos The World Bank November 26, 2006
East Asia & Pacific Region
– Vietnam
– Primary Education for Disadvantaged Children Project combined
project funds of US$ 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
S. Sipos The World Bank November 26, 2006
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 (US$25m)
– Development Marketplace (DM) support for access to justice
for the Deaf; Several other DM competitions to distributed grants
Sipos The World Bank November 26, 2006
to various stakeholders working on independent
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
Middle East & North Africa Region
– 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
Middle East & North Africa cont.
Main Outputs
– A total of 36 subprojects were developed with an average
cost of approximately US$100,000 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
S. Sipos The World Bank November 26, 2006
South Asia Region
– Mainstreaming in inclusive development
– Two country focus (Pakistan and India), others on
– Build on existing momentum
– Operationalizing – mainstreaming through prevention
and inclusion
– Improving data and information
– Awareness and Outreach
S. Sipos The World Bank November 26, 2006
– 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
S. Sipos The World Bank November 26, 2006
– 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
S. Sipos The World Bank November 26, 2006
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
S. Sipos The World Bank November 26, 2006
– 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
S. Sipos The World Bank November 26, 2006
No Direct Disability Safeguard
Most Relevant Safeguards/Entry Points
– Environmental Assessment
– Involuntary Resettlement
– Indigenous Peoples
– Disclosure and Consultation
S. Sipos The World Bank November 26, 2006
What Safeguards Can Do
– Pilot and later mainstream process innovations
(public consultation, environmental protection
– Reminders of National Laws
– Introduce Universal Design
– Prevent further disabilities
S. Sipos The World Bank November 26, 2006
What Safeguards Cannot Do
– Create a new disabilities policy
– Extend disabilities concerns beyond project
scope if there is no national
– Create stand-alone disabilities access projects
S. Sipos The World Bank November 26, 2006
Operational Toolkit and
Compendium of Country Access
S. Sipos The World Bank November 26, 2006
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
International Convention on the Rights of Persons
with Disabilities
- Post-conflict and Natural Disasters
- Employment
S. Sipos The World Bank November 26, 2006
Awareness raising and training
on inclusion of disability
Cross-sectoral awareness raising and
– World Bank Management & Operational Staff in
Headquarters and Country Offices
– Civil Society
– Client Countries
S. Sipos The World Bank November 26, 2006
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
S. Sipos The World Bank November 26, 2006
Inclusive Work Environment
Working Group on Organizational
– HR policies and practices
– Physical accessibility of HQ, Country Offices
and Public Information Centers (PICs)
– Assistive technologies
– Disability Accommodation Fund
S. Sipos The World Bank November 26, 2006
Disability Structure at the WB
Human Development Network
Social Protection & Labor Sector
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
S. Sipos The World Bank November 26, 2006
Human Development Network
Social Protection (HDNSP)
Disability & Development (D&D)
Global Partnership on Disability
and Development (GPDD)

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