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Traffic crash injuries and disabilities : The burden on Indian society

WORLD BANK
February 2021

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Road crashes endanger the lives and livelihoods of millions of road users globally and in India.  The risk of a road crash in low-income countries is three times higher than compared to that in high-income countries. Not only does it lead to untold and unaccounted for suffering and loss for victims and their families, but also, it drains the GDP of countries by claiming millions of economically productive young lives6. While it is recognized that RTIs affect the developed and developing world in different ways, it also impacts poor households and disadvantaged sections of the population within developing countries differently. World Bank commissioned a survey-based assessment study in association with the Save LIFE Foundation (SLF) to determine such differential impacts more objectively in India. This study aims to capture the socioeconomic realities and nuances of road crashes at the sub-national level in India. It seeks to document inter-linkages between poverty, inequalities, road users, and road crash outcomes by analyzing data from four States in India, i.e., Uttar Pradesh, Bihar ,Tamil Nadu and Maharashtra. The four states have been selected on the basis of several criteria including demographic and geographical representation, magnitude of fatality burden and socio-economic parameters such as economic growth, poverty rate and social welfare. 

Product Narrative: Digital Assistive Technology. A market landscape and strategic approach to increasing access to digital assistive technology in low- and middle- income countries

SAVAGE, Margaret
LIAO, Cynthia
CHAUDRON, Matilde
BOYER, Jeffrey
BHATNAGAR, Tigmanshu
LAURENTIUS, Dennis
TORRENS, George
PERRY, Katherine
MORJARIA, Priya
BARAJAS, Felipe Ramos
GOEDDE, Barbara
November 2020

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This document is the final in a series of in-depth analyses that identify key barriers and promising market interventions. The previous four documents focused on wheelchairs, hearings aids, prostheses, and eyeglasses.

The report provides market landscapes of 3 areas of digital AT: mobile phones; screen readers; and augmentative and alternative communication (AAC) devices.

A common set of recommendations focused on improving access emerged from the individual product landscapes:

  • Develop and adopt policies, including legislation, regulations, minimum product standards, and guidelines to support accessibility and uptake of digital AT at the global and country levels.
  • Support governments of low- and middle-income countries (LMICs) to increase awareness of digital AT by including digital assistive products such as smartphones and augmentative and alternative communication (AAC) devices on national assistive product lists.
  • Support innovative financing schemes or negotiate pricing agreements to reduce the cost of digital AT to end users.
  • Increase availability of training programmes for users, suppliers, and service providers on the availability of digital AT and digital literacy skills.

Product Narrative: Prostheses. A market landscape and strategic approach to increasing access to prosthetic devices and related services in Low- and Middle-Income Countries

LIAO, Cynthia
SEGHERS, Frederick
SAVAGE, Margaret
FINEBERG, Alison
AUSTIN, Vicki
HOLLOWAY, Catherine
OLDFREY, Ben
April 2020

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While about 1.5 million people undergo amputations every year, WHO estimates that only 5-15% of amputees who need prosthetic devices in LMICs have access to them. High prices of prosthetic services in lower- and middle-income countries (LMICs), combined with high indirect costs for users (for example to travel to service points), make prosthetic services unaffordable to many of the people who need them. 

Prosthetic services can be made more affordable by: 1) increasing the number of service units (in particular, by leveraging decentralised service models and the innovative technologies that enable them); 2) establishing reimbursement schemes that encapsulate all costs to the user; and 3) leveraging alternative forms of financing for both capacity-building and user financing.

An opportunity exists to transform access to prosthetic services and products in LMICs, but this will require a coordinated effort between: 1) governments to expand service capacity; 2) global stakeholders to provide guidance on products and technologies; 3) suppliers to expand market presence and offerings; and 4) donors to support these activities. 

Five strategic objectives are proposed to accelerate access to prosthetic services in LMIC

Disability at a Glance 2019: Investing in accessibility in Asia and the Pacific — Strategic approaches to achieving disability-inclusive sustainable development

TATA, Srinivas
et al
December 2019

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This report lays out foundational concepts and terminologies related to disability and accessibility, and outlines the tools and approaches for successful investment in accessibility. Furthermore, it identifies drivers and added values of investment, and analyses the status of disability-inclusive development and accessibility investment across Asia and the Pacific. Finally, it provides recommendations to governments across key areas of focus to ensure that societies are built to be sustainable and inclusive.

Case studies from Australia, the Republic of Korea and India are presented.

Disability inclusion and accountability framework

McCLAIN-NHLAPO, Charlotte
et al
June 2018

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The main objective of the Disability Inclusion and Accountability Framework is to support the mainstreaming of disability in World Bank activities. It lays out a road map for (a) including disability in the Bank's policies, operations and analytical work, and (b) building internal capacity for supporting clients in implementing disability-inclusive development programs. The primary target audience of the Framework is Bank staff but it is also relevant to the Bank's client countries, development partners and persons with disabilities. The framework provides four main principles for guiding the World Bank’s engagement with persons with disabilities: nondiscrimination and equality, accessibility, inclusion and participation, and partnership and collaboration. 

 

The appendices to this framework highlight key areas in which the Bank can have a significant impact on the inclusion, empowerment, and full participation of persons with disabilities. These areas include transport, urban development, disaster risk management, education, social protection, jobs and employment, information and communication technology, water sector operations, and health care. 


Report No. 126977
 

Disability in North Africa

ROHWERDER, Brigitte
April 2018

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This desk-based research reports explores the experiences of people with disabilities of inclusion and marginalisation in North Africa, and whether this has had an impact on regional/national economies and wider prosperity. 

Good practices of accessible urban development - Making urban environment inclusive and fully accessible to ALL

August 2016

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About 6.25 billion people, 15 per cent of them persons with disabilities, are expected to be living in urban centres by 2050. Urbanisation has the potential to be an engineer for achieving sustainable and inclusive development for all. The current lack of environmental accessibility faced by people with disabilities, in particular in many cities in the world, presents a major challenge. As the international community prepares for the Third Global Conference on Housing and Sustainable Urban Development (Habitat III), which will take place in Quito, Ecuador, in October 2016, it is an apt and a strategic opportunity to promote an accessible and inclusive Urban Agenda.

This report is a compendium of promising initiatives and good practices that have emerged in recent yeas successfully promoting accessibility and inclusion of persons with disabilities, their rights, aspiration and contributions in the contexts of urban development. It countains findings and recommendations which were adopted at a UN expert group meeting, that may be helpful in informing the ongoing Habitat III discourses, the development of the New Urban Agenda as well as in furthering accessible and inclusive urban development 

United Nations Global Sustainable Development Report 2016

Uinted Nations, Department of Economic and Social Affairs (UNDESA)
July 2016

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This report was prepared to inform the discussions at the high-level political forum (HLPF) on sustainable development in 2016. The theme chosen for the HLPF is "ensuring that no one is left behind". The report builds on GSDR2014 and GSDR2015. The approach is of an assessment of assessments, documenting and describing the landscape of information on specific issues or nexuses of issues. Specifically, the report keeps the ‘science-policy interface’ and ‘SDGs as integrated system’ as main threads. Main topics include: ensuring that no one is left behind and the 2030 Agenda; the infrastructure – inequality – resilience nexus; perspectives of scientists on technology and the SDGs; inclusive institutions for sustainable development; and identification of emerging Issues for sustainable development. An annex addresses persons with disabilities specifically, highlighting their over-representation in the "furthest behind".

Understanding vulnerability of Afghans with disability : livelihoods, employment, income

BAKHSHI, Parul
TRANI, Jean-Francois
2006

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This report , written in a clear, accessible style, aims to identify the main priorities to be followed to improve livelihoods for disabled people and other vulnerable groups in Afghanistan. It pays particular attention to approaches that promote empowerment, mainstreaming and equalisation of opportunities. One aim of this work is to highlight the disability movement in Afghanistan and advocate for government labour laws that encourage the employment of disabled people. This work would be useful for anyone with an interest in livelihoods, disability and development

Information and communication technologies and broad-based development : a partial review of the evidence

GRACE, Jeremy
KENNY, Charles
QIANG, Christine
et al
February 2004

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This paper reviews some of the evidence for the link between telecommunications and the Internet and economic growth, the likely impact of the new ICTs on income inequality and anecdotal evidence regarding the role of the Internet in improving government services and governance. It looks at methods to maximise access to the new ICTs, and improve their development impact both in promoting income generation and in the provision of quality services. The authors also note that the implementation of ICTs must be part of a broader reform agenda

Skills development in sub-Saharan Africa

JOHANSON, Richard
ADAMS, Arvil
2004

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This report discusses the programme Technical and Vocational Education and Training (TVET). The aim of this programme was to support economic development through skilled technical and vocational education and training in the Sub-Saharan African region. The report provides a summary of the TVET programme and highlights the competition that results from technological changes which requires higher levels of skills and productivity. Case studies and statistical analyses from several countries are presented. This report would be useful for practitioners interested in skills development in Sub-Saharan Africa

Integrating intellectual property rights and development policy : report of the commission on intellectual property rights

COMMISSION ON INTELLECTUAL PROPERTY RIGHTS (CIPR)
September 2002

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This detailed and thorough report considers whether and how intellectual property rights (IPRs) can play a role in achieving the Millenium Development Goals. It explores the potential benefits of IPRs in stimulating economic growth, and the associated benefits in terms of productivity and reduced poverty. It considers also the barriers that IPRs may present to developing economies, including discouraging invention, research, technology transfer, domestic production and driving up the costs of medicines and agricultural inputs. Key issues covered in successive chapters include: current evidence about the impact of IPRs in developing countries; development of and access to medicines; protection of plants and genetic resources; the Convention on Biological Diversity, traditional knowledge, cultural expressions and geographic indicators; copyright and patents; IPR legislation for developing countries; international and national institutional framework for IPRs

Information and communication technology : poverty and development in sub-Saharan Africa and south Asia

PIGATO, Miria
2001

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This lengthy report examines the patterns of utilization, ownership and affordability of ICT in these two regions. It also discusses the application of ICT to the poor by the private sector, government and NGOs. The paper notes the significant gap between industrialized countries and these two regions and two internal gaps - between the richest and poorest and between the urban and rural areas. It also notes several principles for ICT use to alleviate poverty.

Technology justice : a call to action

MEIKLE, Amber

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This publication presents the concept of Technology Justice and the case for radical and urgent action to achieve it. It provides an insight into three key global technology injustices, using example cases from different countries and sectors to explore various drivers of this injustice. These Include: why the poor cannot access or use the essential technologies that others take for granted; how misuse and overuse of technologies is damaging the environment we live in now, and stacking up problems for future generations; how technological innovation often contributes to these injustices, and fails to focus on solving the most pressing social and environmental challenges we face. The report ends with a call to action, outlining the need for change

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