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Methods for the economic evaluation of health care programmes. 4th edition. Chapter 1 to 3)

DRUMMOND. Michael
et al
September 2015

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The analytical and policy challenges that face health systems in seeking to allocate resources efficiently and fairly are discussed. A critical appraisal framework is employed, which is useful both to researchers conducting studies and to decision-makers assessing them. Practical examples are provided throughout to aid learning and understanding. A key part of evidence-based decision making is the analysis of all the relevant evidence to make informed decisions and policy.

The economic lives of people with disabilities in Vietnam

PALMER, M
GROCE, N
MONT, D
NGUYEN, O H
MITRA, S
July 2015

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Through a series of focus group discussions conducted in northern and central Vietnam, this study gives voice to the lived economic experience of families with disabilities and how
they manage the economic challenges associated with disability. The dynamic of low and unstable income combined with on-going health care and other disability-related costs
gives rise to a range of coping mechanisms (borrowing, reducing and foregoing expenditures, drawing upon savings and substituting labour) that helps to maintain living standards
in the short-run yet threatens the longer-term welfare of both the individual with disability and their household. Current social protection programs were reported as not accessible to
all and while addressing some immediate economic costs of disability, do not successfully meet current needs nor accommodate wider barriers to availing benefits.

A multifaceted program causes lasting progress for the very poor : evidence from six countries

BANERJEE, Abhijeet
et al
May 2015

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This article presents results from six randomized control trials of an integrated approach to improve livelihoods among the very poor. The graduated approach combines the transfer of a productive asset with consumption support, training, and coaching plus savings encouragement and health education and/or services. Results from the implementation of the same basic program, adapted to a wide variety of geographic and institutional contexts and with multiple implementing partners, show statistically significant cost-effective impacts on consumption (fueled mostly by increases in self-employment income) and psychosocial status of the targeted households. The impact on the poor households lasted at least a year after all implementation ended. It is possible to make sustainable improvements in the economic status of the poor with a relatively short-term intervention

Science, Vol 348, Issue 6236

Can households cope with health shocks in Vietnam?

MITRA, S
PALMER, M
MONT, D
GROCE, N
May 2015

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"This paper investigates the economic impact of health shocks on working-age adults in Vietnam during 2004-2008, using a fixed effects specification. Health shocks cover disability and morbidity and are measured by 'days unable to carry out regular activity', 'days in bed due to illness/injury', and 'hospitalization'. Overall, Vietnamese households are able to smooth total non-health expenditures in the short run in the face of a significant rise in out-of-pocket health expenditures. However, this is accomplished through vulnerability-enhancing mechanisms, especially in rural areas, including increased loans and asset sales and decreased education expenditures. Female-headed and rural households are found to be the least able to protect consumption. Results highlight the need to extend and deepen social protection and universal health coverage."

The economic costs of exclusion and gains of inclusion of people with disabilities : evidence from low and middle income countries

BANKS, Lena Morgon
POLACK, Sarah
2015

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This report, formed of two parts, provides robust empirical basis to support the theorized disability-poverty link. The first section presents a systematic review of the literature on the relationship between disability and economic poverty. The second section explores the economic consequences of the exclusion and inclusion of people with disabilities in the areas of education, employment and health. The key pathways through which these economic costs may arise are discussed and studies that have attempted to quantify the financial impacts are reviewed

Dialogues on sustainable development : a disability-inclusive perspective

KEOGH Mary
2015

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“This publication, with contributions from civil society, UN agencies and EU institutions as well as disability and development organisations…highlights the many commonalities between disability-inclusive development and a range of overarching development themes. It is structured around the three basic elements of sustainable development – economic, social and environmental sustainability – and discusses a range of sub topics relevant to these areas” 

 

Note: easy-to-read version is provided as a related resource link

Making sure people with disabilities everywhere can have a better future

CHRISTOFFEL BLINDENMISSION (CBM)
2015

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“This easy-to-read version outlines countries’ development plans looking at how all people in the world can have a better life. The plans involve jobs and money, having a say, women and girls, making cities easier to live in, being clean and safe, coping when big problems happen and having access to information. A case study is also provided

African disability rights yearbook

NGWENA, Charles
et al
2015

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This volume of the African Disability Rights Yearbook is divided into three sections presenting articles, country reports and commentaries on regional developments, and has added a new feature in the form of a book review section. The first section (A) of the journal presents a number of articles on issues affecting people with disabilities in Africa, ranging from sexual and reproductive rights to socio-economic issues. Section B presents a number of country reports on Eritrea, Lesotho, Morocco, Sierra Leone, Swaziland, Tunisia. Section C presents two articles focussing on regional development; one on disability rights and emergency legislation, and another on the right to political participation for people with disabilities in Africa. Finally the journal presents a review of A.S. Kanter’s 2014 book "The development of disability rights under international law: From charity to human rights"

Volume 3

Education 2030 Incheon Declaration And Framework for action towards inclusive and equitable quality education and lifelong learning for all

WORLD EDUCATION FORUM 2015
2015

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UNESCO together with UNICEF, the World Bank, UNFPA, UNDP, UN Women and UNHCR organized the World Education Forum 2015 in Incheon, Republic of Korea, from 19 – 22 May 2015, hosted by the Republic of Korea. Over 1,600 participants from 160 countries, including over 120 Ministers, heads and members of delegations, heads of agencies and officials of multilateral and bilateral organizations, and representatives of civil society, the teaching profession, youth and the private sector, adopted the Incheon Declaration for Education 2030, which sets out a new vision for education for the next fifteen years.

Towards 2030: a new vision for education

Our vision is to transform lives through education, recognizing the important role of education as a main driver of development and in achieving the other proposed SDGs. We commit with a sense of urgency to a single, renewed education agenda that is holistic, ambitious and aspirational, leaving no one behind. This new vision is fully captured by the proposed SDG 4 “Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all” and its corresponding targets. It is transformative and universal, attends to the ‘unfinished business’ of the EFA agenda and the education-related MDGs, and addresses global and national education challenges. It is inspired by a humanistic vision of education and development based on human rights and dignity; social justice; inclusion; protection; cultural, linguistic and ethnic diversity; and shared responsibility and accountability. We reaffirm that education is a public good, a fundamental human right and a basis for guaranteeing the realization of other rights. It is essential for peace, tolerance, human fulfilment and sustainable development. We recognize education as key to achieving full employment and poverty eradication. We will focus our efforts on access, equity and inclusion, quality and learning outcomes, within a lifelong learning approach.

 

Action and commitments required to implement the agenda are presented.

Disability at a glance 2015: Strengthening employment prospects for persons with disabilities in Asia and the Pacific

UN ECONOMIC AND SOCIAL COMMISSION FOR ASIA AND THE PACIFIC (ESCAP), Social Development Division
2015

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This report, the fifth edition in the Disability at a Glance series, focuses on barriers to the employment of persons with disabilities in the Asia-Pacific region, and offers solutions to strengthen their employment prospects. It offers a regional overview of disability legislation, policies and practices, as well as relevant country-specific information with a particular emphasis on the employment of persons with disabilities. The information is drawn from a targeted disability survey carried out in 2015 by the ESCAP secretariat, and research undertaken by other organizations and scholars.

The publication consists mainly of two parts. In Part 1, Chapter 1 discusses key employment trends shaping the experiences of persons with disabilities in Asia and the Pacific. Chapter 2 considers the major barriers that persons with disabilities face as they seek to find decent work in the open labour market. Chapter 3 explores a number of strategies used by governments and in the private sector to promote greater access to employment for persons with disabilities. Finally, Chapter 4 lays out a series of action points governments should consider in their efforts to remove the numerous employment barriers faced by many millions of disabled people. In Part 2, country snapshots provide the latest demographic, socioeconomic and employment-specific data from 58 countries in 5 ESCAP subregions .

Assistive technology for children with disabilities: Creating opportunities for education, inclusion and participation. A discussion paper

BORG, Johann
et al
2015

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Based on evidence, examples (case studies), and a range of information the UNICEF-WHO discussion paper proposes a set of recommendations and actions to ensure every child with a disability has access to quality assistive technologies so that they can flourish and become productive members of society. Some recommended key actions are:

  • Estimate needs and map resources
  • Adopt legislation, policies and strategies
  • Provide funding and increase affordability
  • Set up assistive technology service provision systems
  • Ensure supply of quality assistive products
  • Train personnel
  • Establish partnerships

Revolutionary entanglements: Transversal mappings of disability in the favela

NASCIMENTO, Ashley Do
SKOTT-MYHRE, Hans A
SKOTT-MYHRE, Kathleen S G
2015

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This paper examines, complicates and contests the implicit discourse of children living in poverty as inherently disabled. Challenging the media portrayal of young people living in the favelas in Rio de Janeiro within the neo-liberal discourse of development, the article will draw on the experience of one of the author’s (Ashley Do Nascimento) experience as a child and youth care worker and ethnographer in a favela in Rio. An argument will be made for re-thinking dis-ability in relation to poverty and childhood in the global south.

 

Disability and the Global South (DGS), 2015, Vol. 2 No. 2

Equal basis 2014 : access and rights in 33 countries

BURKE, Megan
PERSI VICENTIC, Loren
December 2014

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This report presents research about efforts to meet the needs and uphold the rights of persons with disabilities in four thematic areas: health care, rehabilitation, work and employment, and accessibility and enabling environments. Research findings are drawn from the experiences of landmine and cluster munition survivors and other persons with similar needs in 33 countries experiencing armed conflict or emerging from armed conflict or political or economic transition. Findings are placed within the context of relevant articles of the Convention on the Rights of Persons with Disabilities and the World Report on Disability

Equality at the core : a call for a strong commitment to tackling inequalities through the post-2015 agenda

BEYOND 2015
November 2014

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At the Copenhagen Conference, with 170 representatives across 46 countries, the campaign discussed the vital importance of achieving equality across all levels and themes of the post-2015 framework, and through implementation and accountability mechanisms addressing all three dimensions of sustainable development (social, economic and environmental). This Beyond 2015 Copenhagen Statement contains recommendations to contribute to the forthcoming intergovernmental negotiations, and other decision-making processes relevant to the post-2015 agenda, including discussions around the UN Secretary General’s Synthesis Report

Beyond 2015 Copenhagen Conference

November 2014

Copenhagen, Denmark

The disabled beggar : a literature review

GROCE, Nora
LOEB, Marie
MURRAY, Barbara
September 2014

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Beggars with disabilities are among the poorest and most disadvantaged in society. Yet they are virtually invisible in the policy agenda of countries around the world, and are often overlooked in programme and advocacy efforts to improve opportunities for people with disabilities in general. This literature review originated as part of an exploratory study of beggars with disabilities in Ethiopia, published by the Leonard Cheshire Disability and Inclusive Development Centre in collaboration with the ILO in 2013 based on fieldwork undertaken by Professor Groce in Addis Abba. It has been updated and published separately as a contribution to debates on the social and economic inclusion of people with disabilities, on poverty reduction and social protection

Gender, Equality and Diversity Branch, Working Paper No. 1

Understanding financial access to physical and functional rehabilitation services in developing countries.

LETOURMY, Alain
July 2014

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"This document is an overview aimed at providing an understanding of the economics of the physical and functional rehabilitation system. It is the first part of a study aimed at giving Handicap International’s teams in the field a tool for diagnosing the economic system for physical and functional rehabilitation, starting with West Africa. The proposed diagnostic tool will be the subject of another publication. The study was done in two stages. First, an analysis of the economic system for physical and functional rehabilitation was done and this led to an initial draft of a tool. Starting from that draft, a study done in Burkina Faso then helped to clarify many points and give a concrete picture of the concepts which would be useful in carrying out the analysis. This report is devoted to providing an economic analysis of the physical and functional rehabilitation system"
 

How politics and economics intersect : a simple guide to conducting political economy and context analysis

OXFAM
June 2014

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"The intention of this guide is to provide practical guidance on how Oxfam undertakes political economy analysis (PEA) in order to inform operations and programming. It is based on the experience of working with Oxfam Myanmar (and heavily features this experience), initially looking at how PEA could be used to address two areas: 1) ‘How can citizens/civil society get engaged with local planning and budgeting processes?’ and 2) ‘How will the economic opening up of Myanmar affect small-scale farmers?’"

Making microfinance accessible to persons with disabilities: awareness and attitudes among Indian microfinance institutions

GUPTA, Vin
May 2014

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This research focuses on three stakeholders: Microfinance Institutions (MFIs), Persons with Disabilities (PWD), and non-disabled clients. It attempts to highlight the following:

  • Understanding of MFIs about disability, their perceptions of persons with disabilities, and their preparedness to include them as potential clients
  • Concerns and apprehensions of PWD to becoming potential MFI clients
  • Views of non-disabled clients on including PWD in their groups

The study investigates the knowledge and the perceptions about disability among each stakeholder group and attempts to elucidate how that impacts the ability of PWD to access microfinance services. Four microfinance institutions of different geographic areas were studied. The survey inolved 1,000 people of whom 57 were disabled. 

Victim assistance factsheets

HANDICAP INTERNATIONAL
2014

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The factsheets were developed by Handicap International (HI) as a tool to provide concise information on what victim assistance (VA) is and on how to translate it into concrete actions that have the potential to improve the quality of life of mine/ERW victims and persons with disabilities. The factsheets target States Parties affected by mine/ERW, States Parties in a position to provide assistance, as well as organizations of survivors and other PwD, and other civil society - and international organizations.

 

This package consists of 12 factsheets. Six focus on a specific sector or public policy area that VA is an integral part of and the remaining six are dedicated to cross-cutting issues. With a view to promote synergies between different frameworks, each factsheet makes clear links with development sectors and issues.

 

The 12 topics include: Medical care, Rehabilitation, Psychological & psycho-social support, Education, Social inclusion, Economic inclusion, Gender, Empowerment, Accessibility & Access to services, Data collection, National Action Plans, Coordination, and International Cooperation and assistance

Inclusion of youth with disabilities: The business case

INTERNATIONAL LABOUR ORGANISATION
January 2014

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This is a how-to guide for companies interested in integrating youth with disabilities into their workforce. "This guide is based on initiatives that are currently tried out by ten companies to employ youth with disabilities in eight countries (Brazil, Chile, China, India, Norway, Republic of Serbia, Singapore and the United States). Good practices and useful insights are identified and explained through first-hand accounts. First, the business case for employing youth with disabilities is made. This section will highlight how two companies benefited from initiatives to employ youth with disabilities. Next, four reoccurring good practices that were cited in the featured cases are given particular consideration:

  • partner with an organization that specializes in disability services;
  • provide (when necessary) disability-accessible skills training;
  • offer recruitment and job placement services;
  • embrace a policy of inclusion and non-discrimination"

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