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Shaping health systems to include people with disabilities. K4D emerging issues report

DEAN, Laura
et al
November 2018

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People with disabilities are at a heightened risk of communicable and non-communicable diseases and these diseases can cause debility and disability. Health needs of these people often extend beyond requiring continual longterm medical support to addressing broader social inequities. Key areas that are likely to be critical in re-orientating health systems from a biomedical approach towards inclusive health systems that are more responsive to the needs of people with debility and disability in low and middle-income countries (LMICs) are offered in this report and cover the following:

 

  • 1. Nothing about us without us: prioritising person-centred health systems
  • 2. Responding to issues of access in mainstreaming disability within health systems
  • 3. Ensuring the provision of specialised services
  • 4. Community based rehabilitation 
  • 5. Improving the collection and use of disability related data against modified legal and policy frameworks
  • 6. Partnerships are paramount
  • 7. Financing and social protection 

Case studies are provided from Sudan, India, Liberia, Uganda and Nigeria

WORLD ECONOMIC AND SOCIAL SURVEY - 2016 Climate Change Resilience: an opportunity for reducing inequalities

United Nations Secretariat, Department for Economic and Social Affairs (UNDESA)
2016

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This survey contributes to the debate on the implementation of the 2030 Agenda for Sustainable Development. In addressing the specific challenge of building resilience to climate change, the Survey focuses on population groups and communities that are disproportionately affected by climate hazards, whose frequency and intensity are increasing with climate change. It argues that, in the absence of a continuum of policies designed to reduce the exposure and vulnerability of people to climate change, poverty and inequalities will only worsen. To the extent that the differential impact of climate hazards on people and communities is determined largely by the prevalence of multiple inequalities in respect of the access to resources and opportunities, policies aimed at building climate resilience provide an opportunity to address the structural determinants of poverty and inequality in their multiple dimensions.

Disability inclusion : topic guide

ROHWERDER, Brigitte
November 2015

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This topic guide summarises evidence on the key debates and challenges of disability inclusion in development and humanitarian response. Disability does not necessary imply limited wellbeing and poverty. Yet there is growing evidence that the estimated one billion people with disabilities face attitudinal, physical and institutional barriers that result in multi-dimensional poverty, exclusion and marginalisation. Disability inclusion could increase earnings, tax revenues, and individual and societal wellbeing. It need not be costly or complicated. Inclusive approaches are more cost-effective than piecemeal disability interventions. GSDRC Topic Guides aim to provide a clear, concise and objective report on findings from rigorous research on critical areas of development policy. Their purpose is to inform policymakers and practitioners of the key debates and evidence on the topic of focus, to support informed decision-making

Available in both pdf and online versions

Leave no one behind : the real bottom billion

BHATKAL, Tanvi
SAMMAN, Emma
STUART, Elizabeth
September 2015

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"This paper sets out why the ‘leave no one behind’ agenda should be a key priority (i) in implementing the SDGs in all countries and (ii) in assessing whether or not governments have met them. It underlines how deeply entrenched marginalisation is, how vulnerabilities often overlap to amplify multiple disadvantages, and just how little we know about some groups that are likely to be deprived"

Development for all 2015-2020 : strategy for strengthening disability-inclusive development in Australia’s aid program

AUSTRALIAN GOVERNMENT DEPARTMENT OF FOREIGN AFFAIRS AND TRADE (DFAT)
May 2015

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The objective of Australia’s work in disability-inclusive development is to improve the quality of life of people with disabilities in developing countries by enhancing participation and empowerment of people with disabilities, reducing poverty among people with disabilities and improving equality for people with disabilities in all areas of public life. This strategy document “provides guidance for DFAT’s strategic decision making by articulating key opportunities for strengthening disability-inclusive development where DFAT can make the most difference—addressing the key challenges of disability-inclusive development in the Indo-Pacific, using Australia’s expertise, and aligning our efforts with the priorities of Australia’s aid program. For external stakeholders, this strategy is a non-binding public articulation of the Australian Government’s continued commitment to disability-inclusive development and highlights our approach, principles and priorities”

 

Global status report on disability and development prototype 2015

UNITED NATIONS DEPARTMENT OF ECONOMIC AND SOCIAL AFFAIRS (DESA)
2015

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This report situates disability and inclusion within the broader context of sustainable development, with a particular focus on the Sustainable Development Goals (SDGs). The paper provides background on the historical role of the UN in promoting inclusion and outlines the current trends and challenges facing people with disabilities globally. The following section presents these challenges within the context of the SDGs, showing that disability needs to be tackled if the SDGs are to be achieved. It concludes with a number of recommendations for a disability-inclusive 2030 agenda for sustainable development

Making education a priority in the post-2015 development agenda : report of the global thematic consultation on education in the post-2015 development agenda

SAYED, Yusuf
September 2013

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"The message is clear: Quality education and lifelong learning are key to sustainable development. The report offers a summary of the main themes and messages that have emerged from the wide-ranging contributions to the consultation featuring voices of people from around the world. The report draws from a variety of platforms and in-person consultations including an online education platform and e-discussions with the voices and participation of over 21,000 people from over 100 countries...The result of these discussions includes a look at what has been achieved since the launch of the Millennium Development Goals in 2000, the gaps and priorities needed to address what young people need to learn and recommendations for 2015 and beyond"

The global conversation begins : emerging views for a new development agenda

UNITED NATIONS DEVELOPMENT PROGRAM (UNDP)
March 2013

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This report presents a snapshot of the current stories emerging from the global exercise in listening to people’s perspectives and priorities. This report was published as consultations were still under way, in an effort to reflect on preliminary results for the Secretary-General’s High-level Panel of Eminent Persons on the post-2015 Development Agenda, as well as the Open Working Group on Sustainable Development Goals

Synthesis report on the global thematic consultation on addressing inequalities : synthesis report of global public consultation

UNITED NATIONS CHILDRENS FUND (UNICEF)
UN WOMEN
March 2013

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This report presents the key messages that emerged from the Global Thematic Consultation on addressing Inequalities. It explores why there are inequalities, what structural factors produce them, their effects, and how to tackle them. The report also makes recommendations for the post-2015 framework

The Global Thematic Consultation on Addressing Inequalities in the Post-2015 Development Agenda
September 2012 - January 2013

Post-2015 development goals : eighth report of session 2012-2013|Volume I : report, together with formal minutes, oral and written evidence

INTERNATIONAL DEVELOPMENT COMMITTEE
January 2013

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The UK International Development committee "report begins (Chapter 2) with a more detailed exploration of the processes by which the post-2015 development goals are being developed and the consultations which are being undertaken. In Chapter 3, we consider what the overarching purpose of the new goals should be, including consideration of the extent to which development should be integrated with issues of environmental sustainability. In Chapter 4, we assess the potential content of the post-2015 framework. In doing so, our intention is not to be prescriptive, but to set out some broad issues to be borne in mind when the framework is being developed. Finally, in Chapter 5, we assess the potential structure of the new framework, including a consideration of the role of targets and indicators"
HC 657
Note: Additional written evidence is contained in Volume II, available on the Committee website

Disability inclusive millennium development goals and aid effectiveness : a conference report

LEONARD CHESHIRE DISABILITY
UN Economic and Social Commission for Asia and the Pacific (UNESCAP)
2013

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This report presents the proceedings, discussions and presentations from a joint conference organised by Leonard Cheshire Disability and UNESCAP. The conference reviewed the international and regional mandates on disability and aid effectiveness, identified challenges and good practices in measuring the impact and quality of disability-inclusive development, and identified ways to implement disability-inclusive development effectively on the ground and at policy level. This report is useful for anyone interested in disability and development
"Disability inclusive millennium development goals and aid effectiveness"
14-16 March 2012
Bangkok, Thailand

A new global partnership : eradicate poverty and transform economies through sustainable development|The report of the high-level panel of eminent persons on the post-2015 development agenda

SECRETARY-GENERAL’S HIGH LEVEL PANEL OF EMINENT PERSONS ON THE POST-2015 DEVELOPMENT AGENDA
2013

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This report outlines a universal agenda to eradicate extreme poverty globally by 2030 and deliver on the promise of sustainable development. The report calls upon the world to rally around a new Global Partnership that offers hope and a role to every person in the world. It recommends the new development agenda should carry forward the spirit of the Millennium Declaration and the best of the MDGs, with a practical focus on things like poverty, hunger, water, sanitation, education and healthcare
The report presents the post-2015 agenda as a universal agenda that it needs to be driven by five big transformative shifts: (1)leave no one behind; (2)put sustainable development at the core; (3)transform economies for jobs and inclusive growth; (4) Build peace and effective, open and accountable institutions for all; (5)Forge a new global partnership. This report is useful to anyone interested in the post-2015 development agenda

A million voices : the world we want|A sustainable future with dignity for all

UNDG MILLENNIUM DEVELOPMENT GOALS TASK FORCE
2013

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"This report by the United Nations Development Group (UNDG) collects the perspectives on the 'world we want' from over 1 million people around the globe. For almost one year, people have engaged energetically in 88 national consultations, 11 thematic dialogues, and through the MY World global survey...The findings of this global conversation contain important messages for governments as they seek to agree on a new development agenda that can build on the successes of the Millennium Development Goals (MDGs)"

Disabled people and the post-2015 development goal agenda through a disability studies lens

WOLBRING, Gregor
MACKAY, Rachel
RYBCHINSKI, Theresa
NOGA, Jacqueline
2013

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The purpose of this study was to examine the role and visibility of disabled people in the discourses of various global policy processes related to sustainable development and the Post-2015 development agenda. This article makes several recommendations for strengthening the role of disabled people in these discourses. The research addresses the question of how the disability community and sustainable development community relate to each other in these discourses. This study provides quantitative and qualitative data on three aspects of the relationship. One set of data highlights who is seen as a stakeholder in general and the visibility of disabled people in the social sustainability, sustainable consumption, Rio+20 and Post-2015 development agenda proposals discourses and what participants of the online consultation for a disability inclusive development agenda towards 2015 and beyond had to say about the issues of visibility of disabled people in development discourses. A second set of data illuminates the attitudes towards disabled people evident in the SD discourses including through the eyes of the participant of the online consultation for a disability inclusive development agenda towards 2015 and beyond. The final set of data compares the goals and actions seen as desirable for the advancement of SD evident in the SD literature covered and the online consultation for a disability inclusive development agenda towards 2015 and beyond. This study interpreted the data through a disability studies lens. The study found that disabled people were barely visible to invisible in the SD literature covered, that the goals and actions proposed in the SD discourses are of high relevance to disabled people but that these discussions have generally not been explicitly linked to disabled people. It found further that disabled people have clear ideas why they are invisible, what the problems with development policies are and what needs to happen to rectify the problems. It found also that there was a lack of visibility of various SD areas and goals within the disability discourse. This paper provides empirical data that can be used to further the goal of mainstreaming of disabled people into the SD and Post-2015 development discourses as asked for in various high-level UN documents. However, we posit that the utility of our paper goes beyond the disability angle. Our quantitative data also highlights other forms of social group visibility unevenness in the literature and as such, we argue that the data we present in this paper is also of use for other stakeholders such as youth, women and indigenous people and also for NGOs and policy makers.

 

Sustainability, Vol 5

Make the post-MDG framework inclusive of persons with disabilities

THE INTERNATIONAL DISABILITY ALLIANCE (IDA)
International Disability and Development Consortium (IDDC)
October 2012

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This position paper of International Disability Alliance and the International Disability and Development Consortium presents recommendations to be taken into account in order to create a more equitable and inclusive post-MDG agenda

Realising the future we want for all : report to the secretary-general

UNITED NATIONS SYSTEM TASK TEAM
June 2012

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"The report begins by reflecting on the experience of the UN system in supporting the implementation of the MDG framework. Building on the lessons learned, the report provides an assessment of the key development challenges to which the global development agenda should respond. It proposes a vision of people-centred, inclusive and sustainable development and initial ideas for possible contours of a post-2015 UN development agenda. It concludes by laying out a possible road map for the process of defining the agenda, including ways of bringing different voices of people around the world into the consultations"

The millennium development goals and beyond : reflections on an international development agenda after 2015

FEDERAL MINISTRY FOR ECONOMIC COOERATION AND DEVELOPMENT (BMZ)
Ed
February 2012

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"The aim of the workshop was to bring together different actors and experts to exchange on topics relevant to the post-MDG agenda at a very early stage. It brought together policy-makers and participants from civil society, academia and think tanks as well as from international organizations, both from developed and developing countries...This documentation is structured according to the workshop program. It gives an overview over the four sessions from the first two days, briefly summarizing the presentations and the subsequent discussions. Furthermore, the documentation reflects the group discussions and brainstorming for a post-MDG-framework on the third day"
Note: the presentations of all sessions can be downloaded online
"The millennium development goals and beyond : reflections on an international development agenda after 2015"
21-23 November 2011
Bonn, Germany

Intergenerational poverty and disability : the implications of inheritance policy and practice on persons with disabilities in the developing world

GROCE, Nora Ellen
LONDON, Jillian
STEIN, Michael Ashley
2012

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"In this paper, we examine the existing data and discuss the implications of current inheritance policies and practices that affect the lives of persons with disabilities and their families, arguing that when persons with disabilities are routinely denied equal rights to inherit wealth or property, this denial has a profound impact on their ability to provide for themselves and their families. The stigma, prejudice and social isolation faced by persons with disabilities and the widespread lack of education, social support networks, and the right to appeal injustices at the family, community or national level, further limits the ability of persons with disability to contest inequities encountered in inheritance policies and practices"
Working paper series No 17

After 2015 : contexts, politics and processes for a post-2015 global agreement on development

MELAMED, Claire
January 2012

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"The Millennium Development Goals expire in 2015, just (four) years time. Discussions are already starting on what might replace them as a global agreement to promote development and poverty reduction. This paper sets out the context for those discussions, and some of the issues that will need to be addressed if a new agreement is to be both effective and politically acceptable"

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