Poverty reduction and disability

Disability and poverty are intricately linked in a vicious cycle: people with disabilities are more prone to live in chronic poverty, which in turn can lead to disabling conditions. Disability movements advocate for a break in this link through the systematic inclusion of disability as a cross-cutting issue within all development processes.

More research is emerging in the field about the complex association between disability and poverty in developing countries; however, there are challenges with the studies such as limitations with disability measures, economic indicators and methods.

This key list of resources provides a general overview, both of broad theoretical discussions as well as more practical resources, specifically relating to poverty reduction strategies and the millennium development goals (MDGs). The section on case studies applies these issues to geographical areas in Africa and Asia, and to topical areas such as gender and employment. We welcome your suggestions: please send comments or suggested additions to sourceassistant@hi-uk.org.

Selected resources

Chronic poverty and disability

YEO, Rebecca
2001

Expand view

This report summarises the interconnections between disability and chronic poverty. After giving general information about different stakeholders, principles and structures, it presents two case studies (from India and Uganda) where action is being taken to mitigate or reduce chronic poverty among disabled people

Disability and poverty : a survey of World Bank poverty assessments and implications

BRAITHWAITE, Jeanine
MONT, Daniel
February 2008

Expand view

"This discussion paper reviews the World Bank poverty assessment literature on the relationship between disability and poverty. The paper found that using standard assumptions about the distribution of household consumption among household members and the typical way that poverty lines are set in World Bank poverty assessments was not as significant as common sense and anecdotal evidence would suggest"
Social Paper Discussion Paper No 0805

Disability and poverty in developing countries : a snapshot from the World Health Survey

MITRA, Sophie
POSARAC, Aleksandra
VICK, Brandon
April 2011

Expand view

This paper outlines the economic and poverty situation of working-age persons with disabilities and their households in 15 developing countries. Using data from the World Health Survey, the study presents estimates of disability prevalence, individual-level economic well-being, household-level economic well-being, and multidimensional poverty measure. Detailed appendices are provided to support the results of the study. This paper is useful for people interested in the social and economic conditions of people with disabilities in developing countries
Social Protection Discussion Paper No 1109

Disability, poverty and development

DEPARTMENT FOR INTERNATIONAL DEVELOPMENT (DFID)
2000

Expand view

This is a major policy document from DFID, the British government's overseas aid department. It assesses the significance of disability as a key development issue, and its importance in relation to poverty, human rights and the achievement of internationally agreed development targets. It also sets out ways in which development cooperation, including DFID's own work, can help incorporate the rights and needs of disabled people into the mainstream of poverty reduction work and the achievement of human rights. It is useful for disability policy makers, NGOs and disabled people working in advocacy and development

Fact sheet on persons with disabilities

UNITED NATIONS ENABLE

Expand view

This resource highlights facts about disability globally and describes people with disabilities as the world’s largest minority. Key information is provided about education, employment and violence with respect to people with disabilities. It would be useful for people interested in learning about global disability issues

Hear our voices : a global report

INCLUSION INTERNATIONAL
November 2006

Expand view

In this resource, intellectually disabled people and their families speak out about social exclusion and poverty. The broader scope of this work is to understand why this group has not managed to benefit from the millennium development goals and examine regional barriers to change. This document concludes with a set of recommendations and best practices from NGOs, civil society members and government officials. This resource would be useful for anyone with an interest in social exclusion disability and development

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

Expand view

"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

Poverty and disability : a critical review of the literature in low and middle-income countries

GROCE, Nora
et al
September 2011

Expand view

"This paper critically reviews and synthesises the currently available evidence base regarding the relationship between disability, poverty and health. While it is widely asserted that disability and poverty are closely linked, this is the first review that explicitly asks: ‘What is the current evidence base for the link between disability, poverty and health in low-and middle-income countries?...This paper presents findings from our critical review, and a discussion of those themes that emerge from the small evidence based sample we found. However, our most significant finding is the current lack of strong evidence on the links between disability poverty and health - evidence which is needed to build effective international development policy and global health programming"
Working paper 16

Poverty and disability : a survey of the literature

ELWAN, Ann
1999

Expand view

This review summarises the literature on disability and its relationship to poverty, including education, employment, income, and access to basic social services. Despite the dearth of formal analysis, it is clear that in developing countries, as in more developed areas, disabled people (and their families) are more likely than the rest of the population to live in poverty. It is a two-way relationship -- disability adds to the risk of poverty, and conditions of poverty increase the risk of disability. Disability in developing countries stems largely from preventable impairments associated with communicable, maternal and perinatal disease and injuries, and prevention has to remain a primary focus. An increasing emphasis on community- based participatory rehabilitation reflects growing recognition of the inadequacy of past official programmes, particularly those involving specialised and exclusionary institutions

Disability and poverty reduction strategies : how to ensure that access of persons with disabilities to decent and productive work is part of the PRSP process

INTERNATIONAL LABOUR ORGANIZATION (ILO)
2002

Expand view

The World Bank and International Monetary Fund's poverty reduction strategy paper (PRSP) approach has been widely adopted by many countries. However the examination of current PRSPs shows that disabled people have been forgotten in most of them. This paper summarises reasons why it is important to include disabled people in the PRSP process. It also presents how disabled people should be included in the PRSPs and analyses the way disability has been treated in the PRSP sourcebook

Poverty reduction strategies : their importance for disability

BONNEL, Rene
July 2004

Expand view

This report reviews the disability policy content of the Poverty Reduction Strategy Papers (PRSPs) to analyze if disabled people are included in the poverty reduction programs. The report focuses upon whether the specific poverty dimensions of disabled persons are acknowledged and whether the critical interventions for improving the economic and social integration of disabled persons are included in PRSPs. This report is useful for people interested in disability and the PRSPs

Technical assistance for identifying disability issues related to poverty reduction

ASIAN DEVELOPMENT BANK (ADB)
2000

Expand view

This article provides tools that help to address the situation of disabled people living in poverty. It helps to identify national policies, programmes, projects and initiatives concerning disability and poverty to develop action plans. The article will be helpful for project and programme managers, policy advisors, NGOs and development aid agencies

To what extent are disabled people included in international development work? How can the barriers to inclusion be overcome?

YEO, Rebecca
2003

Expand view

This paper is a result of research carried out with international development organisations in the UK to examine the extent to which disabled people are included in their work and to look at the barriers to inclusion and at strategies to overcome these barriers. The paper examines the problems that organisations have in including disabled people and solutions that might overcome these.

Disability and the millennium development goals : a review of the MDG process and strategies for inclusion of disability issues in millennium development goal efforts

GROCE, Nora
2011

Expand view

This report provides an overview "for why and how disability can and should be included in the planning, monitoring and evaluation of MDG related programmes and policies." This report is useful to people working in disability advocacy, programming and outreach efforts, as well as people those working on MDG-related efforts

Keeping the promise : realizing the Millennium Development Goals for persons with disabilities towards 2015 and beyond

UNITED NATIONS
July 2010

Expand view

This report presents a "comprehensive biennial review on the implementation of the World Programme of Action concerning Disabled Persons, and the progress and challenges concerning the advancement of persons with disabilities in the context of development and the realization of the Millennium Development Goals." It consists of an introduction, five informative sections, and recommendations to advance disability-inclusive Millennium Development Goals and other internationally agreed development goals by member states and other stakeholders. The detailed annexes provide further technical information in support of the recommendations

Chronic poverty and disability in Uganda

LWANGA-NTALE, Charles
2003

Expand view

The purpose of this study is to examine the relationship of long-duration poverty and disability. It seeks to summarise the current state of knowledge about disability and chronic poverty in Uganda; discuss factors that lead to disabled people living in perpetual poverty; describe efforts to address the long-term poverty of disabled people in Uganda; and propose policy interventions aimed at the inclusion of disabled people in Uganda's development process

Economic implications of chronic illness and disability in Eastern Europe and the former Soviet Union

METE, Cem
Ed
2008

Expand view

Specific to Eastern Europe and the former Soviet Union, this comprehensive resource aims to examine the poverty-disability relationship in transition countries. It explores the linkages between disability and employment, school enrolments, and the time-use of adults. This report also considers more broadly the nature of service delivery and the socio-economic implications for disabled people

Measuring welfare for small but vulnerable groups : poverty and disability in Uganda

HOOGEVEEN, Johannes G
2004

Expand view

When vulnerable groups such as disabled people are surveyed, representative welfare estimates from non-purposive sample surveys becomes an issue. This paper takes the example of Uganda and describes the connections between disability, poverty, wellbeing and social welfare. This is possibly the first time that statistically representative information on income poverty amongst disabled people has been generated for a developing country

Participation of disabled people in the PRSP/PEAP process in Uganda

DUBE, Andrew K
2005

Expand view

Disabled people have been neglected in programmes for poverty allevation. Uganda was one of the first countries to develop a poverty reducation strategy paper (PRSP) and also started to include disabled people into the follow up phases. This report shows the challenges that the disability movements in Uganda and other African countries are facing in the processes of poverty allevation programmes. It seeks to document the experience in Uganda to draw out lessons for other countries going through PRSP processes.

Spatial variation in the disability-poverty correlation : evidence from Vietnam

MONT, Daniel
NGUYEN, Cuong
August 2013

Expand view

"Poverty and disability are interrelated, but data that can disentangle the extent to which one causes the other is not available. However, data from Vietnam allows us to examine this interrelationship in a way not previously done. Using small area estimation techniques, we uncover three findings not yet reported in the literature. First, disability prevalence rates vary significantly within a county even at the district level. Second, the correlation between disability and poverty also varies at the district level. And most importantly, the strength of the correlation lessens based on district characteristics that can be affected by policy. Districts with better health care and infrastructure, such as roads and health services, show less of a link between disability and poverty, supporting the hypothesis that improvements in infrastructure and rehabilitation services can lessen the impact of disability on families with disabled members"
Working Paper Series, No 20

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

BAKHSHI, Parul
TRANI, Jean-Francois
2006

Expand view

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