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People are often disabled not because of a diagnosable condition, but because they are denied access to education, labor market, public services, etc. This exclusion leads to poverty and, in a vicious cycle, poverty leads to more disability by increasing their vulnerability (malnutrition, disease, etc.). The priorities of the World Bank -embodied in the MDGs- cannot be achieved without incorporating the 10% of the world’s population which is disabled –given the strong two-way link between poverty and disability.
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Children and Youth - HDN
Integrating ‘Disability’ into the Bank’s Children and Youth Work
30 November, 2004
Juan Felipe Sanchez, Senior Children and Youth Specialist / HDN-CY
Children and Youth - HDN
Eradicating Poverty The World Bank’s Mission
• Two major pillars:– Investment climate
• Finance, infrastructure, labor market reform, etc.
– Investing in people• Education, health, social protection, HIV/AIDS
• The Millennium Development Goals (MDGs) provide a global framework for the WB’s work on children and youth
Children and Youth - HDN
Children and Youth / Disability at the WB
• Children and Youth Unit at the Human Development Hub since 2002
• Disability team at the Human Development Hub since 2002
• Framework for Action (FfA) to provide guidelines and resources for bank staff working on C&Y
• The focus on Orphans and Vulnerable Children section- and within it, disabled children and youth- as part of the FfA
Children and Youth - HDN
“Business Case” Why invest in C&Y?
• Demographic Urgency
• Millennium Development Goals
• Economic Efficiency– Children: Highest leverage point for investments to build
human capital
– Youth: Cost of not investing high
• Political Imperative
• Demand from clients and partners
Need to scale up significantly and swiftly
Children and Youth - HDN
Livelihoodsand
employment
Life-long learning
Healthy behaviors
EarlyChildhood
Development
Child health+ nutrition
Safe, healthyhabitat
Secondary + tertiaryeducation
Primaryeducation
Protection ofthe most
vulnerable(OVC)
Par
tici
pat
ion a
nd E
mpow
erm
ent
Supportive families and communities
Enab
ling p
olicie
s and in
stitutio
ns
Age25
14
6
0
C&Y Conceptual Framework
Starting early…
Children and Youth - HDN
Livelihoodsand
employment
Life-long learning
Healthy behaviors
Secondary + tertiaryeducation
Par
tici
pat
ion a
nd E
mpow
erm
ent
Supportive families and communities
Enab
ling p
olicie
s and in
stitutio
ns
Age25
14
6
0
C&Y Conceptual Framework
Investing in earlier life
…continue with youth
Children and Youth - HDN
Issues and risks differ significantly…
Children Issues/Risks
• Malnutrition
• Childhood Illness
• Getting into school/ staying enrolled
• Unsafe home environment
• Orphans and vulnerable children (AIDS, war, street children, disability)
• Child Labor
Youth Issues/Risks
• No voice in development policies
• Staying in school/high dropout rates
• Finding the first job/ staying employed
• Risky behaviors (early pregnancy, HIV/AIDS, violence and crime, drugs)
Children and Youth - HDN
… and so do potential solutions
• Children (0-14): Doing More and Better – We know increasingly what works
– BUT: how to do it effectively and selectively?
– And catch those falling through the cracks? (e.g. OVC)
• Youth (15-24): More Systematic Focus – Experience and analysis is new and uneven
– How to build on pioneering work? (e.g. LAC and ECA regions)
– How to move from advocacy to evidence? (research and analytic work)
– How to integrate youth voice in all levels of development work
Children and Youth - HDN
7 days
28 days
1 year
Birth
5 years
10 years
20 years
Primary healthcare and nutrition
Adulthood
Aging
Death
Families andcommunities
Participation
Protection
Safe, healthyhabitat
Healthybehaviors
ECDLife-longlearning
PrimaryeducationSecondary and
tertiary education
Policiesand
operationaltools
The life cycle approach provides the links
Children and Youth - HDN
Risks and Vulnerabilities
Vulnerability:• "a high probability of a
negative outcome", or an expected welfare loss above a socially accepted norm, which results from risky/uncertain events, and the lack of appropriate risk management instruments.
Risk Factors• Household level (abuse,
parental loss, neglect, exploitation)
• Community level ( lack of safety nets, stigma, social/ethnic exclusion, violence)
• Macro level (HIV/AIDS, conflict, financial crisis, natural disasters)
Children and Youth - HDN
OVC in the Framework for Action
– Orphans (39 Million, 16 Million of AIDS)
– Child soldiers and children affected by conflict (150,00 War Orphans, 120,000 Child Soldiers and 2 Million permanently Disabled)
– Street children ( 3 Million)
– Domestic servants (5 Million)
– Children bound in the worst forms of child labor & slavery (600,000)
– Disabled children (6 Million)
All data for Sub-Saharan Africa only (source UNICEF Children on the Brink)
Children and Youth - HDN
Disability and poverty
• People are often disabled not because of a diagnosable condition, but because they are denied access to education, labor market, public services, etc.
• This exclusion leads to poverty and, in a vicious cycle, poverty leads to more disability by increasing their vulnerability (malnutrition, disease, etc.)
Children and Youth - HDN
Disability and the MDGs
• The priorities of the Bank embodied in the MDGs cannot be achieved without incorporating the 10% of the world’s population which is disabled –given the strong two-way link between poverty and disability
Children and Youth - HDN
Improving the Bank’s programs by addressing the
issue of disability
• Making Bank programs more accessible, rather than launching a series of parallel programs for disabled people
• Integrating disability creates synergies between a number of different themes by tying them together
Children and Youth - HDN
Moving Forward
• Continue filling knowledge gaps (e.g. ASW within the framework of the high-level C&Y research task force)
• Take stock of disability-related Bank work & including disability issues within the C&Y website
• Develop regional C&Y strategies incorporating disability priorities
• Support staff and identify technical and financial resources which can assist TTL’s willing to address disability issues
Children and Youth - HDN
Moving Forward
• Assure inclusion of the most vulnerable in WB project designs
• Continue to include Disability in global partnerships
• Scale up Disability projects/project components• Encourage Disabled youth participation (e.g. YDP
Network, country Youth Voices groups, etc.)