Poverty Alleviation and Persons with Disabilities

UN ESCAP/CDPF Field Study cum Regional Workshop
on Poverty Alleviation among Persons with Disabilities

Lanzhou, Gansu Province, China, 25-29 October 2004

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Programme : Presentation

Monitoring poverty alleviation among persons with disability

Presented by Clinton E. Rapley
Director of Planning Services
Associates for International Management Services


Slide 1

UN ESCAP/CDPF Field Study cum Regional Workshop on Poverty Alleviation among Persons with Disabilities
Lanzhou, Gansu Province, China, 25-29 October 2004

Monitoring poverty alleviation among persons with disability

Clinton E. Rapley – Director of Planning Services
Associates for International Management Services


2

Presentation Agenda

  • Poverty alleviation policy guidance:
    • United Nations “Millennium Declaration”
    • Biwako Millennium Framework
  • Issues in monitoring poverty alleviation
  • Self-evaluation and participatory poverty alleviation

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Poverty alleviation: as an international policy priority

  • Poverty alleviation identified as key policy concern of United Nations Millennium Assembly (6-8 September 2000).
  • Data indicated many enjoyed better standards of living in the new century. Since 1960s: (a) life expectancy in developing countries increased from 46 to 64 years; (b) infant mortality rates declined by one-half; (c) proportion of children enrolled in primary school increased more than more than 80 per cent; and (d) doubling of access to safe drinking water and basic sanitation.
  • However, nearly half the world’s population [6 billion] exists on less than US$2 per day; and approximately 1.2 billion people struggle on less than US$1 per day.
  • “Extreme poverty is an affront to our common humanity.“

Source: “We the peoples: the role of the United Nations in the twenty-first century; report of the Secretary-General” (A/54/2000) paragraph 70 <http://www.un.org/millennium/sg/report/index.html>.


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Poverty alleviation: international policy priority (2)

  • Development goal 1 of UN Millennium Declaration:
    “Eradicate extreme poverty and hunger”.
  • Targets for development goal 1:
    • Target 1: Halve, between 1990 and 2015, proportion of people whose income is less than US$1 per day (Purchasing Power Parity).
    • Target 2 : Halve, between 1990 and 2015, proportion of people who suffer from hunger.

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Poverty alleviation: as a regional policy priority

  • Biwako Millennium Framework (BMF) also identifies poverty alleviation as a priority:
  • BMF Priority area for action (g). Poverty alleviation through capacity building, social security and livelihoods programmes.
    BMF notes: “In the Asian and Pacific region, it is estimated that of the 400 million persons with disabilities, over 40 per cent are living in poverty (paragraph 44)”.
  • BMF Target 21. Governments should halve, between 1990 and 2015, the proportion of persons with disabilities whose income/consumption is less than US$1 per day.

Source: “Biwako Millennium Framework for Action towards an Inclusive, Barrier-free and Rights-based Society for Persons with Disabilities in Asia and the Pacific”
<http://www.unescap.org/esid/psis/disability/bmf/bmf.html>.


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Poverty alleviation: regional policy priority (2)

  • BMF Target 21 is an income-based measure of poverty.
  • ESCAP “Regional Workshop on Monitoring Implementation of BMF (Bangkok, 13-15 October 2004) identified an additional indicator on pre-conditions for disability inclusive poverty alleviation:
    “Yes/ No” measure for Governments that have adopted a poverty alleviation strategy, whether the policy is disability inclusive.

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Issues in monitoring poverty alleviation

  • What is an indicator?
    • A group of statistical values, which may qualitative or quantitative, that measure progress in achieving a goal or target.
    • Indicators may be complex – summarize several variables, such as UNDP’s Human Development Index; or simple – address a single variable, such as adult literacy, or life expectancy at birth.
  • Indicators should be:
    • Clear, relevant and suitable to the required use and interpretation
    • Simple and easy to calculate from data that are reliable, timely and available
    • Robust in their capacity to measure changes over time and between observations

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Issues in monitoring poverty alleviation from the disability perspective

  • Principal constraint is absence of consensus definition of disability for purposes of international comparisons.
  • Disability is a condition and not an attribute.
  • World Programme of Action and Standard Rules used definitions of disability based on the 1980 International Classification of Impairment, Disability and Handicap (ICIDH) (WHO, Geneva):
    • impairment: reduced function of an organ or body part;
    • disability: reduced function and activity of a person; and
    • handicap: social, economic and cultural circumstances that place persons with impairment or disability at a disadvantage relative to their peers.
  • Criticisms of ICIDH focus on its association with “medical model” of disability, which purports that disability is an absence of health.

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Issues in defining disability

  • In response to criticisms of ICIDH, WHO began work on “ICIDH-2” – of the International Classification of Functioning, Disability and Health (WHO, 2001)
  • ICF views disability and functioning as outcomes of interactions between health conditions (diseases, disorders and injuries) and contextual factors.
  • Contextual factors include external environment factors and internal personal factors
  • Three levels of functioning: (a) body or body part, (b) whole person or (c) person in a social context
  • Disability involves dysfunctioning at one or more of these same levels: impairments, activity limitations and participation restrictions

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Issues in defining disability (2)

  • ICF provides a common conceptual framework and standardized concepts and terminology for collection of data on disability and production of statistics.
  • However, ICF is not without critics and does not yet represent a consensus definition on disability.
  • Points raised about ICF include:
    • ICF tends to link functioning and disability with health conditions and contextual factors rather than a “social model” of disability.
    • ICF environment variables require reorganization better to clarify relationship between targeted provisions and specific environmental components.
    • ICF does not address “access” which is fundamental to realization of full participation and equality.
  • Proposed international convention on rights of persons with disability includes a draft article on definitions (3), which includes proposed definitions on “disability” and “persons with disability”.

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Issues in identification of indicators for purposes of BMF monitoring

  • Indicators for monitoring BMF should (a) make maximum possible use of existing socio-economic and demographic indicators and (b) indicate how to reinforce disability perspective in existing data series.
  • Why: BMF recognizes critical need to improve data and statistics and for progress in a common system of defining disability – a precondition for identifying indicators to monitor BMF implementation.
  • BMF indicators initially would focus on outputs (immediate results of achieving BMF targets) rather than outcomes (socio-economic and socio-political changes resulting from BMF implementation).

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BMF Indicator Structure

  • Core issues indicators: preconditions for implementing BMF – “Yes / No” measure, which include:
  • National constitution addresses rights of persons with disability.
  • Appropriate legislative basis to promote and protect rights, dignity and privacy of persons with disability.
  • National policy adopted - or disability inclusive commitment in mainstream policy – on advancement of persons with disability.
  • Nation plan adopted on implementing BMF goals and targets.
  • National coordination and consultation mechanism(s) exist.
  • Norms and standards on environmental access, social services and safety nets, and employment and livelihoods.

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BMF Indicator Structure (2)

  • Qualitative and quantitative progress indicators for seven priority areas of action
  • BMF priority areas with qualitative targets:
    1 – Self help organizations
    2 – Women with disabilities
    5 – Access to built environment
  • Priority areas with quantitative targets:
    3 – Early detection and education
    4 – Training and employment
    6 – Accessible ICT
    7 – Poverty alleviation
  • Indicator construction is limited by availability of global data and statistics on disability BMF priority areas with quantifiable targets

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Issues in monitoring poverty alleviation

  • BMF Target 21 and Development goal 1, target 1 of UN Millennium Declaration both focus on monetary income approach to poverty.
  • However, ESCAP studies on poverty in Asia and Pacific have identified three other approaches to define poverty:
  • Capabilities approach focuses on the ability to live a long, normal life, function without chronic morbidity, be able to read, write, calculate, move from place to place without assistance, and communicate.
  • Social exclusion approach focuses on relations among groups - or geographical areas – which affect opportunities to participate as development agents and beneficiaries.
  • Participatory approach focuses on the role of popular participation in the determination of populations in poverty, in identification of actions to address poverty, in contributing to implementation of agreed actions and in sharing the benefits of those actions on the basis of equality.

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Self-evaluation and participatory poverty alleviation

  • Monitoring progress in achieving BMF Target 21 will be constrained by data on monetary income or expenditures disaggregated by disability characteristic
  • Self-evaluation of national plans on implementing BMF or of national poverty alleviation programmes represents a means to obtain timely and relevant data on quantitative BMF targets disaggregated by disability
  • Self-evaluation can complement national survey programmes
  • Self-evaluation can strengthen participant involvement and bring detailed implementation level data on current status, performance and results.

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Self-evaluation: basic issues

  • Self-evaluation builds on basic concepts and principles of survey research, programme planning and management, and information theory
  • Self-evaluation could be at level of national action to implement BMF, or targeted action for poverty alleviation.
  • Monitoring is based on information flows that link inputs with conversion factors – performance.
  • Evaluation is based on information flows that link inputs with results – evaluation of outputs, and outcomes among beneficiaries.

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Self-evaluation: decision points

  • Decision point 1: identify the programme, its area of operations and potential beneficiaries.
  • Decision point 2: prepare logical programme framework to present goals and targets with reference to means and timeframes for implementation.
  • Decision point 3: specify information requirements – what to measure.
  • Decision point 4: identify the sources of information – what to measure and collect data.
  • Decision point 5: decide on the research design – how to collect data and analyze findings.

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Self-evaluation: decision points (2)

  • Decision point 6: determine the time schedule for the applied research / community studies – when and how often to collect data in terms of baseline, and restudies.
  • Decision point 7: determine a communications and outreach strategy for presentation of monitoring and evaluation findings – how to report findings.
  • Decision point 8: assign responsibilities for self-evaluation – who supervises, who provides advice, who performs the actual monitoring and evaluation tasks, and institutional structure for this work.

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Self-evaluation: implementing field studies

  • Obtain political, administrative and participant understanding and commitment for monitoring and evaluation
  • Estimate costs and determine how (and by whom) these will be covered
  • First, the baseline study to assess current conditions
  • Step 1 – determine what to measure
  • Step 2 – determine structure for monitoring and evaluation efforts
  • Step 3 – determine the sample of “case studies” for data collection
  • Step 4 – determine number of “interviews” per case study community
  • Step 5 – design questionnaire for data collection, and tabulation plan
  • Step 6 – conduct field work to collect data and pre-tabulate data
  • Step 7 – analyze data, and present findings

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Self-evaluation: implementing field studies (2)

  • Second, determine the schedule for restudies to measure and assess progress as well as obstacles
  • Programme restudies to complement the programme or work – do not impose an evaluation burden on programme management or beneficiaries
  • Select the set of “cases” for restudy
  • Collect the restudy information
  • Pre-tabulate to provide field-level feedback
  • Analyze and interpret results and present findings

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Way ahead: capacity building for disability inclusive self evaluation

  • Capacity building is most effectively accomplished with reference to an established plan or programme
  • Capacity building in the abstract will not yield insights required for determination of what and how to measure, where and when this is done, and communications strategy.
  • Capacity building is best conducted as a “planning and management workshop’ for selected plan / programme beneficiary and staff teams
  • Planning workshops result in understanding of basic monitoring and evaluation concepts, and would produce the basic monitoring and evaluation framework
  • Further elaboration of questionnaire design, sample and schedule of baseline studies can be post-workshop tasks prior to field work to conserve staff and beneficiary resources
  • Reinforcement of the training experience is important for confidence building as well as to elicit feedback from training participants
  • Follow up training for restudies allows for phased approach to capacity building, skill development and renewed confidence building

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Way ahead: “short list” of poverty alleviation indicators

  • Monetary income approach to defining poverty: BMF Target 21 relates to Development goal 1 of Millennium Declaration.
    • MDG Indicator: percentage of population living on less than US1.00 (Purchasing Power Parity) per day. Data for monitoring Development goal 1 are compiled by World Bank from national statistical services and are not disaggregated by disability.
    • Monetary income measure of poverty among persons with disability would likely be collected by sample survey, with measures disaggregated by age, sex and urban-rural.

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Way ahead: “short list” of poverty alleviation indicators (2)

  • Capabilities, Social exclusion, and Participatory approaches to defining poverty can find guidance on measures in selected BMF priority areas:
  • Accessibility is fundamental to participatory and disability inclusive poverty alleviation. BMF priority areas (e) and (f) discuss actions and targets, including targets on ensuring freedom of expression for all.
  • BMF priority area (c) – early detection provides guidance and targets to build capacities of infants and children with disability for full participation and equality.
  • BMF priority area (d) – training and employments focus on capacity building for employment and sustainable livelihoods among persons with disability.
  • BMF priority area (b) – women with disabilities discusses actions to address exclusion and promote full and effective involvement of women with disabilities in social life and development.
  • BMF priority area (a) – self-help organizations considers participation of civil society and organizations of / for persons with disability in development decisions that affect their lives and well being.

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