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Disability

A disabled Vietnamese man splitting bamboo as his son watches.Disability and poverty form a vicious circle.  The poor are more likely to become disabled due to poor nutrition, inadequate health care and risky working and living conditions.  Those who have disabilities are more likely to be poor, particularly when they are excluded from full access to education, transportation, and jobs.  Social inclusion is meant to help break this cycle (please see the World Bank Disability & Development website).

One aspect of disability policy is income support which may be delivered through:

  • disability insurance;
  • including the disabled poor in safety nets designed for the poor more broadly;
  • or a combination of the two approaches.

Disability insurance and the required targeting has been the main policy approach in the OECD, but disability targeting is complex and difficult, even more so when medical and adminstrative resources are scarce.  Thus, mainstreaming the disabled poor into general safety net programs may take a higher priority in developing countries than in the OECD.  Making mainstream safety nets accessible to the disabled can start with an assessment of disability inclusion the design, implementation, and evaluation of safety net programs.  It is crucial to identify the physical, social and communication barriers that prevent the inclusion of persons with disabilities in safety nets in each country.  In addition, it is necessary to identify the program’s eligibility requirements that may indirectly contribute to the exclusion of persons with disabilities.




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