ANGOLA

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• ANGOLA
• ASSISTANCE FOR THE REINTEGRATION AND
  PARTICIPATION OF
  EX-COMBATANTS WITH SEVERE
  DISABILITIES
• - ARPESD -
• From the Medical to the Social Model
• an inclusive development strategy
• Rosangela Berman Bieler
• Inter-American Institute on Disability
  Inclusive Development
• www.iidi.org

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Background

• The Angolan Governments Program for
  Demobilization and Reintegration (PGDR) of
  Ex-Combatants is being implemented at the
  National level by the Institute of
  Socio-Professional Re-integration of
  Ex-Combatants (IRSEM) in order to provide
  assistance in facilitating economic and social
  integration of 138,000 Ex-Combatants.
• As part of the PGDR, the ASSISTANCE FOR THE
  REINTEGRATION AND PARTICIPATION OF EX-COMBATANTS
  WITH SEVERE DISABILITIES Program (ARPESD) focuses
  on providing direct attention in the area of
  assistive devices, medical rehabilitation,
  psychosocial support and professional
  rehabilitation to this group of beneficiaries.
  Attention is to be provided in the areas of
  skills development, income-generating activities,
  micro-finance, business development services and
  support to local communities in which persons
  with severe disabilities live.

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Background

• IRSEM has developed a strategy inclusive of the
  abovementioned activities that will focus on the
  ultimate successful reintegration of persons with
  disabilities into their respective communities.
• The objective of the project is to deliver
  technical assistance to IRSEM to create
  conditions for social integration and physical
  rehabilitation in order to minimize dependency on
  specialized services and enhance transition into
  mainstream society.

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Goals of the Project

• To support up to 1,000 beneficiaries with severe
  disabilities, identified by IRSEM, de-mobilized
  from the Bicesse, Lusaka and Luena accords (750
  former-military 250 civilians).
• To assess all the available services that may
  support the beneficiaries of the project.
• To provide support for the resolutions of key
  problems that may generate exclusion
• To work with each beneficiary and to establish
  individual rehabilitation plans

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Implementation Provinces

• - Luanda
• Benguela
• Kuando Kubango
• Lubango
• Huambo

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Expected Results

• Beneficiaries have their proper individual
  rehabilitation plans
• Potential services in Angola are
  identified/defined, including rehabilitation and
  other services that may be offered by the
  project
• Beneficiaries are referred to available
  services meeting individual needs
• Obstacles to access of services are removed
  and services are offered
• Quality integral rehabilitation services are
  provided
• Human Rights of beneficiaries with severe
  disabilities are taken into consideration and
  respected
• Rehabilitation and reintegration services for
  people with disabilitiescontinue being provided
  monitored by IRSEM after the conclusion of the
  project.

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Objectives of the Consultancy

• Design and facilitate training of community
  agents and beneficiaries, on daily life
  activities and independent living for persons
  with severe disabilities. This item includes the
  identification/development of tools and resources
  for diagnosis, training, monitoring and
  evaluation, from the perspective of the family
  and the community
• Participate in the identification and selection
  of the initial purchase of materials and
  assistive devices for persons with severe
  disabilities
• Design, facilitate and evaluate training
  workshops that focus on capacity building of
  national rehabilitation teams in the areas of
  assessment and service provision, under a
  Disability Social Model and an inclusive
  development approach

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Objectives of the Consultancy

• Participate in key rehabilitation and planning
  meetings with critical project partners
• Participate in the evaluation process and the
  preparation of final reports of the Project
• Propose future interventions for the inclusion of
  persons with severe disabilities, to be
  considered within the Angolan public policies on
  Health, Education, Social Protection, Employment,
  Infrastructure, Poverty Reduction and Civil and
  Social Participation.

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Objectives of the Consultancy

• Work with the project team and critical partners
  for the development and adoption of a common
  conceptual framework and strategies for the
  project, under an inclusive development approach,
  that can be incorporated transversally in all the
  activities related to the project
• Promote and contribute to the full integration of
  persons with severe disabilities into all
  components of the project activities inclusive of
  project strategy, project implementation
  methodology and evaluation approaches
• Contribute to the development of an inclusive
  project methodology that addresses all of the
  critical components such as needs assessment and
  mapping, participant assessments, development of
  individualized rehabilitation plans, monitoring
  and evaluation systems and contracting of service
  delivery, etc.
• Design and facilitate assessment and planning
  workshops with potential partners working in
  Angola, in the field of community based
  development and rehabilitation, as well as on
  inclusion.

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Functional Diversity
Environment
Equal Opportunities
To guarantee a fair selection, all will have the
same exact test climb up on that tree.
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Access to Food
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• Access to Water Sanitation

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• Access to Electricity

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Access to Infrastructure
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• Access to Housing

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Access to Education
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Access to Health Prevention (including HIV-AIDS)
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• Access to Social Safety Nets

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Access to Equipment Assistive Devices
Appropriate Mobility Aids
maintenance, cost X benefit sustainability
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• Access to transportation

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Access to Employment Social Inclusion
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Identity, Voice, Empowerment, Participation
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Proposed Inclusion Strategy

• 1- focus the interventions in the community
•  
• 2- include people with disabilities in the center
  of the process
• Among the beneficiaries they should be the ones
  interviewed and not somebody else in the family
  or community
• Among the ARPESD staff/contractors they should
  be involved as agents for data collection and
  other activities of the project they (and their
  organizations) should benefit as much as
  possible, from all training and capacity building
  opportunities offered by the project.

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On general strategic aspects

• Avoid medical approaches and prioritize social
  approaches, of integral attention and inclusion
• Avoid the focus in the activities of
  medical-professional assessments/evaluations and
  increase an approach based in a primary care
  attention level, in the community   
• Avoid assistancial approach and invest in the
  establishment of local capacity (in Angola)
•   
• Develop data collection, attention, monitoring
  and evaluation instruments for all the stages and
  activities of the project, that use the social
  and human rights approaches, as well as the
  concepts of functionality, equalization of
  opportunities and inclusive development 

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On beneficiary Participation

• Avoid create segregated/special spaces and
  activities, that may strengthen discrimination,
  stigma and exclusion       
• Prioritize independent living/personal autonomy
  and peer-support strategies on daily life
  activities training, trauma counseling, etc
        
• Identify partners and alliances in the disability
  area, especially between representative entities
  of Persons with Disabilities, and integrate
  People with Disabilities also as staff,
  technicians in different stages and activities of
  the project       
• Prioritize the active participation of the
  users/beneficiaries, keeping them as subject, in
  the center of the activities of the project, as
  well as in the decision making processes       
• Invest project resources in removal of
  architectural barriers and the promotion of
  accessibility (built spaces, Communication ICT
  services)

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On Flexibility and Viability

• To work with existing mechanisms, structures,
  programs and alliances, inside of the regular
  systems of the country       
• To identify existing opportunities to integrate
  the project with other existing related
  activities/in progress, in order to generate
  synergies, continuity and support to the
  undertaken actions (example current project on
  income generation, being conducted by LARDEF - a
  local disability NGO, now in its 3rd year of
  implementation)

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On training and capacity building

• 1- Training module for internal ARPESD selected
  staff/agents (to include questionnaire and other
  info specifically related to ARPESD)
• 2- Training module for internal and/or
  "outside"/community persons and NGOs to include
  info on inclusive development concepts and
  practices.
•  
• The contents of this second training module may
  cover the following
• Trauma Counseling (involving also the 10
  Psychologists that are now graduating in Angola) 
• - The concepts of Inclusion Personal Autonomy
  and Independent Living Daily life activities
  Personal Assistance Assistive Technology
  Accessibility Universal Design.

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On knowledge transfer access to Resources

• Set up descenteralized assistive technology show
  rooms in different locations of the country
  (urban and rural provinces) and of the system
  (rehabilitation centers, special/inclusive
  schools, general/specialized hospitals of the
  country
• Train local personnel in the confection of
  individualized aids for daily life activities and
  independent living, including pressure relief
  cushions, costomized sitting and hand adaptations
  for holding pens, forks, brushes, etc
• Include products catalogues and different devices
  both on low and high cost assistive
  technologies, available locally and/or from
  around the world, informing vendors and cost
  references
• Train personnel (nurses, Intensive Care, rehab)
  of, at least, one general (military) hospital of
  the Country on trauma/spinal cord injury
  emergency attention and treatment.

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On sustainability capacity building

• Promote training to develop local capacity in
  simplified - low cost and good quality -
  assistive technologies, including those crafted,
  developed with local materials   
• Invest extra /not used resources in training
  courses to government professionals, NGOs/DPOs,
  contractors, self-employees and consumers in
  Angola, with consultants who can speak
  Portuguese, using methodologies of training of
  trainers in areas such as        
• Visual impairments orientation and
  mobility/assistive technologies        
• Hearing Impairments education and communication/
  assistive technologies
• Deaf-Blind person education and communication
  orientation and mobility/assistive technologies
         
• Mobility Impairments activities of the daily
  life/assistive technologies        
  Accessibility and Design Universal

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Outreach Strategy

• While making all efforts to cover all individual
  beneficiaries, identified by the project, even
  the ones isolated in rural areas or areas of
  difficult access, the project should prioritize
  attention to groups/comunities of users in
  existance in the country and invest in actions
  and services that may benefit - not only the
  induividuals with disabilities but also respond
  to the needs and collective demands of the
  community where they reside

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Awareness Raising

• In all stages and actions of project
  implementation (local, provincial, national), try
  to change the mentality with demonstration
  practical experiences
• Through the promotion of training activities with
  IRSEM, partners, organizations of persons with
  disabilities, government officers, academia, etc
• Based on the social model and inclusive
  development approach, design and conduct
  assessments/evaluations for preparation of the
  individual rehab plan
• Train the National and Provincial
  Rehabilitation Managers in the social model and
  inclusive development approach
• Other actions that will be pertinent and/or
  opportune.

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Building an Evidence Base

• Document all the stages of evaluation and
  attention to the user       
• Identify, document and disseminate good/bad
  practices in social inclusion       
• Undertake and/or support, and/or stimulate
  activities that lead to local sustainable
  development and to the creation of inclusive
  public policies       
• Develop a social communication strategy and
  identify opportunities in the media to promote
  social inclusion and the philosophy of Inclusive
  Development       
• Contribute to the dissemination, ratification and
  implementation of the International Convention of
  the Rights of the Persons with Disabilities, and
  to the practice of the social and human rights
  model in Angola.

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Monitoring Evaluation

• ARPESD had a very limited implementation period
  (about 6 months). All the data collection and
  evaluation tools utilized by the project should
  serve as the basis for the monitoring and
  evaluation (ME) indicators to be developed with
  the ARPESD team and IRSEM so the projects
  activities can be monitored and evaluated every
  year, for 3-5 years after the completion of the
  project. The ME tools may include indicators
  based in the beneficiaries and also based in the
  services and environment accessibility of the
  community, city, province, country.