Title: ANGOLA
1- 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
2Background
- 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.
3Background
- 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.
4Goals 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
5Implementation Provinces
- - Luanda
- Benguela
- Kuando Kubango
- Lubango
- Huambo
6Expected 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.
7Objectives 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
8Objectives 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.
9Objectives 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.
10(No Transcript)
11Functional Diversity
Environment
Equal Opportunities
To guarantee a fair selection, all will have the
same exact test climb up on that tree.
12Access to Food
13- Access to Water Sanitation
14 15Access to Infrastructure
16 17Access to Education
18Access to Health Prevention (including HIV-AIDS)
19- Access to Social Safety Nets
20Access to Equipment Assistive Devices
Appropriate Mobility Aids
maintenance, cost X benefit sustainability
21 22Access to Employment Social Inclusion
23Identity, Voice, Empowerment, Participation
24Proposed Inclusion Strategy
- 1- focus the interventions in the community
- Â
- 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.
25On 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) - Â Â
- 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 developmentÂ
26On 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)
27On 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)
28On 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. - Â
- The contents of this second training module may
cover the following - Trauma Counseling (involving also the 10
Psychologists that are now graduating in Angola)Â -
- - The concepts of Inclusion Personal Autonomy
and Independent Living Daily life activities
Personal Assistance Assistive Technology
Accessibility Universal Design.
29On 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.
30On 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       Â
Accessibility and Design Universal
31 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
32Awareness 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.
33Building 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.
34Monitoring 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.