PPAF Disability Project Phase 3

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PPAF Disability Project Phase 3 PPAF Disability Project for Rehabilitation of PWDs Phase 3 in Rawalakot, District Poonch PROJECT COMPLETION REPORT June 2012 Monitoring, Evaluation & Research Section National Rural Support Programme Copyright © National Rural Support Programme - June 2012 We would like to thank the Rawalakot office, SSS Section and Management for their support in data collection, research, and interviews during the compilation of this report. PPAF Disability Project for Rehabilitation of PWDs Phase 3 in Rawalakot, District Poonch All rights reserved, but development organisations which are working in the rural areas specially non-profit organisations working for capacity building can use this material for the benefit of poor rural communities. It is requested that please acknowledge the effort made by NRSP. No parts of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording for the commercial or profit making purpose or otherwise without the written permission of the National Rural Support Programme. Authored by: Ahmad Hasan, Senior Programme Officer - MER Supervised by: Muhammad Tahir Waqar (Programme Manager - MER) Design & Layout: Mansoor Abid Printed at PanGraphics (Pvt) Ltd., Islamabad PPAF Disability Project for Rehabilitation of PWDs Phase 3 - Table of Contents Table of Contents Acronyms 2 Foreword 3 Background context of Disability 4 Project Background 6 Community Based Rehabilitation Approach 7 Project Objectives 8 Project Targets 9 Implementation of activities 10 Health 10 EDUcation 12 Social Integration 18 EMPOWERMENT 21 LIVelihoods AND ECONOMIC rehabilitation 31 Project Exit Strategy 36 Impact of Project 39 Strengthened coordination mechanism amongst stakeholders 39 Institutionalization of Self Help Groups/ Associations as Grass Root Channels 39 Right to Personal Mobility and Social security 39 Right to Education 40 Economic rehabilitation and skills development 40 Case Studies 41 Mumtaz Begum - Enterprise Development Intervention 41 Naseem Afsar Bibi - Enterprise Development Training 42 Shamim Akthar - Wheel Chair Beneficiary 43 Shazia Bibi - Attendantship Training 44 Zahin Khalil - Enterprise Development Training 45 Mubarak Hussain - Enterprise Development Intervention for retail outlet 47 Annex 1: Project Progress Matrix with Gender Segregation 49 Annex 2: Participants in Teacher’s Training 50 Annex 3: Enterprise Development training Participants 52 Annex 4: Business Incubated by Trade 57 1 Acronyms Acronyms AJK Azad Jammu Kashmir CP Cerebral palsy CWD Children with Disability CBR Community Based Rehabilitation CO Community Organization DAP Deaf Association of Poonch DPO District Programme Officer ECI Empowerment Creative Integration EDT Enterprise Development Training GMT Global Management Team PRCD Physical Rehabilitation Centre for Disabled LSO Local Support Organization MDG Millennium Development Goals NADRA National Database and Registration Authority NRSP National Rural Support Programme PAC Public Accounts Committee PWD Person with Disability PCO Pakistan Census Organization PEC Personal Entrepreneurial Competency PPAF Pakistan Poverty Alleviation Fund PRCDP Poor Rural Communities Development Project RSE&WS Rising Sun Education & Welfare Society TNA Training Needs Assessment UNCRPD UN Convention on the Rights of Persons with Disabilities VO Village Organization WHO World Health Organization 2 PPAF Disability Project for Rehabilitation of PWDs Phase 3 - Foreword Foreword Success of the project lied in model it managed to create in how PWDs can be integrated into different aspects of social and economic life. It is by grace of Almighty Allah ‘The Most However this was only a pilot initiative and for Beneficent & Merciful’; the PPAF funded Disability further continuation and long-term sustainability Project-Phase 3 has been successfully completed of the initiative onus is up to Government bodies, and Project completion report is being duly Local associations, and grass root network of presented to share highlights of the project. LSOs/VOs/COs to take up steps and plan and Tracing back to aftermath of Earthquake 2005 in enact towards up-scaling and progressing the AJK; a broader initiative was taken up by PPAF created model because roots of community based to adopt community based rehabilitation and rehabilitation approach lies within lens of the integrated approach covering all aspects of social beneficiaries or in people who are direct recipient. and economic life so that PWDs are mainstreamed into normal course of living with reduction Finally a vote of thanks needs to be given to of biases and stereotypes which are normally PPAF; a long standing Partner of NRSP especially witnessed against them. to Chief Executive Officer, Qazi Azmat Essa, General Manager HED, Ahmed Nadeem, Senior As the project was based on a unique and novel Manager Disability Unit, Maliha Babar and Ex- concept never tested or piloted before; initial Group Head/COO Social Sector and Institutional stages of it were about understanding inherent Development, Kamran Akbar through support and concepts of disabilities and thereby learning efforts of whom it became possible to implement by practice and implementation be it at level the project. Special thanks needs to go to NRSP of PPAF, NRSP or other relevant stakeholders. higher Management for their back-stopping However gradually coordination mechanism support especially to SSS section and Procurement was strengthened and support was build from Department during implementation of the Project different stakeholders including Government line and MER –HO section for providing technical departments, local MLAs, President and secretary assistance for compilation and finalization of and members of civil societies. The participation completion report. of different stakeholders in project events gave value addition to the project activities and also allowed exchange of knowledge which built awareness regarding rights of PWDs amongst Malik Fateh Khan all. In this regard role of Media in propagating Coordinator PPAF and highlighting the cause of PWD and thereby building and sensitizing knowledge among people across entire AJK region was most prominent. Moreover substantive contribution that was derived from local implementation partners in provision of trainings with regard to Enterprise development, Business incubation and Attendant ship furthered embellished objectives project aimed at achieving. 3 Background context of Disability Background context of to institutionalize care of special person in Pakistan2. The ordinance binds the provincial Disability governments for rehabilitation of disabled person so that policies are enacted for rehabilitation, 1Disability dis-appropriately affects vulnerable employment, protection and welfare of these population. World health survey indicates high vulnerable groups. Under the ordinance 1% of prevalence of disability in lower income countries quota was reserved for disabled groups for than higher income countries. People from government jobs however later on this was poorest wealth quintile that includes women, increased to 2%. Furthermore national plan for children and old have higher prevalence of disabled was enacted in 2006 as per which it disability. People who have low income, are out of is deemed essential that access, inclusion and work, or have low educational qualifications are equalization of opportunities for disabled is at increased risk of disability. Data from multiple not possible by isolated interventions. These indicator survey indicates that children from services should be designed in an integrated poorest households and those in ethnic minority way by pooling and mobilizing all resources and groups are at high risk of disability than other ensuring that cooperation and support from children. various stakeholders is inculcated in the measures adopted. Pakistan census organization (PCO) in its 1998 census report has provided data about disabilities However despite streamlining policies and in seven different categories: Crippled, Insane, setting appropriate plans; there are still existing Mentally retarded, multiple disability, blind, stereotypes against this segment of the society; deaf, mute and others. According to census hence as highlighted by global consortium of data persons with disability constitute 2.49% of ICF and CRPD; environmental factors bear great significance in imposing barriers on participation of EDT and Business Incubation Training Person with disability (PWD) whereby policies and 20% standards do not often take into account specific 10% needs of Person with disability (PWD); belief and prejudices constitutes barriers to education, 10% health and social participation. Moreover there is lack of accessibility for these groups to access 40% services and seek counseling support in context of their different needs. In this context interventions 20% or projects that need to be designed should delve more focus on community based rehabilitation the entire population with AJK constituting the (CBR) programs which is integrated with all major share of 55% of the total size. Employment aspects of life that would instill betterment in and rehabilitation ordinance 1991 was the socio-economic status of these groups. first constitutional effort on part of the state 1 Disability specific data- Oracle Research & Information services-Country Profile study on PWDs 2 Disabled person employment and rehabilitation ordinance 1981: Government of Pakistan
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