SP DISCUSSION PAPER NO.9932 21315 Public Disclosure Authorized Poverty and Disability: A Survey of the Literature Public Disclosure Authorized Ann Elwan December1999 Public Disclosure Authorized FILECOPY Public Disclosure Authorized Prot ttion LABOR MARKETS,PENSIONS, SOCIAL ASSISTANCE T H E W O R L D B A N K POVERTY AND DISABILITY A SURVEY OF THE LITERATURE December 18, 1999 Ann Elwan This paper was prepared as a background paper for WDR 2000/20001 and as part of the Social Protection Unit's research on the economic consequences of disability. The supervisors were Louise Fox and Christian Grootaert. The author would like to acknowledge the helpful comments received from Ms. G. Habibi at UNICEF; Ms. E. Sandborg at WHO; Mr. G Jung at ILO; Mr. D. Henderson at Rehabilitation International; and C. Hansen on the anthropological aspects of disability; as well as from others World Bank staff and seminar participants. Comments can be sent to aelwanp.worldbank.org or
[email protected]. ABSTRACT This review summarizes the literature on disability and its relationship to poverty, including education, employment, income, and access to basic social services. Despite the dearth of formal analysis, it is clear that in developing countries, as in more developed areas, disabled people (and their families) are more likely than the rest of the population to live in poverty. It is a two-way relationship -- disability adds to the risk of poverty, and conditions of poverty increase the risk of disability. Disability in developing countries stems largely from preventable impairments associated with communicable, maternal and perinatal disease and injuries, and prevention has to remain a primary focus.