DRAFT MID - YEAR PROGRESS REPORT 2017 Disability Rights Initiative Cambodia (DRIC) Reporting Period: 01 January – 30 June 2017

DRAFT MID - YEAR PROGRESS REPORT 2017 Disability Rights Initiative Cambodia (DRIC) Reporting period: 01 January – 30 June 2017

Report Submitted by

Name: Ms. Kristina Seris

Title: DRIC Programme Coordinator

Email: [email protected]

Contents A. Executive Summary ...... 3 B. Qualitative Assessment ...... 4 i) Introduction ...... 4 ii) Progress recorded towards achievement of the component intermediate outcomes for the period January to June 2017 ...... 4 iii) Monitoring and Evaluation ...... 7 iv) Risk Analysis ...... 7 v) Adherence to the programme principles during the reporting period ...... 8 C. Assessment of the Programme Results ...... 11 D. Challenges ...... 39 E. Lessons learned ...... 40 F. Financial status and Funds utilization ...... 41 G. Future plan for the period from July-December 2017 ...... 45 H. Any variation to the programme plan or changes to agreed activities ...... 46 Acronyms ...... 48

A. Executive Summary This report covers the progress made in the implementation of the Disability Rights Initiative Cambodia (DRIC) for the period of the first six months (January – June) of 2017 and reflects achievements by DRIC related to the intermediate outcomes. The programme has entered its fourth and last official year of implementation1 and based on the midterm review (MTR) conducted in 2016 and following the recommendations from the joint management response, there have been changes in the coordination structure as well as some revisions to the Monitoring and Evaluation Framework of DRIC. The proposed changes were adopted by the Programme Board (PB) in the meeting on 27 February 2017.

During the reporting period, many achievements have been made across all components and synergies have been leveraged wherever possible. The recommendations from the functional capacity assessment of the Disability Action Council (DAC) conducted in December 2014 have now been realized at 90%. In addition, in the first half of 2017 DRIC supported the DAC and the Cambodia Disabled Peoples’ Organization (CDPO) to conduct an assessment of the stage of implementation of the National Disability Strategic Plan (NDSP) 2014-2018. Numerous consultative workshops have been held and the assessment will inform the national reflection workshop planned in August 2017.

Cross-sectoral collaboration among relevant ministries was further promoted through the work of Disability Action Working Groups (DAWG) and around 10 line ministries have developed action plans and proposed budgets for 2018 to implement the NDSP. Efforts to increase cooperation between the Ministry of Health (MoH) and the Ministry of Social Affairs, Veterans and Youth (MoSVY), have been made especially related to the revision of the existing identification/classification tools for Persons with Disabilities. To further increase the capacity of subnational decision makers on disability inclusion, a package of training material was finalized under the lead of the Ministry of Interior (MoI) in cooperation with MoSVY and trainings of trainers (ToT) for representatives from local authorities and DPOs were conducted with a total of 63 participants. The awareness of disability among stakeholders was further increased.

In the first half of 2017, the Cambodia Disability Inclusive Development Fund (CDIDF) reached 202,681 (128,395 females) direct and indirect beneficiaries out of which 31,155 (18,482 females) were persons with disabilities and 9,270 (4,424 females) persons with disabilities have directly benefitted from related initiatives, including 5,698 (2,389 girls) children. A total of 12,954 clients were registered during this reporting period by the 11 PRCs, including 30% children / clients under 18 years old and 25% were female clients. In addition, there were 3,299 of prosthesis and orthosis provided to clients.

Cooperation between the Royal Government and Cambodian civil society was strengthened at the national level with representatives of CDPO being regularly included in DAC consultations and meetings as well as at the subnational level where the link between local authorities and NGOs could be further strengthened. Participation of persons with disabilities in national and local decision making and in the daily life at community level was therefore enhanced and 82% of the target communes (of 62 communes in 5 districts, 1 Khan in 5 provinces) have activities in the CIP specifically designed to target children with disabilities and persons with disabilities actively participate in the process of the Commune Investment Plan (CIP) in 64% of the target communes where disability inclusion training was conducted. NGOs were also consulted in the development of the Minimum Package of Activities (MPA) guidelines for the health centres. The MPA were also further adapted and now contain a specific chapter on rehabilitation in the clinical guidelines and physical accessibility has been considered in the operational guidelines of the new MPA.

1 Following the decision by the Department of Foreign Affairs and Trade of the Australian Government to conclude the DRIC program in accordance with current agreement (December 2017), 2017 marks the final year for DRIC. Based on remaining funds, the donor has granted a no-cost extension for activities until End-March and reporting until 31 May 2018. See also under H. page 46. 3

In June 2017, Cambodia held communal elections and through successful cooperation with the National Election Committee (NEC), more than 12,000 persons with disabilities were registered and 138 persons with disabilities played role as observers; based on an assessment tool used for observations of the election, however, great lack of accessibility of polling stations was observed. In addition, in light of the elections implementation of some parts of the programme slowed down, e.g. training at the local level had to be delayed to accommodate possible changes in local authorities.

The finalization and submission of the CRPD report, the still pending approval of the M&E framework for the current NDSP as well as the delayed establishment of provincial DACs in the remaining provinces demonstrate that there are still challenges related to the capacity and commitment of the RGC/DAC. However, DAC has agreed in principle to apply the M&E framework into the implementation plan as well as the questionnaires for assessing the implementation of NDSP with line ministries and private sector.

In addition, the full handover of the Orthopedic Components Factory to the PWDF End-2016, led to shortage of orthopaedic components at some PRCs during the first half of 2017 that was partly compensated by the PRSS. Staff retention at PRCs as well as CDPO and NGO partners affected the project implementation and with most CSO partners depending mostly on donor support, the unstable funding situation causes further turn-over of staff and staff shortage.

B. Qualitative Assessment i) Introduction Following the recommendations from the Joint Management Response (JMR) of the Programme Mid- Term Review (MTR) conducted in 2016, the change in the coordination structure of the joint programme was implemented in the first quarter of 2017. Based on the revised TOR for the Joint Programme Coordinator (PC), the position with a stronger focus on coordination was successfully filled in early March and a national Technical Adviser was placed in MoSVY End-March 2017. The revised DRIC Monitoring and Evaluation framework was adopted by the Programme Board in the meeting in February 2017. In early 2017, the Department of Foreign Affairs and Trade of the Australian Government officially announced to conclude the DRIC program in accordance with current agreement, which ends in December 2017 and the reporting period therefore witnessed some recalibrating in many areas and further negotiations and remaining funds led to an agreement for a no-cost extension until 31 May 2018. Much time and effort in the first half of 2017 have been dedicated to assist and prepare partners for the end of support via DRIC. ii) Progress recorded towards achievement of the component intermediate outcomes for the period January to June 2017 The performance of the programme for the period from January to June 2017 is reported on the basis of the progress made in the five core areas that are central to the programme, i.e. (1) Strategic and policy assistance, (2) Advocacy, (3) Capacity-development of partners, (4) Systems strengthening and core funding and (5) Service –delivery funding through small grants.

Strategic and policy assistance

DRIC continued to support the RGC through the DAC and relevant line ministries in implementing the NDSP and the reporting period saw an assessment of the current state of implementation of the NDSP through a series of consultations with all stakeholders. The assessment was conducted in preparation of the national NDSP reflection workshop to take place in August 2017 where the findings will be shared and implementation of the NDSP will be monitored jointly by RGC and CDPO/DPOs. With support from DRIC under component one, the DAC has continued to establish DACs on the provincial level.

The development of a five-year National Rehabilitation Strategic Plan will be developed with support from DRIC in parallel to the development of the five-year Physical Rehabilitation Transition Plan.

Technical assistance to support MoSVY in reviewing the disability allowance for poor persons with disabilities was engaged and will under DRIC specifically look at reviewing the identification tools and process within this scheme. This important Government funded programme falls within the newly approved and endorsed National Social Protection Framework.

The National Accessibility Guideline has been finalised. To make the guideline easily readable, DAC has developed cartoons/pictures to be included in each section of the guideline to ensure it is applicable for all users. The guideline is expected to publish in quarter 4. The National Accessibility Guideline will be recognised by the inter-ministerial Prakas. It is expected to get approval and signed by both Minister – MoSVY and Ministry of Land Management, Urban Planning and Construction (MoLMUPC) in quarter 4.

Advocacy

The RGC was represented in numerous regional and global events and the participation of HE President of the DAC at the 10th session of the Conference of State Parties on the UNCRPD has shown the commitment of the RGC towards promoting the rights of persons with disabilities. DRIC supported the celebration of international days related to disabilities. Through effective advocacy efforts, CDPO/DPOs were invited to join DAC quarterly meetings and the initiative from CDPO to award journalists that promote issues related to disability received recognition as an effective advocacy tool from the Ministry of Information. A guideline on political participation for persons with disabilities and a disability rights advocacy toolkit for guidance on inclusive elections were finalized and used during local elections. In addition, the Voice of Persons with Disability (VPD) radio station ran various programs promoting rights of persons with disabilities. Another good example of effective advocacy efforts including through the use of the media is the case of 20 women with disabilities who received a fair pension fund from a company that had fired them.

Through DRIC, the effectiveness and efficiency of identification of persons with disabilities that is currently in piloting phase increased and related the implementation of disability allowance and the issuance of ID cards for poor persons with disabilities that provide them free access to medical services among other was taken forward. The process of improving and simplifying the tools for identification and classification so that they can be used by non-medical and lay persons at the subnational level and in the communities, is well under way. Under facilitation from DRIC, discussions around a revision of the related inter-ministerial prakas have been initiated. MoSVY and MoH have started cooperating in this regard.

DRIC has further advocated the importance of disability data and for the consideration of the short set of Washington Group questions (WGQ) for future data collection. According to latest information, the current final version of the questionnaire for the population census in 2019 includes the WGQ. The National Institute of Statistics (NIS) reiterated that subject to funding, some questions might need to be removed.

Capacity-development of the partners

Since the establishment of DAWG, at least 177 civil servants, on national and subnational level (DAC Secretariat, DAWGs and provincial DAC) have benefitted from trainings and exchange visits. DAC -SG staff have received training on project workplan and budgeting to support DAWGs in designing workplan and budget for 2018. Capacity development activities among CDPO and DPOs, including the Women with Disabilities Forum and the quarterly network meetings have strengthened their ability to advocate for and mobilize resources and raise concerns with provincial authorities.

Under the lead of MoI the sub-national training package on disability inclusion for subnational decision makers was finalized and two trainings of trainers were conducted at provincial level and inclusive of DPOs to promote disability inclusion at the community level. MoI has now commenced implementation of the second round of training at the subnational level and sensitization workshops for sub-national decision makers from 15 line sectors reached 139 (33 female) persons.

Critical to working with CSO partners is an on-going partnership approach with a focus on learning and capacity development. During the reporting period, the 15 CSO partners were included in capacity development sessions focusing on finance, procurement and advocacy for disability inclusion.

Systems strengthening and core funding

During the reporting period, the mainstreaming of disability via the DAWG was further advanced with regular meetings of at least 7 DAWGs and 10 line ministries (including MoSVY/DAC, Ministry of Women’s Affairs (MoWA), Ministry of Tourism (MoT), Ministry of Agriculture, Forestry and Fisheries (MAFF) , Ministry of Information, Ministry of Industry and Handicraft, Ministry of Education, Youth and Sports (MoEYS), Ministry of Rural Development (MoRD), Ministry of Health (MoH), Ministry of Mines and Energy, Ministry of Labour and Vocational (MoLVT), Council of Ministers, Ministry of Economy and Finance (MoEF) have developed an action plan and proposed budget for 2018 to implement the NDSP.

A joint procurement committee between the PWDF and the four IO/NGOs working on rehabilitation was established and will improve efficiency and effectiveness of procurement and document lessons learnt. In addition, a joint national working group for the development of national physical therapy standards between MoH and MoSVY was established.

In 64% of the communes where disability inclusion training was conducted, persons with disabilities actively participate in the process of the Commune Investment Plan (CIP) and 82% of the communes have activities specifically designed to target children with disabilities in the CIP.

Service – delivery funding through small grants

An explicit aspect of the Cambodia Disability Inclusive Development Fund (CDIDF) is to support linkages and engagement with local authorities. In the reporting period, CDIDF partners worked with and supported 159 self-help groups reaching a total of 2342 (988 female) beneficiaries. In addition, among the 202,681 (128,395 females) beneficiaries reached by CDIDF, 31,155 (18,482 females) were persons with disabilities and 9,270 (4,424 females) persons with disabilities have directly benefitted from related initiatives, including 5,698 (2,389 girls) children.

The 11 Physical Rehabilitation Centers registered a total of 12,954 clients were registered during this reporting period, including 30% children / clients under 18 years old and 25% were female clients. In addition, there were 3,299 of prosthesis and orthosis provided to clients.

Other

In addition to above, success stories and human interest stories related to DRIC from the reporting period can be accessed under the following links. http://www.khmertimeskh.com/5075834/pre-school-education/ https://unicefcambodia.blogspot.com/2017/07/disability-not-inability-one.html https://unicefcambodia.blogspot.com/2017/08/how-parents-support-groups-are-changing.html https://www.facebook.com/dric.org.kh/

6 iii) Monitoring and Evaluation For this reporting period, the implementing agencies have monitored the programme based on the revised DRIC Monitoring and Evaluation framework. In addition, the agencies have internal M&E systems including project quality assurance that are updated on quarterly basis to ensure that projects/programs are on track. As in previous years, the main source of data collection were quarterly or half-yearly reports provided by partners with disaggregated data showing the impact of the programme on direct as well as indirect beneficiaries. In addition, regular monitoring visits to the field were conducted and the qualitative and quantitative data collected on the ground can be used to reflect on successes and challenges and to identify ways on how to engage with the respective partners accordingly.

The M&E framework of the current NDSP has to date not been adopted and to monitor the NDSP implementation, the DAC developed questionnaires to collect feedback that will be used in lieu of any formal mid-term review process. In addition, the DAC is still in the process of collecting input from line ministries and NGOs to finalize the CRPD report; a final draft report is expected to be shared with DAWGs in the third quarter of 2017.

The preliminary findings of the study on rehabilitation sector financing related to statistics and key indicators for the 11 PRCs in 2016 show an annual operation expenditure for all PRCs of US$ 3.1 million. While the number of new clients due to landmines decreased, the number of impairments caused by illness and (traffic) accidents has further increased. Based on a future scenario, the costs for rehabilitation services is projected to more than triple over the next 10 years. Experience from the Provincial Rehabilitation Demonstration Project in Kampong Cham showed that during the reporting period 41% of the total new clients at PRCs were referred by former PRC clients so involving the latter in the identification and referral of clients who need rehabilitation services in the future is crucial. The finalized secondary analysis of the 2014 Cambodia Demographic and Health Survey (CDHS) on the health care utilization of persons with disabilities showed that persons with disabilities spend about 3-4 times more on health-related treatment and travel costs compared persons without disabilities. As per CDHS the prevalence rate for population that experiences at least some kind of disability ranges between 1,8% (ages 5-14) and 44% (age 60 and above).

Other key learnings from the data show that the number of women and children with disabilities accessing services under the CDIDF, Priority Rehabilitation Service Scheme (PRSS) and Provincial Rehabilitation Demonstration Project (PRDP) has further increased and 20% of the DPO governing board are women with disabilities. In addition, 159 Self-help groups (SHG) supported by CDIDF partners reached 2342 beneficiaries, of which 988 were female. A total of 9270 persons with disabilities, of which 5698 were children (2389 girls) directly benefited from CDIDF initiatives. Data collected from field visits in target areas where disability inclusion trainings were conducted shows progress to greater inclusion of children and families with disabilities in the local governance processes. iv) Risk Analysis The Risk Management Register (RMR) of DRIC groups risks into four categories, (1) overarching risks applying across the program; (2) program governance and management risks; (3) component specific risks; and (4) operating environment and external risks. The programme during the reporting period was monitored based on the RMR.

During monitoring visits, it was noted that there continues to be a lack of awareness and knowledge around intellectual and psychosocial disabilities also among DPOs and persons with such disabilities are not included in self-help groups and the like. In addition, persons with hearing impaired or who are deaf still tend to be underrepresented in DPOs, partly due to lack of awareness. The implementing agencies

put much effort in addressing these challenges by including the whole range of diversity of disabilities, particularly in their cooperation with CDPO and through the CDIDF.

The risk around quality M&E and the lack of data that limits effective advocacy to Government has been covered in the M&E section. While the funding for DAC has increased significantly from 2016 to 2017, the capacity of DAC remains at a mediocre level. As part of the revised coordination structure a technical advisor was successfully recruited and placed in MoSVY in March 2017. However, there is remaining risk that providing additional TA does not result in increased capacity.

Increasing access to physical rehabilitation services relies on the ability of the key stakeholders, including MoSVY and PWDF, to mobilize additional financial resources. In 2016, the government budget contributed 37,5% of the operating expenditure for the physical rehabilitation sector (11 PRCs, 3 Repair Workshops and 1 Orthopedic Components Factory) whereas 56,8% were still covered by IO/NGOs, 5.3% DFAT through DRIC and 0.4% from clients-voluntary contribution. There has been an increase in the amount of the contribution from the government budget of 51% from USD 765,447 in 2013 to USD 1,156,180 in 2016.

Regarding the commune elections in June 2017 and the period leading up them, potential delays and possible politicization of the activities implemented with MoI. To mitigate these risks, the workplan was designed in a way that pushed all commune level work was to the post-election period.

Mitigation steps have been taken throughout components to minimize the risks. The main risk seems to be the lack of capacity and funds endangering the sustainability of projects beyond DRIC and implementing agencies continue to support their respective partners in leveraging other sources of funding.

v) Adherence to the programme principles during the reporting period During the reporting period, the programme has been able to adhere to the programme principles as shown in the following overview.

Principle Assessment

What has been the Persons with disabilities were involved in the following activities: role of persons with • CDPO/DPOs actively engaged with the key working groups of DAC and DAWGs to disabilities in terms develop and review the policy related to disability, for instance the draft law on of their access to information, guidelines for inclusive election, review the implementation involvement? of NDSP etc. • Representative of DPO included in the national CBR Coordination Committee and in the Joint Procurement committee of PWDF-IO/NGOs. • Representatives of DPO involved in the discussion in the development of the national Physical Therapy Standards and consultations of the Rehabilitation sector financing. • Delivery of Training of Trainer activities with the MoI and delivery of training at the commune level. • Representative of DPOs have participated in the CDIDF capacity development activities led by Light for the World • Participation in key planning meetings on joint DRIC activities, e.g. Rehab Forum and NDSP Reflection Workshop Has gender equality Gender is given consideration in the work under the four components. been integrated into • About 28% of DAC staff are women including women with disabilities. programme • CDPO and DPOs have a gender policy that is updated annually. implementation?

• 25% of the total of 11,923 clients registered at the 11 PRCs during the reporting period were female client. However, female clients represented 30% of the total 6,680 of all clients from the 9 PRCs that received grants through PRSS. • Data collected on beneficiaries is disaggregated to the extent possible (men/women and boys/girls). Participation of women and girls in training activities and community level activities (meetings, sporting activities, cultural activities, etc.) is emphasised from an equality perspective and monitored by both UNICEF and CDIDF partners. To what extend has Through the work of DRIC, beneficiaries include a wide range of disabilities and with a the program covered specific focus on under-served disabilities such as intellectual and psycho-social cross-impairments? disabilities. When looking at accessibility, attention has been given to not exclusively focussing on physical accessibility but also for vision and hearing related accessibilities. • CDPO and DAC have mandatory roles to ensure all persons with disabilities are included into their programme and policy. However, the representatives of people with mental health disability are still low. • No progress has been made with other impairment as the main focus of the PRSS scheme is to support through the PRCs. • Component 4 is not focussed on specific types of impairments, rather focussed on the rights of persons with any type of disability. To what extent have • Accessible infrastructure was considered in the new Operation guidelines for the the activities during new MPA. The commune councils in the target areas of the PRDP project in the reporting period Kampong Cham actively involved in the identification, raising awareness and led to referral of people with disabilities to the PRC. As a result, 8 people with physical mainstreaming impairments were subsidized by the Commune Investment Plan (CIP) budget of the disability? commune to reach the kampong Cham PRC. • Work with the MoI has an explicit focus to mainstream disability into local governance processes and practices. This is focussed on by raising awareness of disability and training activities on how to include disability into local governance processes of the CIP and DIP. • CDIDF grant partners, while providing disability specific support services, also support important initiatives to mainstreaming disability into community life. For example, through: awareness raising activities; inclusive sport events; inclusive community meetings; access to mainstream education, etc. • Within UNICEF, mainstreaming of disability into other key programming areas include Social Protection, violence against children work, accessible WASH in schools and inclusive education programming. Within UNICEF communications, an effort has been made to mainstream disability with in communication products (pictures, stories, social media posts, etc.). Have Child • Child protection is one the area that the programme has paid attention to by Protection measures promoting the welfare for children with disabilities, for example the existing child been considered in protection policy has been reviewed annually. the implementation? • A total of 12,954 all clients registered during this reporting period by the 11 PRCs, 30% were children clients under 18 years old. However, the under 18 clients represented 41% of the total 7,711 of all clients from the 9 PRCs that receive grants through PRSS. • All PRCs applied a child protection policy as part of the current PRC Standard Working Procedure (SWP). • Child Protection is core to UNICEF programming and all UNICEF partners are required to sign the Child Protection Code of Conduct as part of the Programme Cooperation Agreement signed with UNICEF.

• Child Protection policies of partner organisations are reviewed and strongly encouraged for those that do not have one. Child Protection refresher was included in the capacity development activities for partners. Highlight how there • Cross activities between the components were identified, these include the joint has been advocacy for the inclusion of disability questionnaires into the national surveys and complementarity ID-Poor screening process. among the different • The three agencies are jointly supporting MoSVY in the areas of Community Based components during Rehabilitation, Disability Classification/Cash transfer process, and last but not least the reporting the implementation of the National Disability Strategic Plan. period? (Impact of • The review of NDSP implementation will be beneficial for all components to the activities under a understand the priority strategic objectives of the NDSP and how IAs informed their specific component implementing partners to contribute the better implementation of those strategic over the remaining 3 objectives. components) • Capacity building to partners – joint workshop and exchange study What kind of Components 1 and 2 qualitative and • Quarterly report from partners that will be used as the main M&E for respective quantitative data components has been generated • Joint field monitoring reports for the reporting • Minutes/notes of the regular meetings with project partners period? • Workshop/training reports Component 3 • Six-monthly PRSS and PRDP project reports, including quantitative data on clients received PRCs services, case studies. • Cases study collected through the PRSS and • National statistics of the 11 PRCs for the period of 2012-2016 • Minutes meetings with project counterparts • Draft reports on Rehabilitation sector financing • Draft report on the Secondary analysis of 2014 CDHS on the health care utilization of persons with disabilities Component 4 • Data from partner activity reports – 15 partner activity reports in total. These include data on direct and indirect beneficiaries. • Data on analytics of social media posts are available from Epic Arts as well as relevant posts from UNICEF. • Two stories on partner work have been produced and are available online. • Programme monitoring reports which provide assessment of progress to date. • Photos from partner activities are available. Please provide Components 1 and 2 - please see the M&E table and section – challenge. information on the Component 3 - no specific risk identified component specific Component 4 - Potential delays as well as possible politicization of activities risks if any, implemented with MoI as a result of the 2017 commune elections were flagged as a risk identified for the reporting period. To mitigate these risks, UNICEF developed a work plan with (in reference to the MoI which pushed all commune level work to the post-election period (Q3 and Q4 of Risk Register/new 2017). No activities were conducted at commune level for this reporting period. risks) during the reporting period and mitigation steps initiated.

C. Assessment of the Programme Results Data Achievement During Reporting Period Narrative Assessment Source/Verification Component 1: Supporting Government implementation of the NDSP

Outcome 1: NDSP implemented through rights-based and inclusive approach

Output 1.1: Capacities of key government structures enhanced to promote rights-based and inclusive approach to implement NDSP

Indicator 1.1.1 • 90% of recommendations of functional capacity assessment have been well NDSP assessment In terms of national Recommendations of functional/ implemented. report budget 2018, the capacity assessment reflected in • DAC has worked closely with provincial DAC Siem Reap to pilot a project related to workplan and budget revised strategic plan/annual accessibility as well as to strengthen the role and responsibility of provincial DAC. was designed during work plan of DAC/DAC-SG • Around 10 line ministries have developed action plans and proposed budget for 2018 to late Q1 and early Q2 of implement the NDSP. These ministries include: MoSVY/DAC, MoWA, MoT, MAFF, 2017. MoInformation, MIH, MoEYS, MoRD, MoH, MME, MoLVT, CM, MoEF (social protection). • UNDP and UN OHCHR have submitted the project proposal on access to justice for Provincial DAC Siem persons with disabilities to UN PRPD to improve the justice service for persons with Reap is selected to be a disabilities. role model for other • DAC has reviewed, initiated and/or drafted the following policies: provincial DACs. o National Accessibility Guideline o National Disability Strategic Plan 2014-2018 o Inter-ministerial Prakas on The Discount on School Fee and Material for Student with Disability in Cambodia o Inter-ministerial Prakas on Driving License for Persons with Disabilities

Indicator 1.1.2 • It was the first time that the president of DAC led the Cambodian delegates to attend the DAC quarterly DAC members and SG staff 10th session of the Conference of COSP to the CRPD at the United Nations Head Quarter. report active in regional networks, Excellency President had given a statement remark in relation to the progress of the exchange of experiences/good implementation of UNCRPD. His presence showed the commitment of RGC to promote DAC website practice the rights of persons with disabilities. • DAC joined the exchange visit to Bangladesh to learn about the inclusive governance – how the government has improved the public services for persons with disabilities from 11

Data Achievement During Reporting Period Narrative Assessment Source/Verification national to sub national level. The focus of the horizontal learning programme was on how to make local governance more inclusive and to see practical examples of how it was done in Bangladesh DAC joined the conference on employment in Hong Kong with the focus on how the employees have provided reasonable accommodation for persons with disabilities at their workplace. Cambodia will be hosting the conference on employment in 2018. • DAC was invited by Lao PDR government to share good practice on disability development in Cambodia.

Indicator 1.1.3 • Since the Disability Action Working Group and provincial DAC have been established, DAC Quarterly Civil servants, including women many civil servants have been invited to join trainings, workshops, forums and meetings report & persons with disabilities, such as: participate in workshops or o Consultative meeting to initiate, review and draft the policies and inter-ministerial other capacity development Prakas related to disability (as seen in point 1.1.1) activities o Consultative meeting to finalise the UNCRPD report o Training on the writing methods to produce the report in accordance with covenant, convention and treaty. o Consultative workshop to review NDSP o Dissemination workshop on role and responsibility of DAWGs and provincial DAC o Training on UNCRPD and national legal frameworks o Training on Monitoring and Evaluation and reporting o Training on project workplan and budget planning o Training on Universal Design • 70 DAC-SG staff have received training on project workplan and budgeting to support DAWGs in designing their workplan and budget for 2018. Indicator 1.1.4 • Role and responsibility of DAC, PWDF and DWPWD/DRA has been revised and This indicator is New Sub-Decrees / Prakas implemented. achieved. initiated to revise mandates of DAC, PWDF, DWPWD and/or DRA in accordance with functional/ capacity analysis to clarify roles & functions 12

Data Achievement During Reporting Period Narrative Assessment Source/Verification

Indicator 1.1.5 • DAC organized quarterly meetings between government,NGOs and DPOs to share Extent to which funded activities experience and exchange learning related to disability and mainstreaming activities. in DAC-SG work plan achieved • Conducted the assessment on the implementation of NDSP to reflect the effectiveness of NDSP implementation across government sector and civil society. • Initiated, reviewed and drafted the policies related to disability (as seen in point 1.1.1) • DAC referred around 200 persons with disabilities seeking support to vocational training, employment (garment and shoes factories), health care and disability allowance scheme. • DAC organised field visits to provincial DACs to mentor and coach them in relation to disability knowledge as well as role and responsibility at sub national level to be proactive and supportive toward persons with disabilities at their community. • DAC organised field visits to some private companies to monitor the accessibility for DVD – TV talk show persons with disabilities to buildings. As observed from the field trip, Aeon Mall and DAC quarterly Acleda Bank have provided excellent accessibility for persons with disabilities. report • DAC organised a meeting with persons with visual impairments, who used to play music TVK broadcasting in the streets in Phnom Penh city, and realize a recommendation from Prime Minister to schedule form five groups of musicians and provide them music equipment as well as the locations DAC website and to conduct concerts. Persons with visual impairments agreed with this initiative – the Facebook equipment will be provided to musicians by early quarter 2 of 2017. • Produced TV talk show through national television – TVK with specific topics below. o What is physiotherapy? What is the difference between physiotherapy and massage? o What are assistive devices for persons with disabilities? o The importance of participation of girls and women in development 5 talk shows have been o The clarification of Type and Level of Disability produced and aired. o The implementation of the Convention of the Rights of Persons with Disabilities They are broadcasted o The implementation of NDSP from 2014-2018 every Wednesday o The implementation of Law on the Protection and Promotion of the Rights of morning at 10:00am. Persons with Disabilities Since DAC couldn’t 13

Data Achievement During Reporting Period Narrative Assessment Source/Verification o What can persons with disabilities do? track the number of o Disability and Spinal Cord Injury viewers from TVK, DAC o The equal rights and opportunity of social protection for persons with disabilities has extended to re- o Mental health issues in Cambodia broadcast it on • Organized national and international events related to disability, for instance Facebook and Fresh international day for Down syndrome and Autism with children with Down syndrome news TV. The number and Autism, International Children’s Day and a sport activity event for children and youth of viewers from with intellectual disabilities. Facebook was less than 1K. It is expected that the number of viewers will increase from the Fresh news site due to their capacity (outreach is more than 1 million people.) Outcome 2: Increased capacity of DAC to coordinate implementation of NDSP

Output 2.1: Implementation of NDSP is monitored transparently across the whole-of-government

Indicator 2.1.1 • DAC-SG has reviewed the M&E framework to modify some indicators and tools to be DAC quarterly DAC-SG staff trained to collected. report efficiently implement M&E • DAC-SG had developed questionnaires and monitoring tool to monitor the progress of NDSP framework to monitor NDSP NDSP implementation. questionnaires Monitoring report template NDSP implementation plan Indicator 2.1.2 • About 7 DAWGs have conducted regular meetings within their working group to update DAC quarterly DAWGs monitor & report on the issues around disability – set target to achieve for next quarter. report NDSP implementation in • Provincial DAC Siem Reap was selected to be a role model for implementation the NDSP DAWG quarterly ministry/ institution at sub national level. report 14

Data Achievement During Reporting Period Narrative Assessment Source/Verification

Indicator 2.1.3 • DAC and CDPO have conducted the assessment of NDSP implementation within line NDSP assessment Regular NDSP review meetings ministries and DPOs/NGOs. report held with participation of line • DAC in collaboration with UNDP will organize the National Workshop to review the NDSP Ministries, DPOs and civil society implementation.

Output 2.2: In-depth analysis of existing disability-related data sources performed and recommendations for improvement of comprehensive disability-related data collection, analysis and utilisation provided Indicator 2.2.1 • UNDP in collaboration with UNESCAP to support DAC and NIS to review the existing CDHS report Extent to which disability data tool such as CSDGs indicators and NDSP indicators – UNESCAP planned to Questionnaires for recommendations for conduct baseline survey for NDSP. disability allowance improvement of disability data • The disability data from the CDHS report has been introduced officially – Washington Questionnaires of ID adopted by relevant ministries/ Group Questionnaire has been applied/introduced to some of key disability data poor card institutions survey/study of government ministries.

Output 2.3: Reporting under CRPD is completed on time following an inclusive consultative process

Indicator 2.3.1 • DAC sent questionnaires to line ministries and NGOs to collect the input in order to The final draft of Ministries /institutions and other include it into the final version. UNCRPD report will stakeholders, including persons be shared with with disabilities and women, DAWGs for participate in consultative comments and input workshop to finalise CRPD report in Q3. Indicator 2.3.2 Pending. Expected by Q1 2018 It is expected to Cambodian CRPD report submit the final submitted on time draft of UNCRPD to members of DAC for approval in Q4 and submit to Council of

Data Achievement During Reporting Period Narrative Assessment Source/Verification Minister by early Q1 of 2018.

Component 2: Supporting Disabled People’s Organisations to raise the voice and protect the rights of all persons with disabilities Outcome 1: Increased capacity of CDPO/DPOs to fulfil their mandates

Output 1.1: CDPO and DPOs capacitated to act as effective channel for raising the voice of all persons with disabilities

Indicator 1.1.1 • CDPO and some DPOs were invited to join DAC quarterly network meeting. CDPO quarterly CDPO/DPOs actively participate • 20 provincial DPOs were invited to be members and vice presidents of provincial DACs. report in meetings of DAC or DAC • CDPO were actively engaged with DAC regarding the preparation of the national committees/ working groups workshop to review the implementation of NDSP. • CDPO and DPOs were invited to be part of disability classification evaluation committee led by MoH and MoSVY. • In order to promote disability awareness within the media, CDPO established a judge committee which involved technical staff of the Disability Action Working Group of Ministry of Information to identify outstanding journalists who have contributed to promote the disability issue. This initiative was recognised by Ministry of Information and it was an effective tool in terms of advocacy.

Indicator 1.1.2 • CDPO was requested by DAC to conduct a mid-term review of NDSP implementation CDPO quarterly CDPO/ DPOs regularly consult within NGOs and DPOs – how NGOs and DPOs contributed to implement the NDSP. report with ministries/ institutions to • CDPO and DPOs will be invited to join the national workshop to review the Mid-term review promote NDSP implementation implementation of NDSP in August. assessment report

Indicator 1.1.3 • About 90% of all persons with disabilities who were registered for commune and sangkat CDPO quarterly Extent to which outputs of DRIC- election, voted. report funded activities in CDPO work • A Guideline on Political Participation for DPOs in Cambodia was finalised. This Guideline plan achieved was adapted from the existing AGENDA’s Advocacy Guideline on Political Participation for DPOs in Indonesia. The Guideline was developed with wider consultation with election stakeholders and DPOs/NGOs. 16

Data Achievement During Reporting Period Narrative Assessment Source/Verification • Disability Rights Advocacy Toolkit was finalised and published in both English and Khmer. The toolkit gives instruction/guidance to election sector organisations to involve persons with disabilities in the electoral process. • Media Guidelines for Reporting on Accessible Elections were finalised and published in both English and Khmer. The guideline will support journalists to report any issues related to accessible elections by fostering their understanding on how to report and post it on social media. • The Assessment Tools for Elections Management Bodies has been developed, this includes: NEC, PEC, CEC and Polling Station/Office, to observe the election process and ensure persons with disabilities can access the political participation as stated in the convention. During the commune/sangkat elections, CDPO and DPOs members were able to observe the voting process at the polling stations and some of the issues have been identified as follows: o Most polling stations are not accessible at all (stairs, steps, thick grasses, rocky, ditches; etc.) o The voter list displayed outside the polling stations was not easy to reach for wheelchair users due to few steps were blocked. o Voting booth desk and ballot box were higher than wheelchairs and the tables used made it difficult for wheelchair users to vote independently. o No sign language interpreter for deaf voters and no proper introduction on voting for deaf people was available. Many polling stations were not aware of braille ballot template or when they were aware of this template, they did not introduce them to the blind voters. o There was no awareness training provided prior to the polling day, including on the procedures of the special needs and requirements for accessible election for voters with disabilities. • 12 radio programs of Voice of Persons with Disabilities (VPD) are being broadcasted every day from 6:00am to 10:00pm: 4 disability mainstreaming programs, 3 news programs, 2 education programs, and 3 entertainment programs. These programs are: o Our Right Our Vote o Youth Social Box o Include Me 17

Data Achievement During Reporting Period Narrative Assessment Source/Verification o Your Concern Our Solution o Good Food for Today o Secret World o Our Traffic o I Know You Know o Daily Weather o Short news o Very Laughing, and o Hit Song • 3,043 listeners including 1,684 are women, called to comment and interact with the radio talk show and entertainment program. • In terms of capacity building to DPOs/WWDFs, the most significant showcases were highlighted as follows: o Most of DPOs/WWDFs were able to communicate with provincial governors by raising their concerns/issues for seeking supports. As a result, the provincial governors promised to build ramps at their offices as well as to enforce their subordinate departments to include persons with disabilities into their programmes. o WWDFs in Battambang is able to mobilise resources to expand their income generation activities with private sector and NGOs. o DPOs and WWDFs in Kampot are able to mobilise resources to support their members in terms of income generation activities and referral services such as free health care, inclusive education, rehabilitation and WATSAN program. o DPOs in Svay Rieng signed a MoU with a health sector organisation to provide referral service for persons with disabilities to support their transportation and food. • 7 trainings including 2 refresher trainings on program management, disability rights based approach and political participation provided to DPOs and WWDFs. • CDPO organized regular DPOs Network Meetings which involved different stakeholders including DPOs, NGOs and government representatives. The network meetings were a dialogue platform for DPOs to share their lessons learnt including achievements and concerns/challenges among their networks. It also provided opportunities for 18

Data Achievement During Reporting Period Narrative Assessment Source/Verification collaboration with government and NGOs to improve referral services for persons with disabilities. • Conducted joint management visit to understand the issues/needs of persons with disabilities at the community and identified the proposed solutions.

Output 1.2: Specific needs and priorities of women and children with disabilities, persons with hearing, visual, intellectual & psychosocial disabilities & other excluded groups are included and addressed in CDPO/DPO plans and activities Indicator 1.2.1 • CDPO facilitated a dialogue for women with disabilities regarding the employment DPO guideline Percentage of activities opportunities at government ministries and private sector through a press media and Gender policy specifically targeting women, consultative meeting. 20 women with disabilities who were fired from the Footwear Disability policy girls, boys & men with different Factory were invited to share their concerns and issues of why they were fired. As a Child protection types of disabilities in CDPO’s result, CDPO developed a statement and submitted to responsible government policy work plans ministries to take further action – subsequently 20 women with disabilities received a CDPO quarterly fair pension fund from the factory. report

Indicator 1.2.2 • At least 20% of DPOs governing board members are women with disabilities DPO guideline The final figure will be Percentage of women in CDPO quarterly updated by end of the governing body of CDPO, DPOs, report year. Federations & SHGs increases by CDPO membership 10% list Indicator 1.2.3 • One DPO and 5 SHGs were established – more than 40% of members are women with DPO guideline CDPO’s membership of DPOs disabilities. CDPO quarterly representing women, girls, boys report & men with different types of CDPO membership disabilities at national & sub- list national level increases by 20% Output 1.3: CDPO and DPOs are actively involved in regional networks, exchange of experiences and good practices Indicator 1.3.1 CDPO and DPOs attended regional conferences/meetings as follows: CDPO quarterly CDPO/ DPOs participate in o 3rd AICHR Regional Dialogue on the Mainstreaming of the Rights of Persons with report regional events Disabilities in the ASEAN Community was held on 19-21 June 2017 in Phuket, Thailand. 19

Data Achievement During Reporting Period Narrative Assessment Source/Verification o Exchange study in Bangladesh on inclusive governance supported by UNICEF. o ASEAN disability forum on disaster risk reduction management – how to ensure persons with disabilities are included into the DRR program/policy. o Training on accessibility and technology in Malaysia, organized by CBR Malaysia Network.

Indicator 1.3.2 • Summary report on observing accessible elections during the day of election, at the CDPO quarterly Reports and other documents polling stations. report disseminated with lessons • Guidelines related to elections and reporting for media sector learned, exchange of knowledge, • Toolkits for accessible elections and good practices • NDSP assessment report

Outcome 2: Effective inclusion and representation of diverse groups of persons with disabilities Output 2.1: Existing DPOs strengthened and new DPOs established to ensure representation of diverse groups of persons with disabilities

Indicator 2.1.1 • One DPO and 5 SHGs were established – more than 40% of members are women with CDPO membership # of new DPOs to represent disabilities. list women & children with disabilities & persons with diverse disabilities Indicator 2.1.2 • 7 trainings including 2 refresher trainings on program management, disability rights- CDPO quarterly # of capacity building activities based approach and political participation provided to DPOs and WWDFs. report for existing & new DPOs • Training on resource mobilization DPO network • Ongoing mentor and coaching on good governance and leadership skill by Technical meeting report Support Group (TSG) of CDPO • DPOs network meeting – focused on resource mobilization and referral service.

Achievement During Reporting Data Narrative Assessment Period Source/Verification

Component 03: Supporting rehabilitation systems strengthening

Outcome 1: Strengthened rehabilitation sector leadership, planning and coordination

Output 1.1: Government capacity to lead, regulate and plan the rehabilitation service sector

Indicator 1.1.1: Quality The secondary analysis of the Final report Key findings: information available on 2014 Cambodia Demographic 9.5% of the Cambodian population experiences at least some of disability and the rehabilitation sector and Health Survey (CDHS) on the prevalence rate ranges from 1.8% for persons aged 5-14 years to 44.2% for persons aged status, including health care utilization of persons 60 years and above. finances, workforce and with disabilities is ready for service provision for publication. Printing is expected Persons with disabilities on average spent 3-4 times the amount on total health care informed decision by end of August 2017. related treatment and travel costs relative to persons without disabilities. making enhanced service provision The preliminary finding of the 1st draft report The annual expenditure was USD 3.1 million to operate 11 physical rehabilitation Rehabilitation sector financing centers, 3 repair workshops and 1 orthopedic components factory. Baseline: Inception of report is being consolidated program followed the consultation with The operational expenditure from PT services of hospitals could not extracted from the Planned Target: Capacity relevant stakeholders. Final total expenditure of hospital Needs Assessment; report is expected by September Disability analysis within 2017 A significant reduction in the number of new clients with impairments caused by CDHS and Rehabilitation landmines, and an increase in the number of clients with impairments relating to illness Financing and workforce / disease, traffic and other accidents reports The future expenditure on rehabilitation services at PRCs and PT units at hospitals based on the projected numbers of clients and services over the next 10 years are 6.73 million and 7.68 million respectively. The inflation and investment were included for this scenario. Output 1.2: Establishment of a rehabilitation sector leadership and coordination mechanism

Achievement During Reporting Data Narrative Assessment Period Source/Verification Indicator 1.2.1: Physical Plan to establish the Physical MoSVY/PWDF recommended that the current PWDF’s Board should consider to support rehabilitation sector rehabilitation sector leadership the Physical rehabilitation sector leadership and coordination leadership and and coordination mechanism coordination mechanism canceled In addition to the above mechanism, the informal PWDF - 4 IO/NGOs Directors meeting established and could be considered to support the Physical rehabilitation sector planning, including functioning supporting the implementation of the 5years rehabilitation transition plan. Baseline: Inception of Joint Procurement Committee Joint Procurement The main objectives of this committee are: to improve the efficiency, effectiveness of program (JPC) between Persons With ToR procurement of supplies for the PRCs and OCF, to optimize cost efficiency, and to Planned Target: By 2016, Disabilities Foundation (PWDF) Minutes Meeting document lessons learnt to support the handover process 5 entities represented; and the four Rehabilitation DPO member; At least 2 International/Nongovernmental managerial meetings per organizations (4 IOs/NGOs) year established and functional

Joint national working group on ToR The main objectives of this committee are: to develop national Physical Therapy Physical Therapy between MoH Nomination Letter by Standards to ensure the future accreditation process of this profession in line with the and MoSVY (National PT-WG) MoH (in Khmer) new Law on Regulation of Health Practitioners established and recognized by the two ministries. In addition to the members from these two ministries, DPO, Development Partners and Professional Association are also represented. Output 1.3: Development of MoH’s role in rehabilitation sector strengthening & service provision

Indicator 1.3.1: MoH MoH has organized few meetings Minutes Meeting National PT Standards translated in Khmer and testing process and is ready for testing participates in among the members of National Draft version of rehabilitation sector PT-WG to discuss the National PT The final product of these standards is expected by December 2017. leadership mechanism development of national PT Standards In addition, these draft standards are recognized by WCPT Baseline: Inception of standards Support letter from program The draft National PT Standards the World is ready for testing followed Confederation for

Achievement During Reporting Data Narrative Assessment Period Source/Verification Planned Target: At least Physical Therapy 2 times per year (WCPT)

MoH has requested for support Minutes meeting The development of the National Rehabilitation Strategic Plan will be done in parallel from WHO to develop the Request letter with the development the five-year physical rehabilitation transition plan national Rehabilitation Strategic Plan as a result of its ToR – Rehabilitation The recruitment for these two consultants is planned for 3rd quarter 2017 participation at the Strategic Plan and Rehabilitation 2030 meeting in Rehabilitation Geneva, in February 2017 Transition Plan Indicator 1.3.2: Disability Not applicable The Priority Rehabilitation Demonstration Project (PRDP) in Kampong Cham ended by 30 and rehabilitation June 2017. Documentation of good practices and lessons learnt was mainly focused by trainings for hospital, the project team during this reporting period. health centre & village volunteers through PRDP Baseline: Inception of program Planned Target: # of trainings by end of 2016; # of Civil Servants trained Indicator 1.3.3: Good 17 Focus Groups Discussions Project ended Report Final documentation report and lunching of this document is planned for early August practice & lessons learnt (FGD) organized with different Jan 2016 to Jun 2017 2017. from PRDP implemented stakeholders including Project in other provinces Steering Committee, health Documentation Baseline: Inception of centers and commune councils. report program Planned Target: 2 Documentation of good practice provinces by 2017 & lessons learnt from PRDP drafted

Output 1.4: Development of a national vision for rehabilitation and support services provision

Achievement During Reporting Data Narrative Assessment Period Source/Verification Indicator 1.4.1: Working Please refer to indicator 1.2.1 No additional working group meeting is planned in the coming semester. group established & functional to develop national rehabilitation strategy Baseline: Inception of program Planned Target: By end of 2017; # of entities represented in working groups; Quarterly meetings Indicator 1.4.2: National In addition to indicator 1.3.1, the ToR These two assignments are expected to start in Aug 2017 rehabilitation strategy recruitment for the national and developed and adopted international consultants to Baseline: Inception of develop national Rehabilitation program Strategic Plan and the five-year Planned Target: By 2018 Physical Rehabilitation Transition Plan announced Outcome 2: Increased access to quality rehabilitation services Output 2.1: Increase capacity of MoSVY and PWDF to effectively and efficiently manage Physical Rehabilitation Centres (PRC) and support their transition from INGO

Indicator 2.1.1: # of PRCs As per indicator 1.3.1, the Final Draft of implementing PRC national PT standard is one of national PT management system the technical tools of the Standards Baseline: Standard Standard Working Procedure. Working Procedures (SWP) In addition, the national statistics National Statistics The printing of this report including the factsheet is expected by August 2017. Planned Target: New report for the 11 Physical Report from the 11 SWPs by 2016; New Rehabilitation Centers (PRCs) PRCs

Achievement During Reporting Data Narrative Assessment Period Source/Verification SWPs implemented in 11 was consolidated for the period PRCs from 2016 of 2012-2016. 1st 6months report Rehabilitation Management from HI The RMS was introduced by Handicap International (HI) since 2012 aiming to self- System (RMS) successfully assessing of the PRC’s management on 6-monthly basis. This tool has been introduced implemented at Kampong Cham among the PRC stakeholders including PWDF. PRC Indicator 2.1.2: Tools to The standardized PRC’s Client 1st 6months report No progress was made with the final revision of PRC’s Client Satisfaction Survey (CSS) measure quality of Satisfaction Survey (CSS) from HI, PWDF questionnaires. PRCs still using their own CSS tool. services & satisfaction of questionnaires is not yet users developed & operationalized Involvement of the PWDF at central level to implement this tool still too weak since the operationalized departure of the WHO’s local advisor. Baseline: No standard tools available Planned Target: Standardized tools available by 2016; 11 PRCs using standardized tools from 2016 Indicator 2.1.3: The cost allocation tool 1st 6months report HI plans to introduce this tool to PWDF in coming semester. Sustainable service developed and completed in from HI. models developed & March 2017 by HI followed the Excel database on adopted piloting phase in Mar 2016 at this tool is available Baseline: Inception of Kampong Cham PRC upon request program Planned Target: Cost calculation tools available by 2016

Achievement During Reporting Data Narrative Assessment Period Source/Verification Indicator 2.1.4: % of civil 317 staff are working at 11 PRCs Updated list of HR of The 2017 updated list is not yet available servants working in PRCs and one OCF, of these 111 (35%) the 11 PRCs and one Baseline: 36% of total are government civil servant, 141 OCF on July 2016 workers (44%) are government Planned Target: At least contractual and 65 (21%) are 60% of total workers by NGOs. 2018 Output 2.2: Community Based Rehabilitation (CBR) implemented in line with WHO CBR Guidelines

Indicator 2.2.1: Not yet applicable Concept Notes and The National Rehabilitation Forum will be held from 1-3 August 2017. Capacities to implement Agenda CBR in line with WHO CBR Guideline principles & approaches enhanced Baseline: Inception of program Planned Target: Bi- annual Rehabilitation and CBR forum; MoSVY & MoH participate in Asia Pacific CBR forum; MoSVY & MoH participate in global CBR forum

Achievement During Reporting Data Narrative Assessment Period Source/Verification Indicator 2.2.2: National Canceled The next positioning of the CBR is being discussed at the global level to differentiate CBR Guideline reflects between what is CBR and what is community-based disability-inclusive development the WHO CBR Guideline (CBDID) and how are they differenced. principles and approaches Baseline: 2010 National CBR Guideline Planned Target: Revised CBR Guideline adopted by 2017 Output 2.3: Increased government financial investment in rehabilitation services delivery Indicator 2.3.1: RGC Total operating expenditure for 1st draft report on However, the total amount of government budget allocated increased by 51% from USD investment in physical the 11 PRCs and three RWs is Rehabilitation Sector 765,447 in 2013 to USD 1,156,180 in 2016 rehabilitation increased estimated at USD 3,081,153m in Financing against baseline 2016. Of this number, 37.5% Baseline: 27% of total from government budget, 56.8% expenditure of 11 PRCs from IO/NGOs partners, 5.3% and Component Factory from WHO and 0.4% from other. Planed Target: At least Compared to total expenditure in 50% of total expenditure 2013 (28.5% of the total USD by 2018 2,68,147) the percentage allocated from government budget increased by 9% point.

Achievement During Data Narrative Assessment Reporting Period Source/Verification

Component 04: Inclusive governance and inclusive community development

Outcome 1 Persons with disabilities have access to community-based services through the Cambodia Disability Inclusive Development Fund (CDIDF) and support from their local decision-makers in reducing barriers to participation

Output 1.1 Persons with disabilities have increased opportunities to participate and contribute to community life in CDIDF-funded program areas Indicator 1.1.1 Persons 282 (F:76) persons with CDIDF partner reports An explicit aspect of CDIDF grants to NGOs is to support linkages and engagement with with disabilities are disabilities participated in local authorities. The intention is to connect stakeholders, embed initiatives into the local represented in Commune community level activities governance context and to increase the visibility and participation of persons with Council, WCCC and/or and decision making disabilities in daily life at the community level. Throughout DRIC, it was found that the CCWC to contribute to forums. existing mechanisms can be included when there is awareness of persons with disabilities decision-making processes and inclusion and persons with disabilities themselves are empowered to participate in local decision-making processes. Baseline: Inception of CDIDF

Planned Target: 12 Commune Councils, 5 WCCC, 12 CCWC, 20 PWDs, 12 women 203 communes CDIDF partner reports Originally established targets were found to be unrealistic based on implementation. Indicator 1.1.2 Number of CDIDF partners are working in more than 204 communes. commune interventions The majority of these communes are from: VIC (109) as part of their home-based carried out to remove rehabilitation activities for children and adolescents with Cerebral Palsy and Spinal Cord barriers to participation for Injuries; CDMD (25 communes for CBR activities; NCDP (24 communes for PPRPD persons with disabilities trainings), and; CABDICO (24 for CBR activities). Full data is available outside of this report.

Baseline: Inception of CDIDF

Planned Target: 24 communes, 24 activities Indicator 1.1.3 Persons 159 SHG with 2342 CDIDF partner reports CDIDF partners engage with community level Self Help Groups (SHG) of persons with with disabilities enjoy members (F: 988) disabilities as a structure and network that provides support at the local level. increased participation and inclusion in community life

In total, 159 SHGs were supported by CDIDF partners reaching a total of 2342 beneficiaries Baseline: Inception of of which 988 are female. SHGs formation has been supported as well as work to support CDIDF SHGs to engage with local authorities and other activities related to training, livelihoods skills and empowerment at the community level. Planned Target: 12 SHGs supported, # of members, # of PWDs, # of women Output 1.2 Improved access to services for persons with disabilities at the community level in CDIDF-project areas

Indicator 1.2.1 Civil society 15 CSO partners - Signed meeting For the reporting period, 15 CDIDF grant partners have been active in their project organisations (CSO) implementation ongoing, of minutes from implementation. 1 grant partner will close its agreement mid-2017. Regular contact is supported to deliver which 1 CSO partner Independent Selection maintained with the partners and support is provided as needed/requested. As per the services to persons with completing the agreement Committee. MTR decision in 2016, throughout the last quarter of 2016 and half of 2017, the existing 14 disabilities and track mid-2017. grant partners have had their agreements amended to top up additional funds to the service provision Signed PCAs/SSFAs grants and to extend the implementation period. In the first half of 2017, 3 agreements with the Baseline: Inception of capacity development 15 CDIDF partners. UNICEF has a partnership agreement with Light for the World Cambodia to support the CDIDF sessions were conducted capacity development activities for the CDIDF partners for three selected topics and for the 15 CSO partners and Satisfaction survey through tailored visit to some CSOs. UNICEF uses in house technical expertise to train CSO Planned Target: 15 CSOs 5 DPOs (on finance and tool partners on financial topics, basic procurement and results-based planning and reporting. receiving CDIDF grants, 6 basic procurement, capacity building activities The CDIDF team conducted a total of 6 programme monitoring visits in the first half of communication for for CDIDF partners, 75% 2017, of 15 planned programme visits. advocacy and disability CSO satisfaction inclusion)

The CSO satisfaction survey was initiated in March 2017 with the 15 grants recipients. 95% of the respondents positively rated the CDIDF implementation, monitoring, effective

communication and on- time technical feedback from both sides. In 2016, 88% of respondents positively rated CDIDF in the same survey.

Indicator 1.2.2 Persons A total of 202,681 (PwD: CDIDF partner reports. • VIC: provided HBR to 724 CP and 73 SCI including 42 new clients. Previous period, VIC with disabilities have access 31,155) beneficiaries provided HBR to 782 CP and SCI. VIC produced 33 special wheelchairs and 16 trolleys to community-based directly and indirectly for the children with CP and SCI in Kandal, Prey Veng, and Svay Rieng provinces. services through CDIDF benefited from disability- • HHC: 107 children with intellectual disabilities received day-care (47 CwIDs), home- projects inclusive and specific based care (60 CwIDs) and 47 children with intellectual disabilities have access to support services in the 14 inclusive education program, and among which 50 children received special therapy Baseline: Inception of targeted provinces and (physical therapy/speech therapy and Occupational Therapy). CDIDF • DDSP: 8 children with disabilities from poor families were supported to go to school. Phnom Penh. DDSP provided learning materials and school uniforms. In addition, 655 persons In total, 9,270 persons with Planned Target: 12 benefited from the programme as they received WASH facilities such as water jars, disabilities directly provinces, 12 districts, 24 water filter, water wells, and accessible toilet. benefitted from the CDIDF communes, 12 new • KHEN: 294 Children with disabilities (and/or IDs) (109 females) enrolled in schools. 31 initiatives, of which 5,698 services, # of PWDs: # of children with severe/moderate disabilities provided with the mobile studying boxes at (2,389 girls) were children women, # of girls, # of home and home-support in learning and follow up. with disabilities, boys, # of mine/ ERW • CDMD: i). 9,727 (F: 4,626) people with disabilities screened. 883 (F: 531) clients representing 62% of total survivors received health care services for free of charges from 18 HCs. ii). 17 direct beneficiaries who are adaptations/accessible constructions were built including 8 ramps, 9 toilets in the persons with disabilities. target community with the cash contribution of the local authorities and family of

PWDs to ensure the full participation in the sustainable development. • AEC: 656 children were identified with significant hearing loss and placed for aural rehabilitation intervention, of which 109 restored. 4 trainee clinicians satisfied clinical practice requirements during the reporting period as stipulated in their Competency Record of Clinical Practice. • NCDP: PPRPD trainings at district and commune levels reached 70 participants, of which 16 female and girls with disabilities. Participants in the trainings included: district governors and vice district governors, council member, police officers, health centre staff, education officers, commune chiefs, commune council members, commune 30

secretaries, village leaders and PwD. 5 PwDs were referred by NCDP to receive health care services and assistive devices. • Epic Arts: 6 Persons with disabilities are employed to perform arts. One film, “I CAN” produced: https://www.facebook.com/everypersoncounts/videos/10159028811810261/ • PPCIL: 19 local authorities and stakeholders (vice district governor, Planning and Development Officers, Commune councillors, Heath Center Staff and Village Chiefs) engaged in raising and including disability inclusion/issues in CIPs. 104 (F:52) persons with severe disabilities were identified/registered for ID cards. A network of 20 role models of independent living persons is going to establish to advocate their need/rights and disability inclusion by PPCIL to be role models in the community for independent living. 14 (F:10) individuals were selected and trained to be personal assistants for persons with severe disabilities. 50 (F:21). PwDs were identified and referred to health care services and rehabilitation centres. • CABDICO: 116 children (40 female) with disabilities received home based care/stimulation (play stimulation, develop physical, speech, materials i.e. toys detergent, shoes and adapted stimulation space) and parents and caregivers received coaching provided by CABDICO staff. 165 members of SHG [88 PwDs (F:19 and 12 CwDs] benefited from seed funding support and received loans for livelihoods activities (i.e. animal raising). • KPF: 24 children (9 female) with disabilities (severe and moderate disabilities) attended day-care center and integrated class (Chbar Ampov and Stung Meanchey Sangkats). 13 children with disabilities (F: 2) received and receive home-based care/support • Krousar Thmey: 400 (149 girls) children with disabilities (hearing and visual) attended sport regularly. 129 (44 girls) student with disabilities (SwDs) accessed to tertiary education and counselling. 30 (7 girls) SwDs registered to post-secondary education/university and exposed to job market opportunity. 50 (18 girls) SwDs found job and internship. • HI: 8.7% (59 children,16 girls) children) of children out of 679) were detected with impairments via screening and accessed therapeutic services. 64% of newborns (529 F= 251, out of 825) were screened in 14 HCs. • CCAMH: 125 (47 Boys) children detected with intellectual impairments (Kandal, Battambang and Kg. Thum) for home based intervention and outreach activities. 296 (138 girls) children received follow up and consultation services both outreach and via

Battambang Arrupe Center and Kg. Cham Church Campus provided by VCDs and CCAMH team. 34 young women benefited from psycho-social education, counselling, and relaxation exercises (breathing technique) [at Friendly Vocational Skills Development Centre, Battambang]. 21 children (12 girls) received appropriate care, incl. fun play games session; drawing, singing, dancing and storytelling. 6 adolescents (2 female) with intellectual disabilities registered to vocational training skills at Caritas- YDP (painting/drawing, car/phone repairing, electricity and barber course) Indicator 1.2.3 Families 161,663 indirect CDIDF partner activity The indirect beneficiaries identified from the CDIDF partner activities include persons with indirectly benefit from beneficiaries reports. and without disabilities, families, local decision makers and the general public. Indirect CDIDF projects beneficiaries have participated in activities of the projects such as training initiatives, awareness raising and community level meetings. Baseline: Inception of CDIDF

Planned Target: # of families, # of people Indicator 1.2.4 Accessibility In the first half of the year, CDIDF partner activity With the CDIDF grants, a key purpose through service delivery, empowerment and of public spaces in CDIDF 27 ramps and 5 accessible reports. community engagement is to increase participation of persons with disabilities in daily life. project areas improved toilets were built for Photos One measure of this is physical accessibility of public social services. families with members with Baseline: Inception of disabilities. For this reporting period, some CDIDF partners reported on building or supporting the CDIDF development of accessibility. This includes: 27 ramps and 5 accessible toilets in public schools and health centres as well as one accessible 1 toy- library for children with Planned Target: # of new intellectual disabilities. ramps, # of new/ adapted spaces Cumulatively, CDIDF partners have supported: 117 ramps, 47 accessible toilets were built or renovated in schools and health centres, 1 toy- library and renovated one house for a family of PwD living in Ratanakiri since the start of CDIDF in 2014. Output 1.3 On-going documentation /dissemination of experiences of the CDIDF to influence the policy dialogue

Indicator 1.3.1 Reports and First quarter progress CDIDF partners report Reports and human interest stories bring to light the results at the individual level and can human interest stories reports from 15 CDIDF be used for communications, advocacy and understanding results. produced and disseminated partners available. UNICEF on CDIDF funded projects. documentation Programme monitoring reports are produced annually for each CDIDF partner.

One case study on Baseline: Inception of NGO/CSOs work with local In the second half of 2017 UNICEF plans to produce its own human interest stories related CDIDF authorities on disability to the CDIDF partners and beneficiaries. inclusion is under Planned Target: 6 reports development by DRIC team or human interest stories (UNICEF and UNDP)

1 blogpost on a partner’s work produced: https://unicefcambodia.blo gspot.com/2017/07/disabili ty-not-inability-one.html

Outcome 2 Increased capacity of subnational decision-makers in selected provinces, districts and communes to achieve the rights of persons with disabilities

Output 2.1 Government officials in selected provinces, districts and communes have greater knowledge and skills resources to improve the lives of persons with disabilities Indicator 2.1.1 Situation Completed. Final report In July 2014, the final report was submitted accompanied by a draft directory of service analysis identifies barriers providers. The final report provides detailed analysis of the situation of persons with to the participation of Situation analysis was Final report disabilities at the sub-national level, key actors in the disability sector and a set of specific persons with disabilities finalized in July 2014. - presentation of key recommendations for the DRIC programme and UNICEF to carry forward in the coming and solutions for removal findings to years of the programme. The report is an important first piece of knowledge from the stakeholders. DRIC programme. Baseline: None – no up to date situation analysis The report has been shared and disseminated with stakeholders and partners sector for information available. optimised benefit. The report serves as a reference document by DRIC.

Planned Target: June 2014 Indicator 2.1.2 Selected Completed. Activity reports. The 2015 progress reporting period, UNICEF focused its activities and work in alignment provinces, districts and with the existing programme areas of its Local Governance for Child Rights programme. communes for In 2014-15, UNICEF Signed annual work This included 9 provinces, 11 districts and 101 communes. Work from Jan-June 2015 was implementation of completed the sensitisation plan with Ministry of concentrated at the district level focusing on: Samroung Torng, Kamchay Mea, Kampong activities activities in 9 provinces and Interior Ro, Svay Teab, Khan Porsenchey, Kang Meas, O Reang, O Chum, Sampov Lun, Phnum 11 districts. Proek, Stoung and Pouk.

Baseline: 9 provinces, 11 As of 2016, the UNICEF In 2016, UNICEF commenced a new Country Programme cycle for the period of 2016- districts, 101 communes focus provinces for capacity 2018. Some revisions to the focus areas took place to align with broader UNICEF development of local programming as well as consideration for resources available, DRIC programming areas Planned Target: 9 authorities are Kratie, and convergence areas with UNDP and WHO programming areas. The focus provinces for provinces, 11 districts, 50 Ratanakiri and Battambang. work in particular with MoI became: Battambang (Phnom Prueck district), Siem Reap communes In 2017, Siem Reap, Kandal (Puok district), Kratie (Chetr Borei district) and Ratanakiri (Bar Kaev district). and one khan in Phnom Penh has been included In 2017, Kandal province (Kandal Stung district) and Phnom Penh capital (Russey Keo khan) into the work plan. were added for the disability inclusion training for sub-national decision makers. Expansion into additional districts into existing focus provinces included: Krong Kratie and O’Chum Indicator 2.1.3 Training of Completed in late 2015. Annual work plan with In 2015, UNICEF contracted a team of consultants to develop a disability inclusion training trainers (ToT) course on MoI. package for sub-national authorities. This work began in early 2015 with initial inclusion of persons with 1 ToT was developed by the consultations with a wide range of stakeholders from Government (national and sub- disabilities developed for consultant team and ToT outline from national), DPOs and non-government organisations. sub-national decision- implemented to a group of consultant team makers core trainers; in total, there The training package was completed in English by the team and reviewed by UNICEF were 23 individuals Participation lists from Cambodia as well as a team of external experts for quality assurance purposes. Baseline: Inception of completed who initially the ToTs; observation; programme ToT. photos, etc. The training package was translated into Khmer, pre-tested and has been revised numerous time by MoI with inputs from MoSVY, DAC, CDPO, NGOs and DRIC colleagues. Planned Target: By third The package is finalised and sent out for printing. quarter 2015 In early 2017, the training package was revised to incorporate the new sub-national planning guideline primarily into module 7 for all three sub-national levels. Indicator 2.1.4 ToT on 2 trainings conducted (1 In March 2017, a 3 days ToT refresher training on disability inclusion was conducted for a disability inclusion refresher and 1 ToT in team of provincial trainers - 35 people in total participated (from the following conducted for sub-national March and April of 2017 for unit/department: Human Resource Development Center, Provincial Investment Division, trainers a total of 63 participants Provincial Capacity Building Advisor, Provincial department of Social Affairs, District from 5 provinces and 1 Advisor, Commune/Sangkat support unit and Disabled People Organization) from four Baseline: Inception of from capital (Battambang, Battambang, Kratie, Rattanakiri and Siem Reap. The training was facilitated by a cohort of programme Kratie, Rattanakiri and Siem master trainers from MoI and NCDD at the national level and CDPO. Reap, Kandal and Phnom Penh)

Planned Target: ToTs, 10 In April 2017, a five days ToT training was organised for another provincial trainer team – national trainers, 45 sub- in total 28 participants (composition as above but also included MoI/DDC and Capacity national trainers, 30% buiding Department staff) from two new focus areas: Kandal and Phnom Penh. women, 2% PWDs Overall, the feedback on the ToT was positive with increased knowledge/skills of 24 percentage score (comparing between pre- and post-test). There was good participation and reception from participants. Indicator 2.1.5 Trainings on 21 communes were trained During the reporting period, MoI commenced implementation of the training at sub- disability inclusion last year (in 3 districts of 3 national level for Provincial level (Siem Reap) and district level (Siem Reap, Battambang conducted for sub-national provinces reaching 357 (73 and Kratie). decision- makers females [20%]) participants and started from Q3 this Baseline: Inception of year will reach a total of 62 programme communes, in six districts of 5 provinces and 1 Khan Planned Target: 5 trainings, of the Capital city – Phnom 50 communes, 150 Penh participants, 30% women, 2% PWDs Indicator 2.1.6 Completed. Sensitisation activity Two sensitisation workshops were held for provincial level decision makers in August Sensitisation workshops reports. 2014. In total, there were 211 beneficiaries from this activity. See 2014 reporting for conducted to raise 2 workshops, 211 additional details. awareness on disability participants (F: 50; PwD: 4) Evaluation forms issues at provincial level completed by participants. Baseline: Inception of programme Photo evidence

Planned Target: 2 workshops, 200 participants: 30% women, 2% PWDs

Indicator 2.1.7 Completed. Sensitisation activity 139 (33 females) sub-national decision makers from 8 districts and 1 khan from more than Sensitisation workshops reports. 15 line sectors and entities participated in a two-day sensitisation workshop on disability conducted to raise Four sensitisation inclusion. The workshops were delivered by MoI who hosted and facilitated in awareness on disability workshops were held for Evaluation forms collaboration with DAC, MoSVY, CDPO and UNICEF. The district level workshops where issues at district level provincial level decision completed by held in Mondulkiri, Svay Rieng, Kampong Thom and Battambang. makers over November participants. Baseline: Inception of 2014 – March 2015. programme Photo evidence 139 participants (F: 33; Planned Target: 3 PwD: 4) Assessment survey workshops, 200 conducted by MoI in participants: 30% women, 2016 2% PWDs Indicator 2.1.8 Knowledge, Level of knowledge: 3% Questionnaire The follow up assessment survey conducted by MoI in late 2016 found that as a result of attitudes and practices of outstanding, 35% good and distributed at the sensitisation workshops, the level of knowledge of disability was rated by participants local decision-makers to 49% basic workshops as: 3% outstanding, 35% good and 49% basic promote inclusive local governance and community Improved attitudes of Assessment survey Improved attitudes of participants towards disabilities was as self-rated as 93% development improved participants towards conducted by MoI in Only anecdotal evidence of improvement in practices identified. disabilities was as self-rated 2016 Baseline: TBD as 93%

Planned Target: 50% improvement in knowledge, 50% improvement in attitudes, 50% improvement in practices Indicator 2.1.8 Directory of This activity has been The online services directory, originally developed by the Australian Red Cross was handed accessible services for cancelled. over to DAC in 2015. With support from Handicap International, GIZ and UNICEF, further persons with disabilities inputs were provided into the design and content. developed and Given the support provided by GIZ for the services directory, which is an online based disseminated platform, UNICEF decided to reallocate these funds to grants to partners as there was no significant value add to this activity and value for money in terms of results.

Baseline: Draft directory

Planned Target: On-line database, 2,000 directories printed, 2,000 directories disseminated Indicator 2.1.10 MoI/NCDD UNICEF regularly meets Annual work plan UNICEF has seen increased capacity as demonstrated through the thorough revisions of engaged to promote with the MoI and NCDD between MoI and the training manuals as well as the well delivered ToT workshops in 2017. inclusive governance and counterparts; meetings UNICEF. community development in take place on average every target areas 6 weeks and ad-hoc E-mail exchanges meetings and Baseline: Inception of the correspondence by e-mail Notes/minutes from programme and telephone is regular. meetings.

Planned Target: Six weekly meetings with UNICEF, agreed work plan, ToT endorsed by MoI Output 2.2 Persons with disabilities have increased opportunities to contribute to decision-making processes in target areas

Indicator 2.2.1 Persons 64% (14 out of 22 UNICEF Magpi survey Data has been collected from the UNICEF Magpi survey. The results are localised to data with disabilities included in communes answered PwD collected in Ratanakiri, Kratie and Phnom Penh however do not include in the sample the commune planning actively participate in CIP other target provinces of Battambang, Siem Reap and Kandal. processes in target process). communes

Baseline: 85% of 41 surveyed communes

Planned Target: 100% of surveyed target communes, # of communes surveyed

Indicator 2.2.2 Commune 82% (18 out of 22 UNICEF Magpi survey Same as above. Investment Plans (CIP) and communes have activities Commune Development in the CIP specifically Evidence collected from the field in target areas where disability inclusion training has Plans (CDP) in target areas designed to target children been implemented shows progress towards greater inclusion of children and families with are inclusive of and with disabilities). disabilities in local governance processes. Actions taken by communes in support on accessible to persons with persons with disability in the focus areas include: purchasing of assistive devices, disabilities transportation costs to access social services, school support materials, provision of bicycles, skill training, disability awareness raising and ramp construction. Baseline: Inception of programme

Planned Target: 75% of CIPs, 75% of CDPs Output 2.3 On-going documentation /dissemination of experiences to influence policy dialogue

Indicator 2.3.1 Reports and One human interest story: Final human interest human interest stories http://www.khmertimeskh. stories. produced and disseminated com/5075834/pre-school- education/ Baseline: Inception of programme

Planned Target: 4 reports or human interest stories

D. Challenges The submission of the final report of the UNCRPD is delayed due to the absence of a monitoring mechanism and lack of collaboration from relevant ministries and institutions to provide final input/comments on the report. This is partly linked to other priorities of the ministries in light of the commune/sangkat election in June 2017.

About 5 provinces have yet established the provincial DAC due to the change of management structure after the results of the commune elections. It will take time for the new management to understand the role and responsibility of provincial DAC.

Since the current NDSP will end in December 2018, DAC suggested to revise the M&E framework of the NDSP. It will be approved by Secretary General of DAC – not the President of DAC. In light of the remaining time of NDSP of only a little over one year, it is questionable how much effort DRIC should invest in the issue.

Despite advocacy efforts from DRIC at DAC for the inclusion of disability related indicators into the Cambodia Sustainable Development Goals (CSDG) framework, no progress in this regard can be noted. It seems DAC is not engaging in the localization progress due to other commitments/priorities.

Persons with mental health disabilities are still underrepresented at national and sub national level due to lack of expertise in mental health support – still very few organizations provide this service.

Since the full handover of the Orthopedic Components Factory (OCF) from the International Committee of the Red Cross (ICRC) to the Persons With Disabilities Foundation (PWDF) in December 2016, some of the Physical Rehabilitation Centers (PRCs) faced some shortage of orthopaedic components to support their production activity of prosthesis and orthosis.

The Priority Rehabilitation Service Scheme (PRSS) has contributed to compensating the shortage of production materials required by the OCF; however, since the absence of top-up staff incentive previously provided by ICRC the quantity of orthopaedic productions by this factory has slightly decreased and struggles to meet the demand required by the PRCs.

Funding is always a major problem facing most of the IO/NGOs due to the reduction in support from donors in this sector. In addition, following the handover of the OCF, IO/NGOs are now required to purchase orthopaedic components instead of receiving them free of charge as they did before.

The provision of government contractual staff to some PRCs has reduced significantly and this decision has impacted PRCs that had more contractual staff such as Kampong Speu and Battambang centres.

In June 2017, local level (commune) elections were held. The lead up to the elections meant that training at the local level had to be delayed to accommodate possible changes in local authorities at commune level as well as the government counterparts’ involvement in pre-election activities. Specific attention was paid to ensure that activities under DRIC were not politicised and that the sequencing of activities took into consideration the election timeline. As a consequence, the bulk of sub-national training is planned for Q3 and Q4 of 2017 and could experience possible delays.

Extending partnerships with CSOs has required significant time and human resources from both the CDIDF partners and UNICEF. Given the revised time frame of DRIC, the extensions are important to support partners in bridging possible funding gaps and time has been dedicated to this work.

Positive in-roads have been made with the MoI in terms of promoting disability inclusion into local governance, however, given the large mandate and portfolio of MoI in terms of local governance, there are a number of competing priorities and topics. A challenge remains in institutionalising disability inclusion into the main work of capacity development within MoI. 39

Sustainability of CSO partners and their work, as it continues to be dependent on donor support, remains a challenge. Partners report uncertainty and staff turnover given the unstable funding situation. The funding landscape is changing in Cambodia and new forms of fundraising and partnerships should be explored.

E. Lessons learned The joint activities/events of all components have highlighted the synergized outcomes of the DRIC programme and it was seen a real joint programme – not a separate activity/outcome.

Around 10 line ministries have developed an action plan and proposed budget for 2018 to implement the national disability strategic plan. These ministries include: MoSVY/DAC, MoWA, MoT, MAFF, MoInformation, MIH, MoEYS, MoRD, MoH, MME, MoLVT, CM, MoEF (social protection). It highlighted the comments from the RGC to improve the situation of persons with disabilities.

UNDP and UNOCHR have submitted the project proposal regarding the access to justice for persons with disabilities to the UNPRPD to improve the justice services for persons with disabilities. This joint program will complement the gap of DRIC programme in terms of social justice intervention.

The decision from DFAT to conclude the DRIC program in accordance with current agreement in December 2017 impacted the outcome of DRIC which was designed to follow a five-year plan. Consequently, UNDP consulted with project partners (DAC and CDPO) to review their activity plans and identify priority activities for future focus. Due to the fund shortage, UNDP called for regular meetings with DAC and CDPO to look for different resources such as government, development and private sector to raise financial support to complement the UNDP funding.

The turn-over of project staff and staff shortage impacted the project implementation. CDPO has revised staff job descriptions to reduce workload and assign staff to the right place based on their skills.

Involving the users into the identification and referral of clients who need rehabilitation services proofed very crucial. The experience at the Provincial Rehabilitation Demonstration Project in Kampong Cham, shows that 97 new clients representing 41% of the total new client (235) were referred by users (former PRC clients) during the reporting period.

Involvement of the rehabilitation IO/NGOs and the professional associations into the development of the new Minimum Package of Activities (MPA) guidelines for the health centres proofed very efficient. As the result, a specific rehabilitation chapter was included in the final version of the new MPA. In addition, Physical Therapist and physical accessibility especially at consultation area was included in the operational guidelines of the new MPA.

Critical to working with CSO partners is an on-going partnership approach with a focus on learning and capacity development. The focus of this has been to build organisational systems and capacities around monitoring, reporting and strengthened procurement and financial management practices.

Collaboration and leadership of the government remains critical for institutionalising new initiatives of the programme such as development of disability - inclusive training package for sub-national decision-makers. Role model and good practices among ministries need to identified as champions and scaled up.

Disability-inclusion in plans (e.g. CIP) is good step but implementation/budget often missing so there is need to work with district level.

Advocacy and the convening work of the UN is central to engaging key line ministries and bringing together different stakeholders around the same table.

Linking centre-based care and support for persons with disabilities remains a challenge. Strengthening the health system and linking to community initiatives remains an area of work going forward for the sector and stakeholders.

F. Financial status and Funds utilization

Table 1: Programme Expenditure by Output or Activity (1 January to 30 June 2017)*

*updated 31 August 2017

Funds Utilization APPROVED REMAINING BUDGET Provisional BALANCE as CATEGORY Committed Total Fund REMARKS 2017 Expenditure of 31 Dec. 2017 from Jul-Dec Utilization as (A) from Jan-Jun E = (A-D) 2017 of 31 Dec 2017 2017 (C) D = (B+C) (B) PCT

Activity 1: Staff and other 268,266.18 94,798.62 99,640.17 194,438.79 73,827.39 personnel cost Activity 2: Supplies, - - - - - Commodities, materials Activity 3: Equipment, - - - - - vehicles and furniture Activity 4: Contractual 25,002.00 2,048.86 22,953.14 25,002.00 - services Activity 5: International 4,000.00 1,004.00 1,575.00 2,579.00 1,421.00 and Local travel Activity 6: Grants - - - - - to counterparts Activity 7: General operating and 37,342.21 8,326.92 15,932.29 24,259.21 13,083.00 other direct costs Total 334,610.39 106,178.40 140,100.60 246,279.00 88,331.39 Programme Cost Activity 8: Indirect support 23,422.73 7,432.48 9,807.04 17,239.53 6,183.20 cost Total for PCT 358,033.12 113,610.88 149,907.64 263,518.53 94,514.59

Component I-DAC and UNDP Activity 1: Staff and other 18,354.37 39,806.26 21,451.89 39,806.26 - personnel cost Activity 2: - - - - - Supplies,

Commodities, materials Activity 3: Equipment, - - - - - vehicles and furniture Activity 4: Contractual - - - - - services Activity 5: International - - - - - and Local travel Activity 6: Grants 125,000.00 66,875.75 58,124.25 125,000.00 - to counterparts Activity 7: General 6,033.76 - 6,033.76 6,033.76 - operating / other direct costs Total 170,840.02 85,230.12 85,609.90 170,840.02 - Programme Cost Activity 8: Indirect support 11,958.80 5,966.11 5,992.69 11,958.80 - cost Total for 182,798.82 91,196.23 91,602.59 182,798.82 - component I Component II-CDPO Activity 1: Staff and other - - - - - personnel cost Activity 2: Supplies, - - - - - Commodities, materials Activity 3: Equipment, - - - - - vehicles and furniture Activity 4: Contractual 2,000.00 - 2,000.00 2,000.00 - services Activity 5: International - - - - - and Local travel Activity 6: Grants 240,000.00 104,339.03 135,660.97 240,000.00 - to counterparts Activity 7: General 38,200.91 10,348.49 27,852.42 38,200.91 - operating / other direct costs Total 280,200.91 114,687.52 165,513.39 280,200.91 - Programme Cost Activity 8: Indirect support 19,614.06 8,028.13 11,585.94 19,614.06 - cost

Total for 299,814.97 122,715.65 177,099.33 299,814.97 - component II Total 482,613.80 213,911.87 268,701.92 482,613.80 - component I&II Component III – WHO

Act 1: Staff and other 64,524.00 30,900.00 30,900.00 61,800.00 2,724.00 personnel cost Act 2: Supplies, - - Commodities, materials Act 3: Equipment, - - vehicles and furniture Act 4: Contractual services Act 5: International 4,500.00 3,821.00 1,445.00 5,266.00 (766.00) and Local travel Act 6: Grants to 219,951.00 53,733.00 167,468.00 221,201.00 (1,250.00) counterparts Act 7: General operating / 127,647.00 17,224.00 89,192.00 106,416.00 21,231.00 other direct costs Total Programme 416,622.00 105,678.00 289,005.00 394,683.00 21,939.00 Cost Act 8:

Indirect 29,163.54 7,397.46 27,317.22 1,846.32 20,230.35 support cost Total for 445,785.54 113,075.46 309,235.35 422,310.81 23,474.73 component 3

Component IV-UNICEF The staff expenditure is based on Activity 1: actual Staff and expenditure other 362,905.40 123,599.85 107,106.22 230,706.07 132,199.33 from Jan-Jun; personnel commitments cost are for the July-Dec of 2017 Activity 2: Supplies, - - Commoditie s, materials 43

Activity 3: Equipment, - - vehicles and furniture Consultancy to support MoSVY with Activity 4: 65,991.94 revision of the Contractual 66,000.00 8.06 66,000.00 - identification services tools for the disability allowance. Activity 5:

Internationa 4,266.96 l and Local 4,000.00 - 4,266.96 -266.96 travel Expenditure Jan-June incl. Q1-Q3 payments, pre-payments Activity 6: to partners. Grants to counterpart 1,041,373.62 397,693.18 461,789.36 859,482.54 181,891.08 Commitments s are for commitments against Q4 (CSOs, MoSVY and MoI).

Activity 7: General operating 42,000.00 7,610.00 28,897.77 36,507.77 5,492.23 and other direct costs

Total 179,485.43 Programme 1,471,320.09 794,964.37 496,870.29 1,291834.66 Cost Activity 8: Indirect 102,992.41 55,647.51 34,780.92 90,428.43 12,563.98 support cost Total for component 1,574,312.50 850,611.88 531,651.21 1,382,263.09 192,049.41 4 Grand total for all 2,414,959.41 1,178,134.64 950,260.76 2,128,395.41 286,564.00 components

Table 2: Summary Table- Programme Expenditure by component

Funds Utilization APPROVED BUDGET CATEGORY 2017 Actual Expenditure Committed from Jul- Total Fund REMAINING (A) from Jan-Jun 2017 Dec 2017 Utilization as of 31 Dec 2017 BALANCE (B) ( C ) D = (B+C) E = (A-D)

Total for 358,033.12 113,610.88 149,907.64 263,518.53 94,514.59 PCT - Component 182,798.82 91,196.23 91,602.59 182,798.82 I-DAC Component II-CDPO & 299,814.97 122,715.65 177,099.32 299,814.97 - UNDP Component 445,785.54 113,075.46 309,235.35 422,310.81 23,474.73 III-WHO

Component 1,574,312.50 850,611.88 531,651.21 1,382,263.09 192,049.41 IV-UNICEF Grand total for all 2,414,959.41 1,178,134.64 950,260.76 2,128,395.41 286,564.00 components

G. Future plan for the period from July-December 2017

Component 1 and 2

• Conduct a National Workshop to review the implementation of NDSP and ways forward to be held in August. • Participate and facilitate the National Rehabilitation Forum. • Finalize the inter-ministerial Prakas on Accessibility between MoSVY and MoULMC and submission for endorsement. • Draft inter-ministerial Prakas on driving license for persons with disabilities • Draft inter-ministerial Prakas on the Discount School Fee and Material for Student with Disability • Finalize the UNCRPD report and submission to Council of Minister • Technical support to DAC for organizing disability day events such as Deaf Day, International Day of Persons with Disabilities, Marathon – inclusive run day etc. • Produce Video Documentary for DRIC – components 1 and 2. • Joint field visit with CDPO and DAC • Organize training on Monitoring and Evaluation and Reporting for DAC-SG staff • Organise training on UNCRPD and monitoring tool for provincial DACs • Conduct spot check/audit with CDPO and DAC • Joint activity with other components.

Component 3

• Continue supporting and follow-up the Priority Rehabilitation Service Scheme (PRSS) and the Provincial Rehabilitation Demonstration Project (PRDP) grants

• Organize national rehabilitation forum in collaboration with government counterparts and DRIC team • Facilitate the work with MoSVY, PWDF and four IO/NGOs to review the Standard Working Procedure (SWP) and its supporting tools • Support the development of five years physical rehabilitation transition plan as and Rehabilitation Sector Strategic Plan • Finalize Rehabilitation sector financing report • Provide technical support to Preventive Medicine Department to follow-up the implementation of rehabilitation guidelines for stroke and to finalize rehabilitation chapter within new Minimum Package of Activities at Health Center level • Support to MoH and MoSVY for the revision of national physiotherapy standards • Finalization and dissemination of the secondary analysis of the 2014 CDHS report on the health care utilization of persons with disabilities; the Assessment of health and rehabilitation services for persons with spinal cord injury in Cambodia and the PRC national statistics

Component 4

• Implementation of sub-national level training on disability inclusion in the focus provinces by MoI • On-going support and monitoring activities of all CDIDF partners • One capacity development workshop for CDIDF partners and some DPOs • Field monitoring of activities at the sub-national level as per the UNICEF HACT framework. • Technical assistance to MoSVY in the revision of the identification tools of the disability allowance programme • Work with MoSVY to better support and explore re-integration programmes for children with disabilities • Support to the National CBR Committee for implementation of its work plan • Collaboration with MoP, GIZ and MoSVY for implementation of the pilot On Demand ID Poor • Participation and support in and to other DRIC activities. • Planning for programme wind-down

H. Any variation to the programme plan or changes to agreed activities

A No-Cost Extension for the period of January to May 2018 was approved by DFAT and UNICEF will process an interim refund through the MPTF of US$142,644 for reallocation to UNDP and WHO for the period of Jan- May 2018. During this period DRIC will implement wind down activities and finalise all necessary reporting on the programme for the MPTF and DFAT.

The Programme Coordination Team significantly reduced expenditure in 2017 and is expected to have savings of USD 94,515 and will receive USD 9,275 to cover the no-cost extension.

Components 1 and 2: Under the no-cost extension for Jan-May 2018, component 1 is expected to receive USD 39,055 and component 2 USD 42,854.

Component 3 expects a positive balance of USD 23,475 by December 2017 to be carried over to complement the above mentioned no-cost extension. Under this agreement, WHO will receive an additional amount of USD 51,265.

Component 4: In 2017, UNICEF has, with approvals from DFAT and the Programme Board, re-allocated some funds to support.

• Technical Assistance to MoSVY for the revision of the identification tools within the disability allowance for poor persons with disabilities • A pilot of ID Poor on Demand aligned in the areas where the disability allowance, implemented by MoSVY, will take place • MoSVY to strengthen capacity of caregivers in institutions of children with disabilities and to pilot foster care models for community reintegration of children with disabilities.

Acronyms

ASEAN Association of South East Asian Nations

CBR Community Based Rehabilitation

CCWC Commune Committee for Women and Children

CDHS Cambodia Demographic and Health Survey

CDIDF Cambodia Disability Inclusive Development Fund

CDP Commune Development Plan

CDPO Cambodian Disabled People’s Organization

CIP Commune Investment Plan

CRPD Convention on the Rights of Persons with Disabilities

CSO Civil Society Organization

DAC Disability Action Council

DAC-SG Disability Action Council Secretariat General

DAWG Disability Action Working Group

DFAT Department of Foreign Affairs and Trade (Australian Government)

DP Development Partner

DPO Disabled Persons Organization

DoSVY District Office of Social Affairs, Veterans and Youth Rehabilitation

DRA Disability Rights Administration

DRIC Disability Rights Initiative Cambodia

DWPWD Department of Welfare for Persons with Disabilities (MoSVY)

ERW Explosive Remnants of War

IA Implementing (UN) agencies

IO International Organization

KT Krousar Thmey

M&E Monitoring & Evaluation

MoH Ministry of Health

MoI Ministry of Interior

MoP Ministry of Planning

MoSVY Ministry of Social Affairs, Veterans and Youth Rehabilitation

MPTF Multi-Partner Trust Fund

MTR Mid-term Review

NCDD National Committee for Sub-National Democratic Development

NCDP National Centre for Disabled Persons

NDSP National Disability Strategic Plan (2014-2018)

NGO Non-governmental organization

OHCHR Office of the UN High Commissioner for Human Rights

PC Programme Coordinator

PCT Programme Coordination Team

PRC Physical Rehabilitation Centre

PRDP Provincial Rehabilitation Demonstration Project

PRSS Priority Rehabilitation Service Scheme

PWD Persons with Disabilities

PWDF Persons with Disabilities Foundation

RGC Royal Government of Cambodia

SHG Self Help Group

SR Siem Reap

SWP Standard Working Procedures

ToC Theory of Change

ToT Training of Trainers

UN United Nations

TBD To be discussed

UNCT United Nations Country Team

UNDAF United Nations Development Assistance Framework

UNDP United Nations Development Programme

UNICEF United Nations Children’s Fund

UN RC United Nations Resident Coordinator

WCCC Women and Children Consultative Committee

WCDF Women and Children with Disabilities Forum

WWDF Women with Disabilities Forum

WHO World Health Organization