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Disability Projects Review Assessment and Analysis Report

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Disability Projects Review Assessment and Analysis Report DISABILITY PROJECTS REVIEW ASSESSMENT AND ANALYSIS REPORT FINAL REPORT JUNE 2013 Page 1 DISABILITY PROJECTS REVIEW ASSESSMENT AND ANALYSIS REPORT Final Report DISCLAIMER This publication was produced for review by the United States Agency for International Development. It was prepared by Ellen Lynch and Dr. Pham Huy Tuan Kiet. The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government. ACKNOWELDGEMENTS The assessment team wishes to thank Vietnam Assistance for the Handicapped (VNAH), Catholic Relief Services (CRS), and Development Alternatives Incorporated (DAI Inc.) for generously providing documentation and information about the disabilities programs and activities in addition to logistical support for field visits to project sites, provincial offices, Disabled People’s Organizations (DPOs) and people with disabilities (PWD), community facilities, and rehabilitation institutions. The team also thanks the many Vietnam central, provincial, district and commune officials who agreed to meet. Assistance by USAID and external donors (e.g., Irish AID), foundations NGO partners, and UN agencies for meeting and assembling information on short notice was greatly appreciated. The team extends special thanks to the Environment and Social Development Office (ESDO) staff for support throughout the assessment process, including provision of extensive background documents. i Table of Contents ACRONYMS AND ABBREVIATIONS ........................................................................................... IV EXECUTIVE SUMMARY................................................................................................................ VII KEY FINDINGS .............................................................................................................................................................................. VII OPPORTUNITIES FOR FUTURE PROGRAMMING ............................................................................................................ XI I. INTRODUCTION AND BACKGROUND INFORMATION ..................................................... 1 ASSESSMENT METHODOLOGY ................................................................................................................................................ 2 II. OVERALL DISABILITY SITUATION IN VIETNAM ................................................................ 2 DISABILITY DEFINED ..................................................................................................................................................................... 2 COMPARABILITY OF DISABILITY PREVALENCE ................................................................................................................. 3 DISABILITY PREVALENCE IN VIETNAM ................................................................................................................................. 3 REGIONAL AND PROVINCIAL DISABILITY PREVALENCE IN VIETNAM .................................................................. 4 CULTURAL AND ATTITUDINAL BEHAVIORS TOWARD DISABILITY ...................................................................... 7 III. LEGAL FRAMEWORK ............................................................................................................... 8 KEY DISABILITY LEGAL DOCUMENTS ................................................................................................................................... 8 PROGRESS ON IMPLEMENTING THE LAW ON PERSONS WITH DISABILITY ....................................................... 9 IV. GOVERNMENT OF VIETNAM ............................................................................................... 10 ROLES AND RESPONSIBILITIES OF THE THREE KEY MINISTRIES IN DISABILITY SECTOR ............................. 10 INTER-MINISTERIAL COORDINATION ............................................................................................................................... 11 PROVINCIAL IMPLEMENTATION AND BUDGET FLOW .............................................................................................. 12 REGIONAL VARIATIONS ........................................................................................................................................................... 13 V. SERVICES FOR PERSONS WITH DISABILITY ..................................................................... 14 HEALTH SECTOR ......................................................................................................................................................................... 14 EDUCATION SECTOR ................................................................................................................................................................ 18 LIVELIHOODS................................................................................................................................................................................. 21 SOCIAL/EMPOWERMENT .......................................................................................................................................................... 23 VI. DONOR ASSESSMENT AND OVERVIEW ........................................................................... 31 BILATERAL AND MULTILATERAL ORGANIZATIONS’ ENGAGEMENT IN THE DISABILITY SECTOR......... 31 VII. USAID/VIETNAM .................................................................................................................... 36 USAID HISTORY IN THE DISABILITY SECTOR .................................................................................................................. 36 CURRENT USAID DISABILITY PROGRAM ........................................................................................................................... 37 KEY FINDINGS ............................................................................................................................................................................... 38 OPPORTUNITIES FOR FUTURE PROGRAMMING ............................................................................................................ 42 POTENTIAL PROVINCES TO CONSIDER FOR FUTURE PROJECTS .......................................................................... 45 APPENDIX 1: STATEMENT OF WORK ...................................................................................... 52 APPENDIX 2: SCHEDULE ............................................................................................................. 55 APPENDIX 3: INTERVIEWS HELD ....................................... ERROR! BOOKMARK NOT DEFINED. ii APPENDIX 4: REFERENCES .......................................................................................................... 62 APPENDIX 5: DATA BASE ........................................................................................................... 66 LIST OF TABLES TABLE 1: HIGHEST OVERALL DISABILITY PREVALENCE .............................................................................................................. 5 TABLE 2: MEDIUM OVERALL DISABILITY PREVALENCE ............................................................................................................... 6 TABLE 3: PROVINCES/CITIES WITH THE LOWEST DISABILITY PREVALENCE .................................................................... 7 TABLE 4: ACCESSIBILITY OF MOBILITY IMPAIRED PERSONS WITH DISABILITY ............................................................. 22 TABLE 5: LIST OF KNOWN DPOS ...................................................................................................................................................... 24 TABLE 6: DPOS/PARENTS ASSOCIATION RECEIVED USAID/VIETNAM ASSISTANCE .................................................... 27 TABLE 7: HIGHEST DISABILITY PREVALENCE IN 5 TO 15 YEAR OLDS ................................................................................ 49 TABLE 8: HIGHEST DISABILITY PREVALENCE IN PERSON WITH SEVERE DISABILITY ................................................... 50 iii ACRONYMS AND ABBREVIATIONS ACDC Action to the Community Development Center ADA Americans with Disabilities Act AO Assistance Objective AO Agent Orange AusAID Australian Agency of International Development BOET Bureau of Education and Training (district level) BREC Blue Ribbon Employer Council CBR Community Based Rehabilitation CH Central Highlands CIDA Canadian International Development Assistance COPI Children of Peace International CRPD Convention on the Rights of Persons with Disabilities CRS Catholic Relief Services CWD Children With Disability CWOD Children Without Disability CWSD Children with Severe Disability DAI Development Alternatives Inc. DET Disability Equality Training DFID Department for International Development (Great Britain) DOET Department of Education and Training (Provincial Level) DPO Disabled People’s Organization DRD Disability and Resource Development EMW East Meets West ESCAP Economic and Social Commission for Asia and the Pacific ESDO Environment and Social Development Office GDA Global Development Alliance GDP Gross Domestic Product GRC German Red Cross GVN Government of Viet Nam HCMC Ho Chi Minh City HEIC Hanoi Employment Introduction Center HILC Hanoi Independent Living Center HS Hot Spot HS-AI Hot Spot Aspen Institute recommendation ICF International Classification of Functioning ICT Information Communication Technology IDEA Inclusive Development Action IE Inclusive Education
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