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1. The Impact of Clubfoot Intervention on Dimensions of Human Flourishing: Evidence from the Organization Hope Walks in Ethiopia

Author:
Bruce Wydick, Gianna Camacho, and Patrizio Piraino
Publication Date:
09-2024
Content Type:
Working Paper
Institution:
Kellogg Institute for International Studies
Abstract:
We study the impact of clubfoot disability and its treatment on multiple dimensions of human flourishing among children. Working with Hope Walks, a faith-based development organization that funds clubfoot interventions in numerous countries, we use a quasi difference-indifferences approach on data collected from 564 children in Ethiopia. To generate counterfactuals to clubfoot status and treatment, we use outcomes from nearest-age siblings of children born with clubfoot nested within a family-level fixed effect. We find that clubfoot status (early treatment) results in a disability (restoration) of -1.44σ (0.91σ) in physical mobility, -1.17σ (0.79σ) in mental health, -1.07σ (0.64σ) in social inclusion, -0.48σ (0.98σ) in an education index, -0.76σ (0.42σ) in religious faith, and -1.19σ (0.79σ) in an aggregate index of human flourishing (all p < 0.05). We attribute the large, broad, and significant impacts from clubfoot treatment to (i) a highly effective medical intervention that is (ii) carried out in an impoverished setting with scarce existing support for children born with disabilities, which (3) generates spillover effects into multiple facets of human flourishing.
Topic:
Health, Disability, Human Development, and Dignity
Political Geography:
Africa and Ethiopia

2. Left Behind or Forgotten? The Case of Children With Disabilities: A Multidimensional Poverty Approach

Author:
Khaufelo R. Lekobane and Thabile A. Samboma
Publication Date:
02-2024
Content Type:
Policy Brief
Institution:
Botswana Institute for Development Policy Analysis
Abstract:
The 2030 Agenda for Sustainable Development recognises the importance of multidimensional poverty and disability. Using the 2015/16 Botswana multi-topic household survey, this policy brief examined the link between childhood disability and multidimensional child poverty in Botswana¹. We employed the conceptual framing of the Leaving No One Behind principle, capability and human rights-based approaches to define multidimensional child poverty and child disability. The following are key highlights of this policy brief. Children with disabilities are particularly deprived of basic capabilities (education and health). On average, children with disabilities, as a group, experience multiple deprivations at higher rates and in higher breath, depth, and severity than children with no disabilities. Children with disabilities have higher multidimensional poverty levels than their nondisabled peers across demographic, economic, and geographical divides. Multidimensional child poverty levels vary across the type of functional disabilities and across the number of functional disabilities experienced by children.
Topic:
Health, Poverty, Children, Disability, and Sustainable Development
Political Geography:
Africa and Botswana

3. Children with disabilities: Left behind or forgotten? Empirical evidence from Botswana using multidimensional poverty measures

Author:
Khaufelo R. Lekobane and Thabile A. Samboma
Publication Date:
10-2023
Content Type:
Working Paper
Institution:
Botswana Institute for Development Policy Analysis
Abstract:
The 2030 Agenda for Sustainable Development recognises of the importance multidimensional poverty and disability. Although there is compelling evidence suggesting that people with disabilities have a higher probability of being poor, studies that compare children with disabilities with their non-disabled peers remain scarce and limited to developed countries. Using the 2015/16 Botswana multi-topic household survey, we examined the link between childhood disability and multidimensional child poverty in Botswana. The study employs the conceptual framing of the capability and human rights-based approaches. Results reveal significant disparities in poverty levels between children with disabilities and their non-disabled peers across demographic, economic and geographical variables, with children living with disability experiencing higher poverty levels than their non-disabled counterparts. We, therefore, argue that deliberate efforts should be put in place for children with disabilities to have equal opportunities to catch up with the rest of the children in order not to be left behind. The paper further provides policy implications for childhood disability and multidimensional child poverty research in Botswana.
Topic:
Sustainable Development Goals, Child Poverty, and Disability
Political Geography:
Africa and Botswana

4. Political Inclusion, Disability and the Sierra Leone 2018 General Elections: Some Policy Insights

Author:
Alex Sivalie Mbayo
Publication Date:
04-2019
Content Type:
Working Paper
Institution:
Social Science Research Council
Abstract:
For several decades, since the end of civil wars in 2002, people with disabili- ties (PWDs) in Sierra Leone have faced severe constraints in exercising their rights to participate in democratic processes due to the absence of or poor implementation of enabling laws, mechanisms, and guidelines that promote and facilitate their equal participation in elections. This policy brief is based on findings from a study of the level of participa- tion of PWDs in Sierra Leone’s 2018 general elections. It concluded, among other things, that the level of PWD participation was higher compared with previous elections because of more effective awareness-raising and sensiti- zation activities targeting PWDs concerning the election process. This was reflected in PWDs’ familiarity with registration and voting processes, and the high turnout of about 72 percent in both the registration and voting pro- cesses. Additionally, PWDs’ engagement with political parties with respect to PWD-related issues in their manifestoes clearly validates this point. The high turnout of PWDs was highlighted in my interviews of National Electoral Commission (NEC) officials in all four study locations: Bo, Freetown, Ken- ema, and Makeni.
Topic:
Elections, Democracy, Disability, and Participation
Political Geography:
Africa and Sierra Leone

5. Political Participation of Women and Men with Disabilities in Tunisia: An IFES Assessment

Author:
Ambar Zobairi and Virginia Atkinson
Publication Date:
12-2018
Content Type:
Working Paper
Institution:
International Foundation for Electoral Systems (IFES)
Abstract:
On May 6, 2018, Tunisia held the first municipal elections since the 2011 popular uprising that ousted President Zine El Abidine Ben Ali, a critical step in the country’s democratic transition and implementation of the system of decentralization enshrined in the 2014 Constitution. The elections were the first time an innovative new disability quota was implemented for candidate lists, resulting in 144 people with disabilities being elected. The large number of newly elected councilors with disabilities provides a unique opportunity to demonstrate positive political leadership of people with disabilities and empower other people with disabilities to participate in political life. Over a two-week period around the elections, the International Foundation for Electoral Systems (IFES) conducted a disability rights assessment mission to look at the barriers and opportunities related to political participation of women and men with disabilities, focusing primarily on the preparations for and conduct of the elections.
Topic:
Gender Issues, Disability, Voting, and Participation
Political Geography:
Africa, North Africa, and Tunisia

6. Public Policy Implementation Prospects and Challenges-in Botswana : A Case of the National Policy on Care for People with Disabilities

Author:
Marumo Omotoye
Publication Date:
03-2018
Content Type:
Working Paper
Institution:
Botswana Institute for Development Policy Analysis
Abstract:
People with disabilities (PWDs) are often subjected to economic and social exclusion. This paper assesses factors that contribute to, and/or hinder the implementation of Botswana’s national disability policy. Despite the Government of Botswana’s efforts to uplift marginalised and vulnerable groups, PWDs remain disenfranchised as a result of social, physical and legislative barriers. Data was collected from secondary data sources and analysed using thematic analysis. The Analysis of Determinants of Policy Impact (ADEPT) approach, which aims to explain and influence policy development and policy impact implementation with four determinants: goals, obligations, resources and opportunities, was adopted. The study’s findings show that 22 years after its adoption, the National Policy on Care for People with Disabilities has not resulted in the desired policy outcomes, let alone achieved its objective of improving the lives of people with disabilities. While the Policy has the potential to be an important tool in achieving social inclusion and protecting the rights of PWDs, implementation gaps remain, essentially limiting its effectiveness.
Topic:
Disability and Public Policy
Political Geography:
Africa and Botswana

7. Public Policy Implementation Prospects and Challenges in Botswana: Case of the National Policy on Care for People With Disabilities

Author:
Marumo Omotoye
Publication Date:
03-2018
Content Type:
Working Paper
Institution:
Botswana Institute for Development Policy Analysis
Abstract:
People with disabilities (PWDs) are often subjected to economic and social exclusion. This paper assesses factors that contribute to, and/or hinder the implementation of Botswana’s national disability policy. Despite the Government of Botswana’s efforts to uplift marginalised and vulnerable groups, PWDs remain disenfranchised as a result of social, physical and legislative barriers. Data was collected from secondary data sources and analysed using thematic analysis. The Analysis of Determinants of Policy Impact (ADEPT) approach, which aims to explain and influence policy development and policy impact implementation with four determinants: goals, obligations, resources and opportunities, was adopted. The study’s findings show that 22 years after its adoption, the National Policy on Care for People with Disabilities has not resulted in the desired policy outcomes, let alone achieved its objective of improving the lives of people with disabilities. While the Policy has the potential to be an important tool in achieving social inclusion and protecting the rights of PWDs, implementation gaps remain, essentially limiting its effectiveness.
Topic:
Economics, Disability, Public Policy, Exclusion, and Society
Political Geography:
Africa and Botswana