World Hosp Health Serv. 2002;38(1):21-33.
Disability is both a cause and consequence of poverty. Eliminating world poverty is unlikely to be achieved unless the rights and needs of people with disabilities are taken into account. According to the United Nations, one person in 20 has a disability. More than three out of four of these live in a developing country. More often than not they are among the poorest of the poor. Recent World Bank estimates suggest they may account for as many as one in five of the world's poorest. Disability limits access to education and employment, and leads to economic and social exclusion. Poor people with disabilities are caught in a vicious cycle of poverty and disability, each being both a cause and a consequence of the other. A large proportion of disability is preventable. Achieving the international development targets for economic, social and human development will undoubtedly reduce the levels of disability in many poor countries. However, general improvements in living conditions will not be enough. Specific steps are still required, not only for prevention, but also to ensure that people with disabilities are able to participate fully in the development process, obtain a fair share of the benefits, and claim their rights as full and equal members of society. An integrated approach is required, linking prevention and rehabilitation with empowerment strategies and changes in attitudes. This paper assesses the significance of disability as a key development issue, and its importance in relation to poverty, human rights, and the achievement of internationally agreed development targets. It also sets out ways in which development co-operation, including DFID's own work, can help incorporate the rights and needs of people with disabilities into the mainstream of poverty reduction work and the achievement of human rights.
残疾既是贫困的一个成因,也是贫困的一个后果。除非残疾人的权利和需求得到考虑,否则消除全球贫困的目标不太可能实现。据联合国统计,每20人中就有1人存在残疾。其中四分之三以上生活在发展中国家。他们往往是最贫困人群中的一部分。世界银行最近的估计表明,他们可能占世界最贫困人口的五分之一。残疾限制了受教育和就业机会,并导致经济和社会排斥。残疾贫困人口陷入了贫困与残疾的恶性循环,二者互为因果。很大一部分残疾是可以预防的。实现经济、社会和人类发展方面的国际发展目标无疑将降低许多贫困国家的残疾水平。然而,仅靠总体生活条件的改善是不够的。仍需要采取具体措施,不仅用于预防,还为了确保残疾人能够充分参与发展进程,公平分享发展成果,并作为社会的正式平等成员主张自己的权利。需要采取一种综合方法,将预防和康复与赋权战略及态度转变联系起来。本文评估了残疾作为一个关键发展问题的重要性,及其在贫困、人权和实现国际商定发展目标方面的重要意义。它还阐述了发展合作,包括国际发展部自身的工作,如何能够帮助将残疾人的权利和需求纳入减贫工作及人权实现的主流。