Banks Lena Morgon, Davey Calum, Shakespeare Tom, Kuper Hannah
International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, UK.
World Dev. 2021 Jan;137:105178. doi: 10.1016/j.worlddev.2020.105178. Epub 2020 Aug 28.
The one billion people living with disabilities globally already face a heightened risk of poverty, which will likely be exacerbated by the COVID-19 pandemic unless interventions to address its economic impacts are disability-inclusive. This paper draws on the literature on disability, poverty and social protection in low- and middle-income countries to explore the pathways through which the current pandemic may increase the risk of poverty amongst people with disabilities, such as loss of income from disruptions to work, particularly in the informal sector, and higher future spending and productivity losses from disruptions to healthcare and other key services (e.g. rehabilitation, assistive devices). It also explores how social protection and other initiatives to mitigate the economic impacts of the pandemic should consider the needs of people with disabilities, with recommendations for disability-inclusive actions in the design and implementation of eligibility criteria and application procedures, as well as the delivery and content of benefits. Across recommendations, meaningful consultations with people with disabilities, leadership at the program and policy level, appropriate budgeting and monitoring of progress through routine collection of data on disability are key for improving access to and impact of economic responses amongst people with disabilities.
全球10亿残疾人已经面临着更高的贫困风险,除非应对新冠疫情经济影响的干预措施具有残疾包容性,否则这种风险可能会因新冠疫情而加剧。本文借鉴了关于低收入和中等收入国家残疾、贫困和社会保护的文献,探讨当前疫情可能增加残疾人贫困风险的途径,例如工作中断导致的收入损失,尤其是在非正规部门,以及医疗保健和其他关键服务(如康复、辅助设备)中断导致的未来支出增加和生产力损失。本文还探讨了社会保护和其他减轻疫情经济影响的举措应如何考虑残疾人的需求,并就资格标准和申请程序的设计与实施以及福利的提供和内容方面的残疾包容性行动提出建议。在各项建议中,与残疾人进行有意义的协商、项目和政策层面的领导、适当的预算编制以及通过定期收集残疾数据来监测进展情况,对于改善残疾人获得经济应对措施的机会及其影响至关重要。