Ex-combatantsanddisability_opportunitiesforBankactionind

1、 Ex-combatants and disability: opportunities for Bank action in demobilization and reintegration programsBernard Harborne Acting Program ManagerThe Multi-Country Demobilization & ReintegrationProgram (MDRP)Thursday 4 December 20081. MDRP basicsEstablished in 2002 7 beneficiary countries13 donors + W

2、orld BankFinances demobilization and reintegration of ex-combatantsTargets over 27,000 disabled ex-combatants for special assistance2. Target groupsEx-combatants represent a highly vulnerable groupChronic diseaseSexually Transmittable Infections (STIs)War-related disabilityPTSD3. Operational respons

3、esMedical support:Screening upon arrival in demobilization campsProvision of medical support (prosthetics and therapy)Physical rehabilitationLimited psycho-social support3. Operational responsesSocio-economic reintegration:Three-pronged strategy to provide tailored assistanceSpecific skill training

4、for severely disabled ex-combatantsSpecial allowance for transportationConstruction of houses adapted to severely disabled ex-combatants (Rwanda)3. Operational responses4. Lessons learnedNeed for a comprehensive health approach to DDRLack of national capacity hampered the establishment of a coordinated protocol of care4. Lessons learnedPsychosocial support needs to be reinforcedThe extra costs associated with special assistance for disabled ex-comb