Key concepts

Here are some of the key ideas about CBR and humanitarian crises.

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Disability and humanitarian crises

People with disabilities are one of the most at-risk groups during humanitarian crises. Many factors may make people with disabilities more vulnerable.

Exclusion

Communities and agencies involved in providing humanitarian aid and intervention may have inappropriate policies and practices that result in the exclusion of people with disabilities.

Lack of awareness

Important information about hazards and risks, warnings of approaching events and advice on the action to take during and after a crisis are often presented in inaccessible ways for people with disabilities. 

It may be difficult for people with disabilities to see warning signals, and understand and follow instructions about what to do, where to go and where to turn for help.

Disruption of social support networks

Social networks are particularly important for people with disabilities, who often rely on family members, friends and neighbours for assistance and support (see Social module: Personal assistance). These networks are often affected during a crisis situation: people with disabilities may be separated from caregivers or their caregivers may even be injured or killed.

Learn about how one woman with disabilities was affected during crises because of a lack of assistance and support. Also, learn about how she later benefited from inclusion in her community’s emergency preparation.

Shumon

CBR
in
Action

Ari
CDD/Shumon Ahmed

The village of ‘Lahereer Khamar’ is located in the Union of Shreepur at Sundarganj Sub-district under Gaibandha district. This village is close to the mighty river Teesta. During the rainy season, this village is always at high risk of flooding. It is difficult to reach the village, and it is also filled with ill-built houses and poor sanitation. During flood season, water from neighbouring villages flow over this village to the river Teesta, which sometimes leads to water logging. People of this village do not receive early flood warning and they don’t have much knowledge on flood preparedness.

Kajal Rekha is one of the residents of Lahereer Khamar village. She is the youngest of 5 sisters and 4 brothers. Unfortunately Kajal Rekha lost both her parents before she finished her schooling. She left school and married, but after one and half years of marriage she had a bad fall, and severely injured her back. Despite local treatment at a nearby hospital, she became dependant on others for her daily living activities. During this time, Kajal Rekha’s husband married another woman and started living separately.

Kajal Rekha became a burden in her brother’s family. Her brother built a separate room for her in the corner of the verandah with a few pieces of tin. Gana Unnyan Kendra (GUK) provided her a wheelchair in 2008. But due to the inaccessible house and environment, the wheelchair did not help her much to increase her mobility.

She suffered the most during times of floods. Their house was built much below the flood level so that flood water got into their house, submerging their floors and toilet. While other people went to the dam, she was not able to due to the inaccessible and unhygienic environment, lack of personal security, proper sanitation and access to clean water in the shelter. She had to stay in the house by taking shelter on a makeshift platform made of bamboo. She was always left out from the relief distribution activities because of her mobility limitation as well as lack of information about the agencies engaged with relief and rehabilitation activities.

Kajal Rekha learned about a local CBR in 2010, and began to participate in its different activities. She was selected as the Vice-Chairperson of the Ward Disaster Management Committee (WDMC) formed under the project. Now, she talks about flood preparedness with her neighbours during their friendly conversations. With the help of the programme, she raised her home and received proper sanitation and a source of safe drinking water. Kajal Rekha hopes that her neighbours will take shelter in her house during the time of floods. She also received training on animal husbandry, poultry, homestead gardening, cage fish culture and tailoring to make her more independent. She received a small grant to start livelihood activities and bought a tailoring machine with that support. Now, the neighbours come to her to make their dresses. In addition, she is rearing 3 lambs and 10 chickens, which contributes to her monthly income.

Some challenges still remain. The village infrastructure is still not accessible, but Kajal Rekha can move around at her house easily using her wheelchair. At present she requires very little support from others for her daily living activities.

All the training she received enriched her enormously and helped to increase her confidence in flood preparedness and supporting others before, during and after floods. She has been actively involved with the activities of the WDMC. She has already spoken with the ward, sub-district and district disaster management committee meetings to advocate for the vulnerability issues of people with disabilities during floods. Her income-generating activities have also given her an increased opportunity to interact with community people. Ultimately all these have helped to increase her acceptance in the family and community.

Footnote:

This story was retrieved and edited from the Project Experience publication from www.cbm.org and the Disability Inclusive Network DRR.

Physical barriers

Physical environments are often transformed in crisis situations, exacerbating existing barriers or creating new ones for people with disabilities. Many people with disabilities may also lose their assistive devices, such as artificial limbs, crutches, hearing aids and spectacles. As a result many people with disabilities have greater difficulty in seeking assistance and support in crisis situations. They may be unable to access food, water, shelter, latrines and health-care services due to these physical barriers.

Other barriers

Attitudinal barriers In emergency situations, the people affected are often fighting for their lives and therefore may not care as deeply about those with disabilities. Humanitarian stakeholders may also be trying to assist the largest possible number of people and therefore be less willing to take measures to help people with disabilities.

Communication or information access barriers Often, lifesaving information, distribution points, disease prevention messages, etc. may not be accessible to people with disabilities.

Political barriers Policy and law on emergency risk management are not specifically inclusive of people with disabilities. At the international level, the IASC framework defines 4 crosscutting issues, none of which include disability.

Inclusion of people with disabilities in humanitarian action

Despite evidence showing that people with disabilities are disproportionately affected during crises, they are often still excluded from humanitarian activities. Disability issues should be addressed in all humanitarian action as highlighted in Article 11 of the Convention on the Rights of Persons with Disabilities:

“States Parties shall take, in accordance with their obligations under international law, Including international humanitarian law and international human rights law, all necessary measures to ensure the protection and safety of people with disabilities in situations of risk, including situations of armed conflict, humanitarian emergencies and the occurrence of natural disasters”.

It is very important for the affected population to participate in humanitarian action. People with disabilities and their representative organizations should not just be included as beneficiaries, but also as partners in humanitarian action and response. This means involving them in the assessment, design, implementation, monitoring and evaluation of assistance programmes.

Authentic inclusion of people with disabilities in humanitarian action means ensuring their involvement in all phases: preparedness, risk reduction, response and early recovery.

Learn about how a community in Bangladesh created greater accessibility accommodations by involving people with disabilities in their emergency preparations.

new-ramp

CBR
in
Action

new-ramp
Handicap International

In Bangladesh’s southern district of Chittagong, cyclone shelters have provided emergency shelter for decades. Yet, people with disabilities hardly ever used them due to their limited accessibility. This has changed after some upgrades advised by people with disabilities. During the 2013 Mahasen cyclone, people with disabilities sought shelter and found facilities suitable to their needs.

Throughout community risk assessments (CRA) in early 2011, communities in Chittagong’s Sitakunda sub-district identified a key problem with existing cyclone shelters: access roads, water points, toilets, and power switches were unsuitable for most people with disabilities.

Because of these issues, people with disabilities and their families had been reluctant to evacuate and did so at the last minute or not at all, leaving them at substantial risk from cyclones. Therefore, they devised Risk Reduction Action Plans (RRAP) that sought to improve shelter conditions and utilization.

From planning to action

Supported by Handicap International, communities got together with DPOs and key government actors and formed Cyclone Shelter Management Committees (CSMC). DPOs selected representatives in these committees; at least 10% of CSMC members are people with disabilities. The CSMC visited accessible cyclone shelters in other areas and explained the need for upgrading to the local government.

Together, they oversaw the renovation process, which included construction of ramps, accessible toilets and water points. Handicap International also trained CSMC members on disability inclusive DRM. They now meet every month to coordinate awareness-raising and preparedness efforts. The committee ensures that equipment is stockpiled and ready to use in the shelters, and that volunteers are adequately trained.

Better shelter use, greater inclusion

The investments into accessibility have yielded results rapidly: as cyclone Mahasen approached Sitakunda, people evacuated physically impaired relatives early. Tanjina Akter, mother of 16-year old and wheelchair-bound Sharmin, says: “During the last major cyclone in 2007, I waited until the last moment to see if I could avoid carrying Sharmin to the shelter – it was so difficult! This time, I took her to the shelter in her wheelchair – it was much easier.”

Aside from the better access, the process had another positive outcome: people with disabilities spoke for themselves, and the communities around the four upgraded cyclone shelters changed their attitudes towards people with disabilities, treating them with greater respect.

Success factors

Shafiqul Islam, Handicap International’s DRM coordinator, sees several key factors behind the project’s success: as it was based on the needs of people with disabilities as expressed by them, the local CSMCs drove the process, and local administrators got ‘on board’ following advocacy efforts. Developing close working relationships with key counterparts, such as the members of the Union Parishad and communities was vital – as Shafiqul says, “informal meetings beside workshops and planning meetings helped to develop mutual trust.” 

Finally, the existing working relationships of HI’s local partner Young Power in Social Action (YPSA) with the communities were a favourable pre-condition.

Lessons learnt

When replicating accessibility-related work in other contexts, Shafiqul suggests that three groups must be firmly embedded into the planning process: 

First, people with disabilities themselves and their families must be part, as nobody else can define their actual needs.

Second, key government partners need to be involved – they need to give permission for upgrading and be convinced of the benefits. 

Third, the overall community should contribute by establishing the CSMC – without the community, the investments are not sustainable.”

Insights

  • Nobody can define the needs of people with disabilities better than they (and their caregivers) themselves – their participation is a key to success in greater accessibility.
  • Government actors as well as the wider communities need to be involved in planning and implementation, both to obtain approvals and to ensure adequate maintenance. Inclusive Cyclone Shelter Management Committees are appropriate set-ups in this regard.

Footnote:

This story was retrieved and edited from the Empowerment and Participation publication from Handicap International and the Disability Inclusive Network DRR.

The cluster approach

Since 2005, there have been many efforts to improve the effectiveness of international humanitarian response to crisis. The overall goal is to ensure that comprehensive needs-based relief and protection reaches more people in a more effective and timely manner. One of the major changes to humanitarian response is the development and implementation of the cluster approach.

The cluster approach strengthens coordination within and between sectors of humanitarian assistance, such as health, education, emergency shelter, by clearly defining their roles and responsibilities during a crisis. The cluster approach aims to make the international humanitarian community more structured, accountable and professional, so that it can be a better partner for governments, local authorities and local civil society.

At the global level, there are 11 clusters. See Table 1 (below) for a detailed list. Each cluster is led by an agency. For example, the global health cluster is led by the World Health Organization (WHO), which is responsible for setting standards and policies, building response capacity and providing operational support. Within each cluster, there are a number of agencies and organizations which must work together to ensure a coordinated response during a humanitarian crisis. The global health cluster, for example, consists of over 30 agencies and organizations, such as the United Nations Children’s Fund (UNICEF), the International Federation of Red Cross and Red Crescent Societies (IFRC), CBM and Handicap International.

At the country level, when a humanitarian crisis occurs, some or all of these clusters may be activated. However, it is important to note that they may be called by different names (the clusters may also be called sectors) and led by different agencies. Membership at the country level is also open to all stakeholders supporting or providing services in the affected area, including donors. At the country level, clusters are responsible for ensuring inclusive and effective coordination to enable:

  • Needs assessment and analysis
  • Emergency preparedness
  • Planning and strategy development
  • Application of standards
  • Monitoring and reporting
  • Advocacy and resource mobilization
  • Training and capacity-building

The cluster approach is relevant to CBR working in areas experiencing humanitarian crisis. CBR focuses on many different development sectors, particularly the health, education, livelihood and social sectors, to ensure that they are inclusive of and accessible to people with disabilities and their family members. The role of CBR is no different during a humanitarian crisis. CBR should focus on working together with each humanitarian cluster or sector at the national, regional or community level to ensure that the needs of people with disabilities and their family members are met. The cluster approach also provides opportunities for CBR to access additional resources such as financial or technical resources for activities they wish to carry out in a crisis to support people with disabilities.

Cluster/area Corresponding organization(s)
TECHNICAL AREAS
Health cluster World Health Organization (WHO)
Nutrition cluster United Nations Children’s Fund (UNICEF)
Water, sanitation, and hygiene cluster (WASH) UNICEF
Emergency shelter and non-food items cluster Office of the United Nations High Commissioner for Refugees (UNHCR) for conflict situations and the International Federation of the Red Cross
(IFRC) for disaster situations
Education cluster UNICEF and Save the Children
Agriculture cluster Food and Agriculture Organization of the United Nations (FAO)
CROSS-CUTTING AREAS
Camp coordination and management cluster UNHCR and the International Organization for
Migration (IOM)
Protection cluster UNHCR
Early recovery cluster United Nations Development Programme
(UNDP)
COMMON SERVICE AREAS
Logistics cluster World Food Programme (WFP)
Emergency telecommunications cluster Office for the Coordination of Humanitarian
Affairs (OCHA), UNICEF and WFP

Learn about what can happen when multiple groups partner together to advocate for people with disabilities during humanitarian crises management.

Ari

CBR
in
Action

Ari
Handicap International

In the Indonesian province of Yogyakarta, six organizations have joined forces to advocate for new regulations on inclusive disaster risk management. Ari Kurniawan, a senior trainer with the CSO Ciqal, is at the forefront of these efforts.

In early 2006, a strong earthquake struck the city of Yogyakarta and neighbouring areas. Five thousand people died. Thousands more were disabled as a result. In order to ensure that the needs and capacities of people with disabilities would be integrated into disaster risk management, several organizations have joined forces.

“Together we can”

Following Indonesia’s ratification of the UN Convention on the Rights of Persons with Disabilities (UNCRPD) in 2011, six of them (Arbeiter-Samariter-Bund and Handicap International as well as local CSOs Ciqal, SIDRAP, BPCI, Gerkatin and Pertuni) joined a task force to draft a provincial regulation on disability inclusion.

The regulation was signed in 2012 and will take effect in 2015, following a period of awareness-raising and preparation. While contributing to this process, the coalition of organizations has also engaged with various departments at the district level (for example, social affairs, public works, education). As a result, four out of seven districts in the province have created complementary district-level regulations. 

The subject of policy making

Ari Kurniawan, master trainer of local CSO Ciqal, says that despite Indonesia’s ratification of the UNCRPD and other recent successes, Indonesia still has a lot of ‘homework’ to accommodate the rights of people with disabilities – in particular the rights to equal access to social and physical services. Mr. Subroto, the head of the social rehabilitation section of Yogyakarta’s provincial department for social affairs, agrees. In terms of disaster risk reduction, he adds that many public servants still have limited understanding of the needs of people with disabilities, while his government also lacked an adequate database of people with disabilities. “Because of these factors, the needs of people with disabilities during disasters are often ignored, which in turn makes them more vulnerable”, Subroto says. 

The translation of the rather general provincial regulation into more detailed frameworks on disability inclusion was very important. Both Kurniawan and Subroto see progress: “The more we meet”, says Subroto, “the less we use terminologies that are degrading to people with disabilities and the more we become aware about specific rights and needs.” 

Subroto recognizes: “When drafting a policy, one should know who will be affected by that policy. If it is people with disabilities, they should be involved in the draft making; if they are not involved, the policies will not meet their needs.”

Mainstreaming disability inclusion into disaster risk management (DRM) 

In terms of disaster response, Kurniawan sees a change of practices. His NGO Ciqal – supported by Handicap International – advocates for other NGOs to mainstream disability and the inclusion of vulnerable people. As a master trainer in disability inclusive DRM, Kurniawan has trained many participants, including government officials and NGO staff in Indonesia and Timor Leste. With time, he has seen greater sensitivity.

He recalls: “When the earthquake struck Yogyakarta in 2006, not much attention was given to people with disabilities. During the 2012 eruption of nearby Mt. Merapi volcano however, the emergency response was more appropriate to the needs of people with disabilities.” Now shelters were equipped with ramps, accessible toilets for disabled people set up, and trauma-healing activities provided to children at evacuation camps.

“In the past, it was almost impossible for people who use wheelchairs to go to the city hall”, Kurniawan says. “But with our regular meeting at city hall, now they have built a ramp so the building is accessible. It is a small change but it means a lot for us.” In the recent election, the election committee also provided braille ballot papers for people who have vision impairments, while some election sites had been equipped with ramps. “I am happy to see these positive general changes”, relays Kurniawan.

With regard to DRM, he is also glad to see that the provincial regulation is signed – yet, “it will probably take the government another two years to implement it. In fact, disability issues are not the sexiest among government priorities. In the end, this regulation will only be meaningful if the government allocates funding to support people with disabilities.” The job for him and his colleagues at the multi-stakeholder task force is far from over – and they will continue to strive for making disability inclusion a practical reality.

Lessons learnt on the long road of advocacy

Kurniawan shares four aspects that he learned in recent years: 

First, it takes time and strong will on the long road of advocacy. The more we speak about it the more the government listens to us.” 

Second, he thinks that the formation of coalitions of like-minded organizations is crucial – “together we can”, Kurniawan says.

Third, he believes that the support from international actors plays a role – with ASB and Handicap International in the process, “both communities and government staff tend to pay more attention.” 

Finally, he urges that all channels should be used for advocacy. “Speak at mosques and churches, at social events. Visit schools, go to the villages and explain the issue.” 

Kurniawan is confident that this advocacy effort can be replicated in other provinces. “The key to success”, he says, “is the ability of stakeholders to work together.” Rather than using harsh criticism of the government’s lack of support towards people with disabilities, he believes in soft diplomacy. “You have to understand your counterpart’s viewpoint.”

Footnote:

This story was retrieved and edited from the Empowerment and Participation publication from Handicap International and the Disability Inclusive Network DRR.

Moving from crisis to development

In a humanitarian crisis, there is usually an influx of external organizations, as a result of which some people with disabilities may actually find themselves receiving better services than they did previously. In some instances, the transitional moment of the post-crisis situation may be an opportunity to catalyse long term inclusion, for example by supporting construction of accessible housing.  There may be opportunities for people with disabilities to participate in rebuilding in ways that sustain their livelihoods and increase their visibility and inclusion in the larger community, for example by establishing a co-operative to build pre-fabricated houses and selling them, during and after the humanitarian crisis.  Disability is a long-term development issue, therefore it is important that external organizations work in partnership with communities to ensure that there is capacity for continued action and sustainable development after the external organizations leave.