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Ex-combatants and disability: opportunities for Bank action in demobilization and reintegration programs

Ex-combatants and disability: opportunities for Bank action in demobilization and reintegration programs. Bernard Harborne – Acting Program Manager The Multi-Country Demobilization & Reintegration Program (MDRP) Thursday 4 December 2008. 1. MDRP basics. Established in 2002

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Ex-combatants and disability: opportunities for Bank action in demobilization and reintegration programs

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  1. Ex-combatants and disability: opportunities for Bank action in demobilization and reintegration programs Bernard Harborne – Acting Program Manager The Multi-Country Demobilization & ReintegrationProgram (MDRP) Thursday 4 December 2008

  2. 1. MDRP basics • Established in 2002 • 7 beneficiary countries • 13 donors + World Bank • Finances demobilization and reintegration of ex-combatants • Targets over 27,000 disabled ex-combatants for special assistance

  3. 2. Target groups • Ex-combatants represent a highly vulnerable group • Chronic disease • Sexually Transmittable Infections (STIs) • War-related disability • PTSD

  4. 3. Operational responses • Medical support: • Screening upon arrival in demobilization camps • Provision of medical support (prosthetics and therapy) • Physical rehabilitation • Limited psycho-social support

  5. 3. Operational responses • Socio-economic reintegration: • Three-pronged strategy to provide tailored assistance • Specific skill training for severely disabled ex-combatants • Special allowance for transportation • Construction of houses adapted to severely disabled ex-combatants (Rwanda)

  6. 3. Operational responses

  7. 4. Lessons learned • Need for a comprehensive health approach to DDR • Lack of national capacity hampered the establishment of a coordinated protocol of care

  8. 4. Lessons learned • Psychosocial support needs to be reinforced • The extra costs associated with special assistance for disabled ex-combatants need to be taken into consideration in the design phase

  9. Thank you www.mdrp.org

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