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    December 2010

    SUSTAINABLE 101:VICTIM ASSISTANCE 10 YEARS ON

    BRIDGING THE GAP

    BETWEEN POLICY AND PRACTICE

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    Copyright : December 2010 by Handicap International ASBL-VZWAll rights reservedFunded under a grant rom the Belgian Ministry o Foreign Aairs

    Cover photograph: Khtoeup Veb rom Siem Reap Province in Camobia, cultivating his ricefeld John Vink Magnum, or Handicap International Cambodia 2008

    Layout and Design: Enschede/ Van Muysewinkel nv/saResponsible editor: Bruno LeclercqPublisher: Handicap International ASBL-VZW

    67 Rue de Spastraat B - 1000 Brussels

    Phone: +32 2 280 16 01Fax: +32 2 230 60 30

    http://www.handicap-international.be

    For additional inormation or to receive a copy o the report, please contact: [email protected].

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    Handicap International members:Belgium67, Rue de Spastraat1000 BrusselsPhone: +32 2 280 16 01

    Fax: +32 2 230 60 30Email: [email protected]

    Canada1819, Boulevard Ren-Lvesque Ouest,Bureau 401Montral (Qubec) H3H 2P5Phone: +1 514 908 28 13Fax: +1 514 937 66 85Email: [email protected]

    France

    Avenue Berthelot, 14F - 69361 Lyon CEDEX 07Phone: +33 4 78 69 79 79Fax: +33 4 78 69 79 94Email: [email protected]

    GermanyGanghoerstr. 1980339 MnchenPhone: +49 89 547 606 0Fax: +49 89 547 606 20Email: [email protected]

    LuxembourgRue Adolphe Fischer, 1401521 LuxemburgPhone: +352 42 80 601Fax: +352 26 43 10 60

    Email: [email protected]

    SwitzerlandAv. de la Paix 111202 GenvePhone: +41 22 788 70 33Fax: +41 22 788 70 35Email: [email protected]

    United Kingdom27 BroadwallLondon SE1 9PL

    Phone: +44 870 774 3737Fax: +44 870 774 3738Email: [email protected]

    United States6930 Carroll Avenue, Suite 240Takoma Park, MD 20912Phone: +1 301 891 2138Fax: +1 301 891 9193Email: [email protected]

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    SUSTAINABLE 101:

    VICTIM ASSISTANCE 10 YEARS ON

    BRDGNG THE GAP BETWEEN POLCY AND PRACTCE

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    SUSTAINABLE 101: VICTIM ASSISTANCE 10 YEARS ON BRDGNG THE GAP BETWEEN POLCY AND PRACTCE

    2

    TABLE OF CONTENTS

    1. ACKNOWLEDGEMENTS 3

    2. INTRODUCTION 4

    3. DESCRIPTION OF THE STUDY AND ITS OBJECTIVES 5

    4. EXECUTIVE SUMMARY 6

    5. METHODOLOGY 10

    6. ANALYTICAL ASSESSMENT PART I: THE PROJECT MANAGEMENT CYCLE 12

    7. ANALYTICAL ASSESSMENT

    PART II: CROSS-CUTTING ISSUES 19

    8. CASE STUDIES 23

    9. CONCLUSIONS AND RECOMMENDATIONS 30

    10. REFERENCES 36

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    1. ACKNOWLEDGEMENTS

    The research team at Handicap International would like to thank all those local civil society

    organisations (and their representatives) which agreed to participate in this study and willingly

    shared inormation about their work and their achievements and challenges with us. We hope that

    we have been able to do justice to the very important work these local organisations are undertaking

    or persons with disabilities including landmine/explosive remnants o war survivors, all over the

    world.

    The team would also like to acknowledge the invaluable support provided by those local intermediary

    organisations and individuals which acted as inormation-providers and which enabled it to reach

    otherwise inaccessible organisations and to surmount language and communication barriers.

    Furthermore, the team would like to extend its thanks or the useul advice and eedback received

    on both orm and content rom various individuals rom Handicap International and the International

    Campaign to Ban Landmines.

    Last but not least, the research team would like to thank the Ministry o Foreign Aairs, Belgium or

    its nancial support or this study.

    The Research Team

    Joohi Haleem

    Jennier Reeves

    Stphane de Gree

    November 2010

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    SUSTAINABLE 101: VICTIM ASSISTANCE 10 YEARS ON BRDGNG THE GAP BETWEEN POLCY AND PRACTCE

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    2. NTRODUCTON

    Recent studies such as Voices rom the Ground: Landmine and Explosive Remnants o War Survivors

    speak out on Victim Assistanceundertaken by Handicap International in 2009 and annual reporting on

    progress conducted by the Landmine and Cluster Munition Monitor show that even 10 years ater the

    Mine Ban Treatys (MBT) entry into orce, victim assistance or the survivors o landmines/explosive

    remnants o war (ERW) has remained one o the sectors which shows the least demonstrable progress.

    During the Mine Ban Treatys rst decade, victim assistance (VA) has made the least progress o all the

    major sectors o mine action, with both unding and the provision o assistance alling ar short o what

    was needed.1 There is still ar too little knowledge and understanding o survivor needs in the very

    dierent contexts where survivors live worldwide, and there is little to no assessment o the impact o the

    VA initiatives which have been undertaken to date, to see what works, what does not, and why. This lack

    o understanding o context-specic needs has meant that by and large, most survivors eel that their

    needs are not being met2 and living as they oten do in remote and poorly serviced areas, they remain

    marginalised on the ringes o mainstream society.

    This particular study Sustainable 101: Victim Assistance 10 years on aims to begin the process o

    mapping and assessing the current situation on service provision to persons with disabilities including

    mine/ERW survivors in 29 aected countries around the world. It is intended to supplement gaps in our

    knowledge and understanding o the challenges, constraints and opportunities which local civil society

    organisations ace, and to build upon the available body o data and inormation on victim assistance

    and disability-related service provision in the selected aected countries. The study and its various

    outputs address multiple audiences: the primary target-group o national service-providers through the

    accompanying online directory and tool-kit, and secondarily, the donors, policymakers and the

    international humanitarian sector through the ndings presented in this report.

    The project was ormulated to deliver three separate but mutually reinorcing products in order to

    best present the inormation collected in the course o this study:

    An online directory providing prole inormation on all the civil society organisations

    identied (about 175 so ar) in 29 aected countries around the world, with an

    accompanying tool-kit compiling available resources on victim assistance and

    disability service provision,

    An analytical assessment o organisational perormance in a select sample o casestudy countries, and

    A BBC documentary titled Laos Bitter Harvest highlighting the scale o the problem

    o unexploded ordnance (UXO) contamination or aected communities in the severely

    aected country o the Lao Peoples Democratic Republic (PDR).

    The 29 mine/ERW aected countries covered by this study are as ollows:

    Aghanistan, Albania, Angola, Bosnia and Herzegovina, Burundi, Cambodia, Chad, Colombia,

    Croatia, Democratic Republic o Congo, El Salvador, Ethiopia, Guinea Bissau, Iraq, Jordan, Laos,

    Lebanon, Mozambique, Nepal, Nicaragua, Peru, Senegal, Serbia, Sudan, Tajikistan, Thailand,

    Uganda, Vietnam and Yemen.

    1 See ICBL, Landmine Monitor Report 2009, Executive Summary, Special Ten-Year Review, Victim Assistance, p.53.

    2 Handicap International, Voices rom the Ground: Landmine and Explosive Remnants o War Survivors speak out on Victim Assistance, September 2009.

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    3. DESCRPTON OF THE STUDY AND TS OBJECTVES

    The primary objectives o this study are:

    Mappng o local cvl socety ntatves: To raise awareness o the initiatives and projects being undertaken by

    local civil society actors such as non-governmental organisations (NGOs), community-based

    organisations (CBOs), survivor associations, and disabled peoples organisations (DPOs) in order

    to give their work greater visibility and exposure on the international stage, and to provide a clear

    and concise picture o existing local knowledge, capacities, and constraints to donors, decision-

    makers, policymakers and other humanitarian and development actors.

    Knowledgesharng and normaton exchange: To provide organisations with a discussion platorm to exchange

    ideas, experiences and perspectives rom dierent contexts and the opportunity to learn rom such

    exchanges; to generate a dialogue on the major issues and concerns acing civil society practitioners

    and to provide them with a voice on the international stage, through their inclusion into the online

    directory and social networking site.

    Capactybuldng: To acilitate the capacity-building and strengthening o member organisations and other

    users o the online directory and social networking site: through a comprehensive compilation o

    existing resources and links on victim assistance and programme management into a constantly

    updated tool-kit; through the provision o e-discussion boards encouraging an exchange o ideas

    and inormation (especially South-South cooperation) on best practices and lessons learnt; by

    providing notications o upcoming trainings, conerences and workshops; and by enabling

    member organisations to directly maintain their online proles and to regularly upload inormation

    about their achievements and challenges.

    The Sustainable 101 study documents and assesses the work being carried out by national and

    local NGOs and other civil society actors in the 29 mine/ERW aected countries listed above. These

    organisations provide services relevant to but not exclusively or survivors. This is reective o

    common practice whereby most such organisations in the eld provide services to all persons with

    disabilities, regardless o the cause o disability.

    However, within the broad lens o disability service provision, there are ample reasons to justiy a

    sharper ocus on victim assistance service provision. Firstly, the mine action sector oten has

    specic knowledge about aected people and communities, including knowledge which may notbe generally available such as the number, location, and needs o survivors. This inormation may

    have been gathered in aected communities by clearance teams, and through the undertaking o

    community-based mine risk education (MRE) and awareness programmes. Secondly, survivors can

    provide peer support to each other to help overcome the sometimes specic orms o trauma

    associated with such injuries they are best placed to understand the situation and needs o ellow

    survivors. Thirdly, advocacy by the mine action sector helps to ensure that survivors rights are

    addressed and upheld where they otherwise might not be due to the general marginalisation o

    persons with disabilities and their lack o access to the services and support they require. Finally,

    providing services through victim assistance unding can also be seen as benecial to other persons

    with disabilities, as without this VA unding, certain services might not otherwise exist or be

    sustained.

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    4. EXECUTVE SUMMARY

    RATONALE FOR THE STUDY:

    THE NEED FOR WELL-NFORMED DECSON-MAKNG AND MPLEMENTATON FOR VCTM ASSSTANCE

    Over the years, while the normatve understanding o victim assistance has evolved

    signiicantly with each successive 5-year Action Plan3 expanding beyond the notion o the

    provision o care and support to survivors to include sustained eorts to build up their

    capacities - the development o a comprehensive operatonal understanding has been more

    challenging, encompassing as it does some o the most undamental human rights and needs,

    and a broad range o services and activities4. This lack o clarity has been urther compounded

    by the act that there is not one natural home or victim assistance, with responsibilities or

    the coordination, planning, implementation and monitoring o VA activities oten being shared

    on an ad hocbasis between the Mine Action Centre and the relevant national Line Ministry.

    Most importantly however, the apparent lack o clarity stems rom a undamental contradiction

    between the political and practical conception o victim assistance. So while on the one hand,

    meeting the VA obligations set out by the Mine Ban Treaty and the Convention on Cluster

    Munitions includes the establishment o national coordination mechanisms and ocal points,

    the drating and implementation o national VA plans (with the inclusion o survivors), and the

    earmarking o speciic VA unding (by donor and aected states), on the other hand, there are

    calls or all eorts to be integrated into mainstream development processes i they are to have

    a sustained and lasting impact on the lives o aected people and communities. The

    International Campaign to Ban Landmines (ICBL) and the Cluster Munition Coalition (CMC)

    have long advocated or a twin-track approach to inclusive development and victim

    assistance.5 This means ensuring that all persons with disabilities including mine/ERW

    survivors are enabled to participate ully and meaningully in all phases o the development

    cycle (policymaking, planning, implementation, and monitoring and evaluation), while at the

    same time, having access to specialized programmes and services to build up their capacities

    to engage actively in these processes.

    Practitioners in the ield nevertheless recognise the need to ensure that VA service provision

    does not result in the creation o a parallel set o services and acilities exclusive to mine/ERW

    survivors, as it risks entrenching prevalent inequalities and discriminatory societal patterns.

    This is borne out by the results o this study which show that more o than 80% o the

    respondent organisations make no distinctions amongst their target-group(s) on the basis othe cause o disability.

    The contradiction lies in the act that having separate or partially separate unding streams or

    victim assistance entails separate processes o monitoring and evaluation i one is to truly

    3 See www.mineaction.org/downloads/1/Nairobi_Action_Plan%5B1%5D.pdandhttp://www.mineaction.org/doc.asp?d=1300

    4 Ambassador Susan Eckey o Norway, Victim assistance is a human rights issue that aims to address the rights and needs o people who are oten marginalised and

    living in vulnerable situations in countries with limited resources and many competing priorities, Enhancing Cooperation and Assistance as concerns Victim Assi stance,

    Discussion Paper, Intersessional Standing Committee Meetings, 24 June 2010, p.1.5 Inclusive Development and the Comprehensive and Integral International Convention on the Protection and Promotion o the Rights and Dignity o Persons with Disabilities,

    prepared by the IDDC Task Group on the UN Convention, 2005, in Victim Assistance in In clusive Development: What does this mean or advocates?, ICBL Brieng Paper,

    28 October 2010.

    http://www.mineaction.org/downloads/1/Nairobi_Action_Plan%5B1%5D.pdfhttp://www.mineaction.org/downloads/1/Nairobi_Action_Plan%5B1%5D.pdfhttp://www.mineaction.org/downloads/1/Nairobi_Action_Plan%5B1%5D.pdf
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    assess the impact and build in greater accountability and transparency o all the initiatives

    undertaken with those unds. This presents all implementing organisations, international and

    national, with the dilemma o having to account or service provision targeted at mine/ERW

    survivors while at the same time, trying to ensure that the activities they undertake are non-

    discriminatory towards other vulnerable and at risk groups in a population.

    Another challenge aced by organisations is how to deine their most approprate and eectve

    role, a role which complements and supplements the role played by the other actors in the

    process, most importantly among them the state and its agencies, without duplicating eorts

    while ensuring maximum coverage and impact. As this research shows, most local civil society

    service providers (at least 85%) are attempting to deliver a combination o services

    (encompassing the six pillars o VA, namely emergency care, physical rehabilitation, psycho-

    social care, economic inclusion, advocacy, and data collection), either in response to

    perceived needs and gaps resulting largely rom state neglect or incapacity to deliver, or to tap

    into available unding streams, regardless o whether they have the capacity to do so in a

    sustainable manner.

    However this leads one to question the ultimate eectiveness and sustainability o such

    initiatives, as one single civil society organisation may not always have the optimal set o

    skills, expertise and resources, both human and inancial, in order to deliver services as wide-

    ranging as physical rehabilitation and livelihoods recovery, consistently in a manner which

    best ulils the needs o the people on the ground. Additionally while most civil society

    organisations work in ways which by their very nature, are more community-driven and

    grassroots-based, better coordination o both state and civil society initiatives can lead to

    greater economies o scale and wider impact. Moreover, a stronger state-civil society nexus

    can strengthen government capacity to provide adequate and eicient services to its

    population, and ensure that popular organisation and capacity o poor people to assert their

    claims to public resources, and to hold government accountable6 is reinorced and

    strengthened.

    In order to determine the most approprate and eectve role in victim assistance or a local

    civil society organisation, it is irst and oremost imperative to develop a better understanding

    o real and actual needs on the ground as well as to improve our knowledge o the eorts that

    have been undertaken to date to meet the needs o people and communities aected by

    mines/ERW as well as other persons with disabilities. Only through a more comprehensive

    understanding o the existing baselne can it be possible to develop uture strategies and

    directions, to reinorce existing capacities and to address inherent gaps and shortcomings.

    In order to better understand the scope o services available in aected States, a

    comprehensive mapping o all actors involved in services relevant to assisting the victims is

    needed. 7 This study aims to highlight the invaluable work being carried out by one such actor

    in the process, namely local civil society organisations in 29 countries around the world,organisations which have been active in the ield oering a range o services and acilities

    within their available resources. This study by no means represents a comprehensive mapping

    o all civil society organisations active in the domain o service provision. It should be viewed

    instead as the beginnings o the process o compiling and consolidating inormation on such

    6 Collier, 2000 as quoted in Solava Ibrahim and David Hulme, Has civil society helped the poor?A review o the roles and contributions o civil society to poverty reduction,Brooks World Poverty Institute Working Paper 114, University o Manchester, March 2010, p.10.

    7 Ambassador Susan Eckey o Norway, Enhancing Cooperation and Assistance as concerns Victim Assistance, Discussion Paper, Intersessional Standing Committee

    Meetings, 24 June 2010.

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    initiatives, and should be urther expanded eventually to include other key stakeholders such

    as government agencies and international non-governmental organisations in order to be truly

    comprehensive.

    This study would also like to call attention to the key issue o the tmelne or the tmebound

    way in which victim assistance activities are oten undertaken, in recognition o the act that

    or those whose lives have been aected by the impact o mines/ERW, the eects are, more

    oten than not, lielong and permanent. While land clearance and stockpile destruction are

    activities which are inite in nature, vctm assstance conssts o servces and actvtes whch

    need to be provded over a much longer tme span, and thereore t calls or a undamentally

    derent approach and response to undng, polcymakng and mplementaton than the

    other areas o the mne acton sector. This must be taken into consideration when providing

    support or locally driven VA/disability initiatives and programmes, the vast majority o which

    as this study goes on to show, continue to suer rom unsustained and irregular unding lows.

    A PARADGM SHFT

    The Sustainable 101 studys ocus on highlighting the work undertaken by local civil society

    actors such as survivor associations, sel-help groups, DPOs and CBOs, on victim assistance

    and disability is in keeping with recent trends in the discourse and practice o victim

    assistance. These trends suggest a paradgm sht echoing the paradigm shit taking place

    globally within the larger disability sector rom the old charity-based model o development to

    the social or rights-based model advocated under the Convention on the Rights o Persons

    with Disabilities (CRPD).

    In this rights-based model o development, persons with disabilities are viewed not as

    beneiciaries but as rights-holders playing a more proactive and engaged role in the

    processes determining and inluencing their lives. The human rights-based approach

    requires that rights-holders living in poverty are ully involved and take action in determining

    their needs and the responses that will be provided to answer them. This is in stark contrast to

    a top-down, service-led approach where such decisions are made externally and where poor

    people do not participate in the processes that aect, simply because they are wrongly

    considered to be mere beneiciaries or recipients. This approach undermines peoples dignity

    and their conidence to think, plan, and negotiate. Though providing people with new schools,

    wells and boats can serve them on one level, leaving them with less dignity and power to

    negotiate with others is a ailure on another level.8

    What are the implications o such a paradigm shit or the prevail ing policymakin g and practice

    o victim assistance? It connotes a major shit in the balance and dynamics o power (o

    decision-making and access) by placing people and communities aected by mines/ERW right

    at the centre o the entire process raming and deining them not merely as the passivevictims o these weapons expecting their needs to be ulilled in compliance with the

    obligations imposed by the two treaties on all States Parties, but as active, engaged members

    o their communities and societies demanding and claiming their rights and entitlements.

    Such an approach is key to overcoming the oten inherent and entrenched orms o multiple

    and intersectional discrimination9 resulting rom prevalent physical, socio-cultural,

    behavioural, political and economic barriers and prejudices - that exclude and prevent

    8 Action Aid, Human Rights-based approaches to poverty eradication and development, June 2008, p.7, http://actionaid-staging.rubylithcms.com/rubylith/les/HRBA%20

    paper.pd.

    9 Convention on the Rights o Persons with Disabilities, Article 2, 2009.

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    survivors and other persons with disabilities rom accessing and enjoying their undamental

    rights and reedoms. The key question then becomes one o ensuring equtable access and

    equalty o opportunty and choce or all.

    Improving access, opportunty and choce should be seen not only in terms o improved

    physical accessibility, but as encompassing:

    Improved access to high-quality education, inormation, technologies and

    training;

    Better nutrition and health;

    A more cohesive and supportive social environment;

    More secure access to, and better management o natural resources;

    Better access to basic and acilitating inrastructure;

    More secure access to inancial resources; and

    A policy and institutional environment that supports multiple livelihood strategies

    and promotes equitable access to competitive markets or all.10

    As local civil society organisations have more potential to be representative o poor and

    marginalized groups in society (as compared to state structures or international humanitarian

    actors), and can thereby be seen as working directly toward the establishment o processes

    and mechanisms that acilitate and improve access, opportunity and choice or these groups,

    it then becomes imperative to recognize their work and to strengthen their capacities or

    greater eectiveness, impact and coverage. At the same time, it is important to point out here

    that any such capacity-building should seek to enhance the acilitative role o civil society

    actors rather than enabling them to supplant the state, which must ultimately be held

    responsible as a duty holder or the provision o basic services to its population and or the

    ulillment o its rights.

    10 Department or International Development (DFID-UK), the DFID Approach to Sustainable Livelihoods, National Strategies or Sustainable Development, 2004,

    http://www.nssd.net/reerences/SustLiveli/DFIDapproach.htm#Top.

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    5. METHODOLOGY

    In order to meet the twin objectives o mapping and assessment, the data collection or the study

    was conducted in two separate processes using two dierent questionnaires. The rst questionnaire

    the PROFILE questionnaire was developed to collect basic inormation about the respondent

    organisation, its contact details, the services it provides, its beneciary target group(s), its

    management and stafng structures, its unding mechanisms, etc. Each organisation was

    additionally asked to provide case-studies o best practices or innovative projects that it had

    undertaken or was currently undertaking. The Prole questionnaires were developed in English and

    then translated into nine languages (French, Spanish, Portuguese, Arabic, Nepalese, Khmer,

    Vietnamese, Thai and Dari). The dissemination o the questionnaires was either done by the

    research team by email, telephone or direct contact wherever possible (as in the case o Cambodia

    where one o the team members was based), or through local intermediaries or inormation

    providers. These local inormation providers were mainly drawn rom Handicap Internationals

    existing network o contacts in the eld, and consisted o organisations or individuals involved in

    delivering services to persons with disabilities, such as the ICBLs national Victim Assistance Focal

    Points, disability organisations or survivor associations. In some select cases, such as in Angola,

    where direct contact with organisations proved difcult to establish or where a suitable organisation

    could not be identied to take over the task o data collection, a consultant was briey employed to

    obtain inormation rom the relevant organisations.

    The inormation collected through this process was used to develop individual online proles or

    each o the respondent or member organisations. In the interests o transparency, each respondent

    organisation was inormed at the outset o the intended use o the inormation being requested

    rom them. By making the directory available on-line and providing each member organisation with

    the option to maintain and update its own prole, the project hopes to ensure that inormation

    provided in the directory remains relevant and up-to-date. The social networking aspect o the

    website is designed to encourage dialogue and debate between the dierent member organisations

    and to acilitate greater transer and exchange o knowledge and inormation, giving practitioners

    the opportunity to learn rom each others experience. Over time other organisations are expected

    to enlist in the directory once the value o the greater visibility and exposure aorded to their work

    and the increased opportunities or knowledge-sharing becomes apparent.

    The second, almost simultaneous phase o data collection was the analytcal phase or which an

    ANALYTICAL questionnaire was developed using the project management cycle as a basis. Thisphase was conceived as an evaluative or assessment exercise to critically analyse the unctioning

    o the organisations and to identiy any challenges they might ace in the eective and sustainable

    implementation o their activities. It is hoped that an improved understanding o the ground

    realities o VA and disability service-provision will help donors, pol icymakers and other international

    actors to provide support which is both timely and relevant.

    With this purpose in mind and based on the project management cycle, the analytical questionnaire

    was divided into sections, each assessing the respondent organisations capacity to conduct

    adequate needs assessments or its target population, and based upon these, to plan, execute and

    monitor its activities. Respondents were also asked to reect on those past and current unding

    trends which might impact on their activities, on the involvement o beneciaries in their activities,

    on their coordination with other national and/or international stakeholders (including networks),on their capacity to train and retain sta, and on the challenges and opportunities posed by a host

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    o actors, among them lack o political will, unsupportive legislative rameworks, lack o access to

    inormation, discriminatory attitudes towards disability, and rampant corruption and nepotism.

    There were two key dierences between the two phases o data-gathering: one, the inormation

    collected during the second more analytical phase was kept condential and all respondents were

    duly inormed o this, and two, the sample size or the second phase was deliberately limited to a

    ew select countries chosen rom the 29 countries covered by the rst phase o the study. Ensuring

    the condentiality o the respondents was deemed necessary to enable them to give as accurate a

    picture as possible o their current realities despite the, at times, politically sensitive nature o the

    questions and answers. The decision to limit the sample size was taken in order to develop a more

    detailed understanding o the situation in the case study countries, and to use the context-specic

    ndings (through case study analysis) to generate more generic, cross-cutting themes o interest.

    While this report on the analytical assessment largely draws upon the ndings o the second data-

    gathering phase, relevant inormation has also been used rom the prole questionnaires completed

    by respondent organisations in the initial phase.

    SELECTON CRTERA FOR RESEARCH SAMPLE FOR ANALYTCAL STUDY

    Thepurposive sampling method, prioritizing logistics and access, was employed to select the case

    study countries or the analytical phase o the study. The selection o countries was based on

    practical considerations o logistics and access as well as the need to ensure that the sample was

    adequately reective o the regional diversity within the group o 29 ocus countries. Even more

    importantly, the need to preserve the condentiality o respondents and the integrity o the data

    collection methods by reducing the risk o bias or prejudice was taken into consideration. Thereore

    or the analytical phase, it was considered essential or the research team to have direct access to

    the respondent pool rather than relying on the intermediary inormation providers used or the

    initial mapping phase. Direct access or data gathering was necessarily subject to the constraints

    imposed by linguistic, geographical, and communications barriers. Additionally there were

    budgetary and security constraints on direct access to certain locations. It is important to point out

    here that in drawing conclusions or a more generic analysis, the research team tried to ensure that

    the specic conditions o each context, such as the prevailing level and quality o services available

    to people with disabilities including survivors, the political, socio-cultural and economic

    environment o each case study country, and the existing level o capacity o local civil society

    actors and the specic nature o the challenges aced by them, were taken into account.

    Members o the research team conducted eld missions to Lebanon, Croatia, Bosnia and

    Herzegovina, and Cambodia, where data was gathered through semi-structured interviews and

    ocus group discussions using the analytical questionnaire as a basis. Analytical questionnaires

    were also completed by a small number o respondent organisations in Aghanistan, Angola and

    Jordan, where interviews were conducted either by consultants hired by the project or throughdirect electronic communication between the research team and the respondents. Logistical and

    budgetary constraints prevented the research team rom covering Latin America in the second

    phase o the data-gathering process.

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    6. ANALYTCAL ASSESSMENT

    PART : THE PROJECT MANAGEMENT CYCLE

    A total o about 45 organisations in the our main (Lebanon, Cambodia, Croatia and Bosnia

    and Herzegovina) and three secondary case-study countries (Aghanistan, Angola and Jordan)

    were assessed or their strengths and weaknesses in each o the dierent stages o the project

    management cycle namely, needs assessment, planning, implementation, and monitoring and

    evaluation. The indings o this assessment are discussed in Part I o the Analytical Assessment.

    Additionally the respondent organisations were asked to relect upon a ew cross-cutting

    thematic issues o relevance to them namely, survivor/beneiciary inclusion, meeting the

    needs o persons with disabilities including mine/ERW survivors, and coordination

    mechanisms and their role in these mechanisms. These responses are discussed in Part II o

    the Analytical Assessment.

    UNDERSTANDNG NEEDS AND CAPACTES

    Cartagena Action Plan (CAP) #24: Enhance the collection o appropriate data to develop,

    implement, monitor and evaluate the implementation o relevant national policies, plans and

    legal rameworks, and link such data with national injury surveillance and other relevant data

    collection systems.

    As the Landmine Monitors research has made apparent year ater year, the planning and

    implementation o victim assistance activities at the national level has not oten been guided

    by any comprehensive understanding o existing needs and capacities. Reliable data on the

    number o aected people and communities needing support, their location, and the kind o

    support they need is simply not available in most countries. Although most countries maintain

    national casualty databases, these databases do not go beyond providing incidence data or

    each casualty or survivor with there being little to no ollow-up data available on the post-

    incident conditions and needs o survivors. There is also insuicient linkage o casualty

    databases to databases which may be maintained by other sectors (such as the health,

    education, inance, and labour and employment ministries), or those maintained by

    organisations themselves. Even when a casualty database is regularly maintained andupdated, there are oten issues with how the data is used, shared with and accessed by the

    dierent stakeholders (government, local civil society, international humanitarian community

    etc.). Due to a lack o coordination and inormation exchange between ministries and

    government agencies, and between government and civil society organisations in most case-

    study countries, and due to an insuicient disaggregation o data collection on the basis o

    gender, age, ethnicity, livelihood proiles, geography, etc., whatever available data there is on

    mine/ERW survivors rarely eeds into national statistics on poverty, gender, disability and the

    distribution and quality o basic services or all population groups. The lack o adequate

    coordination between the dierent stakeholders also means that there is very little knowledge

    at national and even local levels, o existing capacities and resources and o the dierent

    initiatives being undertaken. This oten leads to either duplication and overlapping or

    persistent gaps in service deliver y, as a result o which, the needs o traditionally marginal isedand deprived groups may continue to be overlooked.

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    The lack o coordinated and comprehensive needs assessments mechanisms is a recurring

    problem in almost all the case-study countries, but was especially cited as being a major

    challenge in accessing inormation by respondents in Bosnia and Herzegovina (BiH), Croatia

    and Angola. In Angola or instance, a mine victim survey is planned or this year by the Inter-

    sectoral Commission on Demining and Humanitarian Assistance (CNIDAH), but many o the

    Angolan organisations interviewed or the S101 research were not aware o it, although it is

    due to take place in their area o operation.

    Another challenge to collecting reliable data on the real needs o persons with disabilities

    including mine/ERW survivors is posed by prevalent socio-cultural belie systems and

    discriminatory attitudes and behavioural patterns towards disability and in particular

    disability and gender, due to which the marginalization and exclusion suered by most

    persons with disabilities goes unacknowledged and unchecked. This was ound to be the case

    in countries like BiH, Croatia, Cambodia and Aghanistan where most respond ent organisations

    mentioned the diiculty inherent in having disability issues suiciently prioritized on the

    national agenda, and in Angola, where it was more diicult to involve emale beneiciaries in

    the consultation process. In Jordan cultural issues were also listed as a challenge to collecting

    inormation, and it was considered important to be sensitive to traditional cultures and

    belies.

    Funding issues at the project inception stage also, oten posed a challenge to conducting

    comprehensive needs assessments with one respondent organisation pointing out that

    understanding the needs takes too much time and we have to do it without resources as most

    donors do not support this phase.

    The majority o the organisations surveyed claimed to know the needs o their target group(s)

    and intended beneiciaries because they are rom the area, have irst-hand knowledge o the

    local community and context, and work at the grassroots level.This inormation is oten more

    exhaustive and detailed than what most existing databases are able to provide, and working

    directly and sometimes through peer support, with aected survivors and communities on the

    ground also, enables local civil society organisations to gather detailed inormation on their

    needs. In Angola, the respondents said that it was best to use participatory methods to collect

    inormation or needs assessments with one organisation describing its use o a Rapid

    Participatory Diagnosis approach to understanding the scale and scope o the problem. In

    contexts such as Angola, Jordan and Aghanistan, it was also deemed important to consult

    local traditional leaders in the community consultation process. In Angola and Lebanon, most

    respondents were o the opinion that inormation was best collected by local people using

    local languages. One aith-based organisation in Angola worked through the church network,

    while another mentioned that it would be useul to have access to reports o previous projects

    undertaken by other NGOs, government agencies and local civil society actors in order to learn

    rom their experiences in providing services to persons with disabilities including mine/ERW

    survivors.

    While the value o the grassroots knowledge which most local disability/VA service providers

    draw upon cannot be denied, at the same time, it is important to recognise that there may be

    a risk o entrenching prevalent inequities and power imbalances and urther marginalising the

    most vulnerable as the people working or these local organisations may either belong to the

    local power elites themselves or they may be reluctant to challenge the existing power

    dynamics in the region. It is thus imperative to balance out existing local knowledge with

    exhaustive needs assessments using vulnerability and poverty mapping tools.

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    PLANNNG

    CAP Action #22: Develop, i they have not yet done so, a comprehensive national plan o action

    that addresses all aspects o victim assistance with objectives that are speciic, measurable,

    achievable, realistic, and time bound, ensuring that such a plan takes into account broader

    national policies, plans and legal rameworks that promote and guarantee the rights o

    landmine victims in accordance with the highest international standards, and thereater

    implement, monitor and evaluate the implementation o such a plan.

    Organsatonal plannng

    Up to 85% o the organisations surveyed during the irst phase o the data-gathering process

    claimed to have ormal strategic and work plans in place, ranging rom 1-5 years in duration

    and outlining the key objectives and activities o the organisation. These plans were developed

    in consultation with sta members, and sometimes beneiciaries and even donors. Most o

    the respondents also claimed that these plans were linked to national mine action/victim

    assistance strategies or disability plans where they existed, though given the inadequate

    level o coordination in most o the case-study countries, it was not clear to the research team

    how these links were maniested and what was the inluence o national plans on the setting

    o organisational priorities. In case study countries such as BiH, a victim assistance sub-

    strategy was drated with the participation o a ew key civil society organisations, but those

    organisations which had not been involved in the drating process, did not eel the need to

    engage with the strategy and its objectives in any capacity in the course o their own activities.

    None o the other disability organisations and associations representing those aected by war

    was included in the plan either.

    A number o respondents pointed out that they were not always able to meet all the objectives

    o their plans due to a lack o unding and sta capacity implying that some o the planned

    activities may have constituted a wish list rather than being based on a realistic assessment

    and understanding o what was possible within available resources. These respondents

    admitted that this necessarily led to a decrease in their ability to deliver services eectively

    with a corresponding narrowing o the beneiciary pool. Those respondents which said

    however, that they developed realistic plans taking into consideration access to and

    availability o resources - both human and inancial - appeared to be more eective in meeting

    their core objectives. An important point to consider here, and linked to earlier observations

    on the lack o comprehensive needs assessments, is that while plans may be ormulated and

    implemented, i they are not truly responsive to the speciic needs on the ground and do not

    actively involve beneiciaries in the decision-making and implementation process, their

    impact on improving the living conditions o their target group(s) can only be limited at best,

    and detrimental at worst. However it was beyond the scope o this study to assess the

    potential impact o some o these plans.

    MPLEMENTATON

    nternal organsatonal capactes

    By and large, most respondents (at least 75% o respondent organisations were dependent on

    project-based grants or their survival) linked their limited organisational capacity to a lack o

    sustained and regular unding or meeting their core costs as opposed to unding or project

    activities. With a limited unding cycle determined by the duration o the project cycle, most

    o the surveyed organisations ound it diicult in practice to retain skilled and trained sta

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    and to invest resources to build their capacity or undraising, proposal writing and donor

    liaison, better communications, data management and research among other things. A number

    o respondents also voiced the need or improving their technical skills and inancial

    management capacities. Erratic and variable unding lows were inevitably ound to lead to

    high sta turnover with a corresponding loss o knowledge and capacity, and an inability to

    improve the quality o their service delivery, and caused some organisations to be reluctant

    about widening their beneiciary pool despite a high demand or their services.

    Some respondents said that they had had to rely on volunteers due to a lack o unding or

    salaried sta. However, they did cite certain advantages o working with volunteers, part icularly

    when those volunteers were beneiciaries themselves, in terms o making activities more

    inclusive and participatory.

    Most o the respondent organisations seemed to have a good understanding o their particular

    strengths and weaknesses and had made eorts (including partnering with international

    organisations, employing external consultants and technical specialists, and enabling sta to

    attend training courses and workshops) to build up capacity within the resources available to

    them.

    External actors aectng mplementaton

    CAP Action #26: Ensure that capacity building and training plans are developed and

    implemented to promote high quality standards and availability o age-appropriate and

    gender-sensitive services in all components o victim assistance, and enhance the capacity o

    both women and men and national institutions charged with implementing national policies,

    plans and legal rameworks, including through the provision o adequate resources.

    CAP Action #27: Increase accessibility o both emale and male landmine victims to quality

    services and to overcome physical, social, cultural, economic and political barriers, with a

    particular ocus on rural and remote areas.

    Some o the most commonly cited external challenges to eective and sustainable

    implementation included lack o eective national legal/policy rameworks (or the health and

    education sectors, or the mine action sector, or the non-proit sector as a whole, disability

    legislation etc.) or their inadequate enorcement, lack o political will at the national level,

    lack o unding, lack o physical security in the operational environment, bureaucratic

    constraints, lack o access to relevant inormation, logistics, geographical isolation, lack o

    eective national coordination mechanisms, discriminatory attitudes towards beneiciaries

    and corruption/nepotism. The extent to which these challenges exist or impact on

    organisational capacity or implementation, varies rom country to country and according to

    each individual organisations capacities.

    Ironically, some o the challenges that local service providers ace were also constraints on

    the S101 research. Thus in countries that ace problems o physical insecurity due to conlict,

    such as Iraq and Aghanistan, or where modes o transportation and communication were

    diicult and unreliable, such as in Angola, it was more diicult to gather reliable and

    comprehensive inormation or this study.

    Geographical isolation and inaccessibility, oten accompanied by physical insecurity, was

    mentioned as being a major constraint to implementation in countries like Aghanistan and

    Angola and largely accounted or the disparity in the quality and coverage o services between

    rural and urban areas. In Angola, the problem o geographical isolation is compounded by the

    lack o adequate inrastructure. The country is vast, road networks are poor and badly

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    maintained and the local service-providers do not have suicient resources or transport.

    Another signiicant challenge highlighted by respondents in Angola was the lack o internet

    access, which they elt hampered their links with the international community and limited the

    undraising opportunities available to them.

    As mentioned previously, a prevailing culture o discriminatory attitudes and taboos against

    disability oten posed a serious challenge to respondent organisations in BiH, Croatia,

    Cambodia and Aghanistan, and made it diicult or them to access government resources or

    to highlight the needs o people with disabilities in comparison to other disadvantaged groups

    in the population.

    A general lack o government capacity combined with limited understanding o needs on the

    ground, lack o political will and inadequate resource mobilisation to plan, implement and

    coordinate service delivery to persons with disabilities including mine/ERW survivors,

    imposes huge constraints on the unctioning o local civil society actors by obliging them to

    ill in the gaps in service provision without having access to the resources and inrastructure

    o the state. Besides the undamental rights-based issue o government responsibility and

    duty in the domain o service provision, service delivery by civil society actors can never be

    sustained in the long term owing to the latters high dependence on external unding, the

    diiculty o going to scale and their inability to recover costs through user charges.11

    Some civil society organisations have tried to resolve these external challenges through

    advocacy to eect policy change at the national level, but with varying degrees o success.

    Fundng and nancal sustanablty

    The majority o respondent organisations rom all the case-study countries considered the

    lack o regular sustained unding as a key concern, and in act or many, it was the main

    problem they reportedly aced (with at least 75% o surveyed organisations reliant on project-

    based grants). A s discussed earlier, a lack o unding was also seen to be one o the contributin g

    actors or the inability o some orga nisations to realise all their plans. Some o the responden t

    organisations expressed a need to increase their capacity or undraising and proposal writing

    as they oten ound themselves restricted rom accessing international donor unding owing to

    overly complex international donor procedures or simply due to a lack o inormation about

    available sources o unding. It is nevertheless important to highlight here the lack o

    sustainability and excessive donor dependency caused by an over-reliance on grant-based

    unding.

    Several o the respondent organisations used a combination o unding mechanisms in order

    to diversiy their unding sources and to make up or any shortalls in donor unding.

    International non-governmental organisations (INGOs) and national governments were the 2biggest donors or at least 30% and 20% o the respondent organisations respectively, with

    oreign governments and private individual donations being the biggest source o unding or

    about 10% o them. 12 About 5% o the organisations surveyed charged beneiciaries/users or

    services provided, while another 5% o them undertook various income-generating activities

    such as rental o oice space etc.

    11 Solava Ibrahim and David Hulme, Has civil society helped the poor?A review o the roles and contributions o civil society to poverty reduction, Brooks World Poverty

    Institute Working Paper 114, University o Manchester, March 2010, p.10.

    12 The gures cited here are based upon responses received rom about 170 organisations during the rst Prole phase o the data-gathering process.

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    There have been repeated calls or aected states to contribute long-term national unds to

    victim assistance, and or donor states in a position to assist to increase multi-year unding

    or victim assistance13. The International Campaign to Ban Landmines (ICBL) in one o its

    statements at the Intersessional Standing Committee Meetings o the Mine Ban Treaty in June

    2010, incited countries to not end your international cooperation eorts once a country has

    inished its clearance obligations. Instead, continue to channel mine action unds to victim

    assistance as victims needs will continue over the long term 14. It highlighted the need to

    acknowledge that attitudes, practices and national resources will not be changed in a matter

    o one or two years. Thereore ensure sustanablty and eectveness o VA projects by

    commttng to long term nancal support .15

    While it is possible to solicit and undraise speciically or VA donor unding - some

    organisations ound it relatively easier to raise unds under the VA banner by invoking donor

    obligations under the Mine Ban Treaty - the services oered by these organisations were not

    limited to any one single group o r community. In Colombia several donor-unded projects work

    to strengthen capacity to meet the needs o mine/ERW survivors, but simultaneously also

    beneit other persons with disabilities. Against this though, is the argument that unding

    should not discriminate against people based on the cause o disability, but should be based

    on need and has been a reason commonly cited by several big donors such as the European

    Union, Canadian International Development Agency (CIDA) and Department or International

    Development (DFID), UK among others or their seeming reluctance to earmark unds

    speciically or victim assistance activities.

    mplementaton carred out n partnershp wth nternatonal organsatons

    Over the last 10 years, INGOs have played a signiicant role in helping to develop the capacities

    o national NGOs and other civil society actors in several countries. This support has taken

    several orms ranging rom an INGO establishing operations and then handing over to national

    management and ownership, to a close partnership with a national organisation, to the

    provision o support more remotely as a donor.

    Most respondent organisations in Lebanon, BiH, Croatia, Aghanistan and Cambodia were

    generally positive about their experience o working with international organisations. The

    beneits they mentioned included gaining o international experience and heightened

    visibility, improved access to donor unding, and the enhanced ability to inluence international

    conventions and advocacy campaigns on a global level. Nevertheless, a ew also mentioned

    challenges such as those posed by the random, non-context speciic application o

    international concepts and standards at the local level, or by the dierent and sometimes

    conlicting agendas o the INGO and its local implementing partner.

    In Angola in particular, some o the survey participants expressed dissatisaction with theirrelationship with international organisations when asked to comment on the perceived

    beneits and challenges o working in collaboration with them. Some o them elt imposed

    upon by their international partners which in their view, were more willing to support projects

    based on their own priorities rather than on the needs deined and identiied by the national

    partners and their beneiciary populations. This was also echoed in the responses received

    13 Survivors Call to Action, Cartagena Summit on a Mine-ree World, Colombia, 29 November-4 December 2009.14 ICBL Statement on International Cooperation and Assistance - Victim Assistance, Intersessional Standing Committee Meetings, 25 June 2010, Geneva,

    http://www.apminebanconvention.org/leadmin/pd/mbc/IWP/SC_june10/Speeches-Special/SpecialSession-VA-25June2010-ICBL.pd.

    15 Ibid.

    http://www.icbl.org/index.php/icbl/Library/News-Articles/intersessionals10/intlcoop-vahttp://www.icbl.org/index.php/icbl/Library/News-Articles/intersessionals10/intlcoop-va
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    rom some organisations in Aghanistan. The respondents did not eel that such a manner o

    working led to a real partnership approach. They were reluctant about participating in research

    projects which did not yield any material or tangible beneits or their own work. However

    some o the INGOs which were interviewed in the course o this study also experienced

    diiculties, or instance, by being excluded rom national coordination activities (e.g. in

    Angola, an INGO was excluded rom a VA evaluation workshop).

    MONTORNG AND EVALUATON

    CAP Action #28: Monitor and evaluate progress regarding victim assistance within broader

    national policies, plans and legal rameworks on an ongoing basis, encourage relevant States

    Parties to report on the progress made, including resources allocated to implementation and

    challenges in achieving their objectives, and encourage States Parties in a position to do so to

    also report on how they are responding to eorts to address the rights and needs o mine

    victims.

    The internal monitoring and evaluation systems o the respondent organisations vary

    considerably. The vast majority o them said that they know i their services are eectively

    meeting the needs o beneiciaries rom the eedback received rom the beneiciaries

    themselves. Some also used questionnaires or held eedback meetings. A ew had more ormal

    monitoring systems in place with dierent indicators to monitor progress and impact.

    On a more macro level, there appeared to be no nation-wide evaluations o VA activities in any

    o the case-study countries, which was surprising, particularly given that the other pillars o

    mine action have been subject to evaluation on a regular basis. This issue is also linked with

    the lack o inormation on needs and capacities. Without an adequate understanding o needs

    and capacities, it is not possible to adequately assess the impact o programme activities.

    Similarly without planning processes and speciic objectives and goals in place, it would be

    diicult to monitor and evaluate outcomes and impact.

    With responsibility or the planning and implementation o VA and disability-related activities

    shared on a sectoral basis between the relevant line ministries in each country, the survey

    ound that there was oten a lack o clarity about the most appropriate agency to monitor and

    evaluate progress and impact.

    There were some notable exceptions though: the Lebanese Mine Action Centre plans to issue

    Standard Operating Procedures (SOPs) or VA activities later in the year; in Jordan there are

    eorts to ensure that services provided or people with disabilities meet required standards

    with the Higher Council or the Aairs o Persons with Disabilities (HCAPD) planning to accredit

    all disability organisations and to regularly monitor their activities; in Croatia most o the

    respondent organisations received their unding rom the national government, which iscurrently in the process o putting more stringent monitoring mechanisms in place.

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    7. ANALYTCAL ASSESSMENT

    PART : CROSSCUTTNG SSUES

    RESPONDNG TO SURVVOR NEEDS

    Much has been said already about the need to develop context-specic responses to actual needs

    on the ground in ways which ensure equitable access and equality o opportunity and choice or all

    persons with disabilities including mine/ERW survivors. In order to do so, it is imperative to build

    upon existing local knowledge o the context and to improve our understanding o existing needs,

    capacities, resources and constraints to avoid overlapping and duplication o eort and to increase

    coverage and quality. It is worth noting here though that NGOs operating in service delivery

    should be careul not to adopt an exclusively needs based approach that neglects the poors rights

    and ails to challenge the structures and institutions that brought about their deprivations in the

    rst place. The danger here is that NGOs in service provision might sometimes seek to maintain

    these exploitative structures which provide them with unds to nance their projects.16

    Based upon their rst-hand grassroots knowledge o their communities and areas, most o the

    respondent organisations highlighted the challenges inherent in undertaking economic inclusion/

    livelihoods recovery and rehabilitation programmes, given the extended investment o time and

    resources required to build up the skills, knowledge and employability o this traditionally

    marginalised target group to enable them to overcome widespread discrimination and social

    exclusion, which restricts their access to jobs, markets, entrepreneurship development and micro-

    nance acilities17. Despite the inherent challenges, the study ound that as many as 80% o the

    organisations surveyed during the rst phase o the project (more than 170 in number) were oering

    socio-economic services in some orm or the other vocational training, small business support,

    peer and/or psychosocial support to persons with disabilities including mine/ERW survivors. This

    seems to be in direct response to two principal actors one, that improved economic and

    employment opportunities have consistently been agged by survivors and other persons with

    disabilities as being key to their successul inclusion into mainstream society18, and two, that due

    to a lack o capacity, resources and an insufcient understanding o real needs, there has been ar

    too little government support or such activities. 19 As a consequence, local civil society actors have

    stepped in to ll in the gaps. Whether such activities undertaken by civil society actors can besustained over the long term remains doubtul, or reasons discussed earlier in this report, as well

    as because addressing the root causes o livelihood vulnerability and insecurity requires the

    establishment o linkages at multiple levels with multiple stakeholders, and o structural

    mechanisms which eventually lead to equality o access, opportunity and choice or all vulnerable

    groups, including persons with disabilities.

    16 Solava Ibrahim and David Hulme, Has civil society helped the poor?A review o the roles and contributions o civil society to poverty reduction, Brooks World Poverty

    Institute Working Paper 114, University o Manchester, March 2010, p.12.

    17 an estimated 80 per cent o all people with disabilities in the world live in developing countries. O these, some 426 million live below the poverty line and oten

    represent the 15-to-20 per cent most vulnerable and marginalized poor in such countries, The right to decent work o persons with disabi lities, Arthur OReilly,

    International Labour Ofce, Geneva, 2007. (ISBN 9778-92-2-120144-1)

    18 ... that the States Parties reconsider the importance o measures to ensure economc ncluson since this vital component o Victim Assistance has oten been ignored in

    the past, Survivors Call to Action, Cartagena Summit on a Mine-ree World, Colombia, 29 November-4 December 2009.19 Most eforts remained ocused on medical care and physical rehabilitation, oten supported by international organisations and unding, rather than on promoting

    economic sel-reliance or survivors, their amilies, and communities,Landmine Monitor Report 2009, Executive Summary, Special Ten-Year Review, Victim Assistance,

    p.53.

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    SURVVOR NCLUSON

    The Survivors Call to Action calls on all states to guarantee meaningul participation o landmine

    survivors in all areas o victim assistance at all levels20. Participation may take place at the civil

    society level, or the government level, and through coordination mechanisms. In many countries,

    survivors have in act taken the initiative themselves and set up their own associations, such as in

    Croatia, the Karlovac Association or Mine Victims; in BiH, Eko Sportska and UDAS, and the

    Landmine Survivors Initiative (LSI); in Uganda, the Ugandan Landmine Survivors Association (ULSA)

    with its many member associations representing the dierent districts o Uganda; and in Cambodia,

    the local NGO, Yodiee, established by a person with disability who was unable to nd a job, and

    wanted to provide socio-economic support to people in the same situation as his, to list a ew.

    Most o the respondent organisations which participated in the initial data-gathering phase claimed

    to have active beneciary involvement in the planning and implementation o their day-to-day

    activities, with at least 45% o them employing beneciaries as volunteers and about 15-20% o

    them employing beneciaries as paid sta members.

    In terms o their inclusion in national VA and disability coordination mechanisms, some o the

    associations run by survivors, particularly those in BiH, were critical o the role played by the

    national coordinating body and questioned its right to represent survivors.

    MPROVNG COORDNATON

    CAP Action #23: Establish, i they have not yet done so, an inter-agency coordination mechanism

    or the development, implementation, and monitoring o appropriate national polices, plans and

    legal rameworks, involving the ull and active participation o landmine survivors and other relevant

    stakeholders, and thus ensuring that the entity is assigned primary responsibility or overseeing

    this coordination and has the authority and resources to carry out its task.

    Coordination is crucial to eective VA planning and implementation or several reasons: it enables

    the participation o all the relevant stakeholders, links national civil society actors with government

    actors, acilitates exchange o inormation and sharing o resources, helps to improve understanding

    o main issues and concerns, and to avoid duplication o eort while addressing gaps, and enables

    all participants to benet rom each others experiences. Additionally, it can be instrumental in

    helping civil society actors to identiy and determine their most appropriate and eective role in the

    domains o service delivery, advocacy and policy change. Advocacy work and policy change, in

    order to have an impact, cannot be done in isolation and must be conducted in collaboration with

    other actors. However, eective coordination o VA activities remains elusive to many countries,

    despite eorts made in recent years. Given the crucial role o coordination in developing a cohesive

    and structured response to needs on the ground, simply saying it should take place is not enough,

    and it is important to identiy the reasons why coordination is not happening as it should and setinto place the concrete mechanisms to support it.

    As identied during the course o this research, two main gaps in coordination were ound to exist:

    between government and civil society actors in general, and between survivor associations and VA

    organisations, and more mainstream disability-related organisations. A number o disability and

    veteran organisations (and some government bodies) surveyed in Croatia and BiH claimed not to

    pay any particular attention to the needs o mine/ERW survivors in order to avoid any discrimination

    on the basis o the cause o disability. Consequently they did not see any value in being part o VA

    coordination mechanisms.

    Other causes o ineective coordination may be a lack o political will, and government incapacity

    to hold meetings, disseminate inormation, and monitor activities due to an insufcient allocation

    20 Survivors Call to Action, Cartagena Summit on a Mine-ree World, Colombia, 29 November-4 December 2009.

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    o time and resources. Factors that impede coordination may also include divergent political or

    stakeholder interests and agendas. While some political dierences may be obvious in a post-

    conict country, others may be less so. There may be competition between various stakeholders or

    the same pool o unding. In Angola or instance, the competition or scarce resources among the

    national NGOs was cited by an international NGO, as being an obstacle to eective coordination

    among them. One organisation may have more political inuence than others to lobby government,

    or there may simply be personality dierences between the sta o the dierent organisations.

    However, it should not be assumed that political dierences mean that civil society organisations

    will not coordinate together there are plenty o examples o good coordination among groups that

    may have been opposed to each other during conict and may still be political rivals. It is useul to

    conduct a stakeholder analysis, and study the interests o the dierent organisations and the power

    relations between them. External bodies, particularly international organisations, should be

    mindul o the act that coordination problems may be due to actors that are not immediately

    obvious to the outsider.

    At times, the study ound that there was conusion within the mine action centre (MAC) itsel as to

    its role in victim assistance. Among the survey respondents, a range o attitudes towards

    coordination could be ound, ranging rom support towards coordination eorts to eeling some

    resentment and viewing the MAC as controlling, with some survivors questioning the MACs right

    to represent them. In Lebanon, the MAC is a military body, it chairs a victim assistance steering

    committee, and although at rst glance a military body might not appear to be appropriate or this

    role, certain advantages can be identied, such as that it is authoritative enough to coordinate the

    activities o a diverse group o actors in a politically diverse context, and that it acilitates access to

    sensitive areas through providing permits etc.

    One way to strengthen coordination mechanisms and processes can be to demonstrate to

    stakeholders the benets o coordination. I the coordinating body provides incentives or

    example, capacity-building and training courses on subjects related to project cycle management,

    inormation on survivors and their needs, ways to increase the visibility o the work done by local

    service providers accompanied by a genuine culture o generating dialogue, knowledge-sharing

    and inormation exchange, then local civil society organisations may be more inclined to play an

    active role in ensuring the eectiveness o coordination mechanisms.

    THE EVOLVNG ROLE OF CVL SOCETY ORGANSATONS N VA AND DSABLTY SERVCE

    PROVSON

    The role played by civil society actors in VA may lie in the domains o advocacy, policy change and/

    or service delivery, and can vary rom country to country depending on several contextual actors

    including: the specic needs o aected people and communities; the services delivered by other

    providers, including government, UN agencies and INGOs; the existing strength and capacity or

    engagement o national/local civil society as a whole; and available resources combined with thecapacity or mobilisation o these resources, amongst other actors.

    23% o the respondents surveyed in the rst phase o the data-gathering process were only involved

    in service provision, 10% were only involved in advocacy and awareness-raising, and 70% were

    engaged in both service delivery and advocacy. The majority o organisations engaged in advocacy

    work believed that their work had been instrumental in eecting policy change at the national level.

    However, it may be benecial to pay greater attention to which role(s) may be the most appropriate

    one(s) to play or local civil society organisations in a given context. Many actors may assume roles

    based on present needs, but may not have taken into consideration longer term sustainability, or

    how their activities may t into the wider sector, or how their activities may impact on other

    organisations. For example, by providing services directly, local civil society organisations may riskabsolving governments o their primary responsibility to ensure the basic rights o their populations.

    It should also be noted that civil society organisations do not work in isolation, and their individual

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    roles may be best worked out through the coordinated eorts o all relevant stakeholders, including

    both government and civil society actors.

    In case study countries such as Croatia, BiH, Aghanistan and Colombia, besides lling gaps in

    services, local organisations also help survivors and other persons with disabilities to access

    services by providing them with inormation about available services as well as acilitating them to

    access these services in accordance with their rights. For example in Croatia, one local NGO worked

    with the Mine Action Centre to compile a guidebook o the legal rights o survivors with a directory

    o service providers. In Colombia, government ofcials recognise the crucial role played by NGOs

    and view this as an integral part o VA activities within the country. Advocating on behal o survivors

    and helping them to navigate conusing government regulations to access services and benets is

    seen as being the responsibility o the local NGOs.21

    Some organisations do not provide services at all, but see their role entirely as acilitating survivors

    access to services, and advocating on their behal. The respondents varied considerably in their

    views about their roles in advocacy and policy change, with some viewing it as the primary ocus o

    what they do, while others regarded it as very secondary, i important at all, to their primary role o

    providing services. Some thought it would detract rom their service provision activities. Overall

    though, as mentioned earlier, up to 70% o organisations surveyed in the rst phase o data-

    collection claimed to be active in both service provision and advocacy and awareness-raising.

    In a Victim Assistance Workshop organised by Handicap International in May 2010 in Amman,

    Jordan, the advantages and disadvantages o a civil society-government partnership in advocacy

    work were discussed at great length. Some NGO participants saw governments as partners with

    whom they could work together to advocate or survivors rights, while others viewed governments

    as the targets o their advocacy work. Working on policy change can only be eective i there is

    recognition o the constraints that governments ace, and i civil society organisations see the

    government as an ally to work with rather than as an adversary. For example, several NGOs in

    Lebanon were sympathetic to the challenges their government aced as a result o political

    instability. In BiH, most civil society respondents spoke o the challenges caused by complex

    national governance structures. They were also understanding o the lack o unds available due to

    the global economic recession. Another lesson learned was the need or patience. I legislation is

    new, then changes may take time to ollow through. For instance, local civil society actors in Croatia

    credited themselves or bringing about necessary changes in the law, but also recognised the act

    that it would take time or the new policies to take eect.

    As well as lobbying politicians and government bodies, a number o respondents also saw their role

    as involving the changing o the mind-set among the public at large, or example through education

    in schools about disability rights. A number o respondents also emphasised the need or a

    paradigm shit away rom a purely medical approach to an approach based on human rights,

    which empowers persons with disabilities to ght or their rights as individuals as well as

    collectively.

    On the whole it can be argued that collectively, it is best or civil society organisations to be involved

    in all three activities provided they have the capacity to do so. Service delivery can create the

    necessary knowledge base or advocacy work because NGOs providing services to the poor are in a

    better position to collect the necessary data needed to lobby or policy change. On the other hand,

    those organisations operating in advocacy need to make sure that they do not lose touch with the

    grassroots.22

    21 ICBL, Landmine and Cluster Munition Monitor 2010, Colombia Country Prole, 2010, http://www.the-monitor.org/index.php/cp/display/region_proles/theme/509.22 Solava Ibrahim and David Hulme, Has civil society helped the poor?A review o the roles and contributions o civil society to poverty reduction, Brooks World Poverty

    Institute Working Paper 114, University o Manchester, March 2010, p.11.

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    Project : Provson o psychologcal assstance to and capactybuldng o survvors

    Duration: 10 months (May 2009 - March 2010)

    Goal: Strengthening and integration o mine victims into society through group

    psychotherapy and education, to enable them to cope with the lasting eects o disability,

    and to improve their employment prospects.

    Actvtes:

    a) Group psychotherapy

    Main Objective:

    1. To empower victims by assessing their skills and capacities and by supporting them

    according to their individual needs, abilities and preerences.

    The current group consists o 6 mine victims, our o whom are amputees, one has internal

    injuries and one is the child o a survivor. The group is led by a proessional psychotherapist

    and the observer is a social worker.

    b) Conducting of seminar Promotion of rights of the mine survivors and coordination of

    social services and activities - 27 participants

    Main Objectives:

    1. To promote exchange o inormation and knowledge on the scope and nature o the

    problems aced by organisations/institutions involved in the protection and

    implementation o rights or persons with disabilities;

    2. To improve cooperation and networking between these organisations/institutions, and

    relevant governmental and non-governmental actors.

    The target audience o this seminar included both mine victims, and institutions and

    organisations directly or indirectly involved in the protection and implementation o rightsor persons with disabilities.

    8. CASE STUDES

    The selected case-studies were collected in the rst Prole phase o the data-gathering process

    and represent a ew interesting examples o the range o activities being undertaken by local civil

    society actors in the eld o service delivery to persons with disabilities including mine/ERW

    survivors. These examples do not necessarily include the respondents o the second Analytical

    phase o data-gathering.

    CASE STUDY : MNE AD, CROATA

    Name o Organsaton:

    MNE AD, CROATA

    Target Group:

    Landmne/

    ERW survvors

    Locaton o Actvtes:

    Zagreb, BrodPosavna,

    Karlovac, LkaSenj,

    OsiekBaranja,

    SsakMoslavna,

    SbenkKnn,

    VukovarSriem and

    Zadar

    Knd o Actvtes:

    Psychologcal Support

    (proessonal

    psychologcal and peer

    Support), Psychosocal

    support (counsellng,educaton, rghts

    awareness, eld vsts,

    nancal ad,

    scholarshps,

    ncentves or

    selemployment)

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    Outputs o the seminar:

    Exchange o key inormation on the jurisdiction o the organisations working on

    protection and implementation o rights or persons with disabilities

    Imparting o inormation on the basic rights o mine/ERW victims and survivors

    Denition o key issues or upholding the rights and interests o mine/ERW victims

    Establishment o contacts between seminar participants and delineation o rst

    steps towards urther cooperation and collaboration

    c) Organsaton o workshop Rehabltaton, employment and selemployment o

    persons wth dsabltes 8 partcpants

    Main Objective:

    1. To educate mine/ERW victims on the available prospects and opportunities or

    proessional rehabilitation, employment and sel-employment.

    Outputs o the workshop:

    Imparting o inormation on the services and acilities provided by the Croatian

    Employment Institute and Fund or Proessional Rehabilitation and Employment

    o Persons with Disabilities

    Provision o relevant resource material and useul contact inormation to

    workshop participants, who were encouraged to disseminate the inormation to

    other persons with disabilities in their communities

    d) Organsaton o the workshop ttled Expandng the network o psychosocal and

    economc support, n Karlovac County and Ssak County (23 partcpants)

    Main Objective:

    1. To improve linkages between survivors and introduce them to the dierent available

    orms and possibilities or psychosocial and economic support.

    Outputs o the workshop:

    Imparting o inormation about the existence and activities o the Association o

    Mine Aid and the Croatian Mine Victims Association o Karlovac County

    Participants made amiliar with the various orms o assistance and peer support

    available

    Identication o the needs o the participants in terms o proessional

    psychological support and peer support

    Imparting o inormation about planned project activities and economic

    reintegration opportunities through the presentation o the upcoming project

    Socio-economic reintegration o mine survivors in the community

    Identication o interest or inclusion in the economic reintegration projectthrough concrete business development ideas.

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    e) Feld vsts

    Main Objectives:

    1. To enable mine/ERW victims to gain better insight into their social environment

    2. To provide adequate psychosocial support to individuals living in remote locations and

    those who have mobility problems

    3. To provide a common platorm to enhance communication and inormation exchange

    between mine/ERW victims on their rights and opportunities

    Field visits were made to Slavonski Brod, Bogdanovci, Vinkovci, Beli Manastir, Karlovac,

    Plaskog, Zagreb, Gospic, Otocac, Sisak, Petrinja and Jabukovac, to a total number o 23

    survivors, including approximately 60 members o their amilies, and the amilies o 2

    mine casualties.

    ) Fnancal assstance

    Main Objective:

    1. To provide nancial assistance or basic medical needs and travel expenses incurred or

    group therapy sessions

    Outputs:

    2 survivors and the amilies o 2 mine casualties were provided with nancial assistance.

    Project : Support or the educaton o mne/ERW vctms

    Duration: 12 months (June 2008 - May 2009)

    Main Objectives:

    1. To provide the nancial resources necessary to cover the basic costs o regular education

    and the necessary educational programmes or the school year 2008-2009.

    The target group or this project consisted o mine/ERW victims and covered about 27

    individuals.

    Outputs o the Project:

    Identication o the educational needs o persons directly (through injury) and

    indirectly aected by mines/ERW (members o their amilies)

    Provision o nancial support or basic educational needs and additional

    education or qualication purposes

    Increase in the knowledge and skills o the beneciary group

    Improved employment opportunities

    Provision o support in terms o psychosocial and legal consultation

    Building up o sel-esteem o mine/ERW survivors and their amilies

    Completed by:

    MARIA BREBER

    Poston n organsaton:

    Member o Presdental

    Councl

    Contact:

    +385992771372;

    mariabreber@

    gmal.com

    Organsaton:

    MNE AD, CROATA

    Number o years o

    operatng n country:

    Formally snce 2003

    (7 years), but more

    actvely snce March

    2006 (4 years).

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    CASE STUDY : ECO SPORTS GROUP, BOSNA AND HERZEGOVNA

    The Eco Sports Group uses water and more specically, water sports as the

    medium or the psychological rehabilitation, social integration and education o

    persons with disabilities, although the organisation preers to use the term

    psycho-physical well-being, reusing to label the participants as victims.

    Eco Sports Group is the rst organisation in the world to use water sports such

    as scuba diving and rating or the rehabilitation o large groups o persons with

    disabilities. Through a new and innovative approach ocused on water sports,

    which are even considered extreme to some degree, they have given persons

    with disabilities rst o all, a eeling that they are worthy and that they can do

    what others cannot, but they have also given them the means to apply this new

    ound condence to their real lie situations, amilies and daily activities. Unlike

    many others, they have taken persons with disabilities into the open