COLLECTIONS   development and strategies

       Strategies




                Acting
                on behalf
         ...
Acting
      on behalf
      of the disabled
      and particularly
      vulnerable
      groups
      The global approac...
The Collection Strategies is aimed at presenting the view-
point and position of Handicap International through
comprehens...
The purpose and general role
                                            of Handicap International

The global approach of...
Acting on behalf of the disabled and particularly vulnerable groups




    stigmatises and excludes the disabled person  ...
Acting on behalf of the disabled and particularly vulnerable groups




                                                  ...
Approaches and
                                         methods of action

    Reducing vulnerabilities                   ...
Acting on behalf of the disabled and particularly vulnerable groups




the public service, no matter how fragile it
may b...
Acting on behalf of the disabled and particularly vulnerable groups




    corps and social welfare profession.          ...
Acting on behalf of the disabled and particularly vulnerable groups




of technical skills, structural support and
partne...
Acting on behalf of the disabled and particularly vulnerable groups




                                                  ...
Acting on behalf of the disabled and particularly vulnerable groups




On an international level, in partnership with
oth...
The fields of intervention
                                           and actions of
                                     ...
Acting on behalf of the disabled and particularly vulnerable groups




To achieve this, actions which may seem           ...
Acting on behalf of the disabled and particularly vulnerable groups




     lack of transport, climate) increase the frag...
Acting on behalf of the disabled and particularly vulnerable groups




in common the fact that they were mutilated       ...
Handicap International country
                                       headquarters and representations



                ...
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HI 83a - Acting on behalf of the disabled and particularly vulnerable groups : The global approach of Handicap International (English)

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Agir en faveur des personnes handicapées et des groupes particulièrement vulnérables : l’approche globale de Handicap International (English)

Titre Anglais: Acting on behalf of the disabled and particularly vulnerable groups : The global approach of Handicap International

Date: 1998

Public: Grand public

Type: Ouvrage, Rapport

Epuisé. Consultable au Centre de Documentation
Téléchargeable

Lyon : Handicap International, 1998.- 13 p.

Ce document présente l'approche globale de Handicap International telle qu'elle était développée en 1998 dans les programmes de l'association : définition du handicap et de la vulnérabilité ; approches et méthodes d'action ; promotion de l'autonomie via le partenariat, la formation et le transfert de compétences ; domaines d'intervention...

Avec l'aimable autorisation de Handicap International :
URL de la source du document : http://www.handicap-international.fr/


© Droits d'auteur réservés et strictement limités. - Tous droits de traduction, reproducteur et adaptation réservés pour tous pays.

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HI 83a - Acting on behalf of the disabled and particularly vulnerable groups : The global approach of Handicap International (English)

  1. 1. COLLECTIONS development and strategies Strategies Acting on behalf of the disabled and particularly vulnerable groups The global approach of Handicap International May 1998
  2. 2. Acting on behalf of the disabled and particularly vulnerable groups The global approach of Handicap International Page 1 The purpose and general role of Handicap International Page 4 Approaches and methods of action Page 10 The fields of intervention and actions of Handicap International May 1998
  3. 3. The Collection Strategies is aimed at presenting the view- point and position of Handicap International through comprehensive texts on ethical, political and social questions relating to international solidarity. The texts published are updated on an annual basis and accor- ding to major events. “Acting on behalf of the disabled and particularly vulnerable groups. The global approach of Handicap International” was produced by the Monitoring and Positioning Service of Handicap International’s Programme Unit. Any requests for information, comments and contribu- tions concerning the texts published in the Collection Strategies are to be sent to: Luciano Loiacono, Service Veille et Positionnement, Direction de l’Unité des Programmes, Handicap International, 14, avenue Berthelot 69361 Lyon cedex 07 - FRANCE Tel : (33) 04 78 69 79 79. Fax. (33) 04 78 69 79 94. E-mail : handicap_int_lyon@compuserve.com © HANDICAP INTERNATIONAL Lyon, may 1998
  4. 4. The purpose and general role of Handicap International The global approach of considerably, but the principles of its action Handicap International are always based not only on assistance adap- ted to both local resources and know-how and Handicap International is a non-governmen- the socio-economic environment, but also on tal, international solidarity organisation crea- the transfer of skills and the autonomy of the ted in 1982 and governed by the law on non- people who benefit from its aid. profit organisations. Article 1 of its statutes states that “Handicap International is aimed A global approach to the notion of at helping people with disabilities regardless handicap of their cause or nature, both in the nationalA handicap is not a medical condition but territory and in every corner of the globe”. the social consequence of a disease1 res- “Cause” in this context is taken to mean such ponsible for an impairment which leads to diverse phenomena as diseases, deficiencies, disability. Disability in combination with a accidents and violence perpetrated against given context, results in a situation of han- people during natural disasters and armed dicap. Any person who, due to his or her conflicts, while “nature” refers to any physi-physical, mental or psychological condition cal, sensorial, mental or psychological altera- experiences particular difficulty in playing a tions. social role within society, is in a situation of handicap. The living environment (poverty, On a geographical level, although Handicap violence) creates or exacerbates conditions International conducts most of its activities which are conducive to the spreading of the in countries affected by poverty, crises and disease. It also imposes restrictions (econo- armed conflicts (central and eastern Europe, mic, social, cultural, technological and legal the Middle East, Africa, eastern Asia and norms) on people whose capabilities, which Latin America), it also conducts projects in vary from one person to the next, do not Western Europe. correspond to the norm. If the disease leads to a deficiency which reduces the capacity Throughout the years, Handicap Internatio- to carry out functional tasks, it is always the nal’s field of competence has been extended social context which produces the handicap, 1 (1) Disease in the broad sense of alteration of a person’s state of health which can have various causes such as malnutrition, infection, violent action against the body, etc.
  5. 5. Acting on behalf of the disabled and particularly vulnerable groups stigmatises and excludes the disabled person in conjunction with adapting their environ- (See figure 1, page 3). ment. Developing capabilities and restoring skills, while at the same time improving the The way in which the disabled are perceived living environment on a private (home) and by their family and relations, the community, community level (urban landscape, transport, the medical and administrative authorities employment), means that each person can and sometimes the disabled themselves, sets use their capacities to the fullest. off the exclusion mechanism. Changing peo- ple’s perception of the disabled is therefore By encouraging social integration and redu- one of the targets to be achieved. cing the extent and gravity of both disable- ment and exclusion, this dynamic outlook As a result, in order to be efficient, any action corresponds to a form of prevention of a conducted in this field must correspond to a social character (tertiary prevention). global approach to the disabled within their environment. Help must not be directed A specific approach to the notion of exclusively towards the disabled but must vulnerability include the people around them, which The global approach to the notion of disabi- explains why we talk about “disabled fami- lity enables the notion of vulnerability to lies”.Any medical care or technical aid which be understood coherently. Vulnerability can may be envisaged can only be valid if it be defined as the incapacity of a person, a is part of a process of development and a group or a community to absorb the effects global prevention mechanism. of gradual or sudden loss of an equilibrium. Like the notion of disability, the notion of a Preventive action must be carried out at person’s vulnerability depends on individual several levels in order to combat: factors - not only age, gender and state of - the underlying causes of invalidating diseases health, but also the political, economical, and accidents (primary prevention) by trying social and cultural context. It also depends to reduce risks through health education on the nature, extent and proximity of the and vaccination campaigns, for example, or risks and threats to which the population education campaigns for the prevention of is exposed. Generally speaking, children, mine accidents in the countries concerned, women, the elderly and the disabled are con- - the effects produced (secondary preven- sidered to be the most vulnerable groups. tion) in order to reduce the physical impact of the disease or accident, through medical Under certain circumstances, however, par- care, the fitting of orthopaedic appliances ticular categories of people are especially and rehabilitation. exposed. Preventive action and medical care are part of a development process because Thus vulnerability is evaluated according to the 2 they mean changing the disability level by degree of social development of a community improving people’s aptitude or capability and the attacks to which it is subjected.
  6. 6. Acting on behalf of the disabled and particularly vulnerable groups tify those who should be given special To assume its role and carry out its action to attention, that is, people considered to be the fullest, Handicap International defines its “disabled” because of a physical, mental or own criteria for identifying vulnerable indivi- sensorial deficiency, isolated elderly persons duals and groups. Handicap International’s and isolated children. first criterion is loss of autonomy, when auto- nomy is seen as the capacity of a person or Under particularly serious circumstances group to look after its basic needs. The dete- (armed conflict, widespread insecurity, fami- rioration of living conditions which results ne, forced displacement of the population) from the breakdown or serious dysfunction the following can be added to the catego- of economic and social systems poses the ries defined above: single mothers, pregnant greatest threat to the moral and physical women (in the case of famine, the mother’s integrity of those people who are the most malnutrition affects the health of the child dependent on assistance from the family and who, from the time it is born, is the victim of community. Handicap International’s aid pro- serious, permanent deficiencies) and those grammes for vulnerable persons are mainly who have been psychologically affected as directed at individuals or groups who are the result of serious violence or atrocities. extremly dependent on other people to satis- fy their basic needs or who are particularly Naturally, the programmes developed and fragile in the face of disability-causing aggres- implemented on behalf of these people sions. vary according to the context, the needs that can be satisfied in the short term and When conditions of well-being and even vulnerabilities which only long-term action survival are not met or are continually can reduce and erase. threatened, this definition is used to iden- Figure 1 : The context creates the handicap The context Creates or increases the cons- Creates or increases the conditions for disease + traints (economical, social, technological, legal standards upsurge and limits) Physical, mental, sensorial condition = 3 Situation of handicap
  7. 7. Approaches and methods of action Reducing vulnerabilities In this respect, our actions are conducted through solutions adapted in such a way that they cannot, through the to the socio-economic perverse effect of stereotyping the groups environment which benefit from them, confine people within a particular category such as child Helping the most vulnerable within soldiers, disabled, raped women, so that their their community vulnerability becomes their most essential Handicap International gives priority to hel- characteristic, which in turn leads to exclu- ping the most vulnerable whose needs are sion. not sufficiently taken into account by govern- ment welfare services, and who do not have If Handicap International’s action is to be access to the services offered by the private on-going and result in a lasting improve- sector on a commercial basis. ment in the conditions of the people who benefit from it, it must be global. Our basic Basing aid on the concept of vulnerability work begins within the community, consi- does not automatically mean that action is dered to be a social group distinct from perceived in terms of assistance. On the con- the State and its sector and geographically trary, each intervention is essentially aimed based administrative machinery. All its acti- at restoring individual and collective auto- vities, including micro-projects and one-off nomy. actions must be part of a logic which not only benefits the individual, family and By basing all our actions on this aim, we can community first, but also consolidates the not only prevent emergency aid and assis- social structure on a local, regional and tance programmes which deprive people of national level, whatever the commitment self-responsibility from being systematically of the government. The main difficulty applied to the most underprivileged, but also consists in working at the most basic level, prevent exclusive or systematic aid from without creating a specific NGO system, stigmatising groups identified as vulnerable, which would undermine or compete with 4 and development projects from only benefi- ting the least needy populations.
  8. 8. Acting on behalf of the disabled and particularly vulnerable groups the public service, no matter how fragile it may be. wishes to facilitate this approach. Its know- how is based on experience acquired in the Implementing simple solutions and field and an approach which is aimed not at appropriate technologies disseminating technical standards, but at fin- For many years in the developing countries, ding appropriate solutions to the problems Handicap International concentrated on trai- posed. Once solutions have been found, the ning and setting up simple rehabilitation lessons learnt enrich our association and are services using human and material resources used in other places, contributing both to which were available locally. This approach exchanges within the South and better co- clashed head-on with the ideas put forward operation between North and South. by the main professional organisations and some of the United Nations agencies which, Developing local on the contrary, advocated the training of capabilities through training personnel and the use of technical facilities and partnership based on the therapeutic and technological standards of the most industrialised western Training and the transfer of skills So as not to act as a substitute for the local countries. population, local capabilities in the fields of Many years were needed before Handicap preventive action, care and rehabilitation, International was to hear that imported social and economic integration need to be western solutions are unrealistic from an developed. In collaboration with local par- economic viewpoint unless the dependence tnerships (the community groups concerned, of poor countries on advanced technologies non-profit organisations and public bodies), imported at great expense can be considered the field teams and technical co-ordinators realistic. at head office develop training and teaching programmes. Training is dispensed in such Fortunately, the advantage of intelligently diverse fields as rehabilitation principles and combining local resources with foreign know- basic psychomotor skills, basic and on-going how has gradually been recognised. It has training of physiotherapists, social workers, also been admitted that by providing local auxiliaries, administrative and financial technicians from within the community with management staff, etc. For example, when appropriate additional training, a core of rehabilitation units are set up (physiotherapy indispensable well-trained people can be and fitting of orthopaedic appliances) as part developed. of the medical and social system run by the Ministry of Health or Social Welfare, the trai- A community should not only be able to arti- ning dispensed by Handicap International is culate its concerns and identify and express included in the official programmes so that its needs and requirements, but also to envisa- the trained staff can be given a title, official 5 ge possible solutions. Handicap International recognition and full status in the medical
  9. 9. Acting on behalf of the disabled and particularly vulnerable groups corps and social welfare profession. of disablement, necessarily depend on the Special attention is given to training disabled establishment of both community and insti- persons whose independence and socializa- tutional partnerships. tion are systematically encouraged. • Partnerships with non-governmental organisations (NGOs) Using partnerships in order to elimi- nate handouts Handicap International works with two types Since it was created in 1982, Handicap of local NGOs – organisations of disabled International has been working in the extre- persons and organisations which also con- mely enriching but difficult field of technical duct therapeutic or social activities. and cultural co-operation and exchange. Whenever possible, Handicap International Organisations of disabled persons include works in the heart of the communities both the disabled and their families. Their concerned, according to the guidelines esta- aim is to assert their rights or set up econo- blished by the World Health Organisation mic projects for the benefit of their members (WHO) in community-based rehabilitation (money-earning activities, education, cultural programmes (CBR) i.e. villages, refugee activities, advancement of social status, etc.). camps, areas in the centre or outskirts of cities in which workshops for orthopaedic Handicap International encourages the creation appliances, rehabilitation services and voca- and development of these organisations and tional training workshops have been set provides them with useful structural support in up in close collaboration with the other defining their aims,developing intervention stra- members of the community. tegies and organising their activities. Sometimes, organisations of disabled persons - former Handicap International uses a rehabilitation patients - seek the help of Handicap International and development approach which does not to conduct technical projects on their own for induce dependency in the people it helps or other disabled persons. confine them in the role of victim or per- manent patient. On the contrary, by letting The local organisations which run thera- local members of the community take their peutic or social activities provide technical rightful place, our action strengthens the platforms and become the focal points of a social system while making the political sys- network which other local organisations and tem more aware of its responsibilities. Also, groups can join in order to benefit in turn the need to provide aid aimed at rapidly mee- from training and structural support. ting needs as simply and as appropriately as Handicap International and its local partners possible with regard to local skills and availa- pool their strategic approach to the pro- ble resources, and the need to develop the blems at hand, the technical development 6 capacity of local members of the community of projects, and their human and material to deal with problems relating to questions resources. Over and above the transfer
  10. 10. Acting on behalf of the disabled and particularly vulnerable groups of technical skills, structural support and partnership contribute to a relationship of things difficult – an inert or inefficient frozen exchange which enriches the know-how of public service - and in the absence of a struc- each of the partners. tured community life, Handicap International still tries to find solutions which will directly • Partnership with public structures: benefit the underprivileged, through the fami- lies and non-institutional groups concerned. Working with non-governmental local orga- nisations does not exclude dialogue and Promoting autonomy and collaboration with the structures and techni- sustainable development cal networks managed by the central and Autonomy, partnership and participation are regional authorities, usually run by the State. inter-related by definition. To become inde- Collaboration is established on a technical pendent, a population, community or group basis with the public bodies responsible for must take over the structures which are implementing sector-based policies (health, designed to meet the concerns articulated welfare, etc.). In many cases, the public and cover the needs identified. sector needs to be made aware of its respon- sibilities first and helped to either implement The participation of the people in the pro- or restore its presence in fields which cover cess of change is the basis of any develop- problems relating to disabled or highly vul- ment. Development is not a policy set up nerable persons. by the State or international agencies and imposed on suffering communities, but a In countries in which these services func- process of social change aimed at satisfying tion but are confronted with a lack of mate- economical, social, and political needs defi- rial, technical or human resources, Handicap ned by the community concerned. International proposes its know-how and helps to develop the capabilities needed to In this context, the action of Handicap look after these problems. This is done in International is naturally aimed at obtaining collaboration with the ministries in charge rapid, notable improvement of the situation. of these services, not only on a central However, it is also aimed at encouraging level, but also in the provinces and districts. the articulation of needs and the setting up Handicap International seeks to combine the of civil bodies (groups, societies and orga- energies of the different people involved. nisations) responsible for finding concrete answers. Whenever possible, Handicap International The role of the foreign NGO consists in tries to work with the public sector and stimulating and accompanying processes local NGOs, by encouraging sector-based which will lead to the emergence of local ini- collaboration within technical co-ordination tiatives. Just as human development should bodies. not be seen as a simple accessory of econo- mic and industrial growth, no development 7 But when everything combines to make model is universal, nor is it applicable from
  11. 11. Acting on behalf of the disabled and particularly vulnerable groups the social system, influence the socio-econo- the outside, to a given population. mic choices of the political system, and help to change the economic system so that, over Because development corresponds to a and above improvements in the economic voluntary approach aimed at improving situation, structural measures will be taken living conditions and the definition of well- to reduce factors of disability and exclusion. being is mostly subjective, development strategies must be determined by the popula- Heightening awareness and tions themselves, according to their specific involvement at a national and cultural and ecological environment. international level • Heighten awareness and involvement of • Backing up economic activities to further the people, advise and control the national social development and international political authorities. Since the economic viability of the projects One of Handicap International’s basic con- carried out is necessary for them to have cerns is to further social progress in order to a lasting effect, Handicap International pays meet the needs of the most vulnerable cate- particular attention to economic and finan- gories of the population while strengthening cial constraints. This means not only looking the foundations of citizenship. for the least expensive solutions but also integrating these solutions into locally mana- The important work of rehabilitation and ged economic mechanisms, which guarantee development carried out in the field is both access of the largest number of people echoed by information and awareness cam- to the services offered and continuation of paigns conducted by Handicap International these services in the long term. in Europe for the general public and poli- tical authorities. Handicap International’s For this reason, the economic projects sup- communication is based on several aims. ported by Handicap International are not The first is to combat the marginalisation aimed at enriching a particular person or of disabled persons and promote solutions group. They must meet social development which contribute to greater integration. objectives and contribute to improving the To meet its aim of international solidarity, living conditions of the vulnerable groups Handicap Internatio-nal calls the attention of which benefit from them, both of which the public and media to economic or structu- are guaranteed by redistribution procedures ral challenges which face the populations of drawn up and set out in the partnership countries in the throes of crises or extreme agreements negotiated. poverty. Naturally, our organisation also publicises its missions and achievements in As an international solidarity organisation order to collect private and public donations 8 deeply concerned with reducing vulnerabi- to finance its activities. lity, Handicap International must act within
  12. 12. Acting on behalf of the disabled and particularly vulnerable groups On an international level, in partnership with other associations, Handicap International rights and, it goes without saying, furthering also plays a role of heightening awareness of the rights of disabled persons. and involvement. The aim is to give advice and have a positive influence on co-opera- Since 1992, Handicap International has been tion, development and humanitarian relief running an international campaign, as part policies instigated not only by the State of a vast movement of international agen- but also regional communities such as the cies and organisations, aimed at the total, European Union or, in an international con- immediate prohibition of antipersonnel text, the specialised agencies of the United mines. Its commitment was recognised by a Nations. major international organisation, the United Nations High Commissioner for Refugees Despite its non-governmental status, but (UNHCR) in October 1996, when it was because NGOs are now fully-fledged inter- awarded the “Nansen” medal in recompense national players, Handicap International not only of its action on behalf of refugees, regularly interpellates public opinion and but also of its exemplary combat against both national and governmental political antipersonnel mines. authorities. It expresses its views and seeks the support and co-operation of other non- The International Campaign to Ban governmental and governmental organisa- Landmines (ICBL), of which Handicap tions on very diverse questions – the amount International is a co-founder and member of aid to be given to threatened populations, of the steering committee, was awarded the the type of co-operation policies to be set Nobel Prize for Peace for 1997. up or reinforced to promote sustainable development in poor countries or countries undergoing massive change, violation of international humanitarian law and human 9
  13. 13. The fields of intervention and actions of Handicap International Throughout the years, in an endeavour to while respecting differences. reduce individual and community vulne- Consequently, through both its technical co- rabilities and develop local capabilities in ordination units and departments and its contexts of severe poverty and conflict, field workers, Handicap International con- Handicap International has acquired specia- ducts prevention, rehabilitation and develo- lised skills which it puts to use in multidisci- pment projects in various fields of interven- plinary programmes. tion. For Handicap International, the notion of Rehabilitation of disabled per- the rehabilitation of disabled persons also sons: covers social inclusion. - creation or development of neighbourhood Based on this concept, widely developed structures for physiotherapy and the fitting within the scope of close collaboration with of orthopaedic appliances and equipment local NGOs and the medical, social and manufacturing units; administrative authorities in the countries concerned, the restoring of community ties, - development of local human resources schooling, vocational training and the pro- for physical rehabilitation and the fitting motion of rights become objectives in their of orthopaedic appliances for disabled per- own right in the strategy to be implemen- sons; ted. - supply of specialised products, materials Far from being a “charity” approach which and equipment and setting up of supply makes people dependent on donations networks; without in any way changing the political and legal environment, the promotion of - promotion of Community-Based Rehabili- rights and equal chances corresponds to an tation (CBR) approach based on social change which is 10 aimed at constantly advancing the status of Inclusion is only possible through changes in human beings and the exercise of citizenship often belittling attitudes to disabled persons.
  14. 14. Acting on behalf of the disabled and particularly vulnerable groups To achieve this, actions which may seem charge of the most vulnerable groups: of secondary importance are conducted to - young children; encourage the disabled to exist in their own - unaccompanied minors; right: - isolated elderly persons; - single mothers; - promotion of vocational and social inclu- - extremely dependent sick people. sion, access to education, culture and sport for disabled persons; The support of organisations and institutions includes: - promotion and support of organisations - organisational support and technical aid of disabled persons and local initiatives on (including medical care); their behalf; - training or upgrading of health care provi- ders or supervisory staff; - support in developing national policies - technical and material support. for the inclusion and integration of disabled persons in the furthering of human rights Its aim is to provide vulnerable groups with and citizenship. access to: - psychological support, guidance and thera- Psycho-social aid for peutic help; particularly vulnerable - food relief or nutritional guidance; individuals and groups: - economic and social support. Handicap International wishes to act on In the face of phenomena produced by crises behalf of people who, due to their physical and armed conflicts, Handicap International condition, age, gender and economic and has experience and specific know-how in social situation, are in a position of vulnera- the following fields: bility and are faced with the same problems as the disabled in order to satisfy priority • Rehabilitation, fitting of artificial limbs needs and exercise basic rights. and integration of disabled ex-servicemen; In all these cases, the aid given to vulnerable • Psychological support for individuals and individuals and groups is aimed not only groups subjected to violence and atrocities; at reducing physical vulnerability but also at upholding or restoring their personal • Help to the most vulnerable groups within and collective dignity which is essential for displaced or refugee populations. Massive maintaining ongoing social bonds. population movements generate enormous health-related problems (nutritional, medical, • Support to local NGOs and institutions health, clothing and shelter problems). The 11 responsible for the psycho-social sector in often difficult conditions (unreliability or
  15. 15. Acting on behalf of the disabled and particularly vulnerable groups lack of transport, climate) increase the fragi- “child soldiers”; lity of a large percentage of the population, A successful return to peace largely depends particularly those with reduced indepen- on the political will of the parties concerned dence due to their state of health or social and the international community not only situation (dependants or persons with family to demobilise the armed forces, but also to responsibilities). accompany them in their return to civilian life as ex-servicemen in an often negative During periods of displacement and in both socio-economic context. Disabled ex-service- temporary and long-term camps which are men and child soldiers (children militarised always characterised by precariousness and before the age of 15 years in violation of the insufficient means of subsistence, the fol- International Humanitarian laws, or before lowing medical and social activities can be the age of 18 in violation of numerous natio- carried out: nal regulations) are two particularly sensitive groups2. - Help and supply of the bare necessities (food, clothing, health) to the most vulnera- Readapting to civilian life and reinstatement ble categories of people; are the result of a complex process which includes several types of activities: - Identification and medico-social guidance of the most vulnerable people, especially the - Identification and guidance of disabled disabled; soldiers and “child soldiers”, medical aid and specific care, tracing of families, setting up - Creation and development (in camps or of reconciliation and resettlement processes other sites) of temporary structures to look with the original communities, restoring after vulnerable people, particularly care struc- of family and social bonds, psychological tures for the disabled (health care, rehabilita- support and social aid in achieving reinstate- tion and orthopaedic appliance fitting centres ment. for the paralysed or disabled, shelters for peo- ple who have been subjected to violence); Global fight against antipersonnel mines: - Preparation for the home return, repatria- Since it was created in 1982, Handicap tion support, follow-up and help in going International has been confronted with the back into the community. enormous devastation caused by the use of antipersonnel mines. Tens of thousands of • Support for the demobilisation and reins- disabled men, woman and children who have tatement of disabled ex-servicemen and been helped by Handicap International have 12 (2) Their fragility stems from the psychological conditioning they have undergone, acts of violence which they witnessed or in which they participated, and breaking down of the basic ties with their community. In a con- text of demilitarisation, absence of consideration and support encourage asocial and sometimes violent indi- vidual and collective behaviour in these people which contributes to instability and general insecurity.
  16. 16. Acting on behalf of the disabled and particularly vulnerable groups in common the fact that they were mutilated - Management and participation in the by this weapon. national and International Campaign to Ban Landmines (awareness and involvement of the In order to act on a global level, Handicap public, institutional lobbying). This campaign International has extended its field of tech- is based on the information and involvement nical intervention to confine and reduce one of civilians, in order to interpellate political of the main causes of physical disability. As leaders and government authorities in all the special resources are needed to carry out countries in which it is represented. this combat, Handicap International has set up a mine action co-ordination unit with Its aim is to obtain: (1) increasing efforts on specialised technical facilities. As well as the the part of governments and international care and rehabilitation of victims, Handicap organisations to clear countries with landmi- International conducts technical and politi- nes, (2) the unilateral commitment of each cal actions: country to change its military and industrial practices with respect to the manufacture, - Support in creating and developing local exportation and use of antipersonnel mines, capabilities to combat mines (assistance in and (3) the collective commitment of all administrative and logistic management to the countries in the world to make total national institutions responsible for control- prohibition of antipersonnel mines the new ling and co-ordinating anti-mine activities, international standard. technical support to educate the population in order to prevent mine accidents, map Handicap International supports the crea- making, marking and mine clearance). tion and development of national campaigns in countries in which landmines are used. - Implementation and participation in super- ___________________ vising civilian neighbourhood mine clea- rance projects. In addition to its specialised action, Handicap International has a multi-disci- - Support in the development of techniques plinary department called “Action Nord and technologies applied to the detection Sud“, whose aim is to implement program- and identification of mined areas and mine mes in the fields of education, rural deve- clearance. lopment, promotion of public health, impro- vement of town planning, collective infras- tructures and housing. 13
  17. 17. Handicap International country headquarters and representations FRANCE Headquarters: E.R.A.C. - 14 avenue Berthelot 69361 LYON CEDEX 07 Tel. 04 78 69 79 79 - Fax. 04 78 69 79 94 e-mail: handicap_int_lyon@compuserve.com Office: 104-106 rue Oberkampf 75011 PARIS Tel. 01 43 14 87 00 - Fax. 01 43 14 87 07 e-mail: hiparis@compuserve.com web: //www.handicap-international.org BELGIUM Headquarters: 67 rue de SPA - 1040 BRUXELLES Tel. 32 2 280 16 01 - Fax. 32 2 230 60 30 e-mail: handicap.international.be@euronet.be web://www.creativem.com/handicap DENMARK Headquarters: Sundevedsgade 2 41751 COPENHAGUEN V Tel. 45 33 24 88 00 Fax. 45 33 24 88 69 SWITZERLAND Headquarters: Avenue de Joli-Mont, 11 CH COLLECTIONS 1209 GENEVA Tel. 41 22 788 7033 - Fax. 41 22 788 7035 conceived and edited by e-mail: 100731.1225@compuserve.com GERMANY HANDICAP INTERNATIONAL Headquarters: Hirschbergstrasse.3 14 avenue Berthelot D-80834 MÜNCHEN Tel. 49 89 13 03 98 00 - Fax. 49 89 13 03 98 01 69361 Lyon cedex 07 FRANCE e-mail: HIMunich@compuserve.com Tel. (33) 04 78 69 79 79 USA Fax (33) 04 78 69 79 94 Representation: 4 400 Upton - Apt 401 MINNEAPOLIS - MINESOTA 55410 e-mail: handicap_int_lyon@compuserve.com Tel. 1 612 925 94 18 or 1 612 928 19 45 e-mail: sbwhandicap@igc.apc.org PRICE: 50 FF UK ISBN: 2 .909064 .36.0 Representation: 32 Dukes Ride - Silchester Berkshire RG72PY Tel./Fax. 44 1 189 700 500 e-mail: lc58@dial.pipex.com

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