Country Strategy Ethiopia 2016-2020

20 Pages·2017·0.61 MB·English

Ethiopia — Country Strategy 2016-2020
E T H I O P I A
COUNTRY STRATEGY
2016-2020
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A young ophthalmologist during a
mobile outreach in Kemba, SNNPR,
surrounded by his patients.
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Ethiopia — Country Strategy 2016-2020
LIGHT FOR THE WORLD IN ETHIOPIA
Population
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40,4 4 120 , 7 3 J (u l y 201 6 estimat)e
Human deev lopment index (H D I )
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.40 4 2 4 (1 7 out of 188 oc untrie)s
L ief expectancy at birth (in year)s
3
1 6 4 .
Pyh si c ians per 100, 00 inhabitants
4
.03
Op hthalmologists in the oc untry
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15 0 (1 3 0 ge naer l , 20 su b specialist)
Bl indnes rate
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1. 6 %
Population below national poev rty line
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2.9 6 % (2 0 1 4 est.)
Introduction
Sinec 19 9 5 , Ethiopia has be n a efdaer l De moacr tic eRpublic. It is a landloecdk oc untry locate d
at the Horn of fArica, bodere dr y b Eritear , Djibouti, Somalia, aeynK , South Sudan and Su dan. oF r
moe r than a decade Ethiopia has had an anual ogr wth ar te of betew n 8% and 1 % and is th e
 fth-af stest ogr wing eoc noym among the 18 8 IM F me m b e r oc untries . Ho, erv e w Ethiopia emrain s
one of the lagre st ecripients of donor aid in fArica, eecriving almost USD 3 billion in 201 5 .
Light of r the oW rl d has be n actie v in Ethiopia sinec 19 9, 0 setting up a oC untry O� ec in 201 0
which has sinec ogr w n to incl u d e moe r than 30 sta� me m b e r s , as elw l as being the base of r the er
of Light of r the oW rls d ’ inter national xpe erts. tA the time of print Light of r the oW rl d is actie v i n
 e v egrions – Amhaar , oOr mia, Somali, iT agr y and Southern Nations, Nationalities and Peoples ’
eR gion (S N N P R ) – and one city administar tion, dAdis Ababa s(e e map abo).e v
1 CI A ; The oW rl d aF ct book, Ethiopia; 161 ; 2 0.1 . httpc.iw / s : /a.go/liv abr p/ ry u b licationst/ hoew- r l d -af ctbook
geo/ ets/ .html
2 UND P ; Hu man elvDoe pment Indicators, Ethiopia; 161 ; 2 0.1 . http/h:/ . u n dpdr o. oc en / g r / u ntripes/ or les/ETH
3 UND P ; Hu man elvDoe pment Indicators, Ethiopia; 161 ; 2 0.1 . http/h:/ . u n dpdr o. oc en / g r / u ntripes/ or les/ETH
4 Human elvDoe pment eRport 201 5
5 IAP B fA rica Human eR soecus r of r Ee y H ealth Star tegic Plan 201 4 - 2 03 4
6 Ethiopian eFdaer l Ministry of Health, dAdis Ababa; 20 0 6 ; National FieaY e- v r Star tegic Plan of r Ee y Ca er
Ethiopia (20 0 6 - 2 0 1 0 )
7 CIA ; The oW rl d aF ctbook, Ethiopia; 161 ; 2 0.1 . httpc.iw / s : /a.go/liv abr p/ ry u b licationst/ hoew- r l d -af ctbook
geo/ ets/ .html 3
LIGHT FOR THE WORLD
Disability in Ethiopia
The World Repo r t on Disa b i l i t y jo i n t l y is u e d y b t h e World B a n k an d World Heal t h
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Ogra n i z a t i o n in 201 1 est i m a e t d th a t .6 % 17 o f th e Ethi o p i a n po p u l a t i o n e hv a a di s . a b i l i t y
The Ethi o p i a n Nat i o n a l Pl a n of ctA i o n of Pe r s o n s wi t h Disa b i l i t i e s (2 0 1 2 - 2 20 1 ) est i m a e t s
t h a t 95 % of pe r s o n s wi t h di s a b i l i t i e s in Ethi o p i a ea r l i v i n g be w l o t h e er v t p y o li n .e L eik
t h e ae lr v l o p o p u l a t i o n , 84 % ea r a s u m e d ot le i v i n rau l r ea ar s an d th e e of r r e hv a l i m i e t d
ae c c s s ot ba s i c se r v i e c s . Reha b i l i t a t i o n se r v i e c s in th e oc u n t r y ea r a l s o li m i e t d an d
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oc n e c n a et t dr in ur b a n ec n et s r .
Ethi o p i a ha s at r i � e d an d ad o p e t d al m o s t al l of th e aenv l r t e in i t i a t e i s v an d ine t r n a t i o n a l
l e g a l xt es t on th e ri g h t s of pe r s o n s wi t h di s a b i l i t i e s in c l u d i n g th e UN enoC v t n i o n
o n th e Right s of Pe r s o n s wi t h Disa b i l i t i e s (U N CRPD) in 201. 0 On a nat i o n a l el vl, e it s
Gwtohr an d Tanr s of r m a t i o n Pl a n , wh i c h is th e le a d i n g do c u m e n t ai m i n g of r eoc n o m i c
w t og h r an d el vdo e p m e n t in Ethi o p i a an d ael ar d y in it s se oc n d ph a s e G( TP II 201 5 -
2 20 0 ) , ha s arv i o u s ch a p e t r s an d ar t i c l e s wh i c h efr r dei cr t l y or in d ei c r t l y ot pe r s o n s
w i t h di s a b i l i t i e s , efr n r c i n g of r ax m ep l e sp e c i a l ne e d s ed u c a t i o n of r ch i l e d n r wi t h
d i s a b i l i t i e s , en vt ,e i e p vr c a u t ,e r i v e m eg r e n c y cea r a n d ehr a b i l i t a t e i v h e a l t h se r v i e c s , an d
t h e ai m ot xpe a n d so c i a l se c u r i t y se r v i e c s an d pa r t i c i p a t i o n in po l i t i c a l de c i s i o n ma k i n g .
Desp i e t th e eo� r t s of th e er vn g m o e n t an d th e in i t i a t e i s v of nat i o n a l an d ine t r n a t i o n a l
n o e n r - v n g m o e n t a l og ra n i s a t i o n s , th e r i s st i l l a eg ar t ne e d ot orw k wi t h pe r s o n s wi t h
d i s a b i l i t i e s ad wrs ot t h e i r fu l l in c l u s i o n in al l as p e c t s of so c i e t y an d of r th e di e� n r t
st e a h k o l d e r s ot oc l l a b a eo t r m eo r .c l o s e l y
Light for the World’s Overall Strategy
Our vi s i o n
is an Inc l u s e i v S o c i e t y of r al l wh e r n o on e is le f t be h i n d an d al l pe r s o n s pa r t i c i p a et
e q u a l l y in th e cu l t a u l r , so c i a l , po l i t i c a l an d eoc n o m i c ev noi n r m e n t .
Our mi s i o n
is ot oc n t r i b u e t ot a orw l d in wh i c h pe r s o n s wi t h di s a b i l i t i e s fu l l y ce ir s x e e th e i r ri g h t s .
The UN enoC v t n i o n on th e Right s of Pe r s o n s wi t h Disa b i l i t i e s gu i d e s us . Pe r s o n s wi t h
d i s a b i l i t i e s li v i n g in er vt p y o ea r a m o n g s t th e mo st cl ux d e e d og ur p s in .s oc i e t y Tyh e ea r
a t th e ec n et r o f ou r orw k an d tyh e d r e i v t h e ch a n g .e
8 World B a n k an d World Heal t h Ogra n i z a t i o n , Washi n g o t n DC,.2 0 1 1
9 Ethi o p i a n Mi n i s t r y of Labo u r an d So c i a l a�A i r s : Nat i o n a l Pl a n of ctA i o n of Pe r s o n s wi t h Disa b i l i t i e s (2 0 1 2 -
2 20 1 ) , p. 2
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Ethiopia — Country Strategy 2016-2020
• e W e n gage in empoerwing persons with disabilities to tae k el vdoe pment in their
own hands .
• e W strie v to oocerv m e al barier s in society and ecar te aecs of r persons with
disabilities.
• e W ae r oc mitted to impor ving e ye health and por moting inc l u sie v e d u cation,
oC m u nity Based eRhabilitation, disability rights, and lielvihood and disability
inc l u sion.
• e W pay speci c attention to ow me n with disabilities, chiled nr with disabilities and
moe r c l ux d e e d impairme nt ogr ups within the disability oc m u nit. y
oT achie ve our obje ctiesv, the por agr m matic appor ach is based on our Theory o f
Change :
Access to Social
Programmes Change Process
� � � �
� � �
Disability �
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Specifc Actions �
�
�
� � � � � � � �
� � �
Mainstream
� � � �
Targeted Actions
� � � �
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LIGHT FOR THE WORLD
At the level of the individual, Light of r th e World ai m s of r aec c s s i b l ,e su st a i n a b l e an d
q u a l i t a t e i v s e r v i e c s th a t ad ed s r s th e ne e d s of pe r s o n s wi t h di s a b i l i t i e s so tyh e c a n fu l l y
ce ir s x e e th e i r ri g h t s .
At community level, e w o rw k ad wrs ot eg a r e t r pa r t i c i p a t i o n an d vi s i b i l i t y o f
p e r s o n s wi t h di s a b i l i t i e s in al l ea ar s of pu b l i c li ,ef in de c i s i o n - m a k i n g op e cr s s e s an d
i n el vdo e p m e n t op agr m r m e s . Ligh t of r th e World orw k s wi t h Disa b l e d Pe o p l se ’
Ogra n i s a t i o n s (DPO)s dei( cr t l y or in d ei c r t l y ) an d th e me d i a of r air s i n g ea wnr a e s s an d
so c i a l mo b i l i s a t i o n on th e ri g h t s of r pe r s o n s wi t h di s a b i l i t i e s .
At national level, Light of r th e Worlsd ’ o b j e c t e i v i s a st r u c t a u l r ch a n g e toh ur g h
w h i c h nat i o n a l mi n i s t r i e s tea k i n o t aoc c u n t an d en s eu r t h e pa r t i c i p a t i o n of pe r s o n s
w i t h di s a b i l i t i e s in th e el vdo e p m e n t , mo n i o t r i n g an d im p l e m e n t a t i o n of po l i c i e s ,
op a g r m r m e s an d se r v i e c s . Ligh t of r th e World su p p o r t s th e el vdo e p m e n t an d
i m p l e m e n t a t i o n of nat i o n a l po l i c i e s an d op agr m r m e s in it s inet r n v t i o n ea ar s an d th e s e
aset t gr i c do c u m e n t s gu i d e th e im p l e m e n t a t i o n of ou r op agr m r m e . The olr e of Ligh t of r
t h e World is ot be a , enovc e n r o t br i n g ot g e t h e r an d en o c a u g r e oc l l a b a o t r i o n be t e w n
ae n v l r t e st e a h k o l d e r s ot orw k ad wrs ot a n in c l u s e i v .s o c i e t y
At regional (Africa) and international level (EU, UN), Light of r th e World is orw k i n g
ot est a b l i s h a ecr i o p c r a l elr a t i o n s h i p of in � u e n e c be t e w n pe r s o n s wi t h di s a b i l i t i e s i n
Ethi o p i a an d th e inet r n a t i o n a l in st i t u t i o n a l oaf r w m r k es an d aco t r s .
Mekonen Bezabeh hugging his grandson after caratact
surgery.
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Ethiopia — Country Strategy 2016-2020
Our Strategy for the Promotion of an Incluseiv
Society in Ethiopia, 2016-2020
To contribute towards an inclusive society in Ethiopia, where persons with
disabilities are fully included and empowered, in order to sustainably reduce
inequality and poverty.
Light of r the oW rl d wil oc ntinue supporting xie sting partner s ’ por jects in  e v egrion s
and one city administar tion, namel y Amhaar , oOr mia, SN N P R , Somali, iT agr y and dAi s
A baba city administar tion. The tow egrional states Amhaar and SN N P R , whe r al ou r
por agr m m e aear s ae r b eing implem e nted , wil be our of cu s egrions.
Disability
Inclusive
Region (Eye) Health CBR Inclusive
Education
Development
Amhara
Addis Ababa
Oromia
SNNPR
Somali
Tigray
National
In dAis Ababa city administar tion, oOr mia, Somali and iT agr y eR gions, e w a er
implem e nting one or tow por agr m m e aear s and thy e ae r theofr e r s e e n as partne r
e grions. It should be noted, that lagre Ne g l e cted or T pical Disease (N) T D por agr m m e s
ae r implem e nted in oOr mia and iT agr y egrion and thefor e r a lagre por portion of th e
bu d g et is us e d in these tow egrions .
tA national elvl, e e w ae r e n gaged in netow rking , por moting stys e m change dialogu ,e
and smalle r initiatiesv.
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LIGHT FOR THE WORLD
Health and Eye Health
In Ethi o p i a , th e alv e e p n r e c of bl i n d n e s s an d wl o v i s i o n is 1. 6 % an d 37. % es ,r p e c t e i l v y
e e p r s r e n t i n g on e of th e hi g h e s t alv e e p n r e c aet sr in Su b - S a h a a n r fA r i c a an d th e orw l d .
The r ea r o n l y oa ur n d 13 0 ge n a e l r op h t h a l m o l o g i s t s an d 20 su b s p e c i a l i s t s ap cr t i s i n g
i n th e oc u n t r y of wh i c h oa ur n d 60 % esr i d e in dA i s Ab a b a an d on l y ab o u t 51 % orw k
i n th e pu b l i c . se c o t r Ligh t of r th e World is am o n g th e ma j o r aco t r s in th e e ye h e a l t h
s e c o t r in th e oc u n t r y y b s u p p o r t i n g 2 etr t i a r y e ye u n i t s , 13 se oc n d a r y e ye u n i t s (SEU )
a n d 28 pr i m a r y e ye u n i t s an d is al s o su p p o r t i n g th e el i m i n a t i o n of bl i n d i n g at cr h o m a i n
Oomr i a an d Tyia gr i n pa r t n e r s h i p wi t h th e i r Regi o n a l Heal t h Beu ar u s (RHB). Ethi o p i a
h a s on e of th e hi g h e s t alv e e p n r e c aet sr of ac te i v at c r h o m a orw l d w i d e wi t h meo r t h a n
37 mi l l i o n pe o p l e be i n g at ri s k of in fe c t i o n . It is est i m a e t d th a t 157 . mi l l i o n pe o p l e ea r a t
r i s k of in ef c t i o n of Onch o ce c i r a s i s , an d oa ur n d 10 mi l l i o n pe o p l e ea r at ri s k of Lymp h a t i c
Fila r i a s i s (LF), th e se oc n d le a d i n g ca u s e of di s a b i l i t y orw l d w i d .e Ligh t of r th e Worl d
s u p p o r t s th e el i m i n a t i o n of Onch o ce c i r a s i s an d LF in eestw r n Oomri a (b o t h ) an d T yiag r
e g r i o n s (LF onl y) .
The Sp e c i � c Obje c t e i v i n e ye h e a l t h an d he a l t h in ge n a e l r is ot oc n t r i b u e t ot ,q u a l i t y
a e c c s s i b l ,e in c l u s e i v a n d su st a i n a b l e oc m ep h r e n s e i v e ye h e a l t h se r v i e c s in Ethi o p i a . I n
ad d i t i o n , Ligh t of r th e World wi l l su p p o r t th e Fedae l r Mi n i s t r y of Heal ts h ’ n a t i o n a l NTD s
el i m i n a t i o n aset t gr y wi t h a ge o a g p r h i c a l of c u s on eestw r n Oomri a an d Tyia gr e gr i o n s .
Result 1: vioPs r i o n of comprehensive, inclusive and quality eye health services i s
e n s eu d r in Am h a a , r Oomri a , SN N PR, So m a l i an d Tiyag r e gr i o n s
Main actions:
• su p p o r t pa r t n e r s ot in ec a r s e th e oc m ep h r e n s e i n v e s s of th e i r se r v i e c s an d ot up h o l d
q u a l i t y st a n d a d r s toh ur g h th e our t i n e us e of bi o m e t r y an d th e im p l e m e n t a t i o n of
t h e ine t r n a t i o n a l gu i d e l i n e s on gl a u o c m a an d di a b e t i c etr i n o p a t y h
• of c u s on a egr i o n a l ap op a r c h an d oc n s o l i d a e t th e xi e s t i n g e ye h e a l t h op agr m r m e s
o t se c eu r s u s t a i n a b i l i t y
• of e s t r an d set nr g t h e n egr i o n a l ap op a r c h e s ot e ye h e a l t h in T, yiag r S o m a l i an d a
t h id r egr i o n
• l a u n c h a pi l o t op jr e c t wi t h Ar b a Mi n c h Hosp i t a l of r su st a i n a b l e un o c e r c r e t d
e a f r c r t e i v e or r r s se r v i e c vi op s r i o n
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Ethiopia — Country Strategy 2016-2020
eR sult 2 : Human resourec s of r eye health ae r q uantitatielvy and qualitatielv y
stenr gthene d
Main actions :
• oc ntinue supporting the ophthalmology departments of Jima, Gondar and Me l k e
U nier vsities in ophthalmic persone l tar ining , inc l u ding of r su b - specialties
• fu rther xpe loe r posibilities of oc opaer tion in human esroecu r e l v doe pment with
Sodo and Kaar maar SEUs
• of ster chxe ange and esr eachr y b linking these teaching institutions up with othe r
unier vsities and esr eachr institutions aobr ad
eR sult 3 : Light of r the oW rl d has signi cantly oc ntributed to the elim ination o f
bl inding trachoma as a public health por ble m in iT agr y and oOr mia egrions
Main actions :
01
• pal y a is ing ac tn or el i n th e ipm tnemel atio n o f luf EFAS ts ar t yge i n iT arg y ige r o n
a dn pus potr am s gurd aimd in ts ar tio n )A DM( oc pm otnen s o f EFAS i n tse w nre orO im a
• oc oidr an t e iw th oth re oagr in as tio ,sn a dn pus potr acs il gn pu E&F oc pm otnen s a dn
heb aiv o ru hc a egn oc inum ac tio n a dn iofn amr tioacude n/ tio n oc inum ac tio n
ts ar tige se i n iT arg y ige r o n
• por om t e itn arge tio n o f sDTN atc iiv ti se iw th oc pm her isne e v e y e hae tl h , hw re v e re
appil ac ,elb to aerc t e yg reny s a dn aosl e ruces por arg em tsus aian ib il ty
eR sult 4 : Quality, oc mprehenseiv nes and incluseiv nes of Light of r the oW rl sd ’
oc ntribution ae r impor edv. The soc pe of the intern vtion is also inecar se d
Main actions :
• support the elimination of Onchocecir asis in partner ship with oOr mia RHB in 16
districts as elw l as LF in 10 districts of estw e r n oOr mia and 1 district of iT agr y egrion
• oc erv al hyper- and me so-en d e mic districts in A MD intern vtion both in iT agr y an d
e stw e r n oOr mia egrions y b 2 0 1 8
• oc ntinue supporting the cuer nrt A MD activities toaw dr elimination o f
On chocecir asis and , LF while also incl u ding Soil-tar ns mitted helminth (TS H ) an d
S chistosomiasis in oc -e n d e mic districts whe r oc -administar tion is posibl e
• por mote disability and ge n d e r mainstear ming in the NTD s por agr m m e
10 The aocr yn m AS FE stands of r a WHOe -l v doe ped star tegy to eliminate tar choma as a blinding diseas e
which oc mbine s 4 die� nrt intern vtions, namel y Sug re r y of r trichiasis (intur n e d el yae she)s, Antibiotics ,
aF cial cl eanline s and Evnior nm e ntal impor emve nt. httpwh. w / : / o.int/b licnadne s s / u s e st/ ar chomaen/ /
9
LIGHT FOR THE WORLD
Result 5 : Improved recognition of eye health as a health priority y b t h e Fedae lr
M i n i s t r y of Heal t h an d y b Regi o n a l Heal t h Beu ar u s
Main actions :
• ply a a si g n i � c a n t olr e op mr o t i n g nat i o n a l el vl e est y m s ch a n g e di a l o g u e an d
e gr i o n a l est y m s ch a n g e di a l o g u e in Am h a a , r Oomri a , SN N PR, So m a l i an d Tyia gr ot
e m b e d e ye h e a l t h cea r i n th e ge n a e l r he a l t h est y m s , in ec a r s e wno e r s h i p , an d air s e
Ligh t of r th e Worlsd ’ op �r l e
• emr a i n en g a g e d in nat i o n a l neo t r w k s ot of es t r th e ad o p t i o n an d im p l e m e n t a t i o n o f
t h e nat i o n a l e ye h e a l t h pl a n 201 5 - 2 20 . 0
Inclusive Education
Oerv th e pa st de c a d e th e Fedae l r Repu b l i c of Ethi o p i a ha s est i v d n hev a i l y in ed u c a t i o n
an d th e ne t eon lr m e n t aet r in sc h o o l s osr e of mr 68 . 5 % in 20 02 / 4 0 0 5 ot 857 . % i n
2 0 1 2 2 / 0 1 3 . H, erv e w o o n l y 4% of ch i l e d n r wi t h di s a b i l i t i e s ea r c u er n r t l y ate t n d i n g sc h o o l
a n d th e er v n g m o e n t ha s se t th e am b i t i o u s tag re t of in ec a r s i n g th i s nu m b e r ot 57% .
Inc l u s e i v e d u c a t i o n (IE) is a wn e of c u s ea ar of r Ligh t of r th e World in Ethi o p i a . I n
ad d i t i o n ot ed u c a t i o n a l ac t i v i t i e s ca r r i e d ou t y b oC m m u n i t y B a s e d Reha b i l i t a t i o n CB (R )
pa r t n e r og ra n i s a t i o n s , e w v iep o r u s l y su p p o r e t d a sm a l l nu m b e r of ed u c a t i o n op jr e c t s
s c a t e e t d r aoc sr s th e . ocu n t r y Tohur g h o u t 201 5 e w e l v d o e p e d an am b i t i o u s in c l u s ei v
e d u c a t i o n op agr m r m e th a t wi l l in of r m ou r orw k er v o t h e xnt e oc u p l e of ea yr s . W e
suec c s s f u l l y ofg re d orw k i n g elr a t i o n s h i p s wi t h ae nv l r t e er v n g m o e n t mi n i s t r i e s an d
n u r t e u d r neo t r w k s wi t h ot h e r nat i o n a l an d ine t r n a t i o n a l st e a h k o l d e r s .
The Sp e c i � c Obje c t e i v in in c l u s e i v e d u c a t i o n is ot oc n t r i b u e t ot th e at nr s fo r m a t i o n
o f th e ed u c a t i o n est y m s so it vi op d r e s qu a l i t y ed u c a t i o n of r al l le a r n e r s ier sr p e c t ei v
o f th e i r ab i l i t i e s . Focu s i n g on pe r s o n s wi t h di s a b i l i t i e s , e w st r e i v ot oc n t r i b u e t ot
t h e at nr s of r m a t i o n of po l i c i e s , ap cr t i e c s an d at t i t u d e s in th e ed u c a t i o n est y m s , ot
ao c c m m o d a e t th e di e� r i n g ne e d s of in d i v i d u a l st u d e n t s an d ot e evmr o t h e ba r r i e r s
h i n d e r i n g th e m of mr ear l i s i n g th e i r fu l l po e t n t i a l .
Result 1: The commitment to implement legal frameworks for inclusive education
ofr pe r s o n s wi t h di s a b i l i t i e s is vie d e n t in sate t rg i e s , pl a n s an d ap cr t i e c s at al l el vls e o f
t h e ed u c a t i o n est y m s , pa r t i c u l a r l y in Am h a a r e gr i o n , SN N PR and th e dA i s Ab a b a ci t y
a d m i n i as t t r i o n
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