Disability inclusion is under threat – we cannot afford to lose momentum

September 2025

Sightsavers’ Johannes Trimmel and the International Disability Alliance’s José Viera reflect on the progress achieved by UK aid’s flagship disability inclusive development programme and what urgently needs to happen to maintain momentum.


We are living in testing times. As climate change, conflict and inequality increasingly redefine the global landscape, governments, donors and development actors must invest in solutions that work – solutions that are rights-based, resilient, fit for the future and provide value for money. Inclusive Futures, the UK government’s flagship disability inclusive development programme, offers exactly that.

Now in its final year, we are proud that this UK aid-funded initiative led by Sightsavers and the International Disability Alliance, alongside a network of partners, including ADD International, BBC Media Action, BRAC, Humanity & Inclusion, Institute of Development Studies, Light for the World, Social Development Direct, and Sense International has delivered tangible, lasting impact for millions. Inclusive Futures has driven change to make systems more inclusive, advanced economic development, increased the number of children with disabilities in education, improved access to health and confronted harmful stigma. Key to our success has been ensuring people with disabilities and their representative organisations are at the centre.

But with aid budgets shrinking and global priorities shifting, disability inclusive initiatives risk disappearing. The hard-fought progress toward disability rights and creating a more equal, fair and prosperous world is now in jeopardy. Without bold action, people with disabilities and other marginalised groups will fall behind again and be hit the hardest.

Watch our video to learn more about what Inclusive Futures has achieved.

This is what disability inclusion looks like

Read our new impact report with evidence on how disability-inclusive development delivers results.

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A female teacher leads a group of young children in an activity. They are sitting in a circle on cushions.
Manita, a young girl with complex disabilities learning at school with her peers in Nepal. © Humanity & Inclusion Nepal

Real change, backed by evidence

Since 2018, Inclusive Futures has reached nearly 3.4 million people with disabilities and 15.6 million people without disabilities, and our impact is grounded in data. In Uganda, our Disability Inclusive Graduation programme increased average household income for people with disabilities by $185 USD – with especially strong outcomes for women-led households. In Bangladesh, participants in our skills training programme saw employment rise by more than 30 per cent and average earnings by 50 per cent.

These results, gathered by the Programme for Evidence to Inform Disability Action (PENDA) in randomised controlled trials, also showed that when people with disabilities are provided equal access to opportunities, services, and tools, they can achieve outcomes on par with their peers.

From projects to systems change

Beyond delivering high-achieving projects, the Inclusive Futures partnership has been focussed on creating long-term, sustainable system change and implementing inclusive policies, especially by local government authorities. These efforts have been spearheaded by people with disabilities and their representative bodies themselves. Organisations of people with disabilities (OPDs) played a core role in designing, implementing and generating evidence in Inclusive Futures projects. They led in taking up dialogue with government authorities to adopt disability inclusive practices, leading to a lasting change beyond the lifespan of the Inclusive Futures programme.

We are delighted to be able to highlight several significant examples of success. We know that with further investment, our achievements could continue to reach even further.

  1. To date, Inclusive Futures has leveraged £9.3 million in financial commitments from local governments to support disability inclusive education, sexual and reproductive health services, livelihoods and social protection initiatives within their regular work.
  2. In Nepal, where we’ve consistently collected data on children with disabilities using the Washington Group Child Functioning Module in two municipalities, we’ve convinced the government to embed this approach in the national education management system. Going forwards, 250 municipalities will screen 83,000 children for disability annually and will be in a stronger position to identify and support them.
  3. In Bangladesh, our work has led to significant policy change. Now, 2,444 government primary schools in two districts of the country allocate specific resources for children with disabilities. This has so far transformed the education experience of 14,000 children.
  4. In Kaduna state, Nigeria, the Inclusive Futures team helped ensure a £15.8 million plan was launched to improve sexual and reproductive health rights for 800,000 women and girls with disabilities. The Kaduna State Ministry of Health has committed to fund 40% of this initiative – a major step towards sustainable, locally owned solutions.

These four examples show what inclusion looks like. We are incredibly proud of the achievements of OPDs and other partners who have led these efforts, but we also know that there is a lot more that could and needs to be done.

“To date, Inclusive Futures has leveraged £9.3 million in financial commitments”

A family sit crossed legged outside their home in northern Nigeria.
Nasiru helps his children with their homework outside their home in Nigeria. © Adesegun Adeokun/Sightsavers

An investment in locally owned solutions

Aid budgets are under pressure. Yet evidence from Inclusive Futures demonstrates that an investment in disability inclusive development – that builds on a mutual partnership between OPDs and development actors, and is embedded in local government systems – leads to locally owned solutions. This includes local government authorities taking up – and financing – disability inclusive practices which:

  • Reduce inequality
  • Boost economic participation
  • Improve the quality of life and life chances of children and families
  • Strengthen public services
  • Create more cohesive societies

We whole-heartedly believe that now is the time to double down on these investments. Disability inclusive development is not charity. It is one of the smartest and most impactful investments that can be made. This important work must continue.

Why it matters now more than ever

Globally 1.3 billion, or one in six people, have a disability. A staggering 80% of them live in low and middle income countries, where the climate crisis is accelerating and public systems are some of the least equipped to respond to crisis situations, or to address significant gaps in access to public services.

The inequalities people with disabilities face in accessing education, employment, health care and livelihoods or surviving humanitarian emergencies are formidable. Compared to people without disabilities, they are:

  • more than twice as likely to miss out on going to school
  • likely to die 20 years earlier because of poor health
  • half as likely to be in employment
  • up to four times more likely to be injured or killed in climate-related disasters and humanitarian emergencies

The moral case for inclusion is clear. But the argument for continued investment in disability inclusive programmes and policies doesn’t stop there. Unlocking the potential of one in six people in the global population would bring unmatched economic and societal benefits. We cannot afford to lose the momentum.

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