Including people with complex disabilities

Guidance on ensuring international development projects are inclusive of people with complex and multiple disabilities.

People with complex or multiple disabilities often face even greater barriers to getting an education, accessing health care, or finding employment compared to people with other disabilities.

In development and humanitarian aid, too often people with complex disabilities are missing from project plans and budgets.

Inclusive Futures has supported children with complex disabilities to transition into mainstream classrooms at school and helped adults with multiple disabilities to grow thriving businesses. Based on our experience, we’ve developed seven lessons to help global development professionals to design, deliver and monitor projects that are inclusive of people with complex disabilities.

An inclusive, mobile teacher teaches a smiling little girl.
Six-year-old Ganga, who has a movement disorder called cerebral palsy, receives home-based education support from a mobile teacher.

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A mother and daughter stand in front of a door, which is decorated with a flower garland.

“To other parents, I would say that educating children like Manita is incredibly important. Even if they haven’t had the chance to study before, they can still learn so much.”

A mother and daughter stand in front of a door, which is decorated with a flower garland.

Manju, mother of Manita, a young girl with complex disabilities, Nepal

How to ensure people with complex disabilities are included

Create an enabling environment. Expand relevant policies, practices and services to focus on people with complex disabilities.

Provide direct, one-to-one assistance. Support people with disabilities to learn and develop skills at a pace that suits them.

Work with families, caregivers and personal assistants who can help children and adults in their care access vital services and provide ongoing support.

Provide flexibility and a range of project pathways. Tailor support to match each individual’s goal and their family circumstances.

Engage people with complex disabilities to deliver project activities. Provide strong champions for people with complex disabilities, demonstrate what inclusion looks like and challenge stigma.

Ensure more time for skills development. Lengthen apprenticeships, provide additional training, or break down vocational skills into smaller tasks.

Address attitudinal change. Challenge low expectations held by families, community members and service providers, and drive transformational change.

 

What we’ve learned

Find out more about what works to meaningfully include people with multiple and complex disabilities in development and humanitarian projects.

Read the report

Easy read report

Read the easy read version of our report with easier words and supporting pictures.

Read the PDF
A man smiles alongside his wife and another man. There is a bus, motorbike and tree behind them.

“We are excited to be part of this project to diversify and grow our businesses.”

A man smiles alongside his wife and another man. There is a bus, motorbike and tree behind them.

Kenneth (left) is blind and his wife Naomi (right) has a sight and hearing impairment. Their businesses are thriving thanks to support they’ve received from a business development specialist (middle) in Kenya

Our experts

Mellen is sitting in a black office chair against a plain background. She is wearing glasses and a patterned dress. She is smiling at the camera.

Mellen Marucha

Mellen is the senior programme coordinator at Sense International in Kenya – an organisation dedicated to working with and for people with complex and multiple disabilities to ensure they have the right to live, learn and thrive in society.
Read Mellen’s interview

Manisha is wearing an orange jacket and smiling at the camera. Behind her is a banner saying 'Atlas Corps.'

Manisha Maharjan

Manisha is a project manager for Inclusive Futures’ consortium initiative Humanity & Inclusion. She leads a major education project in Nepal, which focuses on ensuring children with disabilities have access to quality, inclusive education.
Read Manisha’s interview

Further resources

Including people with complex disabilities in development projects (pdf)

Our practical lessons will help you include people with complex disabilities in your projects.

Find out more about Inclusive Futures

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