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WORLD REPORT ON DISABILITY. DISABLING BARRIERS – BREAK TO INCLUDE. Background. World Health Assembly resolution Resolution 58.23 on "Disability, including prevention, management and rehabilitation", requests WHO to produce a World Report. - PowerPoint PPT Presentation






    World Health Assembly resolution Resolution 58.23 on "Disability, including prevention, management and rehabilitation", requests WHO to produce a World Report.Developed and published in partnership with the World Bank.Convention on the Rights of Persons with Disabilities (CRDP) UN treaty came into force in May 2008.Reinforces our understanding of disability as a human rights and as a development issue.International Classification of Functioning, Disability and Health (ICF) Emphasizes the role of the environment in enabling or disabling people with health conditions.Adopted as the conceptual framework for the report.


    Aims of the World report on disability

    To provide governments and civil society with a comprehensive analysis of the importance of disability and the responses provided, based on best available evidence.To recommend national and international action to improve the lives of persons with disabilities.To support implementation of the Convention on the Rights of Persons with Disabilities.


    How was the World report developed?

    Involvement of a large number of stakeholders:advisory and editorial committee;over 380 contributors;over 70 low, middle and high income countries represented.Extensive review process:regional consultations, peer review.People with disabilities central to the process

  • 1,000,000,000 people with disabilities

    15% of the world population

  • Disabling barriers

    Inadequate policies and standardsNegative attitudesLack of provision of servicesProblems with service deliveryInadequate fundingLack of accessibilityLack of consultation and involvementLack of data and evidence


    Outcomes of disabling barriers

    Poorer health than the general populationLower educational achievementsLess economic participationHigher rates of povertyIncreased dependency and reduced participation

    It is the way that society treats people with disabilities which matters most


    Content overviewUnderstanding disabilityDisability a global pictureGeneral health careRehabilitationAssistance and supportEnabling environmentsEducationWork and employmentThe way forward


    Cross cutting recommendations

    Enable access to all mainstream policies, systems and services.Invest in specific programmes and services for persons with disabilities.Adopt a national disability strategy and plan of action.Involve people with disabilities.Improve human resource capacity.Provide adequate funding and improve affordability.Increase public awareness and understanding of disability.Improve disability data collection.Strengthen and support research on disability.


    National plan of action

    World report

    National and regional/programs

    Ways forward ?Research National policy dialoguesAwarenessCapacity BuildingServicesLaw and policyInternational policy dialogue Technical support



    1 billion peopleIncreasing numbersBarriers can be overcomeWorld report shows us howIt's time to scale up


    World report on disability:Our most accessible document

    BrailleDIASY (audio files)Easy Read versionAccessible PDFwww.who.int/disabilities/world_report


    World Report on Disability

    Alana Officer - officera@who.intTom Shakespeare - shakespearet@who.int

    Aleksandra Posarac - aposarac@worldbank.org


    Thank you

    World Health Organization*World Health Organization*How did the World report on disability come about? Like everything that WHO does, it began with a resolution from the World Health Assembly, the governing body of the Organization. It was developed jointly with the World Bank, as disability is broader than health, rehabilitation and community living.

    The wider context was the CRPD, the major international treaty which reinforces our understanding of disability as a human rights and as a development issue.

    This treaty has now been signed by XX countries and ratified by ZZ countries.[As of November 15, 153 signatories and 106 ratifications but check latest figures at http://www.un.org/disabilities/]]

    The CRPD understands disability to arise from the relationship between a person with an impairment and the wider environment. This interactional approach is consistent with the WHO ICF classification, which emphasises the role of the environment in either enabling or disabling people with health conditions. The CRPD has been described as the "moral compass of the report", while the ICF provides the conceptual framework.

    World Health Organization*The World report fills a major gap, by providing evidence on the global disability situation. It answers questions such as "how many disabled people are there?" "What is the extent of need and unmet need?" "What are the barriers to participation?" and "What works to overcome those barriers".

    The World report also helps by showing what works, and highlighting what can be done, in line with the CRPD, to improve the lives of persons with disabilities, for example better policy, more accessible services, better knowledge, and training for professionals from health and other fields so they understand the human rights approach to disability.

    The World report therefore provides evidence which underpins many Articles of the CRPD, and will assist member states in the implementation of the CRPD.

    World Health Organization*We know that disability is complex and multi-dimensional. If we are to address disability disadvantage, we need to work together. That is why it was so important to involve a wide range of people in developing the report.

    Over 380 people from 70 different countries contributed to the report, including academics, policy-makers, professionals, disability rights advocates and people from the NGO community. The report has been through an extensive consultation process in all WHO regions and rigorous peer review.

    A particular feature is the involvement of people with disabilities themselves. People with disabilities have been on the advisory committee, the editorial committee as contributors and peer reviewers. Personal testimonies from people with disability open each chapter, some of which can be found at greater length on the website for the report.

    World Health Organization*

    First, it tells us that there are more people with disabilities

    15 % of the population or, (BREATH) 1 billion people, of whom 110-190 million have very significant difficulties in functioning

    Something about people with disabilities as a group. In the 1970s, WHO estimated that 10% of the population were disabled. Now, through analysis of the World Health Survey, the Global Burden of Disease Study, and national surveys, we know that a more accurate estimate is 15%.

    World Health Organization*

    Second, the World report tells us about trends.

    PHOTO: the photo shows a person with intellectual disability drawing hundreds of small figures.

    There are increasing numbers of PWD, partly because we are living longer and because chronic diseases such as diabetes and heart diseases are on the rise. Other environmental factors like road traffic crashes, disasters contribute to the growing numbers in certain contexts.

    World Health Organization*

    Third, it tells us about inequalities.

    The next photo shows two people from the eastern mediteranean region. One is scooting along on the ground on his bottom the other is standing over him but their shadows are on the same level.

    By inequalities I mean that poor people, women and older people are more likely to experience disability.

    The report explains that while disability correlates with disadvantage not all people with disabilities are equally disadvantaged. School enrolments differ among impairments. Those most excluded form the labour market are people with intellectual impairments and people with mental health conditions. Environments can facilitate or restrict participation the message of both the CRPD and the ICF. Common barriers faced by PWD include .

    The environment can be changed. Much of the disadvantage experience by people with disabilities is preventable.

    We can do something about these problems!World Health Organization*What are the outcomes of these barriers?

    Poorer health than the general population.

    Lower educational achievements: Children with disabilities are less likely to start school than their non disabled peers and more likely to drop out. Even in countries where most non disabled children go to school disabled with disabilities do not go to school. For example:- in Bolivia about 98% of non disabled children go to school, but less than 40% of disabled children go to school; - In Indonesia over 80% of non disabled children go to school, but less than 25% of children with disabilities go to school. Less economic participation: disabled people are less likely to be employed, and generally earn less when employed. A recent OECD study found that the inactivity rate for people with disability (49%) was 2.5 times higher than among persons without disability (20%). As a result, people with disabilities have higher rates of poverty - including food insecurity, poor housing, lack of access to safe water and inadequate access to health care as well as fewer assets. People with disabilities often face extra costs for example for healthcare and assistance.PWD also experience increased dependency and restricted participation: for example as a result of institutionalisation, lack of access to transport and environments, and this results in isolation.

    The important thing is to realise that it is not so much the health condition which causes problems for peopl