Government Action on the Implementation of the Standard Rules on the Equalization of Opportunities for Persons with Disabilities A Global Survey Phase II 2008 Office of the UN Special Rapporteur on Disability Doha, Qatar Tel.: + 974 4477144 Fax: + 974 4477122 e-mail: info@srdisability.org Global Survey on Government Action on the Implementation of the Standard Rules on the Equalization of Opportunities for Persons with Disabilities Executive Summary Contents Page Acknowledgments 5 Forward 7 Chapter I 11 Introduction to Phase II Chapter II 21 Section One 23 Rule 1: Awareness Raising 24 Rule 2: Medical Care 28 Rule 3: Rehabilitation 29 Rule 4: Support Services 32 Section Tow 34 Rule 5: Accessibility 35 Rule 6: Education 39 Rule 7: Employment 41 Rule 8: Income maintenance and social security 43 Rule 9: Family life and personal integrity 44 Rule 10: Culture 46 Rule 11: Recreation and sports 48 Rule 12: Religion 50 Rule 13: Information and research 53 Rule 16: Economic policies 55 Rule 17: Coordination of work 56 Rule 18: Organization of persons with disabilities 57 Rule 19: Personnel training 59 Rule 20: National monitoring & evaluation 61 Rule 21: Technical & economic cooperation 63 Contents Page Chapter III 65 Rule 1: Awareness Raising 71 Rule 2: Medical Care 74 Rule 3: Rehabilitation 76 Rule 4: Support Services 80 Rule 5: Accessibility 82 Rule 6: Education 89 Rule 7: Employment 94 Rule 8: Income maintenance and social security 96 Rule 9: Family life and personal integrity 99 Rule 10: Culture 101 Rule 11: Recreation and sports 103 Rule 12: Religion 106 Rule 13: Information and research 110 Rule 16: Economic policies 110 Rule 17: Coordination of work 111 Rule 18: Organization of persons with disabilities 113 Rule 19: Personnel training 115 Rule 20: National monitoring & evaluation 117 Rule 21: Technical & economic cooperation 120 Chapter IV 123 Comments and Remarks End Note 130 Appendix I 133 List of disabled persons organization that responded Appendix II 139 List of the 324 measures Appendix III 145 Global Survey Supplement to the Slandered Rules Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Acknowledgements The production of this document could not have been possible without the valuable contributions of a number of people. Therefore, thanks go to the following: First and foremost, the individuals and organizations around the world who took the time and effort to respond to the Survey questions to the best of their knowledge and ability. At the Office of the Special Rapporteur on Disability in Doha Ala' Al Sheikh Amira Johar Ayman Balsha Girish Piryani Fatma Abdallah Ma'moun Al Khob Nawal Al Haddad Rawda Saadi At the South-North Center for Dialogue and Development Abeer Kassab Haneen Al Najjar Mohammad Hashhash for collating and entering data gathered, and producing endless variations of charts and tables, For writing the report, Thuraya Khalil For editing & proofreading the final copy, Rima Fawaz Husseini For designing the Survey, reviewing, verifying and ensuring the accuracy of the information contained herein, for managing, directing and supervising the entire process and for keeping all those involved on their toes, Dr. Sabri Rbeihat Finally, appreciation and thanks to the Government of the State of Qatar for its continuous and generous financial support of the work of the UN Special Rapporteur on Disability 5 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Forward by Sabri Rbeihat, PhD President, South-North Center for Dialogue and Development Since the inception of the United Nations there have been treaties and conventions governing all aspects of human rights, from the Universal Declaration, to the Covenant on Social, Political, Economic and Cultural Rights; from the Convention on the Rights of the Child to the Convention on the Elimination of all Forms of Discrimination Against Women-none of which have touched upon the rights of persons with disabilities except perhaps in passing. In 2000 the General Assembly adopted the Millennium Development Goals, focusing attention in the past seven years on development issues and prompting United Nations agencies and non--governmental organizations to concentrate on development. Yet again, persons with disabilities were absent from the eight Goals which deal with all aspects of development. In 1993 the world looked at disability through the Standard Rules on the Equalization of Opportunities for Persons with Disabilities. This marked a new era in disability rights, and oriented the world to address disability issues. However, there remained a need to assess and measure the commitment that the international community made to disability when it adopted--unanimously--the Standard Rules. It was important to measure where the world stood on the implementation of the Standard Rules in order to understand where it was going and what else needed to be done and what direction it needed to take. This became even more of an imperative with the negotiations, drafting and adoption of the Convention on the Rights of Persons with Disabilities. A Global Survey to assess the extent of government implementation of actions leading to the achievement of full and equal rights for persons with disabilities, is a much needed step in the long journey leading to full equalization. This need is what justified and instigated the Special Rapporteur on Disability to commission the execution of such a Survey. The preliminary work on this Survey took into account the work, literature, and contributions of the pioneers in the field, among those the work of WHO and the former Special Rapporteur on Disability, Mr. Bengt Lindqvist, on a selected number of Standard Rules; the avant-garde conceptualization of many Scandinavian organizations and the thorough, detailed work contained in Agenda 22; and many other local and regional initiatives on monitoring and evaluation of disability actions. The unique contribution of this effort to the disability movement lies in the its aim, content and methodology. In addition to being a tool of measurement, the questionnaire functioned as an explanatory form presenting the world with a huge inventory--a check-list of actions, if you will--covering all aspects of human life and addressing itself to the primary stakeholders in any country--governments and disabled persons organizations. With regard to its methodology, the inclusion of both governments and disabled persons organizations as respondents to the same set of questions, has made of this Survey both a tool to gather information and validate that information at the same time. 7 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 I am proud to have been asked by the Office of the Special Rapporteur on Disability to take the lead on this initiative. Despite the time, effort and resources that went into executing this, I consider it a valuable stepping stone for monitoring at the local, national, international and global levels. The report of the results of the Survey remind us unequivocally that we live in a global world, interdependent and co-reliant at every level. In the same way, this Report assesses the actions that need to be implemented in order to achieve the equalization of opportunities for persons with disabilities as interdependent actions--one leads to the other, and the next totally dependent on the full implementation of the one before it. In this way, it demonstrates that the actions needed and the actions taken affect every aspect of human life--every aspect of the life of a person with disabilities. While we have compiled and analyzed the data at the global and regional levels, we have not overlooked the stakeholders at the national level. The issues and concerns of everyone in every corner of the world had a place in the conceptualization and construction of this instrument In that sense, this Report can be seen as another one of many efforts whose aim is to stimulate further action, instigate deeper investigation, educate and raise awareness of the issues involved in achieving societies where equal opportunities and non-discrimination are the predominant values. It is my sincere hope that this research will be a springboard to more review, more research and to deeper debate; that it will trigger questions and prompt governments to provide answers; that it will urge activists to push the envelope further and lobby harder. While Phase I of this analysis looked at whether the actions specified have been implemented or not and what percentage of the world's countries have done so; Phase II examined the data from three angles. First, to reveal the regional variations where they exist at the regional level; second, to examine the differences in evaluating the situation of persons with disabilities from the point of view of governments and disabled persons organizations; third to classify and present the major concerns expressed by respondents in their comments and remarks. Since respondents were asked to mark the presence or absence of actions in their own countries, the reporting of the data gathered was limited to describing the situation as revealed, avoiding making inferences beyond what the data reveals. The tables and graphs illustrate the variations leaving the analysis of reasons and causes up to the reader and opening the door to further investigation. Finally, it should be kept in mind that the responses received to the Survey are based on selfreporting-- predominantly by governments, and that this fact in itself will result in certain biases. 8 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 While we recognize that as a shortcoming, we also acknowledge that there may be other weaknesses and limitations. Those are entirely the responsibility of the South-North Center for Dialogue and Development, and while we take full responsibility for them, they do not stop us from moving forward in seeking answers and developing more sophisticated instruments of measure. It is my belief that, with the adoption, ratification and inception of implementation of the Convention on the Rights of Persons with Disabilities, the assessment contained in these pages, will gain more relevance and greater value. After all, it is only when know where we stand that we can decide where we will go next. 9 CHAPTER ONE Introduction to Phase II Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Introduction In January 2007, the Office of the United Nations Special Rapporteur on Disability and the South-North Center for Dialogue and Development published Phase I of the results of the Global Survey on Government Actions on the Implementation of the Standard Rules for the Equalization of Opportunities for Persons with Disabilities. Phase I presented the state of the world with regard to the implementation of the Standard Rules, based on the responses received from 114 countries out of a total of 191 countries to which the Survey was sent (the number of the United Nations Member States at the time of the distribution of the Survey). The Survey was disseminated to one government body and two disabled persons organizations in each of the countries. Phase I was well received and was launched at a press conference that took place in both Doha, Qatar in January 2006 and at the United Nations headquarters a month later. Through a detailed questionnaire, the Survey presented respondents for the first time with a list of the 324 actions necessary to fully implement the equalization of opportunities initiative. While this was important in raising awareness and moving the implementation of the Standard Rules one step further, the data collected in Phase I of the analysis was limited to the presence and absence of these actions, regardless of their scope, coverage and comprehensiveness. This provided us with a general picture and could be used to initiate further analysis and research regarding the extent of implementation and the coverage of the actions. Phase II takes a closer look at the data to examine variations in the responses on the basis of region and the type of respondent, i.e. to examine whether responses on the same issues vary depending on whether the responses came from disabled persons organizations or from governments. It will help determine how disabled persons organizations and governments see the same situation. It will also help us see how regions performed--knowing that the situation of persons with disabilities at the regional level is affected by various initiatives being implemented, i.e. disability decades, adoption of declarations, signature of treaties and conventions. Description and Administration of the Survey The design of the Survey took into consideration previous work conducted by the former Rapporteur on Disability, Mr. Bengt Linqvist, and literature from disability organizations worldwide, and relied heavily on the Scandinavian experience and the work done on Agenda 22. That document, in particular, was used to identify and extract the 324 actions (List of Actions Appendix II) related to the 22 Rules of the Standard Rules, as follows: -67 actions to fully implement the Pre-conditions -151 actions to fully implement the Target Areas -106 actions to ensure the fulfilment of the Implementation of Measures 13 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 The Survey also asked specifically about the issues included in the Supplement to the Standard Rules, which, although it has not been adopted by the General Assembly, raises valid issues to which responses are necessary. These include: women and children with disabilities; persons with psychosocial disabilities; persons with developmental and intellectual disabilities; issues relating to housing, medical care, and health in the context of poverty and economic deprivation; issues relating to families and caregivers of persons with disabilities. Additionally, the Survey questioned whether services and actions to achieve equalization of opportunities cover low income and working class persons with disabilities, refugees and immigrants with disabilities, minorities and ethnic groups. In crafting the questionnaire there was strict adherence to the principles of clarity and simplicity, despite its length. (47 questions in 22 pages, see Appendix III). To break down the language barrier and facilitate response, the questionnaire was also translated into Arabic, French and Spanish. Although the target population of the Survey is governmental agencies and bodies relevant to disability issues, the Survey was also distributed to two disabled persons organizations in each country. The responses of the organizations have been used as a verification tool against which to check the responses of the governments. Five hundred and seventy-three (573) Survey copies were distributed to 191 countries; -one to each government body in the 191 countries -one to each of two disabled persons' organizations in each of the 191 countries -two-hundred and seven (207) returned filled out Surveys containing information about 114 countries at a 60% rate of return Despite the fact that this report is based on a regional analysis, it should be kept in mind that real implementation takes place within a socio-political context, i.e. where policies are set, legislations are passed, programmes are adopted and financial resources are allocated. This, of course, is done at the national level. Therefore, although we are presenting results from a regional perspective, this does not mean that the national level can be overlooked. The situation in each country individually could be the subject of future analysis. Regional Distribution In distributing the Survey we divided the world into five regions based on culture and geography, rather than the division adopted by United Nations agencies. For example, the Arab region encompassed all Arabic-speaking countries including those in North Africa, the analysis covers five regions divided as such (Fig. 1): 14 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Distribution of responses by region in percentage Fig. 1 Region Countries Responded Percentage Africa 43 23 53 Asia 47 21 44 Europe 46 30 65 Latin America 33 21 63 Arab Region 22 19 86 Total 191 114 59 Since the number of responding countries to the Survey varied considerably from region to region, and in order to indicate the level of representation per region, we have chosen to express the level of representation in percentages. This was done by dividing the number of responding countries from each region by the total number of countries in each region multiplied by 100. e.g. The Arab region Number of countries in the region: Number of countries responding: Percentage of countries that responded: 22 countries; 19 countries; 19 ÷ 22 x 100 = 86% Percentage of countries per region that responded Fig. 2 Percentage 100 90 86 80 70 60 50 40 30 20 53 44 65 63 59 Africa Asia Europe Latin America Arab Region Total 15 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Chapter Two covers the 114 countries, which represent the total sample analyzed, that responded to the Global Survey from the five regions: Africa, the Arab region, Asia, Europe, Latin America. The results in Chapter Two, therefore, reflect the combined responses of government bodies and disabled persons' organizations that responded to the Survey in the 114 countries. They represent the responses of 71 government bodies and 43 disabled persons organizations. In countries where governments failed to respond, the responses of disabled persons organizations were considered. (Fig. 2) The distribution of responses from sources by region Fig. 2 Region Government Disabled persons organizations Africa 9 14 Asia 10 11 Europe 23 7 Latin America 12 9 Arab Region 17 2 Total 71 43 As shown above, the dual source of responses considered from governments and disabled persons organizations might explain the observed discrepancy between regions and the sometimes inflated responses within some regions. In some cases, such as the Arab region, the analyzed data at the global level was based on information of which 89.4% was obtained from government sources while the responses from disabled persons organizations did not exceed 10.6%. This may be responsible for the inflation of the reported achievements observed in the Arab region in terms of number of actions implemented. This may also be true of Europe where 76.6% of the responses came from governments while only 23.4% came from disabled persons organizations. The data shown in this chapter indicates that the reported implementation in both the Arab region and Europe was considerably higher than in the other three regions. Inversely, 68.9% of the responses received from Africa came from disabled persons organizations, with responses from Asia being almost equally distributed between governments and disabled persons organizations at 47.6% from governments and 42.4% from disabled persons organizations; and in Latin America 57.2% responses were obtained from government sources and 42.8% from disabled persons organizations. To express the level of implementation for each region in a standardized manner, the number of actions implemented by each country in the region was added up and the result was divided by the total number of actions expected to be implemented, then multiplied by the number of countries in that region that responded. 16 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 i.e. the number of actions implemented in four countries: 200 + 300 + 150 + 170 = 820 actions actually implemented; divided by the total number of actions (324) and multiplied by the number of countries (4) 820 ÷ 1246 (actions expected to be implemented by 4 countries) = 63.2 % (percentage of the actions implemented in the four countries of that region) According to this calculation the 114 countries reported the implementation of an average of 162 actions out of the 324 actions required. In other words, only 50% of the total actions required have been implemented globally. (As illustrated in Figure 3 below) Percentage of implementation on each rule globally (Fig. 3) 100 90 80 70 60 50 40 30 20 10 0 Awareness RaisingMedical CareRehabilitationSupport ServicesAccessibilityEducationEmploymentIncome MaintenanceFamilyCultureRecreation & SportsReligionInformation & ResearchEmploymentCoordination of workDPOsPersonal TrainingNational MonitoringTechnical & Economic corporation While the global average reached 50% implementation, the performance at the regional level did not follow the same pattern, with the exception of the Asia-Pacific region which performed similarly to the global percentage. 17 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Fig. 4 below shows the percentage of actions implemented in each region. In Asia, the number of actions implemented in the 21 countries that responded was equal to the global average of 162 (50%). Both Europe and the Arab world exceeded the global average, reporting 215 actions (66%) and 197 actions (61%) respectively. At the other end of the spectrum both Africa and Latin America reported the implementation of 120 actions (37%) implemented and 108 actions (33%) respectively. Percentage of Actions Taken in each region Fig. 4 100 90 80 70 60 50 40 30 20 10 0 66 37 50 33 61 50 Africa Asia Europe Latin America Arab Region Total Chapter Three will compare the responses received from government officials or bodies and disabled persons organizations in 28 countries representing the five regions. The countries vary in their social, cultural, political, geographical, economic and development characteristics. The significance of this analysis is that it will serve to measure the discrepancies between the responses of governments and disabled persons organizations on each of the expected actions, to the same questions posed on each of the Rules. 18 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 These 28 are the countries from which governments and disabled persons organizations responded - thereby fulfilling the conditions for their inclusion in a comparative analysis. These include 11 European countries, five African countries, five Arab countries, four Asian countries, and three Latin American countries, as follows: Europe: Austria, Finland, Ireland, Italy, Malta, Netherlands, Norway, Portugal, Russia, Slovakia, Sweden Africa: Botswana, D.R. Congo, Eritrea, Namibia, Tanzania Arab region: Algeria, Jordan, Morocco, Palestine, Yemen Asia: Mongolia, Nepal, Korea, Samoa Latin American: Belize, El Salvador, Guyana Chapter Four contains a synthesis of opinions, comments and remarks expressed by the respondents to the Survey in the space that was provided to them for that purpose. The comments cover issues respondents felt needed to be clarified, conditions particular to their countries, or their opinion about the Survey itself. Those have been classified by issues and, as much as possible, copied or translated verbatim, and only edited for space. 19 CHAPTER TWO Countries Performance on Implementing the Actions by Region Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Countries' Performance on Implementing the Actions by Region Based on Responses from 114 countries Following the logical sequence of the Standard Rules for the Equalization of Opportunities for Persons with Disabilities 324 actions were extrapolated. To consider the Standard Rules fully implemented, all 324 actions would have to be implemented. Therefore, the performance of each region was assessed accordingly. On the four Rules which make up the Pre-conditions for equalization of opportunities, namely, Awareness-Raising, Medical Care, Rehabilitation, Support Services and Assistive Devices, a total of 67 actions were identified. Implementing all 67 actions indicates that the pre-conditions to equalization have been met, and the groundwork has been laid for proceeding with the implementation of the actions in the eight Target Areas. Section One Implementation of the Pre-conditions in the Five Regions This section presents the findings on the implementation of the 67 actions specific to the four Rules that make up the Pre-conditions in the first section of the Standard Rules. The findings from each region were expressed in percentages and the results were stated in a comparative manner, among the regions, and are illustrated in Figure 2.1. The global picture in relation to the implementation of the Pre-conditions is not very encouraging. No region has exceeded 80% implementation of the actions, while considerable variation among the five regions was detected. Europe scored higher than all other regions, with the Arab region a close second, Asia scored in the middle range, between Europe and the Arab region, on the one hand, and Africa and Latin America, on the other. Both Africa and Latin America scored less than 50% on three out of the four rules. The responses of Europe and the Arab region clustered around the 70% mark. Looking at the data, region by region and in relation to each of the four Pre-conditions, the following observations can be made: On Awareness-Raising, with the exception of Latin America, the other four regions reported that they had implemented more than 50% of the expected actions. Europe implemented 74% of the actions, the Arab region 68%, Asia 58%, Africa 50%, while Latin America reported 45% implementation. The same pattern was evident with Medical Care, where Europe and the Arab region reported the implementation of more than 70% of the actions and Asia and Africa reported implementation of 57% and 48% respectively, and Latin America reported lower implementation at 43%. 23 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 While on Rehabilitation Africa reported a slightly higher level of implementation than even Europe at 72%; Europe and the Arab region reported 70% and 68% respectively, Asia reported 62% and Latin America was at 32%. More divergence was observed in relation to Support Services, with Europe being the highest at 76% followed by the Arab region at 68% and Asia at 53% with Africa and Latin America very close at 45% and 43% respectively. (Figure 2.1) Figure 2.1 The percentage of actions implemented by region on the Pre-conditions 100 90 80 70 60 50 40 30 20 10 0 Africa Asia Europe Latin Arab Detailed Analysis of Implementation of Actions on the Pre-Conditions Rule 1: Awareness-Raising According to the Standard Rules Awareness-Raising is the first condition necessary to achieving equalization of opportunities for persons with disabilities. The concept of awareness includes the perception of persons with disabilities of themselves as well as society's perceptions of their abilities, needs, rights, potentials and contributions. To fully achieve awareness-raising, in any given community, a set of actions should be implemented; nine of which pertain to the structural level, while six to the quality of the implementation, its scope and coverage. 24 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 The first nine (9) actions expected to be taken by governments in relation to Rule 1, pertain to adopting policies; passing legislations; adopting programmes; drafting guidelines for the media on covering disability issues; training personnel in awareness-raising; disseminating materials; including issues relating to raising awareness in the school curriculum; educating the public about disability and persons with disabilities; cooperating with disabled persons organizations. These actions are interdependent and organically related so that the implementation of one can only be successful if the one before has been fully implemented. Together they constitute a comprehensive approach to raising awareness of all issues related to persons with disabilities. By the same token, the lack of implementation of one would negatively effect the implementation of the rest. Thus, adopting policies on awareness-raising is the first significant step taken by the highest authorities within a country to prioritize the issues of persons with disabilities, and indicates the existence of a political will to alter the conditions of persons with disabilities at the national level. The next logical step would be to translate the political will indicated by the adoption of policies into legally binding rights through legislations, which consequently would drive officials, organizations, caretakers, the media, and society at large to carry out their duties towards persons with disabilities. This will create the national atmosphere conducive to constructing programmes, which would organize the efforts and actions of society towards meeting the requirements of equalization for persons with disabilities. The allocation of resources, the training of personnel, involvement of the media…etc. all become part of the same scheme. The other six (6) actions focus on the quality of awareness-raising and the extent of its coverage. A successful awareness raising scheme would consider covering all types of disabilities; all rights, needs, potentials, contributions; as well as describing persons with disabilities in positive terms. The Standard Rules maintain that the implementation of all these actions within any given society would result in the ideal state of raised awareness on all aspects and dimensions of disability and for all persons with disabilities. In many countries, efforts to raise awareness do exist in one form or another. Yet, a comprehensive awareness raising programme inclusive of all of the above is what this Survey has tried to assess. Analysis of the responses from each of the five regions showed a level of fluctuation on the implementation of the 15 actions in all the five regions, as well as between the 15 actions within the same region. As evident from the Figure (2.2) one of the striking findings is 89% of the countries of the Arab region responding to the Survey stated that they had implemented policies. This is much higher than the reported implementation in Europe, Africa and Asia, in which 65% of the countries reported that they had implemented actions and far higher than Latin America which reported 48%. Regarding legislations, the Arab countries responding remained very high at 80% followed by Europe at 70% and Latin America 55%, Asia at 53%, and Africa at 35%. 25 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 When programmes were considered, Europe reported higher than all other regions at 84% implementation, followed by the Arab region at 65%, Asia at 52%, and Africa and Latin America at 48%. On drafting guidelines for raising awareness through the media, all the five regions' responses dipped considerably to below 50%. The Arab region, however, was highest at 46%, Europe at 39%, Asia at 35%, Africa at 17%, and Latin America at 15%. With regard to training personnel, the Arab region and Europe stood at 69% and 60% respectively, Africa and Asia at 53%, and Latin America 35%. On dissemination of materials, Europe scored highest at 75%, the Arab region at 74%, Asia at 67%, Africa at 40%, and Latin America at 35%. On awareness-raising in schools through the educational curriculum, the scores dipped in all the five regions. Europe again showed the highest level of implementation at 50%, African and the Arab region at 44%, Asia at 30% and Latin America at 13%. As to whether actions are implemented to educate the public at large, about the rights, needs, potentials and contributions of persons with disabilities, the Arab region stood at 68% implementation, while Europe was at 60%, with Asia at 58%, Africa at 52%, and Latin America at 35%. In relation to cooperating with disabled persons organizations, Europe scored high at 94%, followed by the Arab region at 85%, Asia at 72%, Africa at 65%, and Latin America at 58%. On the second set of actions to be implemented, and in reference to raising awareness on all types of disabilities, Europe remained highest at 88%; followed by the Arab region at 70% and Africa 60%, Asia at 58%, and Latin America at 55%. While in raising awareness on rights, Europe stood at 92%, the Arab region at 75%, Asia and Latin America at 63% and Africa at 53%. On raising awareness about the needs of persons with disabilities, Europe reported 90% implementation, the Arab region 75%; Latin America 62%; Africa and Asia 58%. Despite the importance of raising social awareness on the potentials of persons with disabilities, with the exception of Europe at 83%, the rest of the regions scored relatively low at 72% for Asia; 57% for Latin America; 52% for the Arab region and Africa. Closely related to the issue of potentials, is that of the contributions of persons with disabilities to their societies and communities. On this, the Arab regions scored highest among the regions at 80%; while Europe and Asia were next at 70%; Africa at 55%; and Latin America at 52%. With regard to describing persons with disabilities in positive terms, Europe was highest at 85%; the Arab region and Asia at 68%; Latin America at 65%; and Africa at 52%. There is no evident explanation for this apparent variation and fluctuation - note that the Arab region scored low on the issue of potentials (at 52%) while it scored higher than Europe on the related issue of contributions (at 80%). However, it is important to keep in mind that there are perceived biases when it comes to self-reporting, especially when it comes to 26 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 information supplied by governments. Additionally, actions necessary for raising awareness are linked to perceptions and may be subject to a different understanding by the respective governments or agents reporting on it. Additionally, in some regions people define their social structure and their responses to disability issues on the basis of culture and tradition -- where family and community shoulder the bulk of responsibility rather than government. This transfer of responsibility from the official structures to the community and family may be regarded as actions attributed to governments. Figure 2.2 Awareness Raising 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsGuidelinesTraining PersonnelMaterial DisseminatingAwareness through CurriculumEducating The PublicCooperating with DPOsType of DisabilityRightsNeedsPotentialsContributionsDescriptions of Disability Africa Asia Europe Latin Arab 27 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 2: Medical Care Medical care is a pre-requisite to enable persons with disabilities to overcome the medical consequences related to impairment and to maximize their ability and release their potential, to participate fully and contribute to society on an equal basis with others. Without the proper and relevant medical care, individuals with disabilities will not be able to arrive at the stage at which they can exercise their independence and make use of the opportunities available to them. For these reasons, Medical Care was listed as the second rule after awareness-raising and considered a precondition to full participation. For a country to create an environment capable of providing the proper medical services, and for persons with disabilities to receive the necessary care they need, a set of actions derived from the letter and spirit of Rule 2, would have to be implemented by government. Fifteen (15) actions were derived for the full implementation of the provision of medical care for persons with disabilities in order to achieve equalization. These actions range from adopting policies; passing legislations; adopting programmes allocating financial resources; training personnel; making medical care accessible to persons with disabilities; consulting with disabled persons organizations; informing persons with disabilities about the availability of medical services; raising awareness on the causes of disability; improving maternal/pre-natal & post-natal care; detecting impairment at an early age; treating impairment at an early stage; training personnel in detecting & treating impairment at an early stage; updating medical personnel's knowledge in methods and new technologies; to ensuring access to treatment and medicine for persons with disabilities. Europe reported the highest implementation rate on all 15 actions dealing with medical care for persons with disabilities at 70% and above, with the exception of adopting programmes. The Arab region came next with implementation rates ranging between 60% and 85%, and registering higher implementation than Europe on allocation of financial resources and on causes of disability and improved health; and much lower than Europe, but higher than any other region on training personnel and information on medical care to persons with disabilities. More than 40% of the countries responding in the five regions have implemented most of the 15 actions pertaining to Medical Care. However, Africa and Latin America dipped below the 40% mark on legislations and updating medical information and ensuring access -- on legislation; Africa came in at 13%, on updating medical information at 15%, and on ensuring access at 35%; Latin America came in at 25% on legislations; on informing persons with disabilities at 28%; on updating medical info at 28%; and on ensuring access at 28%. 28 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.3 Medical Care 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceTraining PersonnelCare AccessConsulting with PWDInfo PWDCause Of DisabilityImprove HealthEarly DetectEarly TreatTraining PersonnelUpdate MedicalEnsure Access Africa Asia Europe Latin Arab Rule 3: Rehabilitation The definition of disability as constructed by the World Health Organization (WHO), is based on the interaction between the person with an impairment and their environment. Hence, any effort towards enabling persons with disabilities, should take into consideration the two factors of the equation--the persons and their environment. Rehabilitation implies an intervention geared towards maximizing the abilities of individuals with disabilities and removing the obstacles that prevent them from participating. Over the years, the concept of rehabilitation evolved to include social and cultural attitudes; discriminatory behaviour; and legal codes barring persons with disabilities from full participation and exercise of their rights. On the other hand, rehabilitation should also focus on changing the perception of persons with disabilities of themselves and their abilities; developing their abilities, skills and talents; providing them with skills necessary for their adaptation and taking full advantage of their potential. Successful and comprehensive rehabilitation programmes are ones that address the individual in a holistic manner, taking into consideration the physical, psychological, social and spiritual aspects. 29 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Just as important is the rehabilitation geared towards the societies and communities in which persons with disabilities live, learn, work and conduct all aspects of their lives. This means that rehabilitation has to be inclusive of people and the environment in its broadest terms. To assess the extent of government actions in relation to rehabilitation, 22 actions were identified. The first seven (7) have to do with preparing society to respond to the issues of persons with disabilities, and include adopting policies; passing legislation; adopting programmes; allocating financial resources; training personnel and making rehabilitation services accessible to persons with disabilities; consulting and cooperating with disabled persons organizations. The remaining 15 actions deal with the inclusiveness of rehabilitation services to persons with all types of disabilities and from all ethnic and social groups, covering all service providers and disabled persons organizations as follows: all types of disabilities; children with disabilities; women with disabilities; low-income, working class and poor persons with disabilities; all geographical locations; all socio-economic classes and ethnic groups; inclusive of disabled persons organizations; families of persons with disabilities; communities in which persons with disabilities live; specific/diverse needs of persons with disabilities; medical personnel; schools, educational institutions and teaching staff; communities of persons with disabilities; and involving disabled persons organizations in planning, design, implementation & evaluation. On policies, Latin America scored lowest at 38%, with Asia scoring higher than Europe at 60% and 77% respectively. The Arab region scored second highest after Asia, at 69% and Africa at 43%. On legislations, Africa scored 17%; while at the high end, the Arab region responded with having implemented 74%; Latin America, Asia and Europe responded at 38%, 52% and 64%, respectively. In relation to programmes, the highest implementation rates were reported in the Arab region also at 74%, with Asia next at 68%; Europe and Africa at 56%; and Latin America at 43%. It was surprising, therefore, to find that on financial allocations to rehabilitation the highest percentage was in Europe at 76% with Asia closely behind at 72% and the Arab regions at 63%, despite reporting highest on the implementation of programmes. Africa responded at 61% and Latin America at 43%. Personnel training in the Arab region reached the 79% mark, one percentage point higher than Europe which was at 78%, while Asia reported at 72%, Africa at 61%, and Latin America at 43%. Countries responding from the region said that they make rehabilitation accessible to persons with disabilities at an implementation rate of 89%; with Europe at 80%; Asia at 71%; Africa at 70% and Latin America at 33%. Europe and Asia scored highest on the issue of consulting disabled persons organizations at 76%; the Arab region reported 63%; Africa 49% and Latin America 33%. 30 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On the availability of rehabilitation services for all types of disabilities, Europe and Asia were at 95%, with Arab region next at 89%, and Latin America and Africa at 52% and 49% respectively. As far as rehabilitation services for children with disabilities are concerned, the Arab region scored highest at 89%, with Europe next at 83%; while Asia, Latin America and Africa stood at 72%, 52% and 49%, respectively. Considering the dual, and sometimes multiple discrimination faced by women with disabilities, it was important to ask whether rehabilitation services are fully available to women. On this issue, Europe reported at 83%; the Arab region at 79%; Asia slightly lower at 77%; with 53% for Latin America and 43% for Africa. Figure 2.4 Rehabilitation 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceTraining PersonnelRehab AccessConsulting DPOsTypes Of DisabilityChildWomenLow IncomeGeographical locationsClasses/EthincsDPOsFamilyCommunityNeedsMedicalFamilies PWDSchools/EducationsCommunityOrg. PWDProgram Description Africa Asia Europe Latin Arab 31 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 4: Support Services Support services is the fourth pillar of the Pre-conditions that are necessary for the creation of an environment conducive to equalization of opportunities for persons with disabilities. Together with awareness raising, medical care and rehabilitation, support services lay the groundwork for other interventions and for upgrading and improving the abilities of persons with disabilities to take advantage of available opportunities and to participate in all aspects of life. The concept of support services extends beyond equipments and devices to include the people, knowledge, technology and all other means necessary to maximize the ability of individuals with disabilities, to interact independently and meaningfully with their social and physical spheres. Fourteen (14) actions were derived from the Rule on Support Services, and are required to enable persons with disabilities to live with dignity. Of these 14, six deal with structural changes at the political and legal levels, these include adopting policies; passing legislations; instituting programmes; allocating financial resources and supplying individuals with assistive devices; consulting with and involving organizations of persons with disabilities. The remaining eight (8) actions pertain to the quality and inclusiveness of the services and include the following: children with disabilities; women with disabilities; low-income, working class and poor persons with disabilities; persons with disabilities in all geographical locations, from all socio-economic classes, all ethnic groups, all religious groups, all types of disabilities. Considerable variation was seen in the responses between Europe, Asia and Africa, as indicated by the graph. Europe consistently reported highest on actions relating to support services, with Latin America and Africa alternating the lower scores. Responses from the Arab region dipped from 95% on supplies to individuals to 45% on covering all geographic areas and all ethnic groups. Legislations on support services were the highest in Europe at 80% and in comparison to Africa at 20%, which was also the lowest of all implementation rates on all actions. The ranking of all regions on all actions shows that the situation in Europe is far better than it is in all other regions - in 12 of the 14 actions, Europe ranked between 70% and 90% implementation, and in policies and programmes at around 53%. The Arab region reported considerably high percentages in supplying and consulting with disabled persons organizations, in services to children, women and low income persons with disabilities, as well as in financial allocations. Asia's graph has less fluctuations than the Arab region, maintaining a position in the middle with the exception of policies in which it reported higher than Europe and lower than the Arab region. 32 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.5 Support Services 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceSupply IndividualConsulting DPOsChildWomenLow IncomeAll Geo. All ClassesEthnic GroupsReligious GroupsAll Types Of Disability Africa Asia Europe Latin Arab African countries alternated the lower ranks with Latin American countries, with responses at lower than 50%, and on the majority of actions between 30% and 48%, with the exception of legislations and all socio-economic classes where it fell below 30%. The percentage of implementation for Latin American countries fell below 30% on five of the 14 actions: children, women, geographic, ethnic groups, all types of disabilities. 33 Section Two: Target Areas Implementation at the Regional Level: Overview The concept of target areas pertains to the areas and spheres that require intervention and modification in order to allow and facilitate the participation of persons with disabilities. The intervention in these areas is two-fold, on the one hand, the identification of obstacles and barriers and on the second the removal of these barriers. The Standard Rules document identified eight Target Areas ranging from Accessibility to Religion. Since the aim of equalization of opportunities is to enable persons with disabilities to fully participate in all spheres of life, the eight identified areas have become the target of government actions with the aim of achieving equalization for persons with disabilities. Without equal opportunities for persons with disabilities to participate and exercise their rights and responsibilities in the areas of education, employment, income generation, family life and personal dignity, recreation and sports, culture, and religion, with accessibility in all its dimensions applied to all these spheres of life, persons with disabilities will continue to be excluded and marginalized. Together with Pre-conditions, the Target Areas form an inventory of what is needed to free society of all forms of discrimination in which persons with disabilities are able to both enjoy and exercise their full rights on an equal basis with others. Their implementation is also aimed at enriching the social fabric and forming societies that are good for all. For the eight target areas of the Standard Rules, a total of 151 actions were identified. All 151 actions are required to be implemented in order to reach an ideal situation in which persons with disabilities are able to participate fully and contribute to society. Implementation of the Target Areas in the Five Regions At the global level, the data with regard to implementation of the Target Areas painted a similar picture to the one observed in relation to the Pre-conditions. When disaggregated at the regional level, Europe remained the highest among the five regions on all eight (8) areas that make up the Target Areas, with the exception of Sports and Recreation and in which it ranked second after the Arab region. Europe reported 65% implementation on accessibility; 80% on education; 75% on employment; 78% on income maintenance; 65% on family life; 64% on culture; 65% on recreation and sports, and 35% on religion. Ranking second on all actions with the exception of recreation and sports in which it ranked above Europe, the Arab region reported implementation ranging from 48% on income maintenance and religion, and 75% on recreation and sports. Asia occupied third place on all eight Target Areas, with the exception of education where they reported the same percentage as the Arab region at 70%. 34 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 34 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On accessibility, Latin America reported 28% implementation, and 30% on income maintenance; while Africa reported 26% on accessibility and 27% on income maintenance; and both reported similar results on culture at 32% implementation. The difference in implementation between the regions ranged from 50% on income maintenance and 30% on family life. Figure (2.6) illustrates the percentage of implementation per region. Figure 2.6 Percentage of Implementation on Target Areas 100 90 80 70 60 50 40 30 20 10 0 Acc Ed Emp I.M Family Cul R.S Rel Africa Asia Europe Latin Arab Detailed Analysis of Implementation of Actions on the Target Areas Rule 5: Accessibility Accessibility refers to the ability of persons with disabilities to take part in any given activity within any sphere of life as independently as possible, without encountering any obstacles and with their dignity preserved. Accessibility encompasses the notion of access to the physical world as well as access to the world of ideas, meanings and concepts. Therefore, actions taken by relevant authorities should take into consideration that the ultimate aim is enabling each and every individual, regardless of the type of disability to participate fully. This is why the full implementation of this Rule requires the fulfilment of 39 separate actions-far more than any other Rule among the Standard Rules. The first set of actions pertain to actions to be taken by governments at the political and administrative levels. These range from: adopting policies; passing legislations; introducing programmes; allocating financial resources; training architects and construction engineers; 35 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 raising public awareness; implementing accessibility programmes; to consulting with and involving disabled persons organizations. With regard to making the physical environment accessible to persons with disabilities, the actions needed to be implemented should cover nine areas within the physical space. These should be inclusive of, but not limited to, the following: Schools, hospitals, clinics, community centers, public libraries, theaters; rehabilitations centers; public buildings and government agencies & offices; outdoor environment (sidewalks, pedestrian crossings etc.); land, sea and air transportation; housing. The next set of actions refers to the dissemination of information regarding accessibility to the following groups: persons with disabilities only; families of persons with disabilities; representatives of persons with disabilities and their organizations; and society as a whole. Equally important, is information provided in an accessible form, since information is the only available means of communication and interaction, and, therefore, the only means to participate as a social being. Equalization of opportunities would not be achieved without the access of persons with disabilities to information in the form which suits their type of disability. Governments and authorities are, therefore, required to adopt a set of actions at the political, legislative and administrative levels, to make information accessible to persons with disabilities. These actions include: adopting policies; passing legislations; introducing programmes; allocating financial resources; training interpreters for all disability needs; raising public awareness; implementing accessibility programmes; consulting with and involving organizations. Accessible information is a relative concept, depending on the nature of the disability and the needs of the persons who have that disability. For example, information accessible to a blind person would not be accessible to a deaf person. Therefore, for equalizations of opportunities in relation to accessibility of information to be relevant to all, it has to take into consideration the nature and needs of all groups and all types of persons with disabilities. Fully accessible information should target the following groups and types of information: blind or visually impaired persons; deaf-blind people; the deaf or hearing impaired; people with developmental disabilities; people with psycho-social disabilities; literature on Braille; literature on tape; news magazines on tape/in Braille; sign language interpretation; Easy Reader for persons with disabilities. Since accessibility is a cross cutting condition to the implementation of all other rules, and is an integral part in every sphere of life, and since the benefit that persons with disabilities can reap from all services provided by governments depends heavily on their accessibility, the four remaining actions dealing with monitoring and ensuring the existence of accessibility become imperative. The four actions constitute a national mechanism to ensure the compliance of all service providers and government agencies, with the conditions of accessibility in the form of: the appointment of an ombudsman; setting up governmental bodies for the purpose; assigning independent expert bodies; allocating special arbitration/conciliation bodies. As illustrated by Figure (2.7), below, there is a wide and consistent discrepancy in the regions, with Europe as the highest and Africa as the lowest, and Asia maintaining a middle yet consistent rank among the five regions. Since accessibility requires the allocation of 36 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 considerable financial resources, the rankings are consistent with the socio-economic situations in the regions, which may explain why Europe reported 90% accessibility in public buildings. Figure 2.7 Accessibility 1 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceTraining PersonnelRaising AwarenessImplement AccessConsult PWDOsSchools/HospitalPublic BuildingsOutdoor EnvironmentLand, sea transportHousingPWDsFamilies PWDRep. Of PWDSociety Africa Asia Europe Latin Arab On all required actions a wide gap was evident between the regions. However, the gap widened when it came to implementation of actions pertaining to the physical sphere, such as transportation and housing. These observed findings are consistent with what we know about the fact that the political will to effect change is always higher than the actual delivery of the services. Hence, the absence or availability of financial resources, have a great effect on the actual implementation of this Rule. When considering involving persons with disabilities, the percentage of countries that have implemented these actions fell to below 60% in all regions, with Africa falling to 5% and Europe and the Arab region to below 58%. The same is true in the actions dealing with involving families of persons with disabilities and the existence of policies on accessible information and legislations; where two out of five regions reported less than 15% implementation on these actions: Africa and Asia. 37 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.8 Accessibility 2 100 90 80 70 60 50 40 30 20 10 0 PWDsFamilies PWDRep. Of PWDSocietyPoliciesLegislationProgramsFinanceTrainingRaising AwareImplement ProgramsConsulting Org/PWD Africa Asia Europe Latin Arab One of the striking results as reported by countries of the Arab region, was on awareness raising, where they registered higher than Europe and by far higher than all other region at 75%. While Europe on the average remained consistently higher on implementation than the five other regions on all other actions. On the accessibility of information, European countries reported 85% implementation; Asian countries 73%; Arab countries 68%; Latin American countries 48%; and African countries 31%. These results were only slightly higher than reported implementation of accessible information for deaf-blind persons on which three of the five regions (Europe, Arab Region, Asia) clustered around 60% implementation; while Latin America and Africa stood at 35% and 32%, respectively. For deaf and hard-of-hearing persons, Europe reported implementation of actions on accessible information at 70%; while the Arab region was at 65%; Asia at 58%; Africa at 38%; and Latin America at 33%. With regard to developmental disabilities, accessible information was lower than 60% for all regions; and on accessible information for persons with psycho social disabilities implementation was even lower in all regions, all of them reporting at lower than 50% implementation. 38 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 The existence of material in Braille was reported to be higher than 70% in all regions reaching its highest in Europe at 95% and its lowest in Africa at 38%. (Figure 2.9) With regard to sign language, all five regions were over 50% with a very narrow gap between them. Africa reported 55%implementation and Europe reported 75%, with the other three regions falling in between. (Figure 2.9) On the existence of a monitoring system, all regions reported relatively higher percentages on having implemented actions to establish government bodies, and very low on all of the following: Ombudsmen, disability experts, arbitration and conciliation bodies. Figure 2.9 Accessibility 3 100 90 80 70 60 50 40 30 20 10 0 BlindDeaf & BlindDeaf Or HearingDevelop Disab. Psycho SocialBrailleOn TapeNews On TapesSign InterpreterEasy ReaderOmbudsmanGov. BodiesExpertsArbitratrat / Conciliatiat Africa Asia Europe Latin Arab Rule 6: Education Education has been identified as a basic human right in every international document and declaration. It is the primary means of socialization and a gateway to gaining access to other essential human rights, including employment. Education involves nurturing the talents, developing the abilities, honing and upgrading the skills of persons with disabilities in an integrated setting; preparing the individual to exercise their future life in a natural, free, competitive social setting. To achieve education as prescribed by the equalization of oppor 39 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 tunities, 24 actions need to be implemented as derived from Rule 5 of the Standard Rules. The first eight actions pertain to the structural, political, legislative and administrative levels. These include adopting policies; passing legislations; adopting programmes; allocating financial resources; modifying and adapting schools to the needs of children with disabilities; training teachers and school administrators; providing accessible schools, classrooms & educational materials; involving organizations of persons with disabilities in planning and implementation. However, inclusive education in integrated settings can only be achieved if the educational system implements a set of actions, some of which would secure inclusiveness and others would ensure integrated settings are accessible and welcoming. To ensure inclusiveness, certain groups should be receiving educational services on an equal basis as others. These include children with disabilities; women with disabilities; low- income, working class and poor persons with disabilities; disabled persons from all ethnic groups, all religious groups and communities and with all types of disabilities. In order to ensure that the settings in which all these groups can receive educational services are integrated, the following actions should be implemented to make education relevant and accessible to persons with all types of disabilities, and to their families and communities: sign language interpretation; educational materials in Braille; lessons on tape; educational material & teaching methods appropriate to children with intellectual disabilities; and programmes for children whose needs cannot be met in integrated settings. Additionally, educational services need to involve the following groups: parents of children with disabilities; disabled persons organizations; NGOs that work with children; the communities in which children and persons with disabilities live. On 15 of the 24 actions all regions reported more than 50% implementation, with Europe being the highest with responses ranging from 75% to 98% on the first 20 actions. Only in the action pertaining to involving NGOs that work with children with disabilities and the community, responses from Europe fell to below 60%. For all the other regions implementation percentages were close on all the required actions, with the exception of Africa and Latin America on legislations and involvement of persons with disabilities, and on educational material, lessons and text books on tape for blind children. The Arab region reported higher than Europe, and all other regions, on educational materials in Braille and on tape. This might be due to the fact that the reporting parties reported their knowledge of the existence of such services regardless of their prevalence and extent of their availability to all those who need them. 40 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.10 Education 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceModifying SchoolsTrainingProviding AccessInvolving PWDChildrenWomenLow IncomesEthnic GroupsReligions GroupsDP all CommunitiesAll DisabilitiesSign LanguageEduc. MaterialsLessons On TapePrograms for Children needsParentsOrg PWDNGO’s ChildrenCommunity Africa Asia Europe Latin Arab Rule 7: Employment Employment is state and status. Persons with disabilities can play a role in their communities and acquire status related to this role through employment. To preserve their dignity and to achieve full integration, persons with disabilities must have a role in their communities. The type of employment that persons with disabilities should have access to should be commensurate with their skills, qualifications and aspirations. It should therefore, be meaningful work, and provide a decent living in decent conditions. Furthermore, providing employment opportunities for persons with disabilities is sound economic policy. Unemployed Persons with disabilities being unemployed means a loss of a large amount of productivity, useful energy and potential talent as well as economic contribution. Add to that, in the absence of support outside the home, the loss of the economic contribution of the caretakers or family members of persons with disabilities. In order to ensure that persons with disabilities are gainfully and decently employed-their dignity preserved and their contributions valued, a set of 14 actions need to be taken by governments, relevant authorities, businesses, and employers, as well as all other stakeholders need to implement. These actions include adopting policies; passing legislations; 41 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 adopting programmes; allocating financial resources; training persons with disabilities; modifying and adapting the physical, social and administrative environment; raising awareness among management and administration on disability issues; providing accessible transportation and work stations; cooperating with disabled persons organizations on all actions relating the labour market. As well as actions to ensure equalization of opportunities in hiring; promotion; the right to work benefits; pay increase; training programmes aimed at skills upgrading and continued education. The first 9 measures have to do with societal structures which are essentially the responsibility of the state, while the remaining 4 have to do with creating opportunities-a shared responsibility between the public and private sectors. On the first nine actions a wide discrepancy is observed between the regions, namely in the areas of legislations on employment and on transportation. There was less discrepancy in the five actions pertaining to discrimination. The lowest percentage recorded was on accessible transportation in Latin America which was at 0%, and the highest was on legislations at 95% in Europe. Europe was reported higher than all regions on the first nine actions, and by a relatively high margin. With regard to hiring, promotion, work benefits, increases, the Arab region scored highest. The lowest percentage of implementation was reported in Latin America followed by Africa. Figure 2.11 Employment 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceTraining PWDModifying EnvironmentRising AwarenessAccessibility TransCooperate DPOHiringPromotionsWork BenefitsPayment IncreaseParticipation Africa Asia Europe Latin Arab 42 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 8: Income maintenance and social security Whether a person with a disability has lost all or part of their income due to disability, the government or relevant authorities are required to implement actions to ensure that persons with disabilities are able to maintain a decent standard of living. Often caring for a family member with a disability-particularly in the absence of adequate, accessible and affordable services outside the home-will deprive one or sometimes two members of the family from employment or education. Considering that studies on poverty have revealed that persons with disabilities and their families in any given community often live in poverty levels below those of other members of their community, the need to maintain income and provide persons with disabilities with a social safety net becomes imperative. This is especially true if governments consider persons with the disabilities the sole responsibilities of their families. In order to ensure that persons with disabilities and their families are provided with an income that allows them to live decently and on equal par with other members of their community, governments would have to adopt and implement a set of actions aimed at achieving that equalizations. At the political, legislative and administrative levels these actions include adopting policies; passing legislations; adopting programmes; allocating financial resources; providing persons with disabilities with information regarding income maintenance and support; and consulting disabled persons organizations. In addition to the six actions mentioned above, governments are required to take nine actions that ensure that all persons with all types of disabilities are covered by the provisions of income maintenance, including those who have become temporarily disabled; or who have acquired a disability due to on-the-job accidents; people with physical disabilities; people with sensory disabilities; people with intellectual disabilities; women with disabilities; families of children with disabilities; care-givers of persons with disabilities; and finally, all persons with disabilities regardless of social, economic, religious, national, ethnic and backgrounds. Europe stands out on having the highest implementation rates on 15 of the 16, ranging between 70% and 90% implementation of actions relating to income maintenance and social security, with the exception of persons who have become disabled due to on-the-jobaccidents; while Africa and Latin America reported implementation between 10% and 30%. Implementation in Asia and the Arab region ranged between 40% and 50%. However, income support to care givers of persons with disabilities was lower than other actions in Africa, Latin America, Asia. However, Europe scored much higher (at 95%) on income maintenance for persons with physical, sensory and intellectual disabilities, than for persons with psycho social disabilities. In Africa and Latin America support for persons with psycho social disabilities was as low as 20%, in Asia 42%, in the Arab region 46%. 43 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.12 Income Maintenance and Social Security 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceInfo PWDConsulting PWDOTemporarily Lost IncomeOn the job AccidentPhysical DisabilitySensory DisabilityIntellectualPsyco SocialWomenFamiliesCare GivenAll PWD Africa Asia Europe Latin Arab Rule 9: Family life and personal integrity Family life is crucial to the psychological and social well being of any person. This is more than true for persons with disabilities for whom a supportive and caring family environment is a necessity. The importance of being part of a family--of belonging to the basic social unit--is evident from the link made between family life and personal integrity in this rule. Moreover, belonging to and living within a family unit is a right recognized by all international treaties and conventions. Therefore, it is the responsibility of governments and the relevant authorities to ensure that actions are implemented to guarantee that persons with disabilities enjoy, exercise and maintain that right. Including family life in the Standard Rules constitutes a major step in addressing centuries of discrimination against persons and children with disabilities, from within their family, which can result in abandonment and neglect. Additionally, the Standard Rules have consecrated not only the right of persons with disabilities to live within their families but to establish families of their own. It has also provided guidelines for governments and societies to facilitate the exercise of this right. 44 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 At the political, legal and administrative levels, 13 actions have been identified in relation to this rule. Eight pertain to adopting policies; passing legislations; adopting programmes; allocating financial resources; raising social awareness of the rights of persons with disabilities; raising awareness among persons with disabilities regarding their rights; establishing mechanisms for reporting discrimination and handling violations and abuse; and involving disabled persons organizations. The remaining six actions pertain to ensuring the right of persons with disabilities to fully participate in all aspects of family life including establishing families of their own; having sexual relationships; exercising the right to marriage; parenthood; privacy; and accessing consulting services on all of the above. Fourteen (14) actions in all are needed to fully implement this Rule; eight are structural, while six have to do with the various aspects of family life. On the structural actions, all regions reported considerably low ranging between 15% and 70%. Even Europe reported lower implementation than the Arab region and Asia on all eight actions, with the exception of reporting discrimination. When moving to the aspects of family life, Europe reported higher on the average, maintaining a 90% implementation rate on the first five actions and 84% on consulting services. On the issue of the right to sexual relations, the Arab region reported lowest at 53% and higher when it came to marriage and parenthood. This is consistent with the value system of a traditional society which frowns on sexual relations outside the context of marriage. In Latin America the implementation rates fell further on the five actions to reach its lowest dip on consulting services at 32%. 45 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.13 Family life and personal integrity 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceSocial AwareAmong PWDReport DiscrimInvolve PWDFull ParticipationSexual RelationsMarriageParenthoodPrivacyConsulting Services Africa Asia Europe Latin Arab Rule 10: Culture Cultural life is an integral part of social life. It is, therefore, damaging when persons with disabilities are excluded from cultural life, whether as active participants, using their creative, artistic or intellectual potential, or as observers and spectators at cultural events and performances. It is important to keep in mind that the degree of participation in such events and activities is also directly related to the accessibility of such events to people with all types of disabilities. Such accessibility should cover not only the physical space where these events take place, but also information about them as well as information regarding their accessibility. The implementation of all 18 actions derived from this Rule would constitute the full and equal participation of persons with disabilities in the cultural life of their communities. 46 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Eleven (11) of these actions pertain to the political, legal and structural aspects necessary to ensure full participation, and these include: adopting policies; passing legislations; adopting programmes; allocating financial resources; raising social awareness of the rights of persons with disabilities; raising awareness among persons with disabilities regarding their rights; providing venues for persons with disabilities to participate in cultural activities; providing venues for persons with disabilities to contribute to cultural life; providing accessible information about cultural activities; making cultural performances accessible to all types of disabilities; involving disabled persons organizations. The remaining actions have to do with the coverage of those actions and their inclusiveness of all persons with all types of disabilities, as well as their inclusiveness of persons with disabilities from different ethnic, religious and socio-economic backgrounds. These include children with disabilities; women with disabilities; low-income, working class and poor persons with disabilities; persons with disabilities from all ethnic groups; persons with disabilities from all religious groups; persons with disabilities from all communities, and all types of disabilities. On the first 11 actions all regions reported a percentage of implementation lower than 70% with the exception of one action where the Arab region reported 78% implementation with regard to raising awareness among persons with disabilities on cultural activities. Africa remained the lowest on all 11 actions, while Latin America was the second lowest. The highest implementation remained for Europe, with the Arab region in second place and Asia maintaining the middle ground on all actions. The involvement of persons with disabilities was higher in Europe than any other region at 85%. 47 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 When examining implementation on the seven actions pertaining to the coverage or inclusion, the gap between the regions narrowed considerably; with Europe taking the lead followed by Asia, the Arab region, and finally, Africa and Latin America reporting lowest. Figure 2.14 Culture 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceSocial Awarenessmong PWDProviding VenuesProviding ContributeAccessible InfoMaking Cultural accessibleInvolving Org. PWDChildrenWomen Low incomeAll ethnicAll ReligionsAll CommunitiesAll Disabilities Awareness a Africa Asia Europe Latin Arab Rule 11: Recreation and sports Sports and recreational activities, like culture, are crucial to the exploration and release of abilities and potentials. They also provide the opportunity for people to test the limits of their endurance and to compete at different levels. They are also opportunities to socialize, be part of a team, and to provide ways for people to take pride in themselves and their abilities. They also provide a chance for persons with disabilities to be part of a community and to conduct psychologically and physically healthy lives. Sports and recreational activities, like cultural activities, involve persons as either active participants or spectators and observers. In all cases, venues and information about these activities have to be accessible to persons with disabilities. Therefore, 15 actions in all were identified. Their implementation would constitute full and equal participation for persons with disabilities. The first 10 actions require governments to make structural and societal adjustments at the political and legal levels, to ensure that the political will is translated into action. These 48 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 actions include adopting policies; passing legislation; adopting programmes; allocating financial resources; raising social awareness on the rights of persons with disabilities; raising awareness among persons with disabilities regarding their rights; providing accessible venues for persons with disabilities to participate in sports and recreational activities; providing accessible information about sporting events and recreational activities; making sports and recreational activities accessible to all types of disabilities; and finally, involving organizations of persons with disabilities. The remaining five (5) actions pertain to the inclusiveness of the accessibility actions in facilitating the participation of persons with disabilities at all levels of competency and in all venues; including whether sports and recreational venues are accessible to persons with disabilities, and whether persons with disabilities are enabled to participate at the community or national level, as amateur or professional athletes. On legislation, all regions scored low with Asia and Africa lowest at 15% implementation. On persons with disabilities as professional athletes, implementation rates were also low for all regions with the lowest being in Asia and Africa at 17% and 18%, respectively. Other actions ranged between 30% on accessible venues and 90% on persons with disabilities participating in sports at the international level. It is interesting to note that on 11 of the actions, the Arab region reported higher than all other regions (Figure 2.15), a result that prompts further investigation. 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinancial ResourcesRaising SocialAwareness among PWDVenues to participateAccessible InfoMaking Sports accessibleInvolving PWD OrgsCommunity LevelNational LevelInter LevelAmateur atheletesPro. Atheletes Africa Asia Europe Latin Arab 49 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.15 Recreation and sports Rule 12: Religion Religion is a set of beliefs, convictions, ideas, rituals, behaviours, as well as a way of life shared by the members of a community or society. When religion is not accessible to persons with disabilities, it automatically spells their exclusion from the life of their community. Although governments do not regulate or legislate on religion or religious belief, the right to religion for all is recognized and guaranteed in United Nations human rights instruments. Therefore, it is the responsibility of governments to implement the 11 actions identified for the full implementation of Rule 12, in order to ensure full and equal participation of persons with disabilities to religion. As in the case of every other rule, there are six actions that require the political, legal and administrative actions that need to be taken to ensure the full participation for persons with disabilities, and four actions to ensure that religious events and venues are inclusive and accessible to persons with disabilities. These actions encompass the following: adopting policies; passing legislation; adopting programmes; allocating financial resources; raising social awareness of the rights of persons with disabilities; raising awareness among persons with disabilities regarding their right to participate; providing accessible venues for persons with disabilities to participate in religious events and services; providing accessible information about religious events and services; making religious events and services accessible to all types of disabilities; involving disabled persons organizations in ensuring equal participation; and finally ensuring that religious events and services are accessible to all persons with disabilities. With regard to policies, legislations, programmes and financial allocations in this area, all regions reported no higher than 50%. In Africa, rates dipped as low 5% on legislation and financial allocations, and in Latin America as low as 7% on programmes. Europe reported better implementation on the first 3 actions ranging from 44% to 50% and as low as 13% on awareness-raising for persons with disabilities; while Latin America recorded 0% for accessible venues and less than 20% on the remaining accessibility actions. Europe, Asia and Africa reported in the middle ground with a marked difference between those three regions and both Latin America (15%) and the Arab region (55%). 50 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.16 Religion 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceSocial awarenessAwareness PWDAccessible venuesAccess Info. Making Action AccessibleInvolving DPOs Africa Asia Europe Latin Arab Implementation Measures: Regional Responses Actions Taken on Implementation Measures by Region The Standard Rules specified 10 Implementation Measures. Only seven were included in the Survey, and therefore included in this assessment, since 'policies', 'legislations', and 'programmes' are incorporated in the questions on each of the Rules. Therefore, for the seven Rules in the Implementation Measures section of the Standard Rules 106, individual actions were identified to ensure their full implementation. Once again the highest implementation was in Europe. However, Africa appeared to be markedly higher on information and statistics, with a 20% difference between it and Europe and a 50% difference between it and Latin America; while Latin America reported the lowest on all actions, with the exception of coordination of work where it reported higher implementation than both Asia and Africa. On national monitoring, Europe ranked highest at 58% of actions implemented, with the Arab region at 52%; Asia at 45%; Africa at 32%; and Latin America at 28%. 51 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Africa's reporting on economic policies and on statistics revealed a gap of over 50% in implementing actions on both these issues. This raises serious doubts about Africa's response on statistics. It would seem inconceivable that there should be 78% implementation of actions in information and statistics while implementation of actions on economic policies is at 25%. This, therefore, requires further investigation to explain or correct these numbers. On personnel training the Arab region recorded much higher than Europe at 68% of the actions implemented while Europe reported 52%. This too requires further investigation. Generally, when considering all actions, Europe reported the highest percentage of actions implemented, followed by the Arab region, followed by Asia, Africa and Latin America. On average, the percentage of implementation in Europe is twice that of Latin America. Examining the global picture with regard to implementation of all rules indicates that the performance of all the responding countries in all the five regions ranges from 40% to 50% implementation. The average rate of implementation for 12 out the 19 Rules included in the Survey was between 40% and 50% - i.e. regarding awareness-raising, medical care, rehabilitation, support services, employment, income maintenance, family life, culture, sports, economic policies, coordination of work, and the involvement of disabled persons organizations. Technical cooperation, national monitoring and personnel training as well as accessibility, and information and statistics were below 40% implementation. Education in integrated settings was the highest at 56%, while the actions pertaining to religion was the lowest at 25%. Figure 2.17 Percentage of implementation on the Implementation Measures 100 90 80 70 60 50 40 30 20 10 0 Info E.p Co DPOs P.T N.M Teach Africa Asia Europe Latin Arab 52 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Detailed Analysis of Actions Taken on the Implementation Measures Rule 13: Information and research Any response to disability issues should be based on accurate and reliable knowledge -with regard to size, scope, prevalence, incidence, causes, distribution, types and availability of services. Such information should be both qualitative and quantitative. The presence or absence of such information is a good indicator of the level of interest at the national and governmental levels in the issues, needs and rights of persons with disabilities. Setting policies and planning programmes depend heavily on the availability of accurate, relevant, specific and up-to-date information. For that reason, governments, relevant authorities and communities are expected to compile data and statistics with regard to all aspects of disability on a regular and periodic basis. However, while such compilation is crucial, it is essential that it be widely disseminated, published, and that all stakeholders are encouraged to make use of it. Without such a system in place, the national response to the issues of disability will fall short of addressing the real needs and the pressing issues. There are 25 separate actions that need to be taken by governments and relevant authorities and they fall under two categories. The first, are political and administrative in nature and include adopting policies; passing legislation; adopting programmes; allocating financial resources; raising social awareness; collecting statistics; involving the disabled persons organizations; disseminating statistical information to all pertinent users; updating statistical information regularly and periodically. The second, pertains to the quality, scope and coverage of the information collected and includes whether there is a system for collecting, processing, analyzing and publishing data about the incidence, prevalence and types of disability; disaggregated statistics by gender, age, socio-economic background, geographical location; the needs of persons with disabilities; services and programmes for persons with disabilities; the availability, coverage and scope of those services; the living conditions for persons with disabilities; the educational situation for pupils with disabilities; the conditions in the workplace for persons with disabilities; employment opportunities for persons with disabilities; expenditures entailed by disability; the impact of social policies on persons with disabilities; the type of research available, and parties undertaking it; disabled persons organizations, their programmes, services, coverage and location; local, national, regional and international disability issues, events, studies…etc. On policies, the highest reporting was from the Arab region at 58%; Europe at 47%, with a narrow gap between Europe and Asia at 43%; while Africa and Latin America reported at 30% and 29%, respectively. With regard to legislations Africa reported lowest at 5%, considering that all regions reported low on legislations with the second lowest being Asia at 7%, followed by Latin America at 29% and Europe at 37% with the Arab region at 52%. With regard to programmes Europe reported highest at 58% and Africa lowest at 28%. The narrowest gap was observed between the Arab region and Asia at 47% and 43% respectively. 53 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On the allocation of finances Latin America and Africa recorded the lowest with a narrow gap at 25% and 27% respectively. Europe reported 47% on resource allocation and 52% on social awareness of the importance of statistics and information and 78% on the use of statistical information. With regard to updating statistical information the lowest reported percentage was Africa at 20% and the highest in the Arab region at 69%. In response to the question regarding whether there is a system in place to collect data and information, Europe reported the highest at 70% and Africa lowest at 40%, with the other three regions ranging between 63% in Africa and the Arab region, and 38% in Latin America. The variation on the reported implementation by region maintained the same pattern as on all other rules, with Europe in first place and the Arab region closely behind, Asia in the middle, and Africa and Latin America last. Over-reporting has been consistently detected in the responses received from the Arab region throughout the Survey. On the issue of Information and Statistics, the percentages reported on prevalence, types and living conditions were at 70%, 90% and 70%, respectively. Such numbers are not supported by the available data on disability and the information generally known about the region. By the same token, reporting from Europe in response to the Survey was consistently lower than what is generally known about the situation in Europe. However, both the over- and under- reporting specific to the Arab region and Europe have been consistent throughout the Survey and for all the Rules. Figure 2.18 Information and research 100 90 80 70 60 50 40 30 20 10 0 PoliciesProgramsSocial awarenessUpdating statistics infoPrevalence incidenceDisagree gate dataServices & ProgramsLiving conditionConditions of workplaceExpenditures entailedType of researchLocal National issues Involving DPOs Africa Asia Europe Latin Arab 54 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 16: Economic policies Economic policies are the engine of implementation for all actions taken by governments and other relevant authorities in ensuring equalization of opportunities for persons with disabilities. Without the allocation of financial resources many intended actions will never see the light. In order for governments to fulfill their commitments and move from intention to action they are required to tie all actions to sound economic policies. The following actions have been identified in relation to economic policies: adopting financial policies specific to persons with disabilities; passing legislation; providing financial support to projects and initiatives aimed at equalization of opportunities for persons with disabilities; allocating special disability fund to support grassroots and programmes; involving organizations of persons with disabilities in financial planning. These actions are structural in nature, pertaining to the political, legal and administrative levels and the purview of governments and relevant political/fiscal authorities. Four out of the five regions reported higher percentages with regard to financial support of projects and initiatives while three out of the five reported lower percentages of implementation on actions relating to the legislations necessary to implement such fiscal policies. With regard to the existence of disability funds, the response of the five regions ranged between 50% and 70%, with the gap in responses from Asia, Europe and the Arab region being narrower than on the other four actions. On the involvement of persons with disabilities, both Latin America and Africa reported considerably low at 19%. On all actions pertaining to this rule, Europe recorded higher implementation on the average. Figure (2.19) below clearly illustrates the percentages and differences. Figure 2.19 Economic policies 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationSupport toprojectsDisability FundInvolving PWD Africa Asia Europe Latin Arab 55 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 17: Co-ordination of work Since equalization of opportunities is relevant to all aspects and sectors of human life, it is crucial that actions should be coordinated at all levels and with all the bodies specialized in the areas where change is required. That is to say that work coordination needs to be both vertical, from the national to the provincial, to municipal and to the community levels; and horizontal, to include all aspects of life specified by the Target Areas of the Standard Rules. Such coordination requires the formation of a specialized body of a multi-sectoral nature. This body would take a central role in planning, organizing, implementing and evaluating actions taken at the national level. The actions expected from governments to implement the above prescribed actions are the following: forming permanent coordinating committees; giving them a clear legal mandate; allocating resources to support their work; involving organizations of persons with disabilities in their composition and activities; providing them with legal and political status; ensuring balanced representation of types of disabilities and gender; ensuring adequate financial resources. Responses to these actions revealed the highest discrepancy among the regions. Europe reported the highest implementation with Africa at the lowest end. With regard to the establishment of coordination committees, Europe responded at 90% while Africa responded at 35%. Europe reported consistently higher than the other four regions on all actions. However, with regard to giving committees a legal mandate, allocating resources to projects and initiatives , and to the committees themselves, Europe reported at 62%, 62% and 58% respectively. On the same issues, the Arab region also reported lower at 52%, 48% and 48% respectively. Responses from the Arab region took their lowest dip on actions relating to balanced gender representation at 28%. On the same measure there was a wide discrepancy between the five regions (60%) on permanent committees and the lowest was on involving person with disabilities at 30%. Latin America, inconsistently with the observed pattern thus far, reported higher implementation on establishing permanent committees and involving persons with disabilities, and their representation on the committees. However, Africa, Asia and Latin America reported very closely on most issues and almost similar results on some. (Figure 2.20) 56 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.20 Co-ordination of work 100 90 80 70 60 50 40 30 20 10 0 Permanent CommitteeLegal mandateAllocating resourcesInvolving PWDBalanced representativesRepresent PWDLegal & PoliticalTypes of DisabilitiesBalanced gender Rep. Adequate resources Africa Asia Europe Latin Arab Rule 18: Organizations of Persons with disabilities This rule is what fully demonstrates the participatory nature of the Standard Rules and the philosophy of equalization that permeates them-which is the overall aim of their full implementation. It is important that persons with disabilities be involved in every aspect of the implementation of the rules, as persons who understand the issues at an intimate and personal level, able to identify barriers and obstacles and point out ways by which they can be removed. They can also be closely involved in drafting policies and specifying the actions needed to be taken by governments to make the environment accessible in the broadest sense. It is for this reason that the survey asked about the involvement of disabled persons organizations in relation to every measure in the questionnaire. The strength and capacities of disabled persons organizations varies from one country and even one region to another. In some they can be the driving force behind change, while in others they have no power. More than half the countries responding said they do not have such organizations. Observation has shown that even where exist, they may not have a prominent role or the ability and means to effect change and influence policy. The actions which are necessary for governments to take in order to ensure that disabled persons organizations are strong, capable, able, influential are at both the structural legal and political levels and the level of scope, mandate and implementation. 57 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 At the first level the actions are the following: adopting policies; passing legislation; setting up programmes to strengthen and support organizations; setting administrative guidelines; allocating financial resources; empowering organizations with advisory capacity; cooperating with organizations on all matters concerning persons with disabilities; granting organizations legal and representational status. At the second level the actions are the following: advising on general policy and specific actions; identifying needs and priorities; participating in the planning of actions; participating in the implementation of actions; participating in the monitoring and evaluation; contributing actively towards increasing public awareness. The gap between all regions is narrow and the actual implementation is higher than the structural response. This is perhaps due to the fact that disabled persons organizations themselves are responsible for these issues rather than governments. The highest reported implementation was on identifying the needs and priorities: it stood at 95% in Europe; 85% Asia; 80% Arab region; 70% Africa; and 53% in Latin America. The lowest recorded was on legislations in Asia and Africa at 22% and 20%, respectively. The narrowest gap between all regions was on granting status, with Europe at 67%; Arab region and Africa at 58%; Latin America at 53% and Asia 43%. Similarly, with regard to public awareness of the role of disabled persons organizations all five regions reported very close percentages of implementation and relatively high ranging between 90% in Europe; 77% in Europe; 82% in Africa; and 68% in Latin America and the Arab region. (Figure 2.21 below) 58 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.21 Organizations of persons with disabilities 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsAdminFinancial resourceAdvisory capacityCooperating with Org. Granting statisticsAdvisory PoliciesIdentify needs & PriorityParticipate in planningParticipate in implementParticipate in MonitoringPublic awareness Africa Asia Europe Latin Arab Rule 19: Personnel training Considering the comprehensive nature of equalization of opportunities, personnel training is an integral part of achieving such equalization. It is the personnel who are trained to work with persons with disabilities, whether in education or rehabilitation or any other aspect, who carry a large part of the responsibility and who need to have an in-depth and well rounded knowledge of the what is needed to achieve equalization. Trained personnel, themselves are also change agents, their role exceeds the technical know-how to a more comprehensive role of managing change. In the many required target areas, effecting change rests upon the existence of well trained, qualified personnel who are able to understand the needs of persons with disabilities and fulfill them, and who are able to recognize that the ultimate goal in fulfilling those needs is the full participation of persons with disabilities in all aspects of life. Actions expected from governments and leading to this objective are ten in all and range from adopting policies to involving persons with disabilities-seven at the structural political levels and three pertaining to the quality of training. However, the responses revealed that more than half the countries have implemented no actions related to this area at the level of adopting policies; passing legislation; adopting training programmes; setting professional standards for personnel; allocating financial resources to training programmes; building the capacities of personnel; and involving disabled persons organizations. 59 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 The majority also did not fare any better in the area of quality of training as revealed by their responses to the following: Do personnel working with persons with disabilities receive training; are organizations of persons with disabilities involved in planning training programmes; are persons with disabilities involved as resource persons in training of personnel On policies and legislations, implementation was very low in all regions (Figure 2.22 below). On programmes they responded slightly higher, ranging between 85% for the Arab region and 38% for Latin America. Responses for the Arab region remained surprisingly higher all through, and for Africa low on the first four actions. Figure 2.22 Personnel training 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsPro. StandardsFinance resourcesSocial AwarenessBuilding capacityInvolving Org. PWDTrainingDPO involved in TrainingPWD as resouece Africa Asia Europe Latin Arab Rule 20: National monitoring and evaluation In any given country, the existence of monitoring bodies and mechanisms is the ultimate expression of the country's commitment to the concept of equalization. Establishing such bodies and mechanisms reflects the level of awareness of the actions needed to be taken, the ends to which they are put, and the willingness to assess their success in arriving at their goals. 60 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 This is the basic principle inherent in the Standard Rules for the Equalization of Opportunities for Persons with Disabilities. This Survey is in itself a manifestation to the implementation of this rule. Monitoring is one way of re-energizing the vision and detecting areas where implementation is lacking, determining needs, ensuring efficient responses and assuring that programmes stay their course, as well as ensuring cost effectiveness and the quality of the services delivery scheme. Monitoring bodies and mechanisms inform stakeholders of the coherence of the policies, and the ability of the actions to achieve the national goals. This can be spelled out through full and accurate knowledge of precisely who service recipients are, how many they are, where they are, what their needs are, and which would inform the assessment and guide the revision of programmes, services and financial allocations. In this sense, monitoring, both at the level of self-assessment by governments and monitoring through independent bodies, becomes not a punitive and finger-pointing exercise, but a means of understanding how to reach the desired goal of equalization of opportunities most effectively. Basic to all of the above is knowing who are the people for whom the service should be delivered. The responses reveal that 50% of the respondents have not established a clear and workable definition of disability, which would constitute the basic component for developing policies on services and expenditures. One of the main challenges for the disability movement worldwide is the absence of a universal definition. Although the World Health Organization (WHO) has developed an International Classification of Functioning (ICF), few countries seem to have formally adopted it. Therefore, respondents were asked: whether they have established a formal definition of disability; created a specialized monitoring body; collected census data; or conducted sample surveys. They were also asked about the following: establishing a national register; using records from service providers; using information gathered by disabled persons organizations, and whether such information encompasses the size, scope and prevalence of disability; types of disability; age distribution; gender and geographic distribution. In all, 23 actions regarding formal structures for monitoring the implementation of the actions necessary for the achievement of equalization of opportunities for persons with disabilities were identified. One to seven were pre-requisites for setting up a monitoring system. All regions rated the issue of having a formal definition of disability below 50%, with the exception of the Arab region. The Arab region ranked higher than all other regions in collecting data, conducting sample surveys, establishing a definition, and their specialized monitoring bodies - which is doubtful, knowing that there is little information and data on disability in the Arab region. With regard to specialized monitoring bodies, all regions responded below the 60% mark. On having a national registrar all regions responded at below 32%, and with Africa at less than 10%. With regard to using records, Europe reached 70% implementation while the rest of the regions were under 52%. The same applies to using information about persons with disabilities. 61 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On coverage, size and scope, the Arab region reported 64% implementation; Europe 54%; Asia 48%; Latin America 30%; Africa 25%. On including the types of disabilities in monitoring, Europe and the Arab region reported at 74%, while Asia and Africa were at 53%, and Latin America at 38%. On distribution by age, Europe reported 74%; the Arab region 64%; Asia 38%; Latin America 34% and Africa 30%. On geographic, age and gender distribution; organizations and programmes; service provision, personnel percentage of implementation was between 58% on the high end and 30% at the lower end for Europe, the Arab region and Asia. While Latin America and Africa reported at 30% on age, gender, geography, and went below 30% on organizations, programmes, services and personnel. Considering its importance as a ground for policy making and the importance of knowing size, scope, geography, as well as gender and age distribution, the action on establishing a national registrar is crucial. The other challenging observation is the fluctuation in the implementation of some essential and related actions by some regions (Figure 2.23 below). For example, the inconsistency of the responses received from the Arab region with the reality as reflected from other sources, both at the national and international level, about the situation of persons with disabilities in that region. Moving to the issue of national monitoring, there are seven actions ranging from policy making, adaptation, improvement, revision of programs, to research. Europe reported high on all seven, while Africa maintained a level of consistency with low response on all with a considerably consistent pattern between 39% and 27% on all seven. The Arab region fluctuated from being the highest on adaptation and improvement, to the lowest on public relations - which ought to be are generally interdependent functions. This is another area which necessitates additional investigation. Similarly Asia and Latin America maintained the same pattern, with Asia third and Latin America fifth in ranking on all actions. It is interesting to note that at the level of research Europe, the Arab region and Asia were close with a very narrow margin of difference, at a percentage ranging from 53% to 44%, while Latin America was under 10%. 1 ICF is a classification of health and health related domains that describe body functions and structures, activities and participation. The domains are classified from body, individual and societal perspectives. Since an individual's functioning and disability occurs in a context, ICF also includes a list of environmental factors. 62 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 2.23 National monitoring and evaluation 100 90 80 70 60 50 40 30 20 10 0 Formal DefinitionSpecialized monitoringCollection census/dataConducting Sample SurveyNational RegUsing RecordsUsing Info PWDSize ScopeTypesAge DistributeGender DistributeGeography DistributeOrg. Of PWDPrograms of PersonsServices provision Org. Services provision personsPolicy MakingAdaption & improveRevision of ProgramsPublic AdminAwareness Raising ProgramAnnual & Periodic ReportsResearch Africa Asia Europe Latin Arab Rule 21: Technical and economic co-operation All United Nations initiatives, treaties and conventions are aimed at establishing a universal, shared culture in which the rights of all persons are promoted and the most vulnerable are protected from violations. The signing of such agreements indicates a belief on the part of Member States in the importance of creating such a culture. Implementing the requirements for compliance with these agreements is an indication of international responsibility that goes beyond verbal commitment to action on the ground. International cooperation, both at the technical and economic level, is exemplified by giving and receiving assistance, sharing and exchanging expertise and disseminating best practices. The means to create a world in which all people enjoy the right to live in dignity are available. Through the implementation of the actions identified by the Standard Rules for the Equalization of Opportunities for Persons with Disabilities, the opportunity to create a world free of barriers and obstacles, which is good for all, is a real possibility. Country responses show, however, that not many have taken advantage of the opportunity presented. The actions necessary for such an undertaking are the following: signing relevant international treaties and conventions; being party to bi-lateral or multi-lateral aid agreements; providing or receiving financial aid; providing or receiving technical assistance; exchanging information, experience, expertise, best practices; disseminating or receiving 63 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 technological know-how, equipment; participating in international development cooperation projects; taking part in regional initiatives. In addition to this should be the following actions: including persons with disabilities in policy planning and programmes; tailoring programmes specific to their needs; supporting their families; ensuring their access to services; ensuring disabled persons organizations represent their interests; ensuring access to education; access to gainful employment; access to adequate housing; protecting vulnerable segments such as women and children; and finally allocating financial resources to all these actions. The first 8 actions have to do with pre-conditions for cooperation, starting with signing treaties for regional initiatives (international and regional). The rest are structural actions at the national level. It is interesting that all regions scored high on the international actions relating to international cooperation, yet when looking at the actions required at the national level, which make use of these international cooperation initiatives, most regions reported low percentages of implementation - giving credence to the popular belief that governments act globally but fail to implement locally. Interestingly, all regions, with the exception of Europe, clustered below the 30% mark and were as low as 5% for Latin America and 10% for Asia and Africa. Allocating resources was a point of intersection for three regions, at 20% to 24% for the Arab region and Asia, respectively, with Europe not much higher at 37%. Figure 2.24 Technical and economic co-operation 100 90 80 70 60 50 40 30 20 10 0 SigningtreatiesBeing part toagreementProviding AidsProviding/ receiving technicalExchange InfoDisseminate/ receiving technicalParticipate in projectsRegional InitiativesPoliciesProgramsSupporting familiesAccess to servicesDPOsEducationEmploymentAdequate HousingProtecting SegmentsAllocating Resources Africa Asia Europe Latin Arab 64 CHAPTER THREE Comparison of Responses in 28 Countries: Governments versus Disabled Persons Organizations Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Comparison of Responses of Governments and Disabled Persons Organizations on 324 Actions in 28 Countries Introduction This chapter examines the responses received from government officials, or bodies, and disabled persons organizations. The analysis is based on responses obtained from 28 countries representing the five regions, in which both a government body and a disabled persons organization responded to the Survey, and which vary in their social, cultural, political, geographical, economic and developmental characteristics. These 28 countries are not a chosen sample. They are the countries from which government and disabled persons organizations responses were obtained - thereby, fulfilling the conditions for their inclusion in a comparative analysis on which this chapter is drawing. These include 11 European countries, five African countries, five Arab countries, four Asian countries, and three Latin American countries, as follows: Europe: Austria, Finland, Ireland, Italy, Malta, Netherlands, Norway, Portugal, Russia, Slovakia, Sweden Africa: Botswana, D.R. Congo, Eritrea, Namibia, Tanzania Arab region: Algeria, Jordan, Morocco, Palestine, Yemen Asia: Mongolia, Nepal, Korea, Samoa Latin American: Belize, El Salvador, Guyana The intention from this comparative analysis is to achieve the following objectives: a) To validate the data obtained from government and disabled persons organizations sources presented in the previous chapter; b) To assess the situation of persons with disabilities from their perspective and governments entrusted with the task of implementing actions towards equalization; c) To identify the areas where governments may have inflated or deflated their achievements in relation to equalization of opportunities. d) To assess the level of awareness on the issues of equalization on the part of both governments and disabled persons organizations and their effect on the rating of their countries' achievements. An examination of the government responses and disabled persons organizations responses will help assess the degree of reliability of government responses, particularly since there is no direct way of verifying the biases of governments' self-reporting. In some cases it will help shed light and/or cast doubts on these responses. Therefore, by the same token, we may find that the analysis of the results in fact validates, confirms and even explains the government responses. In other cases the responses of disabled persons organizations may be more inflated than those of governments showing a rather more positive picture of implementation than would have otherwise appeared. Such as the case in six of the countries. 67 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Table 3.1 Country No. of Actions Reported by Government No. of Actions Reported by DPO %age of Discrepancy between Government & DPO Finland 234 294 20.4 Korea 179 254 29.5 Malta 140 291 51.8 Morocco 180 187 3.7 Portugal 80 159 49.6 Sweden 206 211 2.3 While there are no indicators at the moment to measure the veracity or reliability of either set of responses, the discrepancies may be attributed to a number of factors. Chief among these factors are: -the strength or weakness of the disabled persons organizations and the disability movement in that country; -the depth of their knowledge about the actions that need to be taken to achieve equalization; -their knowledge of the conditions of persons with disabilities in their countries; -the nature of these disabled persons organizations, their relationship with their governments, i.e. their dependency or interdependency on governments, whether they have an arms-length relationship with governments; and whether they have a need to appease their government for financial or political reasons. An important factor also lies in the nature of these disabled persons organizations-i.e. whether they are run by or for persons with disabilities, whether they play a token role in advocating for persons with disabilities, and whether their survival depends on currying favour with their governments. (Appendix I. List of disabled persons organizations responding to the Survey.) This chapter will present the responses of both governments and the disabled persons organizations that responded, with a brief description and some explanation where necessary. However, due to the nature of the data many issues may be open to further investigation or even introspection by persons with disabilities and their representative organizations in those countries. 1Finland, Korea, Morocco, Malta, Portugal, Sweden 68 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Table 3.2 Comparison of Responses to Actions Implemented Region-wide Region Government DPO Discrepancy in % Africa 158 actions 75 actions 25.9% Arab region 224 actions 145 actions 24.3% Asia 216 actions 107 actions 33.6% Europe 210 actions 190 actions 6.1% Latin America 175 actions 63 actions 34.4% Analysis The overall picture indicates a wide discrepancy between how governments and disabled persons organizations rate the extent of the implementation of actions necessary to achieve equalization of opportunities for persons with disabilities in their countries. When governments' and disabled persons organizations' responses were compared it was found that governments had reported having implemented more actions than the disabled persons organizations acknowledged. An examination of the data available indicates that no government has taken all the necessary actions for implementing equalization and full participation for persons with disabilities. It also reveals a marked discrepancy in government implementation of the actions in different countries within the same region. In most of the 28 countries listed above, governments responded that they had implemented an average of 201 out of the expected 324 actions. This is much higher than what disabled persons organizations indicated as being the reality as they perceive it on the ground. In other words, in those same countries, disabled persons organizations indicated that only an average of 129 actions have been implemented by their governments, as opposed to the 201 reported by the governments. Overall, on all expected actions, governments reported having implemented more actions than the disabled persons organizations acknowledged, with the exception of three (3) actions in which disabled persons organizations reported higher than governments and one (1) action in which both governments and disabled persons organizations reported equally. 2Portugal: Government responses indicate implementation of 80 actions out of the 324; while disabled persons organizations responses indicate that 159 actions have been implemented. 69 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 1. On financial support provided to persons with disabilities where disability has been caused by- on-the-job accidents: 12 disabled persons organizations responded that such support is available where as eight governments responded that it is not. The reason for this discrepancy may be attributed to the fact that such provisions fall under the purview of ministries of labour and are regulated by labour laws and therefore not within the responsibilities of the government body that responds to the Survey. The other point of divergence was on: 2. The scope of coverage of statistical information on disability; i.e. whether statistical information includes the incidence and prevalence of disability. The disabled persons organizations' responses were slightly higher with 17 disabled persons organizations responding that statistical information does cover these aspects versus 16 governments saying that it does not - however, both responses are low. The one action on which both the governments' and disabled persons organizations' responses were equal was: 3. The coordination of action in awareness raising between disabled persons organizations and governments, which 22 governments and 22 disabled persons organizations reported it true. 70 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Responses of Governments and Disabled Persons Organizations on each of the rules in 28 countries Rule 1. Awareness Raising States should take action to raise awareness in society about persons with disabilities, their rights, their needs, their potential and their contribution. According to the Standard Rules, raising awareness at all levels of society is a pre-requisite to the implementation of all other actions necessary to achieving equalization of opportunities. In the absence of awareness of the needs and rights of persons with disabilities there can be no real change in their situation. Therefore, Rule 1 requires that States take actions to raise awareness in society about persons with disabilities, their rights, their needs, their potential and their contributions. In order to raise awareness 15 actions in all need to be taken. The first nine (9) have to do with societal response to raising awareness and the remaining seven (7) have to do with aspects and coverage of awareness raising. In the area of awareness raising more than 70% of governments reported that they have adopted policies and programmes, trained personnel, disseminated materials,, educated the public, and coordinated with persons with disabilities. While the percentage of disabled persons organizations that reported on the same actions that had been taken in their countries, did not exceed 60%. Disabled persons organizations responded higher than governments on the action relating to the passing of legislations. On legislation 53% of disabled persons organizations responding reported that their countries have passed legislations about the rights, needs, potentials and contributions of persons with disabilities; compared to 50% of the governments who responded responding reported having done so on these same issues. This result may need further investigation as governments' responses have been consistently higher than those of disabled persons organizations on almost all rules and all related actions. 3 Adopting policies Passing legislations Adopting programmes Drafting guidelines for the media Training personnel Disseminating materials Raising awareness through the curriculum Educating the public Consulting with disabled persons organizations 4 All types of disabilities (including psychosocial) Rights of persons with disabilities Needs of persons with disabilities Potentials of persons with disabilities Contributions of persons with disabilities Descriptions of persons with disabilities in positive terms 71 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On the issue of cooperation with disabled persons organizations, both governments and disabled persons organizations responded equally that such cooperation exists - in 79% of the 28 countries being considered in this section. Figure 3.1 Rule 1 What action was taken by your government to raise awareness about the rights, needs, potential and contributions of persons with disabilities? 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsGuidelinesTrainingPersonnelMaterialDisseminatingAwarenessthroughcurriculumEducatingThe PublicCooperatingwith DPOs The actions where the difference was clear between the responses of governments and those of disabled persons organizations and in which the difference was highest, were in issuing guidelines to media & raising awareness among the public. On the first, 39% of governments responding reported the existence of such guidelines, in contrast with only 18% of disabled persons organizations responding who stated that such guidelines exist. Similarly, on the actions dealing with awareness raising through the school curricula, 57% of the responding governments stated that such actions have been taken while only 32% of disabled persons organizations responding said that such actions exist. With regard to the education of the public about the issues of persons with disabilities, similar results were obtained with 68% of governments reporting the existence of such actions, and 43% of disabled persons organizations saying such actions were taken. This difference in reporting on the existence or lack of actions taken was also manifested when governments and disabled persons organizations responded to the question of the coverage of these actions. 72 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.2 Rule 1 Does information used in awareness raising about persons with disabilities cover: 100 90 80 70 60 50 40 30 20 10 0 Type of DisabilityRightsNeedsPotentialsContributionPositivedescription ofDisability More than 70% of governments responding on the coverage of awareness raising actions, maintained that the information they used in awareness raising about persons with disabilities covers all types of disabilities, all rights, all needs, and includes the potentials, contributions of persons with disabilities, and descriptions of disability and persons with disabilities in positive terms. While less than 50% of disabled persons organizations that responded agree that all of the above information is included in awareness raising and information targeting the public. The lowest percentage of responses by disabled persons organizations appeared on the issues of the contribution of persons with disabilities and the description of persons with disabilities in positive terms. On both these actions, only 40% of the disabled persons organizations reported that the information used in awareness raising included these issues. 73 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 2. Medical care States should ensure the provision of effective medical care to persons with disabilities. In order to consider this Rule fully implemented there are 14 actions that governments are required to take. The first eight (8) actions refer to the structure of the societal response to disability while the remaining seven 7 refer to the provision of services within the country. Figure 3.3 Rule 2 What actions has your government taken to ensure the provision of effective medical care for persons with disabilities? 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceTrainingPersonnelAccess to careConsulting PWDInforming PWD 5 Adopting policies Passing legislation Adopting programmes Allocating financial resources Training personnel Making medical care accessible to persons with disabilities Consulting with organizations of persons with disabilities Informing persons with disabilities about the availability of medical services 6 Causes of disability Improved health care Early detection Early intervention & treatment Training medical personnel on early detection & intervention Updating medical knowledge Ensuring access to treatment 74 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On three of the structural actions (policies, allocating finances and access to medical care) more than 80% of governments reported that they have implemented the required actions. The percentage of disabled persons organizations, on the other hand, in responding to the same question on these actions did not exceed 50%. With regard to the adoption of programmes; training of personnel, consulting with, and informing persons with disabilities more than 70% of governments stated that these actions are taken while the percentage of disabled persons organizations who stated that such actions were taken was less than 52% on three of the four actions, with the exception of information to persons with disabilities which scored 63%. On passing legislations both responses from the disabled persons organizations and governments showed the lowest percentage of implementation for this action at 57% for governments and 46% for disabled person's organizations respectively. Figure 3.4 Rule 2 Has your government taken any action on the following: Cause OfDisabilityImprove HealthEarly TreatTrainingPersonnelUpdate MedicalEnsure Access Early Detect 100 90 80 70 60 50 40 30 20 10 0 On the remaining seven (7) actions, relating to the quantity and quality of medical care, the percentage of governments that reported taking action was much higher than that of disabled persons organizations on all seven (7). However, governments scored more than 84% on four of the actions, (causes of disability; improving the health; early detection; early treatment). On the same actions disabled persons organizations' responses ranged between 50% and 62% with improving health as the highest at 62%, while causes of disability and early detection were at 57% and early treatment scoring slightly lower at 50%. 75 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 With regard to training personnel and ensuring access to medical care, 75% of governments stated that such actions exist, while 50% of disabled persons organizations acknowledged the existence of actions to train personnel and 39% reported the existence of actions to ensure access. Among the seven actions, updating medical information was reported to be the lowest by both governments and disabled persons organizations at 57% and 28% respectively. Rule 3. Rehabilitation States should ensure the provision of rehabilitation services to persons with disabilities in order for them to reach and sustain their optimum level of independence and functioning. There are 22 actions in all relating to the implementation of rehabilitation for persons with disabilities, in order to achieve full participation in society. 7 Seven (7) of the actions relate to the societal response to rehabilitation matters , ten related 8 to inclusiveness and coverage of the services , while the other 5 actions pertained to the 9 involvement of various stakeholders in matters of rehabilitation for persons with disabilities. 7 Adopting policies Passing legislation Adopting programmes Allocating financial resources Training personnel Making rehabilitation services accessible to persons with disabilities Consulting and cooperating with organizations of persons with disabilities 8 All types of disabilities (including psycho-social & developmental disabilities) Children with disabilities Women with disabilities Low-income, working class and poor persons with disabilities All geographical locations (rural, urban, agricultural, tribal, etc.) All socio-economic classes and ethnic groups The organizations of persons with disabilities The families of people with disabilities The communities in which people with disabilities live The specific/diverse needs of persons with disabilities 9 Does the planning, design, implementation and evaluation of rehabilitation programmes involve: Medical personnel Families of persons with disabilities Schools, educational institutions and teaching staff Communities of persons with disabilities 76 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Among the first seven actions, passing legislations to ensure the right to rehabilitation scored the lowest by both governments and disabled persons organizations. The percentage of disabled persons organizations reporting the existence of legislations was slightly higher than governments at 53% and 50% respectively. Eighty-five percent (85%) of government and 60% of disabled persons organizations reported the accessibility of rehabilitation services to persons with disabilities. Actions on training personnel were reported to exist by 85% of government while 60% of disabled persons organizations said that they had been implemented. Fifty percent (50%) to 60% of all disabled persons organizations reported the existence of policies, financial allocations, training personnel, access to rehabilitation, and consulting disabled persons organizations. While more than 60% of governments that responded reported the existence of policies, programmes and consultation with disabled persons organizations. Figure 3.5 Rule 3 What actions has your government taken to provide rehabilitation services for PWD? PoliciesLegislationFinanceTrainingPersonnelRehab accessConsulting DPOs Programs 100 90 80 70 60 50 40 30 20 10 0 Organizations of persons with disabilities 77 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 When asked about the inclusiveness of rehabilitation services more governments than disabled persons organizations reported that they are inclusive of all types of disability (78% government; 57% disabled persons organizations). With regard to the targets and coverage of rehabilitation services, governments' and disabled persons organizations' responses were as follows: rehabilitation for children 89% versus 75%; for women 85% versus 68%; for low income populations 85% versus 68%. On whether rehabilitation services cover all geographic locations, the responses were 75% versus 47%; all social classes & ethnic groups 85% versus 83%. On the inclusion of families of persons with disabilities in rehabilitation the responses were 75% versus 39%; and on community inclusion 57% versus 21%. Whether rehabilitation covered all needs of persons with disabilities the responses were 60% of governments versus 43% of disabled persons organizations saying that they did. Figure 3.6 Rule 3 In your country, are rehabilitation services inclusive of the following: Type Of DisabilityChildLow IncomeGeographicalLocationsClasses/EthincsNeeds Women 100 90 80 70 60 50 40 30 20 10 0 Community Family DPO 78 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On the question of the involvement of other sectors of society in rehabilitation of persons with disabilities, responses ranged between 93% and 60% for governments, and for disabled persons organizations from 57% to 21%. The details are as follows: On the involvement of the medical establishment 93% of government respondents said they do, as opposed to 57% of disabled persons organizations. With regard to involvement of the families of persons with disabilities 82% of governments versus 36% of disabled persons organizations said they are involved. While schools and educational institutions' involvement elicited a 79% response from governments and 46% from disabled persons organizations. Regarding involvement by the community, and involvement by organizations of persons with disabilities, governments responded with at 61% versus 21%, and 68% versus 57%, respectively. Figure 3.7 Rule 3 In your country, does the planning, design, implementation and evaluation of rehabilitation programmes involve the following: 100 90 80 70 60 50 40 30 20 10 0 MedicalFamilies of PWDSchools/InstitutionCommunityDPOsPrograms disc. 79 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 4. Support services States should ensure the development and supply of support services, including assistive devices for persons with disabilities, to assist them to increase their level of independence in their daily living and to exercise their rights. The Survey questions encompassed all 14 actions required for full implementation of the rule from developing and supplying assistive devices to persons with disabilities (6 actions)10 to the inclusiveness of the services (8 actions)11 . The number of governments that reported having policies, legislations and programmes for supplying assistive devices was considerably low considering the importance of such services for persons with disabilities, at around 60%. While 40% of the disabled persons organizations responded that policies and legislations exist, and only 28% responded that programmes do exist. 10 Adopting policies Passing Legislations Instituting programmes Allocating financial resources Supplying assistive devices Consulting disabled persons organizations 11 Children with disabilities Women with disabilities Low-income, working class persons with disabilities Persons with disabilities in all geographic locations All socio-economic classes All ethnic groups All religious groups All types of disabilities 80 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.8 Rule 4 What actions has your government taken to develop and supply assistive devices for PWD? PoliciesLegislationProgramsFinanceSupply IndividualConsulting DPOs 100 90 80 70 60 50 40 30 20 10 0 With regard to supplying assistive devices, more governments reported the existence of actions at 89%, while on financial allocations 75%. This may mean that actions take place regardless of the institutional framework. The reported answers indicate that actions are not necessarily dependent on legislations. According to these responses, more actions are implemented than legislated for. On consulting with disabled persons organizations 71% of governments responded that they do, while only 46% of disabled persons organizations said they play a consultative role on this issue. With regard to supplying devices to individuals and financial allocations 57% and 54% of disabled persons organizations said that these actions are implemented. With regard to the inclusiveness of services, on all eight actions, governments recorded much higher responses than disabled persons organizations. The highest, at over 80% of governments' responses was on the supply of devices to low income persons with disabilities and children with disabilities; and over 70% of governments reported the existence of services to women and all types of disabilities. Geographic region, classes, ethnic groups, religious groups received an overall 60% positive response by governments. 81 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 With the exception of all types of disabilities, on which 54% of disabled persons organizations responded to the existence of this action, less than 50% of disabled persons organizations responded to the existence of services to all other target groups. Rule 5. Accessibility States should recognize the overall importance of accessibility in the process of the equalization of opportunities in all spheres of society. For persons with disabilities of any kind, States should (a) introduce programmes of action to make the physical environment accessible; and (b) undertake measures to provide access to information and communication. Thirty-nine actions in all were derived from Rule 5 on Accessibility. Nine (9) represent political, structural and social responses to the issues of accessibility, while five pertain to codes and standards of accessibility for the physical environment and four pertain to information on accessibility, and 9 actions have to do with the provision of accessible information. An additional five actions are concerned with the accessibility of information to all types of disabilities; and five with the specificity of information. The remaining four actions have to do with means of monitoring the or access to accessibility of the physical environment and information. On political, structural and social responses to the physical accessibility of the environment for persons with disabilities, the number of governments that reported having taken these actions ranges from 43% to 71%, while disabled persons organizations' responses ranged from 21% to 50%. The disabled persons organizations' responses were lower than those of governments, with the widest gap being in raising awareness about accessibility; implementing accessibility programmes; and consulting with disabled persons organizations. On these three actions over 68% of governments responded that actions exist, while less than 50% of the disabled persons organizations said that they do. 82 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.9 Rule 5 In your country, does the government provide the support which PWD need with regard to assistive technology, personal assistance, interpreter services, etc. to do the following: PoliciesLegislationFinanceTrain engineersImplementaccess programConsulting DPOs Programs 100 90 80 70 60 50 40 30 20 10 0 Raising awareness The percentage of governments that stated they have policies was 68% versus 46% for disabled persons organizations; on legislations 60% versus 50%; on programmes 50% versus 28%; on financial allocations 50% versus 36%; on training engineers 43% versus 21%; on raising awareness 71% versus 39%; and on consulting disabled persons organizations 71% versus 39%. On the accessibility of the physical environment, the discrepancy between governments and disabled persons organizations' responses on the five actions relating to the physical environment was relatively narrow. Fifty percent (50%) of governments and disabled persons organizations reported accessibility of the outdoor environment; 39% of governments versus a slightly higher percentage of disabled persons organizations (43%) reported accessibility of transportation by land, sea, etc. 83 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.10 Rule 5 What actions has your government taken to make the physical environment accessible to all PWD? Schools/HospitalsPublic buildingsOutdoor environmentLand, Sea transportHousing 100 90 80 70 60 50 40 30 20 10 0 Accessibility with regard to schools, hospitals, public buildings was at 61% for governments versus 50% response from disabled persons organizations, while on housing, responses were 46% versus 43%. On information regarding accessibility, governments also reported higher, ranging between 43% to 75%; while disabled persons organizations responding ranged between 25% and 36%, as follows: Forty-three percent (43%) versus 29% on information on accessibility to persons with disabilities; Forty-six percent (46%) versus 25% on information on accessibility to the families of persons with disabilities; Fifty-three percent (53%) versus 36% on information on accessibility to representatives of persons with disabilities; and Seventy-five percent (75%) versus 36% on information about accessibility available to society at large. 84 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.11 Rule 5 Does government provide information regarding accessibility to the following: PWDsFamilies of PWDReps of PWDSociety 100 90 80 70 60 50 40 30 20 10 0 With regard to the accessibility of information there are eight (8) actions in all. On all eight a higher percentage of governments reported the existence of these actions, with the highest reporting at 61% on both policies and consulting with organizations of persons with disabilities. On legislation, finance and programmes 54% of governments reported the existence of such actions. On raising awareness 57% of governments reported the existence of actions, while on both training of personnel and implementation of programmes they reported 50% and 46% respectively. On the other hand, on playing a consulting role, disabled persons organizations reported the closest to governments at 50%. The lowest reporting by disabled persons organizations were on financial allocation and awareness raising at 21%, followed by policies, legislations, training of personnel, and implementation of programmes all reporting at or around the 30% mark. 85 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.12 Rule 5 What actions has your government taken to ensure accessibility of information to PWD? PoliciesLegislationFinanceTrainingImplement programConsulting DPOs Programs 100 90 80 70 60 50 40 30 20 10 0 Raising awareness In relation to accessibility of information to all types of disabilities, governments recorded a higher percentage than disabled persons organizations, with the highest being 71% for accessibility for blind persons, followed by 68% for deaf and hard of hearing persons, 53% for deafblind persons, and with the lowest reporting at 39% for psychosocial disabilities. The narrowest gap between governments and disabled persons organizations was on accessible information for deaf and hard of hearing persons, with a 68% response from governments and 64% from disabled persons organizations. Disabled persons organizations' responses on all other actions ranged between 29% for persons with psycho-social disabilities to 46% for blind persons. Concerning the accessibility of information and services to persons with disabilities, governments and disabled persons organizations were asked to indicate whether the following information was available in the following forms: Literature Braille - 78% of governments versus 57% of disabled persons organizations responded that it is available; Literature on tape - 75% versus 54%; and newspapers and magazines on tape and/or in Braille was reported at 36% versus 25%. 86 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On sign language, the percentage of governments responding to the availability of information and services in sign language was much higher than that of disabled persons organizations at 71% versus 68%, while both scored similarly (and very low) for the availability of Easy Readers for persons with intellectual disabilities at 28% for governments and disabled persons organizations. Figure 3.13 Rule 5 In your country, is information accessible to the following groups of people with disabilities: BlindDeaf & BlindDeaf or HearingDevelop DisabilitiesPsycho Social 100 90 80 70 60 50 40 30 20 10 0 When asked about monitoring the accessibility of the environment and information for persons with disabilities, four actions for monitoring were included: -The existence of an ombudsman -Monitoring via government bodies -Monitoring through experts from disabled persons organizations -Monitoring through arbitration and conciliation bodies Generally, more governments reported the existence of monitoring than did disabled persons organizations, as follows: 64% versus 27% reported the existence of government bodies, 32% versus 21% of disabled persons organizations said that experts on disability are used in monitoring; 29% versus 18% said that there is an ombudsman; and only 18% of government responded that there are arbitration and conciliation bodies while only 7% of disabled persons organizations reported their existence. 87 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.14 Rule 5 In your country, are any of the following services available to PWD? BrailleTapeNews on tapeSign interpreterEasy reader 100 90 80 70 60 50 40 30 20 10 0 Figure 3.15 Rule 5 What actions does your government take to monitor the accessibility of the environment and of information for PWD? OmbudsmanGov. bodiesExpertsArbitration/ Conciliation 100 90 80 70 60 50 40 30 20 10 0 88 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 6. Education States should recognize the principle of equal primary, secondary and tertiary educational opportunities for children, youth and adults with disabilities, in integrated settings. They should ensure that the education of persons with disabilities is an integral part of the educational system. Rule 6 identified 24 actions necessary for achieving quality education for persons with disabilities in integrated settings with the aim of equalizing educational opportunities for persons with disabilities. Eight (8) actions12 that ensure education in integrated settings for persons with disabilities were identified; while seven13 (7) asked about the availability of education to various groups; five (5) related to the adequacy of education to persons with disabilities; and the remaining four (4) inquired about the involvement of various stakeholders in the process of educating persons with disabilities. Generally, the percentage of governments responding to the existence of actions on education for persons with disabilities was much higher than that of disabled persons organizations. 12 Adopting policies Passing legislation Adopting programmes Allocating financial resources Modifying and adapting schools to the needs of children with disabilities Training teachers & school administrators Providing accessible schools, classrooms & educational materials Involving organizations of persons with disabilities in planning & implementing 13 Children with disabilities Women with disabilities Low-income & working class persons with disabilities All ethnic groups All religious groups All communities & geographic areas All types of disabilities 89 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.16 Rule 6 What actions has your government taken to ensure the education of PWD in integrated settings? PoliciesLegislationFinanceModifying SchoolProviding accessInvolving PWD Programs 100 90 80 70 60 50 40 30 20 10 0 Training More than 70% of governments reported having implemented all eight (8) actions; and more than 40% of disabled persons organizations reported that all eight (8) actions were taken. The percentage of governments reporting that percentages on all actions implemented ranged between 90% on programmes and 75% on legislations and modifying schools; while the disabled persons organizations' responses ranged between 71% on training of teachers and 46% on the allocation of finances. The highest discrepancy was on the allocation of finances where 82% of governments stated that they had allocated resources for education in integrated settings, while 46% of disabled persons organizations reported those actions having been implemented. The narrowest gap was on modifying schools to accommodate persons with disabilities, where 75% of governments said they had done so and 64% of disabled persons organizations said that such actions had been implemented. Concerning the availability of education to various groups, again governments had a higher percentage of positive responses than disabled persons organizations; with the highest being on the education of children at 96% and lowest was on education for all disabilities at 68%. 90 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 The difference between disabled persons organizations and governments was at 25% on most actions. But the least discrepancy between governments and disabled persons organizations was recorded on children with disabilities where at 96% of governments responded and 89% of disabled persons organizations. The largest gap was observed with regard to disabled persons in all communities, where governments were at 78% and disabled persons organizations were at 46% Figure 3.17 Rule 6 In your country, is education available to the following members of society: ChildrenWomenEthnic GroupsReligious GroupsAll Disabilities Low Incomes 100 90 80 70 60 50 40 30 20 10 0 PWD in allCommunities On availability of education for women with disabilities responses were relatively close, with 75% of government and 68% of disabled persons organizations saying that education is available. With regard to low-income persons with disabilities responses stood at 78% versus 54%; on ethnic groups they stood at 75% versus 50%; and on all religious groups they reported at 75% versus 50%. In relation to educational methods and tools for persons with disabilities , governments reported a higher availability but the gap was very narrow. On all five actions more than 68% of governments reported the use of all methods to make education accessible and more than 52% of disabled persons organizations reported the availability of same. 91 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.18 Rule 6 In your country, does the education for PWD include the use of? Sign LanguageEduc. in brailleLessons on tapeEduc. MaterialsPrograms forchildren needs 100 90 80 70 60 50 40 30 20 10 0 The highest percentages for both governments and disabled persons organizations were on the availability of educational materials in Braille at 89% for governments and 82% for disabled persons organizations. With regards to the use of sign language interpretation in education, 78% of government versus 75% of disabled persons organizations reported the availability. As for lessons on tape, responses were 68% for governments versus 53% for disabled persons organizations; and 75% versus 60% for availability of educational materials and methods suitable for intellectual disabilities; and finally on children whose needs cannot be met in integrated settings, 71% of governments reported actions taken to meet their needs as opposed to 60% of disabled persons organizations. Sign language interpreters Educational materials in Braille Lessons on tape Educational materials & teaching methods appropriate for intellectual disabilities Programmes for children whose needs cannot be met in integrated settings 92 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On the question of the involvement of all stakeholders in the education of children with disabilities, governments reported higher involvement of organizations of persons with disabilities (86%) and higher involvement of the community in general (61%) than did the disabled persons organizations that responded to the Survey. With regard to the involvement of NGOs that specialize in children's issues both governments and disabled persons organizations reported similarly at 71%; while there was only a slight difference between the responses of governments and disabled persons organizations on involvement of parents at 82% and 78% respectively. Figure 3.19 Rule 6 Other than educational authorities, are the following groups involved in the educational process for children and adults with disabilities? ParentsDPOsChildren’s NGOsCommunity 100 90 80 70 60 50 40 30 20 10 0 Parents Disabled persons organizations NGOs dealing with children The community 93 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 7. Employment States should recognize the principle that persons with disabilities must be empowered to exercise their human rights, particularly in the field of employment. In both rural and urban areas they must have equal opportunities for productive and gainful employment in the labour market. In order to achieve equalization of opportunities for persons with disabilities in employment in accordance with Rule 7, thirteen (13) actions need to be implemented. Nine (9) of them have to be implemented at the structural level, and the remaining five (5) have to do with equality and equal opportunities in employment. On the implementation of the first nine actions governments reported higher than disabled persons organizations, at times exceeding the 70% mark. On policies governments' responses were 71%, and similarly on legislations at 82%, while responses on programmes stood at 75%, and on training of persons with disabilities they responded at 86%. With regard to raising awareness among managers and administrators regarding the issues of persons with disabilities, governments were at 75%. On the remaining actions government responses ranged between 53% and 64%. The responses of disabled persons organizations displayed the same pattern with lower responses on each of the actions, ranging between 61% on legislation and 29% on accessible transportation to the workplace. Responses for the other actions ranged between 39% to 57%. Adopting policies Passing legislations Adopting programmes Allocating financial resources Training persons with disabilities Modifying & adapting the physical, social & administrative environment Raising awareness among managers & administrators Accessible transportation & work stations Cooperating with disabled persons organizations 94 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.20 Rule 7 What actions has your government taken to encourage the integration of PWD into open employment? 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceTraining PWDModifyingenvironmentRaisingawarenessAccessibletransp. Cooperatingwith DPOs When considering equal opportunities to employment for persons with disabilities, again governments responded at a higher percentage than disabled persons organizations on the implementation of all five actions as follows: on the hiring of persons with disabilities, governments responded at 64% versus 21% for disabled persons organizations; on promoting persons with disabilities, responses were at 61% versus 29 %. Regarding whether persons with disabilities had the right to the same benefits, pay increases and participation in employee training programmes as non-disabled employees, governments responded affirmatively at 75%, 68% and 60% respectively; while the responses of disabled persons organizations on the same issues were at 43%, 29% and 46% respectively. 95 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.21 Rule 7 In your country, do PWD have the same prospects as others with regard to the following: HiringPromotionsWork benefitsPaymentincreaseParticipation intraining 100 90 80 70 60 50 40 30 20 10 0 Rule 8. Income maintenance and social security States are responsible for the provision of social security and income maintenance for persons with disabilities. In order for persons with disabilities to enjoy equal opportunities and full participation and maintain a standard of living that affords them dignity and respect, the governments are supposed to implement 16 actions in all to fulfill Rule 8 of the Standard Rules. The first six (6) actions have to do with making structural changes in order to provide the services necessary while the remaining 10 have to do with the inclusiveness of these services to other groups, including families and care givers of persons with disabilities. Adopting policies Passing legislations Adopting programmes Allocating financial resources Providing persons with disabilities with information Consulting with disabled persons organizations 96 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Although the scores for both governments and disabled persons organizations were considerably low on these actions, still government responses were higher than those of disabled persons organizations. On policies, legislations, programmes, the allocation of financial resources and the implementation of programmes, governments responded at 50%, 60%, 50% and 64% respectively. While on these same actions, disabled persons organizations responded at 25%, 39%, 14% and 39% respectively. On providing persons with disabilities with information on income maintenance and support and on consulting with the disabled persons organizations responses were at 64% versus 36%, and 50% versus 36% respectively. Figure 3.22 Rule 8 What actions has you're your government taken to ensure the income maintenance and support for the People with Disabilities? PoliciesLegislationProgramsFinanceInfo to PWDConsultingDPOs 100 90 80 70 60 50 40 30 20 10 0 On the remaining 10 actions pertaining to the inclusiveness of this service to all types of disabilities, all ethnic, religious and economic backgrounds, as well as parents, families and Temporary loss of income due to disability Disability caused by on-the-job-accidents Physical disabilities Sensory disabilities Intellectual disabilities Psychosocial disabilities Women Families of children Caregivers of persons with disabilities Persons with disabilities from all social, economic, religious & national backgrounds 97 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 caregivers, governments' responses were higher than those of disabled persons organizations on the existence and inclusiveness of these services. However, with regard to income maintenance and financial support for persons whose disability is caused by on-the-job accidents, the responses of disabled persons organizations exceeded those of governments at 43% versus 28%. Regarding all of the other actions on support and income maintenance, responses for governments versus disabled persons organizations were recorded as follows: Temporary loss of income at 68% versus 50% Physical disability 75% versus 46% Sensory disabilities 64% versus 39% Intellectual disabilities 71% versus 39% Psychosocial disabilities 61% versus 32% Women with disabilities 71% versus 43% Families of persons with disabilities 68% versus 29% Caregivers of persons with disabilities 50% versus 21% All persons with disabilities regardless of background and social status 64% versus 39% Figure 3.23 Rule 8 In your country, does the financial support provided for the PWD include the following: TemporarilyLost IncomeOn the jobAccidentIntellectualPsyco SocialWomenAll PWD PhysicalDisability 100 90 80 70 60 50 40 30 20 10 0 Care Given Families SensoryDisability 98 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 9. Family life and personal integrity States should promote the full participation of persons with disabilities in family life. They should promote their right to personal integrity and ensure that laws do not discriminate against persons with disabilities with respect to sexual relationships, marriage and parenthood. Fourteen (14) actions in all were identified within this rule, the implementation of which would guarantee the right of persons with disabilities to a family life and personal integrity equally with other persons in society. On the first eight (8) actions dealing with structural societal conditions conducive to the exercise of family life, both governments and disabled persons organizations reported a low percentage of implementation. On four (4) of the eight actions, less than 50% of governments responding reported implementation relating to policies, legislations, financial allocations, and mechanisms to report discrimination. With regard to the implementation of programmes government responses stood at the 50% mark. On the three (3) actions relating to raising awareness both of society at large and persons with disabilities themselves, and the establishment of mechanisms to report discrimination, government responses were also still low at the 60% or less mark. The responses of disabled persons organization on these same eight actions were even lower, though consistent with the pattern of responses throughout the Survey. Ten percent (10%) of disabled persons organizations responding reported the existence of actions pertaining to the allocation of financial resources; 14% for legislation; 18% for both programmes and mechanisms for reporting discrimination; 21% for policies. Twenty-five percent (25%) reported on the existence of actions aimed at raising awareness among persons with disabilities; and 32% on both social awareness and consulting with the organizations of persons with disabilities. Adopting policies Passing legislations Adopting Programmes Allocating financial resources Raising social awareness of these rights Raising awareness among persons with disabilities of their rights Establishing mechanisms for reporting discrimination Consulting disabled persons organizations 99 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.24 Rule 9 What actions has your government taken to ensure the full participation of PWD in family life, including protecting and promoting their rights and personal integrity? PoliciesLegislationFinanceSocial awarenessReport DiscrimInvolve PWD Programs 100 90 80 70 60 50 40 30 20 10 0 Awarenessamong PWD On actions pertaining to the enjoyment by persons with disabilities of the rights to family and personal integrity, the responses revealed a wide, although consistent, gap between the reporting of governments and those of disabled persons organizations regarding the existence of these actions: On the right to full participation in family life (89%); the right to sexual relations (89%); the right to marriage (89%); the right to parenthood (89%); and the right to consulting services on these matters (89%); i.e. 89% of the governments responding said that actions do exist to guarantee those rights. Additionally, 85% of governments said that persons with disabilities have the right to privacy. Generally, the responses of disabled persons organizations to the existence of these actions ranged between 52% for the right to full participation and 32% for the right to receive consultation on these issues. Looking at the 14 actions pertaining to family life and personal integrity reveals an area in need of further examination in order to assess the conditions of persons with disabilities and to bridge the gap between the official/government perception of the situation and that of the disabled persons organizations with regard to these vital rights. 100 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.25 Rule 9 In your country, do PWD enjoy the right to: Full participationSexual relationsMarriageParenthoodPrivacyConsultingServices 100 90 80 70 60 50 40 30 20 10 0 Rule 10. Culture States will ensure that persons with disabilities are integrated into and can participate in cultural activities on an equal basis. In order for persons with disabilities to be able to participate in culture and cultural activities 18 actions need to be taken by governments. Eleven of those actions would ensure full and equal participation for persons with disabilities, while the remaining seven (7) have to the with the inclusive nature of this participation. The position of governments and disabled persons organizations on these actions reveals wide variation. In some cases, the government perspective shows as much as a three-fold difference from that of disabled persons organization. One illustration of this point is on Adopting policies Passing legislations Adopting programmes Allocating financial resources Raising social Awareness Raising awareness among persons with disabilities Providing accessible venues for participation Providing accessible venues for contribution Providing accessible information on cultural activities Making performances accessible Involving disabled persons organizations 101 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 policies where 64% of governments said that policies exist while only 21% of disabled persons organizations said that they do; similarly on programmes 57% of governments said that there are programmes while only 18% of disabled persons organizations acknowledged their existence. On all other actions, a consistent discrepancy was observed. Figure 3.26 Rule 10 What actions has your government taken to ensure that PWD are integrated into and can participate in cultural activities on equal basis? PoliciesLegislationFinanceContributionsInvolving DPOs 100 90 80 70 60 50 40 30 20 10 0 Providingvenues ProgramsSocial awarenessAccessible info Awarenessamong PWDMaking cultureaccessible On the issue of the inclusiveness of the right to equal participation in cultural activities, governments reported higher implementation than disabled persons organizations. The highest reporting by governments was on the actions relating to the participation of children with disabilities in cultural activities and events; and the lowest was on actions to ensure the participation of persons with disabilities from all ethnic and religious backgrounds and in all communities. The responses on ethnic & religious backgrounds did not exceed 35% and for the latter were at 25%. Similarly for the rest of the target groups, government responses did not exceed the 60% mark, while the percentage of implementation reported by disabled persons organizations did not exceed 50%, as follows: on children 46%; women 39%; low- income persons with disabilities 39%; all ethic groups 32%; all religions 32%; all communities 25%; all persons with disabilities 39%. Children with disabilities Women with disabilities Low-income, working class, poor persons with disabilities All ethnic groups All religious groups All communities All types of disabilities 102 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.27 Rule 10 In your country, do the following PWD participate equally in cultural activities: ChildrenWomenDP All ethnicsDP All religiousAll Disabilities Low income 100 90 80 70 60 50 40 30 20 10 0 DP AllCommunities Rule 11. Recreation and sports States will take measures to ensure that persons with disabilities have equal opportunities for recreation and sports. In all, 15 actions need to be taken in order to fully implement rule 11 and provide for full and equal participation in recreation and sports for persons with disabilities. Ten (10) of those actions are needed in order to provide the optimum conditions for the participation of persons with disabilities; while the remaining five (5) have to do with ensuring equal participation at all levels. Adopting policies Passing legislations Adopting programmes Allocating financial resources Raising social awareness Raising awareness among persons with disabilities Accessible venues for participation Accessible information Accessible for all types of disabilities Involving disabled persons organizations 103 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 With regard to all ten actions government reporting was higher and the discrepancy between governments and disabled persons organizations was consistent. The highest responses for governments was on the actions to involve disabled persons organizations at 78% while on legislations relating to the participation of persons with disabilities in sports and recreational activities, governments reported lowest at 39%. By the same token the highest response among disabled persons organizations on involving the organizations of persons with disabilities stood at 50% and the lowest was on legislation at 18%. The largest discrepancy was observed in the area of programmes, with 68% for governments versus 25% for disabled persons organizations; and in awareness raising among persons with disabilities at 64% versus 21%. Other actions ranged from 50% on allocation of financial resources to 25% on policies from the point of view of disabled persons organization. Figure 3.28 Rule 11 What actions has your government taken to ensure that the PWD have the opportunity to equally participate in sports and recreational activities? PoliciesLegislationRaising socialawarenessAwarenessamong PWDVenues toparticipateInvolving DPOs Programs 100 90 80 70 60 50 40 30 20 10 0 Making sportsaccessible Accessible info Financialresources 104 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On the issue of participation in sports and recreational activities at all levels governments and disabled persons organizations registered relatively closer views. On participation in amateur athletics; and competing at the international level, 57% and 68% of governments and 53% and 64% of disabled persons organizations reported that actions have been taken to ensure those rights, respectively. With regard to participation at the community level, governments and disabled persons organizations reported 64% versus 50%; and on participation at the national level 71% versus 57% responded that actions had been implemented to guarantee those rights. Both governments and disabled persons organizations reported lower implementation on the issue of persons with disabilities competing as professional athletes, with 36% and 21% respectively. Figure 3.29 Rule 11 In your country, do PWD equally participate in sports and recreational activities at the following levels: Community LevelNational LevelInter. LevelAmateurAthletesPro. Athletes 100 90 80 70 60 50 40 30 20 10 0 105 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Rule 12. Religion States will encourage measures for equal participation by persons with disabilities in the religious life of their communities. With regard to enabling persons with disabilities to participate equally in the religious life of their communities, governments are required to apply 10 actions in all starting with formulating policies to the involvement of disabled persons organizations. Both governments and disabled persons organizations reported very low percentages with regard to the implementation of actions necessary to ensure the participation of persons with disabilities in religious activities. At the high end 46% of governments and 25% of disabled persons organizations reported the existence of policies and legislations, respectively, to ensure the participation of persons with disabilities. The discrepancy between the responses of governments and disabled persons organizations remained consistent at an average of 20%. Adopting policies Passing Legislations Adopting programmes Allocating financial resources Raising social awareness Raising awareness among persons with disabilities Accessible venues for participation Accessible information on events & services Accessibility to all types of disabilities 106 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.30 Rule 12 What actions has your government taken to encourage equal participation by PWD in the religious life of their communities? PoliciesLegislationSocial awarenessAwarenessamong PWDInvolving DPOs Programs 100 90 80 70 60 50 40 30 20 10 0 Making activitiesaccessible Accessible info FinancialAccessible venues The lowest percentage of responses from governments was 28% for raising awareness among persons with disabilities; and the lowest from disabled persons organizations was 14% on the allocation of financial resources. Rule 13. Information and research States assume the ultimate responsibility for the collection and dissemination of information on the living conditions of persons with disabilities and promote comprehensive research on all aspects, including obstacles that affect the lives of persons with disabilities. The importance of this rule lies in the fact that information and statistical data are essential to the formulation of policies and legislations based on correct and accurate information about disability, the numbers of persons with disabilities, the types, distribution and causes. Twenty-four (24) actions in all are required in order to effectively implement this rule. Nine (9) actions pertain to the procedures necessary to collect and disseminate information, while 16 actions relate to the areas that should be covered by the information and statistical data. 107 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On the first five (5) actions, covering policies, legislations, programmes, financial allocations, and social awareness, neither governments' nor the disabled persons organizations' responses exceeded 50%, with legislations receiving the lowest number of responses from both at 28% versus 21% respectively. Both governments and disabled persons organizations responses were equal for the action relating to allocation of financial resources; and the largest discrepancy was observed on policies at 50% versus 25% . With regard to the actions relating to statistics and the involvement of disabled persons organizations much higher reporting by governments was observed than for the other actions, at 78% and 64% respectively. While disabled persons organizations responses to the same actions were at 64% and 54% respectively. On the last two actions in this set dealing with dissemination of information and updating statistical information, 57% of governments reported the existence of both those actions, while 46% of disabled persons organizations reported on the existence of the former and 36% the existence of the latter. Prevalence & incidence Types of disabilities Disaggregate data Needs Services & programmes Availability, coverage & scope of services Living conditions Educational situation Workplace conditions Employment opportunities Expenditure incurred by disability Impact of social policies on persons with disabilities Type of research available & parties conducting it Organizations: programmes, services, coverage, location Disability issues: local, national, regional, international, events, studies 108 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.31 Rule 13 What actions has your government taken to collect and disseminate information and promote research on all issues affecting the lives of PWD? 100 90 80 70 60 50 40 30 20 10 0 PoliciesLegislationProgramsFinanceSocialawarenessStatisticsInvolving DPOsDisseminatingstatisticsUpdatingstatistics With regard to the second set of actions relating to coverage of the information, both governments and disabled persons organizations reported the existence of information on all 15 of the areas indicated in the Survey, however, with considerable variance. On the area of prevalence and incidence of disability, disabled persons organizations recorded a higher percentage than governments at 61% and 57% respectively. While for the type of research available 18% of both governments and disabled persons organizations reported that such information is available. In most other areas the discrepancy between the responses of governments and disabled persons organizations ranged between 15% and 30%. 109 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.32 Rule 13 In your country, does the statistical information cover the following: 100 90 80 70 60 50 40 30 20 10 0 Prevalence incidenceDisaggregate dataServices & ProgramsAvailable coverageEmp;oy. Oppor. Expenditures entailedTypes of research TypesNeeds of PWDLiving conditionCondition of workplaceImpact of social policies Educational situationDPOsLocal national issues Rule 16. Economic policies States have the financial responsibility for national programmes and measures to create equal opportunities for persons with disabilities. Five (5) actions were identified in relation to this rule dealing with adopting policies, adopting legislations, supporting projects for persons with disabilities, establishing a disability fund, and finally involving disabled persons organizations. On the average governments reported higher than disabled persons organizations on all five actions with roughly the same level of discrepancy between them. On policies and legislations 43% of governments versus 25% of disabled persons organizations reported that they exist; on support for projects responses were 68% versus 37%; on establishing a disability fund 43% versus 36%, and on involving disabled persons organizations they responded at 61% versus 29%. 110 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.33 Rule 16 What economic policies has your government undertaken to create equal opportunities for PWD? PoliciesLegislationSupport to projectsDisability FundInvolving PWD 100 90 80 70 60 50 40 30 20 10 0 Economic policies are planning issues that require the involvement of experts on disability issues, and therefore the involvement of disabled persons organizations and persons with disabilities. It is obvious from the responses that many governments believe that they involve disabled persons organizations in economic policies much more than persons with disabilities themselves believe it. This may have to do with the definition of involvement or the extent to which they are involved. Rule 17. Coordination of work States are responsible for the establishment and strengthening of national coordinating committees, or similar bodies, to serve as a national focal point on disability matters. Ten (10) actions were identified in two sets of five actions each. The first having to do with strengthening and supporting coordination of work, and the second set with the nature and representation of the coordinating bodies. The first set encompasses the following actions, and on which responses were as follows: 111 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 The establishment of permanent coordination committees 79% governments as opposed to 43% disabled persons organizations; the provision of a legal mandate (54% as opposed to 29%); the allocation of financial resources (50% versus 39%); involving disabled persons organizations in the coordination of work (75% versus 54%), and finally, ensuring a balanced representation of disabilities and gender (57% versus 32%) The expectation would be that there would be more conformity in the responses between governments and disabled persons organizations on these issues, since they involve actions that can be physically manifested through the existence of committees and formal structures. However, the results indicate that there are differing perceptions of these five issues. Figure 3.34 Rule 17 What actions has your government taken to establish and strengthen national coordinating bodies on disability? PermanentCommitteeLegal mandateAllocatingresourcesInvolving PWDBalancedrepresentative 100 90 80 70 60 50 40 30 20 10 0 With regard to the nature and makeup of the national committees or bodies, the responses of both governments and disabled persons organizations were reported as follows: On whether the committees, councils or bodies are representative of persons with disabilities, 85% of governments said they are while only 50% of disabled persons organizations agreed. 112 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On whether these bodies have a legal or political status the responses were at 68% versus 32%; on the representation of all types of disabilities, the responses were 60% versus 25%; while with regard to gender representation the gap between governments and disabled persons organizations was much wider at 54% versus 18%; and equally wide was the gap in responses with regard to the allocation of adequate financial resources at 46% and 14%. Figure 3.35 Rule 17 In your country, are there national committees (or similar bodies) on disability with the following: Represent PWDLegal & PoliticalType of DisabilitiesBalanced gender Rep. Adequate resources 100 90 80 70 60 50 40 30 20 10 0 Rule 18. Organizations of persons with disabilities States should recognize the right of the organizations of persons with disabilities to represent persons with disabilities at national, regional and local levels. States should also recognize the advisory role of organizations of persons with disabilities in decision-making on disability matters. Of the 14 actions identified in Rule 18 on the organizations of persons with disabilities, eight (8) are structural and six (6) pertain to the role of disabled persons organizations. On structural actions governments reported higher on all 8 actions than the disabled persons organizations and the discrepancy between them ranged between 40% on the advisory capacity of the disabled persons organizations to 10% on the representational status of the disabled persons organizations. 113 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.36 Rule 18 What actions has your government taken to ensure and encourage the formation and participation of organizations to represent PWD at national, regional and local levels? PoliciesLegislationAdminFinancial resourcesCooperate w/ DPOsGranting statistics Programs 100 90 80 70 60 50 40 30 20 10 0 Advisory capacity On other actions governments and disabled persons organizations responded as follows: With regard to advising on policies 57% versus 32%; on identifying needs and priorities, 53% as opposed to 32%; on participation of disabled persons organizations in planning 79% of governments said they did while only 36% of disabled persons organizations agreed; the same was reported on the participation of disabled persons organizations in the implementation of programmes, with again 79% of governments saying that they did and only 39% of disabled persons organizations agreeing. Disabled persons organizations responding on their participation in monitoring was at 39% whereas 68% governments said that they did. Identifying needs and priorities, and public awareness garnered the narrowest gap between the responses of governments and disabled persons organizations at 78% versus 71% and 78% versus 64% respectively. 114 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.37 Rule 18 In your country, what role do organizations of PWD play with regard to the following: Advisory PoliciesIdentify needs& priorityParticipate inplaningPublicawareness 100 90 80 70 60 50 40 30 20 10 0 Participate inimplementingParticipate inMonitoring Rule 19. Personnel training States are responsible for ensuring the adequate training of personnel, at all levels, involved in the planning and provision of programmes and services concerning persons with disabilities. The first seven (7) of the 10 actions on the training of personnel to work with persons with disabilities have to do with creating the conditions for adequate training of personnel at all levels. Both governments and disabled persons organizations reported low on existence of actions for the implementation of this rule. However, governments responded relatively higher than disabled persons organizations; and the discrepancy between their responses was relatively wide in some cases. On legislations, for example, only 29% of governments responded affirmatively; otherwise the responses of governments ranged between 50% and 64%. Only 14% of disabled persons organizations agreed on the existence of policies, and 18% on the existence of legislations; 36% on programmes; 29% on professional standards; 39% on the allocation of financial resources; 14% on capacity building; 32% on the involvement of disabled persons organizations. 115 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.38 Rule 19 What actions has your government taken to ensure adequate training of personnel at all level involved in the planning and provision of programmes and services to PWD? PoliciesLegislationPro. standardsFinancial resourcesInvolving DPOs Programs 100 90 80 70 60 50 40 30 20 10 0 Building capacity On the remaining 3 actions questioning the quality of training of personnel, 89% of governments stated that it exists as opposed to 68% of disabled persons organizations; 43% of governments acknowledged the involvement of disabled persons organizations in training as opposed to 39%; 71% of governments said that persons with disabilities are used as resources compared with 53% of disabled persons organizations who agreed. 116 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.39 Rule 19 In your country are any of the following actions implemented? TrainingInvolving DPOsin trainingUse PWD asresource 100 90 80 70 60 50 40 30 20 10 0 Rule 20. National monitoring and evaluation of disability programmes in the implementation of the Rules States are responsible for the continuous monitoring and evaluation of the implementation of national programmes and services concerning the equalization of opportunities for persons with disabilities. Twenty-three (23) actions were derived from the Rule to rate the existence of national monitoring and evaluation for the programmes and services necessary to provide equalization of opportunities for persons with disabilities. On the following four of the first seven (7) actions governments reported higher implementation of the required actions than disabled persons organizations : Existence of a formal definition of disability, 68% versus 43% Existence of specialized monitoring bodies, 40% versus 32% Collecting census data 61% as opposed to 40%; Conducting sample survey 64% versus 36% 117 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 With regard to the existence of a national registrar for persons with disabilities, organizations reported higher than governments at 36% and 25% respectively. The percentages were back to the predictable level for both governments and disabled persons organizations with the actions concerning using public records from services providers, (Such as ministries, hospitals, educational institutions, etc.) at 57% versus 39%. On using information collected by persons with disabilities responses were at 50% versus 46%. It is interesting to note, however that on all seven actions the responses of both governments and disabled persons organizations did not exceed 68%. Figure 3.40 Rule 20 What actions has your government taken to ensure monitoring and evaluation of the implementation of national programmes and services concerning the equalization of opportunities for PWD? FormalDefinitionSpecializedmonitoringNational regUsing records Collectingcensus/data 100 90 80 70 60 50 40 30 20 10 0 Using info from PWD Conductingsample survey The second set of actions is related to the coverage of monitoring and evaluation programmes. The data collected through this Survey shows that the coverage of issues related to monitoring and evaluation is considerably low on the areas, issues and dimensions of disability in all the responding countries. Yet even within this range of coverage, governments still reported higher coverage than disabled persons organizations. The discrepancy between governments and disabled persons organizations is consistent with the exception of services provided for organizations 118 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 of persons with disabilities in which governments reported more than 4 folds the percentage of disabled persons organizations' responses at 44% versus 10%. With regard to the remaining actions and areas of coverage, the responses were as follows: For size and scope of disability 57% versus 46%; on types of disabilities 64% versus 46%; on age distribution 68% versus 43%; with regard to gender and geographic distribution they reported at 60% versus 39%, and 64% versus 46%, respectively. With regard to the organizations of persons with disabilities 40% of governments versus 32% of disabled persons organizations responded that they are covered, including their numbers, size, type, scope and activities. On the programmes for persons with disabilities 35% of governments versus 28% of disabled persons organizations said that coverage includes their nature, numbers, capacity, scope, activities, and effectiveness. With regard to coverage of monitoring and evaluation of the services-providing organizations and services-providing personnel, 43% and 28% of governments responded that they are covered, while 10% and 14% of disabled persons organizations reported that they are covered. Figure 3.41 Rule 20 Does monitoring and evaluation cover the following: 100 90 80 70 60 50 40 30 20 10 0 Size scopeTypesAge distributionGenderdistributionOrg. of PWDPrograms of PWDServicesprovision Orgs. Servicesprovisionpersonnel Geographydistribution 119 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 On whether the information gathered from the monitoring and evaluation is put to use in policy making; in the adaptation and improvement of services; the revision and restructuring of programmes; dissemination to the public; awareness raising programmes; in annual and periodic development reports; or in research on disability, the disabled persons organizations responding affirmatively to all seven actions came to half the percentage of governments. Figure 3.42 Rule 20 Is information from monitoring and evaluation used in: Policy MakingAdaption & improvementAwarenessraising programAnnual & periodic reports Revision ofprograms 100 90 80 70 60 50 40 30 20 10 0 Research Public admin Rule 21. Technical and economic cooperation States, both industrialized and developing, have the responsibility to cooperate in and take measures for the improvement of the living conditions of persons with disabilities in developing countries. Cooperation at the international or regional levels whether technical or economic in nature, aims at creating a shared universal culture in which people's basic needs are met and their rights are protected. Giving and receiving aid, assistance, sharing and exchanging information and expertise are some of the actions central to this. Twenty-eight (28) actions in all were identified in relation to this rule. On all of them over 50% of governments responded to having taken action. The highest was 82% on cooperation on regional initiatives such as Disability Decades, Declarations, allocation of awareness raising days; and the lowest rate of responses at 57% was on being party to bi-lateral and multi-lateral agreements. 120 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Figure 3.43 Rule 21 What measures has your government taken to ensure the improvement of the living conditions of persons with disability? Signing treatiesBeing part toagreementProviding/ receivingtechnicalExchange InfoParticipate inprojectsRegionalInitiatives Providing Aids 100 90 80 70 60 50 40 30 20 10 0 Disseminate/ receivingtechnical For all other actions responses ranged between 64% and 71% for governments. By the same token, the highest responses for disabled persons organizations was on providing and receiving technical assistance at 60%; on providing and receiving financial aid at 57%. Most disabled persons organizations responses ranged between 39% and 57%. The widest discrepancy between government and disabled persons organizations responses was on taking part in regional initiatives at 84% versus 42%. The percentage of governments responding to having implemented on the next set of actions was as follows: signing international treatise and conventions 78%; being party to bilateral and multi-lateral agreements 57%; providing and receiving financial aid 68%; providing and receiving technical assistance 71%; exchanging information and expertise 71%; disseminating and receiving technical know-how and equipment 64%. If we consider that the attention paid by governments to the issues, needs and rights of immigrant and refugee population with disabilities represents the human face of international cooperation and is a manifestation of international responsibility, then the reported performance of governments on these actions does not make for a very positive picture. Only 53% of governments responded having taken any action on three of those issues: policies, making services accessible to immigrant and refugees with disabilities; and making education accessible to immigrants and refugees with disabilities. While for the rest of the actions government responses did not exceed 40% and were as low as 28%. 121 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 The disabled persons organizations' responses vary considerably from the governments', and reaching as much as five fold on many actions. These responses were as follows: 10% for policies; 14% for all programmes; supporting families; adequate housing; allocating resources; and representation by disabled persons organizations; and 21% for access to services; 18% for education; 7% for employment; 18% for protecting segments of population. Figure 3.46 Rule 21 In your country, what measures has your government taken to improve the life conditions of immigrants and refugees with disabilities? PoliciesProgramsDPOsEducationAllocatingresources Supportingfamilies 100 90 80 70 60 50 40 30 20 10 0 Protectingvulnerablesegments Adequatehousing Access toservicesEmployment None of the disabled persons organizations' responses exceeded the 25% mark, with the lowest being on employment at 7%. Tailoring services to their needs Supporting families of members with disabilities Ensuring access to services Ensuring disabled persons organizations represent them Ensuring employment Ensuring housing Protecting vulnerable segments (children, women, elderly with disabilities) Allocating financial resources 122 CHAPTER FOUR Comments and Remarks Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Comments by respondents (Governments & Disabled persons organizations) Respondents were encouraged to share their comments whether on the issues and rights of persons with disabilities in their countries, the performance of governments with regard to implementation or on the Survey itself. A space was provided for that purpose on the last page of the Survey and they were encouraged to add their comments on a separate sheet of paper as well. Below is a summary of the comments received, classified according to the issues raised and specifying the responding country. Issues raised Comments Country/ Region Policies/ National Policies No policies on disability/ policies not implemented Policies being developed / Awareness of the need to develop policies Improving policies D.R Congo, Burundi, Samoa, Bangladesh Algeria, Swaziland, Guatemala, Ethiopia Sierra Leone, Ghana, Gambia, Eretria, Trinidad & Tobago Belize New Zealand, Sudan, Ireland, Netherlands Legislations Not a Available vailable Nigeria Samoa Azerbaijan Tunisia, Lebanon, Algeria, Dominica, Sudan, Ireland, Portugal, Switzerland, Poland, Netherlands, Czech Republic, Malawi Ratification of UN human rights treaties Not implemented, or not fully implemented South Africa, El Salvador, Ethiopia Integration Still a challenge Integration drafted into legislation / not implemented Integration implemented South Africa D.R. Congo Cambodia, Poland, Gambia, Namibia, Romania Funding/Resources Funding available Inadequate funding South Africa, UAE, Sweden, Ireland Gambia, Cameroon, Eritrea, Belize No government funding No funding Gambia, Tanzania, Malawi Burundi, Samoa, Guatemala, Morocco, Lebanon, Netherlands, Dominica, Comoros, Sudan, Portugal, Slovak Republic, Zimbabwe, Eritrea, Belize 125 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Accessibility Accessible Not full accessibility Poland, Netherlands, UAE Gambia, Malawi, Papua New Guinea, Australia, Lebanon, Portugal, Cambodia, Bangladesh, Namibia, Ethiopia, Belize Awareness of Standard Rules No awareness by governments Awareness but no implementation Implemented Working on implementation Burundi, Papua New Guinea Tanzania, New Zealand, Ghana, Nepal, El Salvador, Bangladesh, Dominica, Croatia, Malawi, Zimbabwe Russian Federation, Ireland, Czech Republic, Rwanda, Eritrea Belize Employment No employment Employment available Tanzania, Australia, Guatemala, Lebanon, Portugal, Denmark, Ethiopia, Malawi Romania, Namibia Technical Support Available Not available Inadequate Belize, Netherlands Samoa Gambia, Eritrea Facilities Inadequate Nigeria Representation/ participation of Persons w/ disabilities No political representation Politically represented Striving to provide political participation Nigeria, Australia, Ireland, Ethiopia, Gambia Bangladesh, Spain, Malawi Zimbabwe Discrimination Discrimination in education, housing, health services, employment, domestic violence, programmes and services Deaf people forbidden to drive & Blind people forbidden to sign official documents People w/ disabilities not considered human beings No discrimination Zambia, Malawi, Papua New Guinea Australia, Cambodia Ethiopia Ethiopia Malawi, Haiti, Finland, Ireland, Poland Violations of Rights Type of violations not specified Zambia, Australia 126 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Education Poor quality of education Available to only 8% Available to only 20% Available in integrated settings Discrimination in higher education Not available to persons with disabilities Australia Lebanon Algeria Samoa, Ireland, Portugal, Papua New Guinea Thailand Guatemala, Malawi, Namibia Services Available No food, clothing, shelter, medical services, rehabilitation No services available in most Target Area of the Standard Rules Ireland Zambia Namibia, Malawi, Eritrea Sports & Recreation Persons with disabilities involved Persons with disabilities not involved Involving persons with disabilities is controversial Denmark Namibia Ethiopia Disabled persons organizations Limited Namibia Personnel Training Trained personnel No trained personnel Sweden, Ireland, Finland, Thailand, Morocco, Iraq, Australia Gambia, Namibia Assistive devices Not available Efforts are being made by Government No assistive devices for education & not for all disabilities Australia Zimbabwe Namibia Programs Programmes available through NGOs & associations Special education programmes but in their infancy Education on reducing violence Technical, managerial, financial educational programmes Programmes available but not specified No programmes available Namibia, Brazil, Croatia, Kenya Eritrea, Papua New Guinea, Guatemala, UAE, Cambodia Australia Guyana, Slovak Republic Namibia, Ethiopia, Trinidad & Tobago, Belize 127 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Awareness Raising Programs available Nepal, Lebanon, UAE, Finland, Namibia Medical Assistance Not available Lebanon, Poland, Netherlands Transportation Not available Not easily accessible Available Papua New Guinea, Algeria, Lebanon, Australia, Gambia Netherland Coordination of Work Work is coordinated No coordinated work Limited coordination based on type of work Need to be consulted on disability/rehabilitation issues Papua New Guinea, Macedonia, Sierra Leon, Cambodia, Spain Gambia, Tanzania, Namibia, Cameroon Mauritius Welfare Act Available but not implemented Being developed Still to be drafted Nepal Cambodia Swaziland Sexual exploitation & Abus Persons with disabilities sexually exploited Australia Segregation & isolation Persons with disabilities segregated from their community & feel isolated Australia, Portugal, Ethiopia Monitoring Available Not available Korea, Ireland Sudan Statistical data Not available Guatemala Asking for support Information, moral support, expertise, most other areas of disability rights Botswana, Gambia, Eritrea Psycho-social disabilities Have not been considered seriously by Government Zambia Social Protection Working on providing adequate social protection Zimbabwe Disability council Need inter-sectoral councils Need to update profiles/definitions Swaziland Mauritius 128 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Media No promotion in the media of rights of persons with disabilities but individual, non-governmental efforts to do so Guyana On the Survey Good. Helps provide insight into the lives and needs of persons with disabilities Would have been better to have a survey that is disability-specific "None" should have been an option because governments have taken NO actions Comprehensive Strange terms Questions are repeated It is only possible to give yes or no answers? No attention to early detection Very long Questions do not allow respondents to give a clear picture of current situation All issues in Survey are at the heart of disability issues All questions assume only governments as actors and no other partners Questions could be understood in different ways Some questions not easy to understand Survey more suited to industrialized countries not those that have no resources Much of the work on disability is due to church organizations and NGOs that receive their funds from similar organizations internationally Government has addressed seven out of the 22 rules (e.g. awareness raising, education, sports, disabled persons organizations) & partially addressed rehabilitation. No work has been done on Rule 9 (family life) Zimbabwe Botswana Burundi, Rwanda, Tunisia, Libya Algeria, Tunisia, Sudan Tunisia, Yemen, Malta Poland, Sudan, Yemen Sudan Sudan Belgium Netherland Netherland Netherland, Eritrea Eritrea Rwanda Ethiopia Ethiopia 129 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 End Note By the United Nations Special Rapporteur on Disability Hissa Al Thani Five years ago, when I took on the duties of Special Rapporteur for the Standard Rules for the Equalization of Opportunities for persons with Disabilities to the United Nations Commission for Social Development, it was not easy to define the scope and parameters of the work involved. It was necessary therefore to define for myself the areas and functions that I would need to be concerned with and to determine where the focus and concentration should lie. Monitoring was certainly the main duty as defined by the Standard Rules document itself. Monitoring functions were, therefore, incorporated into country visits and every encounter that took place with government officials and disabled persons, experts and activists in the field of disability, as well as meetings with United Nations agencies operating in the countries visited. Monitoring also encompassed a thorough review of the work that had been done by the former Special Rapporteur and the literature generated by organizations and agencies. And, although, the information gathered at that level was useful, it remained a) qualitative in nature; and b) overlooked the global picture. Knowing that my activities are directly related to the Commission for Social Development and that my relationship at the United Nations level is directly linked to the 58 countries that make up the membership of the Commission, the qualitative monitoring was not sufficient. What was needed was to draw a picture of the situation of the world in relations to disability and persons with disabilities. It was at that point that it became necessary to construct an instrument of measure to help us understand where the world stands vis a vis the rights, needs, issues, and concerns of persons with disabilities, as well as the responses to the same. Obviously, a work such as this, which is general in nature and scope, means that specifics and details would have to be compromised. However, it is also a work of this nature, that is best at painting a global picture with all its variations and diversities, and all different colours and shades. This, I hope, is what we have succeeded in doing through this Survey aimed at assessing Government Actions on the Implementation of the Standard Rules on the Equalizations of Opportunities for Person with Disabilities. The published results of the assessment is the fruit of cooperation between the Office of the Special Rapporteur and the South North Center for Dialogue and Development. The team worked on reviewing existing literature; constructing the instrument (questionnaire) based on the Standard Rules-using the Scandinavian Agenda 22 as a point of departure; compiling the list of target populations and planning the distribution of the Survey through a variety of methods; and finally collecting, collating, compiling and analyzing the returned data. 130 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 I am extremely proud that this work was taking place parallel to all the other activities I was undertaking at the time. Another point of pride for me has to do with the rate of return we received to the questionnaire. Of 191 countries to which the questionnaire was sent, we have been able to gather data from 114 countries, and were, therefore, able to amass this wealth of information. Moreover, I am also pleased to have been able to use this information over the past three years, even while the team worked on collating and analyzing, in many if my visits, discussions with government officials, speeches, and talks. I would have to say that I have learned from this work as much as I contributed to it. I am happy to see that we now have a detailed inventory of measures and actions which are necessary for every government to undertake in its quest towards fulfilling its obligations to protect and preserve the rights and dignity of persons with disabilities and achieve a society where equalization of opportunities is more than just lip service to an ideal. 131 APPENDIX I Lists of Disabled Persons Organizations that responded Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Africa Country DPO Botswana Botswana Association of the Blind and Partially Sighted. Burundi Union des Personnes Handicapees du Burundi. Burundi Burundi National Association of Deaf. Cameroon UNAPHA - Cafod Cape Verde D.R Congo VHDH. Eritrea Eritrean National Deaf Association. Ethiopia Ethiopian Federation of Persons with Disabilities. Gambia Gambia Association of Physically Disabled. Ghana Guinea Guinea Federation Guineenne pour la Promotion des Association de/pour Personnes Handicapees. Kenya United Disabled Persons of Kenya. Malawi Malawi National Association of the Deaf. Mauritius Federation of Disabled Persons Organizations. Namibia National Federation of People with Disabilities. Mauritius National Council for the Rehabilitation of Disabled. Nigeria Renewed Hope Foundation of the Disabled People. Rwanda Rwanda Union of the Blind. Sierra Leone Sierra Leone Association of the Deaf. Uganda Uganda National Association of the Deaf. Tanzania Disabled Organizations for Affairs and Social Economic Development. Zambia Mental Health Users Network of Zambia. Zimbabwe Zimbabwe Association of the Visual Impaired. Zimbabwe Organization of the Deaf. Asia Country DPO Australia Australian Federation of Disability Organizations. Azerbaijan Lotos - Disability Learning and Awareness Center. Azerbaijan Disabled Women's Society. Bangladesh Bangladesh Protibandhhi Kallyan Somity (BPKS). Cambodia Caritas - RBC. Cambodia Disability Action Council. China China Disabled Persons Federation. Fiji Fiji National Council of Disabled Persons. Fiji Fiji Disabled People's Association. India Action for Autism. Mongolia Save the Children UK, Mongolia programme. Myanmar Educational Center for Blind Affairs. 135 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Nepal National Federation of the Disabled. Papua New Guinea National Assembly of Disabled Persons. Papua New Guinea National Assembly of Disabled Persons. Philippines Autism Society Philippines ASP. Philippines Kampi Disabled People International. Republic Of Korea Korean Society for the Cerebral Palsied. Samoa National Disability Council. Thailand National Association of the Deaf in Thailand. Hong Kong - China Hong Kong Association of the Deaf. Europe Country DPO Albania Albania Disability Forum (ADF). Austria Austrian National Council of Disabled Persons. Bulgaria Union of Disabled People in Bulgaria. Belgium Felmish Fund for the Social integration of Disabled Persons. Bosnia & Herzegovina Association for Mutual Assistance in Mental Distress. Finland Finnish Disability Forum. Georgia Georgian Disabled Women's International Association (GDWIA). Georgia Coalition for Independent Life. Ireland Irish Deaf Society. Italy National association of Umpired and Civils Disabled people. Malta Malta Society of The Blind Movement in Favor of Rights for Persons with A Disability. Netherlands National Disability Council of The Netherlands. Norway The Norwegian Federation of Organizations of Disabled People. Poland Polish Federation of Organizations of Persons with Physical Disability. Portugal Portugal Psychiatry. Poland Polish Disability Forum. Russian Federation. All Russian Federation of the Deaf. Serbia & Montenegro Association of Youth with Disabilities of Montenegro. Slovakia Organization of Wheelchair Users in Kosice - Independent Life. Sweden The Swedish Disability Federation. Macedonia Union of The Blind of The Republic Of Macedonia. Macedonia Republic Center for Support Of Persons with Intellectual Disability. 136 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Latin America Country DPO Argentina Comision Nacional Asesora para la Interacion de Personas Discapacitadas coordinado por el Consejo Nacional de Coordiacion de Politicas Sociales. Argentina Federacion Argentina de Entidades pro Atencion a las Personas con Discapacidad Intelectual y/u otras Necesidades Especials. Belize Belize Assembly of & for Persons with Disabilities. Bolivia Asociacion Boliviana de Padres y Amigos de Personas con Discapacidad Mental. Chile Disabled Peoples International Chile. Chile Consejera Nacional Fondis. Colombia Center for International Rehabilitation and Asociacion de Discapacitados de Riasaralda. Colombia Federacion Nacional de Sordos de Colombia. Costa Rica FEREPRODIS Costa Rica Foro por los Derechos Humanos de las Personas con Discapacidad. Dominican Republic Circulo De Mujeres Con Discapcidad Cimudis. Dominican Republic Insituto de Ayuda al Sordo Santa Rosa El Salvador Asociacion de Grupo Independiente Pro Rehabilitacion Integral. Guatemala Guyana National Commission on Disability Funacion Hondurena para la Honduras Rehabilitacion e Inclusion del Limitado. Honduras Coordinadora de Instituciones y Asociaciones de Rehabilitacion de Honduras. Mexico Asocacion Pro Personas con Paralsis Cerebral Mexico Centro de Estudios para Invidentes. Paraguay Asociacion de Personas con Discapacidad. Peru Sociedad Y Discapidad. Peru Asociacion Peruana De Abogados con Discapacidad Visual. St. Vincent & The Grenadines National Society of Persons With Disabilities. Uruguay Cothain 137 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 Arab Region Country DPO Algeria Federation of Associations of People with Physical Disabilities Iraq Al-Bashaaer Institute for speech training Iraq Al-Mansor Institute for Special Education and Mental Development Jordan Nazic Al-Hariri Center for Special Education Lebanon National Rehabilitation and Development Center Lebanon Parents & Institutional Associations National Union for Intellectually Disabled Morocco Association of Al-Hadae for Blind Persons Qatar Qatar Society for Rehabilitation of Special Needs Palestine GUDP. Qatar Bara' Children Care. Sudan Peace and Tolerance Organization Sudan Federation of Journalists with Disabilities Tunisia National Union of the Blind of Tunisia Tunisia Tunisian Union for the Aid of Intellectually Disabled UAE Rashid Pediatric Therapy center. UAE The Future Center for Special Needs Yemen Al-Aman Organization for Blind Women Care Qatar Bara' Children Care 138 APPENDIX II List of The 324 measures Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 In Awareness Raising In Support Services 1. Policies 54. Policies 2. Legislation 55. Legislation 3. Programs 56. Programs 4. Guidelines 57. Finance 5. Training personnel 58. Supply Individual 6. Material disseminating 59. Consulting DPOs 7. Awareness into school curriculum 60. Child 8. Educating the public 61. Women 9. Cooperating with DPOs 62. Low income 10. Type of disability 63. All geographical locations 11. Rights 64. All classes 12. Needs 65. Ethnic groups 13. Potentials 66. Religious groups 14. Contribution 67. All types of disability 15. Positive description of disability In Accessibility In Medical Care 68. Policies 16. Policies 69. Legislation 17. Legislation 70. Programs 18. Programs 71. Finance 19. Finance 72. Train engineers 20. Training personnel 73. Raising awareness 21. Care access 74. Implement access program 22. Counseling with PWD 75. Consult DPOS 23. Info PWD 76. Schools/Hospital 24. Cause of disability 77. Public buildings 25. Improve health 78. Outdoor environment 26. Early detection 79. Land, sea transport 27. Early treatment 80. Housing 28. Training personnel 81. PWDs 29. Update medical knowledge 82. Families PWD 30. Ensure access 83. Representative Of PWD 31. Policies 84. Society 32. Legislation 85. Policies 33. Programs 86. Legislation 34. Finance 87. Programs 35. Training personnel 88. Finance 36. Rehab access 89. Training 37. Consulting DPOs 90. Raising aware 38. Types of disability 91. Implement programs 39. Child 92. Consulting DPOs 40. Women 93. Blind 41. Low income 94. Deaf Blind 42. Geographical locations 95. Deaf Or Hearing 43. Classes/Ethnics 96. Development disability 44. DPOs 97. Psycho social 45. Family 98. Braille 46. Community 99. On tape 47. Needs 100. News on tapes 48. Medical 101. Sign interpreter 49. Families PWD 102. Easy reader 50. Schools/Education 103. Ombudsman 51. Community 104. Government Bodies 52. Organizations of PWD 105. Experts 53. Program description 106. Arbitration 141 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 In Education 159. Care givers 160. All PWD 161. Policies 162. Legislation 163. Programs 164. Finance 165. Social aware 166. Among PWD 167. Report discrimination 168. Involve PWD 169. Full participation 170. Sexual relations 171. Marriage 172. Parenthood 173. Privacy 174. Counseling services In Culture 175. Polices 176. Legislation 177. Programs 178. Finance 179. Social awareness 180. Awareness among PWD 181. Providing venues 182. Providing contribute 183. Accessible Information 184. Making cultural accessible 185. Involving DPOs 186. Children 187. Women 188. Low income 189. All ethnics 190. All religions 191. All communities 192. All disabilities In Recreation and Sports 193. Policies 194. Legislation 195. Programs 196. Financial resources 197. Raising social awareness 198. Awareness among PWD 199. Venues to participate 200. Accessible Information 201. Making Sports accessible 202. Involving DPOs 203. Community level 204. National level 205. International Level 206. Amateur athletes 207. Professional Athletes 208. Recreational venues 107. 108. 109. 110. 111. 112. 113. 114. 115. 116. 117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129. 130. Policies legislation Programs Finance Modifying schools Training Providing access Involving PWD Children Women Low Incomes Ethnic Groups Religious Groups PWD all communities All disabilities Sign language Education in Braille Lessons on tape Education materials Programs for children needs Parents DPOs NGO's Children Community In Employment 131. Policies 132. Legislation 133. Programs 134. Finance 135. Training PWD 136. Modifying environment 137. Rising awareness 138. Accessibility transportation 139. Cooperate DPO 140. Hiring 141. Promotions 142. Work benefits 143. Payment increase 144. Participation 145. 146. 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. 158. In Income Maintenance Policies Legislation Programs Finance Info PWD Consulting DPOs Temporarily lost income On the job accident Physical disability Sensory disability Intellectual Psycho social Women Families 142 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 In Religion 209. Policies 210. Legislation 211. Programs 212. Finance 213. Social awareness 214. Awareness PWD 215. Accessible venues 216. Access Information 217. Making Active Accessible 218. Involving DPOs 219. Accessible to all In Information and Research 220. Policies 221. Legislation 222. Programs 223. Finance 224. Social Awareness 225. Statistics 226. Involving DPOs 227. Disseminate statistics information 228. Updating statistics information 229. System to collect Data 230. Prevalence incidence 231. Types 232. Disaggregate data 233. Needs of PWD 234. Services & Programs 235. Available Coverage 236. Living condition 237. Educational situation 238. Conditions of workplace 239. Employment Opportunities 240. Expenditures entailed 241. Impact of social policies 242. Type of research 243. DPOs 244. Local regional international national issues In Economic Policies 245. Policies 246. Legislation 247. Support to projects 248. Disability Fund 249. Involving PWD In Coordination of Work 250. Permanent Committee 251. Legal mandate 252. Allocating resources 253. Involving PWD 254. Balanced representatives 255. Represent PWD 256. Legal & Political 257. Types of Disability 258. Balanced gender Representation 259. Adequate resources In Organizations of PWD 260. Policies 261. Legislation 262. Programs 263. Admin 264. Financial resources 265. Advisory capacity 266. Cooperating with DPOs 267. Granting statistics 268. Advisory Policies 269. Identify needs & Priority 270. Participate in planning 271. Participate in implementation 272. Participate in Monitoring In Personnel Training 273. Public awareness 274. Policies 275. Legislation 276. Programs 277. Professional Standards 278. Financial resources 279. Building capacity 280. Involving DPOs 281. Training 282. DPO involved in Training 283. PWD as resource In Monitoring and Evaluation 284. Formal Definition 285. Specialized monitoring 286. Collecting census/data 287. Conducting Sample survey 288. National Regional 289. Using Records 290. Using Information from PWD 291. Size Scope 292. Types 293. Age Distribute 294. Gender Distribution 295. Geographical Distribution 296. DPOs 297. Programs of PWD 298. Services provision DPOs 299. Services provision PWD 300. Policy Making 301. Adaption & improvement 302. Revision of Programs 303. Public Admin 304. Awareness Raising Program 305. Annual & Periodic Reports 306. Research 143 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 In Technical and Economic coorporation 307. Signing treaties 308. Being part to agreement 309. Providing Aids 310. Providing / receiving technical 311. Exchange Info 312. Disseminating/ receiving technical 313. Participate in projects 314. Regional Initiatives 315. Policies 316. Programs 317. Supporting families 318. Access to services 319. DPOs 320. Education 321. Employment 322. Adequate Housing 323. Protecting Segments 324. Allocating Resources 144 APPENDIX III Government Actions on Equalization of Opportunities for People with Disabilities A Global Survey Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 147 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 148 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 149 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 150 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 151 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 152 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 153 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 154 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 155 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 156 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 157 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 158 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 159 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 160 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 161 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 162 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 163 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 164 Global Survey on Government Implementation of the Standard Rules--Results Analysis March 2008 165