and World Health Surveys Alarcos Cieza Disability and Rehabilitation World Health Organization Disabling barriers Break to include Model Disability Survey MDS Chilean law requires the state to carry out a disability survey every 10 years ID: 297100
Download Presentation The PPT/PDF document "Model Disability Survey" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Model Disability Survey and World Health Surveys
Alarcos CiezaDisability and RehabilitationWorld Health OrganizationSlide2
Disabling barriers – Break to include
Model Disability Survey (MDS)Slide3
Chilean law requires the state to carry out a disability survey every 10 years3Slide4
Civil society dialogs4Slide5
Topics addressed in the civil society dialogs5Slide6
6Comparison
ENDISC I MDS X√√√X
√
X
√
X
√
X
√
Public buildings
Private buildings
Information
Places of recreation
UrbanisationSlide7
70% was covered by the MDS!!7Slide8
8
20042015Slide9
Article Number
CRPD Article NameMDSAnnex 1
5
Equality and Non-discrimination
✔
6
Women and disabilities
✔
7
Children with disabilities
✔
8
Awareness-raising
✔
9
Accessibility
✔
10
Right to life
11
Situations of risk and humanitarian emergencies
12
Equal recognition before the law
✔
13
Access to justice
14
Liberty and security of the person
✔
15
Freedom from torture or cruel, inhuman or degrading treatment or punishment
16
Freedom from exploitation, violence and abuse
17
Protecting the integrity of the person
✔
18
Liberty of movement and nationality
✔
19
Living independently and being included in the community
✔
20
Personal mobility
✔
21
Freedom of expression and opinion, and access to information
✔
22
Respect for privacy
23
Respect for home and the family
✔
24
Education
✔
25
Health
✔
26
Habilitation and rehabilitation
✔Slide10
Target
IndicatorModelDisability Survey
Universal targets
Vulnerable persons
Disability targets
1.1
Poverty
3.8
Health coverage and financial risk protection
9.c
Access to ICT and to internet
1.3
Social protection
4.5
Gender disparities, equal access in education
8.5
Full and productive employment and decent work
10.2
Social, economic and political inclusion
%
PwD
below $1.25(PPP)/day
*
x
x
%
PwD
covered by social protection/disability benefits
x
x
x
% PwD benefiting from health coveragex x xSchool net attendance for CwDx x xUnemployment rate (by PwD)x xx% PwD owning a mobile phone* x x% PwD with internet access* x x
* To be added in the next revisionx Already covered
Disability indicators for the SDG framework covered in the MDSSlide11
11
20042015Slide12
12
2004Slide13
132015Slide14Slide15
15
LowExtreme
Disability
World population on the disability continuum
Number of personsSlide16
16
20042015Slide17
Environmental factors
Personal factors
Health condition
Impairment in
b
ody functions & structures
Activity
limitation
Participation
restriction
17
Because of your health, do YOU HAVE …. ?
2004
2015Slide18
d
ifficulties because of your health
The
result of the interaction of capacity with the environment and the person
In the MDS we capture both, Slide19
19
2004Slide20
20
2015
Difficulties because of
your health …
The
result of the interaction of capacity with the environment and the
person…
?Slide21
We want to understand disability and not only calculate its prevalence 21Slide22
Content of the MDS
Section3000 (A+B)Environmental factors
Section 5000
Health
Conditions &
Capacity
Section
4000
Functioning
Section
1000
Socio-demographic Characteristics
Section
6000
Health Care Utilisation
Section
2000
Work History and Benefits
Section
7000
Well-Being
Section
8000
EmpowermentSlide23
First pilot study, August 2014
Rural and urban areas Convenience sample, 500 interviews23Example CambodiaSlide24
No difficulties
Extreme
difficulties
CAPACITY
(difficulties because of your health)
Cut-off score
47.37
Severe capacity difficulties
Mild
capacity difficulties
No
capacity difficulties
Moderate
capacity
difficultiesSlide25
How much of a problem is getting things done as required at work?
To what extent does your workplace or school make it easy or hard for you to do the things you need or want to do at work or school?
N
No disability
N=27
Mild disability
N=144
Moderate disability
N=200
Severe disability
N=128
Currently not working
29
3,7 %
4,51 %
4,4 %
14,43 %
Working
399
96,3
%
94,73
%
93,41
%
79,38
%
Other working situation**
11
0
0,75 %
2,2 %
6,19 %
**sick leave, retired by ageSlide26
How much of a problem do you have in engaging in local or national politics and in civil society
organisations?How much of a problem did you have with voting in the last elections?Slide27
Finished: Cambodia (N=500), Chile (N=300), Malawi (N=500), Pakistan (N=3977)
Ongoing: Oman (N=500)In preparation: Brazil (N=2000)27Pilot StudiesNational Disability Surveys
Finished
: Sri Lanka, Chile
Planned
: Oman, Brazil, The PhilippinesSlide28
AFRO
EURO
EMRO
AMRO
SEARO
WPRO
Regional implementation from 2016 onSlide29
Implemented by WHO in 2002–2004 in partnership with 70 countries to generate information on the health of adult populations and health systems.
The total sample size in these cross-sectional studies includes over 300 000 individuals (representing 64% of the world population) .29World Health SurveySlide30
The largest multinational health and disability survey everA single set of questions with
consistent methods to collect comparable health data59 countries (representing 64% of the world population) had weighted data sets that were used for estimating the prevalence of disability of the world’s adult population30WHS and DisabilitySlide31
31Slide32
The WHO Multi-Country Surveys team developed SAGE as a data collection platform to compile comprehensive information on the health and well-being of adult populations.
SAGE has adapted and added to the methods and instruments developed by WHO for the World Health Survey.32Study on Global Ageing and Adult Health (SAGE)Slide33
SAGE collects household data primarily on persons aged 50 years and older in China, Ghana, India, Mexico, Russian Federation and South Africa
Data also collected in the adult population aged 18 to 49 years in 23 additional countries.33Slide34
34
HEALTH STATESCapacity in multiple domains
VALUATION OF HEALTH STATES
WELL BEING
INDIVIDUAL CHARACTERISTICS
Socio-demographics
Income
Economic
activity
Health
Insurance
Minority
status
TIME
USE
SOCIAL NETWORKS
/ COHESION
COVERAGE
UTILISATION OF SERVICES
HEALTH & HEALTH RELATED OUTCOMES
RISKS FACTORS
CHRONIC DISEASES
Tobacco
Alcohol
Physical
Inactivity
Nutrition
Morbidity
- Health
conditions
MORTALITY
HOUSEHOLD CHARACTERISTICS
Composition
Living conditions
Economic status Consumption Geographical locationOverlap SAGE MDSSlide35
35
HEALTH STATESCapacity in multiple domains
VALUATION OF HEALTH STATES
WELL BEING
INDIVIDUAL CHARACTERISTICS
Socio-demographics
Income
Economic
activity
Health
Insurance
Minority
status
TIME
USE
SOCIAL NETWORKS
/ COHESION
COVERAGE
UTILISATION OF SERVICES
HEALTH & HEALTH RELATED OUTCOMES
RISKS FACTORS
CHRONIC DISEASES
Tobacco
Alcohol
Physical
Inactivity
Nutrition
Morbidity
- Health
conditions
MORTALITY
HOUSEHOLD CHARACTERISTICS
Composition
Living conditions
Economic status Consumption Geographical locationOverlap SAGE MDSFUNCTIONING in multiple domainsENVIRONMENTAL FACTORSFacilitating and hindering aspects of the broad environment Social Support & RelationshipsAttitudes of othersAccessibility to InformationPersonal assistanceAssistive devices: mobility and self-care, seeing, hearing & communicationFacilitators: education, work and at homeEMPOWERMENT + WG-6Need of care and support because of health problemsSlide36
Alarcos Cieza, MSc, MPH, PhDDisability and Rehabilitation
World Health OrganizationAvenue Appia 201211 Geneva 27Switzerland Tel.: +41 22 791 1998Fax: +41 22 791 4874Email: ciezaa@who.intWebsite: www.who.int/disabilities/36