impairments and disability: points for discussion

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Impairments and Disability: Discussion Points March 17, 2012 1 Impairments and Disability: Discussion Points Paul Edward Muego Philippine Coordinating Center for Inclusive Development, Inc. Presented to the 2 nd year class of social work students at the Philippine Christian University last March 17, 2012

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Discussion points for social work students highlighting difference between impairments and disability. Also touches on use of the full person with disability rather than the abbreviated PWD. Talks briefly about differences, exclusion, intolerance and quick fix. Points out key challenges for social workers in working with marginalized persons with disabilities, families, and communities. Presented to 2nd year social work students of the Philippine Christian University on March 17, 2012 in a forum entitled NapapanahongUsapin ng Lipunan…Alamin, Siyasatin at Sagutin.

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Page 1: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 1

Impairments and Disability:Discussion Points

Paul Edward MuegoPhilippine Coordinating Center for Inclusive Development, Inc.

Presented to the 2nd year class of social work students at the Philippine Christian University last March 17, 2012

Page 2: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 2

• Our office started in 2004 as the cbm Community-Based Rehabilitation Coordination Office with the aim “to promote CBR as the main strategy for the delivery of educational, rehabilitation and medical services, together with work aimed at promoting greater inclusion and participation.”

• July 30, 2013, eighteen people from diverse fields and backgrounds were invited to be the founding incorporators of a “new” organization to take the place of the cbm CBR CO.

• The Philippine Securities and Exchange Commission formally recognized the new organization in November 22, 2013: the Philippine Coordinating Center for Inclusive Development, Inc.

better communities for everyone

Page 3: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 3

“The few own the many because they possess the

means of livelihood of all ... The country is governed

for the richest, for the corporations, the bankers, the

land speculators, and for the exploiters of labor. The

majority of mankind are working people. So long as

their fair demands - the ownership and control of their

livelihoods - are set at naught, we can have neither

men's rights nor women's rights. The majority of

mankind is ground down by industrial oppression in

order that the small remnant may live in ease.”

- Helen Keller

Page 4: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 4

Who? Where? What?!#%

• “In Brgy. 462, a group of W, M, C, Y, UP, FFs, OPs, Ls and PWDs were having a meeting.”

• Does this make sense?

Page 5: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 5

PWD? Pilay na Walang Dangal?!

• “PWD” can mean a variety of things!

• Use person with disability not PWD

• Language reflects and shapes the way we view the world.

• Words we use influence community attitudes, both positively and negatively, and impact on the lives of others.

Source: http://www.pwd.org.au/students/terminology.html

Page 6: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 6

Why do we behave like this?

• Culture of:“intolerance

to differences”

“exclusion”“quick fix”“shortcuts”

Page 7: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 7

As such…

• Other people decide things for persons with disabilities without their participation

Page 8: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 8

KEY CONCEPTS

Exploring the UNCRPD & Philippine CBR Manual: An Inclusive Development Strategy

Page 9: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 9

Key Concepts:Impairments

• Impairments—of functions of:

PhysicalMental IntellectualSensory

Long termSource: UN CRPD, 2006

Page 10: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 10

Some Causes of Impairments

• Extreme poverty as manifested in situations like:

Malnutrition Overcrowding Lack of access to

information, safe water, health and social services

Page 11: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 11

Some Causes of Impairments

• Goitre, ear infection, cataract• Diabetes & cardio vascular diseases• Unsafe environments • Natural disasters• Armed conflict

Page 12: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 12

Key Concepts:Disability

• Disability— Result of interaction

between persons with impairments and attitudinal/ environmental barriers

Hinders full and effective participation in society on an equal basis with others.

Source: UN CRPD, 2006

Page 13: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 13

Thus…

• Disability is not due to functional impairments, but rather due to societal factors—attitudinal, institutional, and environmental barriers

Page 14: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 14

Key Concepts:CBR Principles (UNCRPD General Principles)

• Inclusion• Participation• Self-Advocacy• Sustainability• Equal Opportunity• Accessibility

Source: Philippine CBR Manual, 2009

Page 15: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 15

DEMOGRAPHIC DATAQuick Glance at Statistics

Page 16: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 16

Global Population Estimate

• WHO: persons with disabilities make up an estimated 10% of the world’s population, 80% of which reside in developing countries.

Source: http://www.e-include.eu/

Page 17: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 17

Local population of persons with disability

• 2000 National Population Census:

942,0001.23% of total

population• 2011 National

Household Targeting System:

302,421

Source: www.ncda.gov.ph

Page 18: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 18

Geographic information

• 70% of people with disability live in rural areas (& poor communities)

• 4.5 million Filipinos with disability are not receiving the essential services they need

Source: Asian Development Bank, 2005/NCDA, 2005

Page 19: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 19

Related statistics

• 2008:Out of 2.7 million Filipino children with disability of school age, only 78,144 are allowed to attend school.

Source: Department of Education

Page 20: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 20

Related statistics

• 2005: Of the total population of persons with disabilities, 57.12% are employed; 62.95% were males & 37.05% were females.

Source: NSO 2005

Page 21: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 21

LEGISLATIONS, ISSUANCES

Those who have less… have laws, (only)?!

Page 22: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 22

International Commitments

• United Nations Convention on the Rights of Persons with Disabilities

Signed: 9-25-2007 Ratified: 4-15-2008

• UDHR, UN CRC, MDGs, etc.

Page 23: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 23

Local Laws, Issuances

• RA No. 7277 (Magna Carta for Disabled Persons)

• RA No. 9442• BP Blg. 344• Joint Circular No.

2003-01 (DBM, DSWD)

• EO 437 (CBR)

Page 24: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 24

Laws & community realities

• The gap between what the laws say and what reality actually is… well, that is another thing...

Page 25: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 25

EXISTING PROGRAMS & SERVICES

Using the CBR Matrix to examine

Page 26: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 26

Like everybody else…

• People with disabilities have different needs and different situations

• They too need access to food, healthcare, education, livelihood, and even marriage & relationships… like everybody else

Page 27: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 27

The CBR Matrix

GOAL: HUMAN RIGHTS—INCLUSIVE SOCIETY

GUIDING PRINCIPLES: PARTICIPATION, INCLUSION, SUSTAINABILITY, EQUAL OPPORTUNITIES, ACCESSIBILITY, SELF ADVOCACY

HEALTH EDUCATION LIVELIHOOD SOCIAL EMPOWER-MENT

PROMOTION

PREVENTION

MEDICAL CARE

REHABILITATION

ASSISTIVE DEVICES

EARLY CHILDHOOD

PRIMARY

SECONDARY & HIGHER

NON-FORMAL

LIFELONG LEARNING

SKILLS DEVELOPMENT

SELF EMPLOYMENT

FINANCIAL SERVICES

EMPLOYMENT

SOCIAL PROTECTION

RELATIONSHIIP, MARRIAGE, & FAMILY

PERSONAL ASSISTANCE

CULTURE/ARTS

LEISURE/ SPORTS

JUSTICE

COMMUNIICA-TION

SOCIAL MOBILIZATION

POLITICAL PARTICIPATION

SELF HELP GROUP

DPOs

Page 28: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 28

CBR Components

EDUCATION

SOCIAL

HEALTH

LIVELIHOODEMPOWERMENT

Page 29: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 29

IMPLICATIONS OF CURRENT DEVELOPMENTS

TIDES OF TRANSFORMATION

Page 30: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 30

Challenges

• Poverty in rural and urban areas

• Corruption, misuse of government funds

• Environmental-related disasters, and

• Armed conflict, among others

are expected to increase the number of persons with impairments

Page 31: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 31

Facing the challenges

• Based on the principles of SELF ADVOCACY and PARTICIPATION persons with disabilities, through their Disabled Peoples’ Organizations, are at the heart of CBR. 

Page 32: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 32

Organizing & Strengthening DPOs

• DPOs, organized based on their collective goal to live life to the full, are:

Working with local government, support institutions, and other organizations

Ensuring that their needs and rights, and that of the whole community, are met, ensured and protected.

Page 33: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 33

Challenge for social workers

• Be true to facilitative role

• Helping persons with disabilities must be done in the community development way:

• Defining development together with the people, most especially the excluded;

• Starting from where they are and building on what they have; and

• Helping them in their continuing capability building, empowerment and self reliance.

Page 34: Impairments and Disability: Points for Discussion

Impairments and Disability: Discussion Points March 17, 2012 34

Some Reference Materials:

1. UN Convention on the Rights of Persons with Disabilities

2. WHO CBR Guidelines3. Philippine CBR Manual4. WHO 2011 Report on

Disability5. Universal Declaration of

Human Rights6. RA No. 7277 (Magna Carta for

Disabled Persons) and RA No. 9442 (ammendment)

7. BP Blg. 344 (Accessibility Law)

8. EO 437 (Encouraging LGUs to use CBR)

• Contact us:Philippine Coordinating Center for Inclusive Development, Inc.Unit 101 Erisha CondominiumNo. 1142 P. Ocampo Street corner Dian Street1004 Malate, Manila

Tel. No. (02) 522 [email protected]@gmail.comwww.pccid.org