Upload
others
View
11
Download
0
Embed Size (px)
Citation preview
Disability Data: WHO’s perspective
Alarcos Cieza, MSc, MPH, PhDWorld Health Organization, Geneva
2001
3
Health(health conditions & impairments)
Environment(physical, social, attitudinal and political)
Disability
Disability has been assessed as …
… decrements of health
Commonly used questions:Because of your health, how much difficulty do you have with …
70 SURVEYS
Household - long
Household - short
CATI
WHO - World Health SurveysWHS 2002
2001
5World Health Surveys in > 70 countries
2001
7
1. Improving access to health services
2. Strengthening rehabilitation, assistive technology, support services, and community-based rehabilitation
3. Strengthen collection of disability data and research
Sustainable Development Agenda
9
Goal 3
Ensure healthy lives and promote well-
being forALL at ALL ages
Infectious diseases
ageing
NCD
disability
Injuries
11Low ExtremeDisability
World population on the disability continuum
Nu
mb
er o
f p
erso
ns
0 1000 10 20 30 40 50 60 70 80 90 100
12
How much difficulty do you have: 1 2 3 4 5
seeing things at a distance [without glasses]?
hearing [without hearing aids]?
walking or climbing steps?
remembering or concentrating?
washing all over or dressing?
sleeping ?
doing household tasks ?
joining community activities?
feeling sad, low, worried or anxious?
getting along with people who are close to you?
How much bodily aches or pain do you have?
0 10 20 30 40 50 60 70 80 90 100
13
1. Improving access to health services
2. Strengthening rehabilitation, assistive technology, support services, and community-based rehabilitation
3. Strengthen collection of disability data and research
Disability as decrements of health
The outcome of the interaction with the environment
Dis
ablin
g b
arri
ers
–B
reak
to
incl
ud
e
Model Disability Survey
Socio-demografic
Health care utilization
Work history & benefits
Well-being Empower-ment
Environment Decrement of health
Core modules
Additional modules:
Outcome of the
interaction
20
VERSION ZERO (Dec 2012)
Expert meeting - 5th Dec 2012
ALPHA VERSION
Expert appraisal Norway - March 2013
First revised Alpha version (March 2013)
Expert Meeting - 29-30 April 2013
Second Revision of the Alpha Version (May 2013)
1st Round of Cognitive Testing
Revised Alpha version -1st round cognitive testing (Oct 2013)
2nd Round of Cognitive Testing
Revised Alpha version - 2nd round cognitive testing (July 2014)
Preparatory work national survey Chile (Nov 2014)
Revised Alpha version after preparation in Chile (Nov 2014)
MDS Group Intern Meeting, July 2015 – results pilot studies (Cambodia, Pakistan, Malawi) and preparation for the national surveys (Sri Lanka and Chile)
CURRENT MDS ALPHA VERSION (July 2015)
21
244indicators
52relevant for
disaggregation
15collected
in the MDS
22
33articles
26relevant for
disaggregation
23addressedin the MDS
23
CHILE 2015N=12.000 adults
SRI LANKA2015
N=3.000 adults
PHILIPPINES2017
N=20.000 adults
PANAMA 2017
QATAR 2017
OMAN
COSTA RICA 2017
National disability surveys
UNITED ARAB EMIRATES
Goal 8Indicator 8.5.2: Unemployment rate by sex and disability
% working*
Sri Lanka
44.936.2
17.6
0
10
20
30
40
50
60
70
80
90
100
31.525.6
7.8
0
10
20
30
40
50
60
70
80
90
100
*Working for wages or salary with an employer (full- or part-time)
Level of disability by education (Sri Lanka)
0
5
10
15
20
25
30
35
40
45
None Mild Moderate Severe
No formal education Elementary school Secondary school Higher education
Goal 1010.3.1 Proportion of the population reporting having personally felt discriminated against or harassed within the previous 12 months
% who felt often or always discriminated
Chile
0.66
2.293.16
10.96
0
2
4
6
8
10
12
1.12.16
4.35
8.43
0
2
4
6
8
10
12
14
16
18
20
27
Goal 11Indicator 11.2.1: Proportion that has convenient access to public transport
Chile
85%
38%11%
Experienced barriers57%26%13%
Problems using transportation
28
1. Improving access to health services
2. Strengthening rehabilitation, assistive technology, support services, and community-based rehabilitation
3. Strengthen collection of disability data and research
Dis
ablin
g b
arri
ers
–B
reak
to
incl
ud
e
Model Disability Survey
Brief
Environment Decrement of health
Core modules
Outcome of the
interaction
12 1313
31
Brief MDS in Gallup World Poll
LAOS
INDIA
TAJIKISTAN
• Emphasis on strengthening statistical system to mainstream disability
– SDGs and the guidelines provide window of opportunity
• Data for evidence-informed policy
• International standards, such as ICD and ICF, are important for comparability purposes
Important considerations from WHO perspective
32
Alarcos Cieza, MSc, MPH, PhDWorld Health OrganizationAvenue Appia 201211 Geneva 27Switzerland
Tel.: +41 22 791 1998Fax: +41 22 791 4874Email: [email protected]: http://www.who.int/disabilities/care/rehab-2030/en/
33