India, disability inclusion and the power of ‘by’

Disability

Syllabus: GS 2 – Welfare Schemes for Vulnerable Sections of the population by the Centre and States and the Performance of these Schemes; Mechanisms, Laws, Institutions and Bodies constituted for the Protection and Betterment of these Vulnerable Sections.

Context: With 1.3 billion people worldwide experiencing disabilities, existing systems, designed primarily for those without disabilities, often inadvertently marginalize and exclude individuals with disabilities. There is a pressing need for more inclusive design to bridge this gap.

Source: The Hindu | Editorial dated 04- December 2023

  • Disability refers to any restriction or lack of ability to perform a normal human activity due to impairment.
  • The United Nations Convention on the Rights of Persons with Disabilities (UN CRPD) defines persons with disabilities as those with long-term physical, mental, intellectual, or sensory impairments, which, when coupled with barriers, impede their full participation in society.
  • It is a significant public health concern, particularly in developing countries like India.
  • The International Day of Persons with Disabilities, observed on 3rd December by the United Nations, aims to raise awareness about disability issues globally.
  • In India, there were approximately 26.8 million persons with disabilities, making up 2.21% of the total population based on the 2011 Census.
  • Gender distribution reveals 14.9 million men (2.41%) and 11.9 million women (2.01%) with disabilities.
  • Rural areas accommodate 69% (18 million) of persons with disabilities.
  • Specific disabilities include:’
    • 20% with movement impairments
    • 19% with visual impairment
    • 19% with hearing impairment
    • 8% with multiple disabilities.
  • Nationally, 34% of the total disabled population are reported as ‘workers,’ with the highest proportion in Nagaland (around 52%), followed by Sikkim (49%) and Arunachal Pradesh (approximately 45%).
  • The highest prevalence of disabilities is observed in the age group 10-19 years, comprising 46.2 lakh people.
  • Age distribution shows:
    • 17% of the disabled population in the 10-19 years range
    • 16% in the 20-29 years range.
    • Elderly individuals (60+ years) with disabilities constitute 21% of the total disabled population nationwide.

Globally

  • Globally, 1.3 billion people, equivalent to India’s entire population, live with disabilities.
  • Of this global total, 80% reside in developing countries.
  • Furthermore, 70% of people with disabilities around the world are located in rural areas.
  • Discrimination Challenges:
    • Continuous discrimination and limited understanding of rights hinder the functioning of persons with disabilities.
  • Health Inequities:
    • Preventable disabilities persist due to a lack of awareness and limited access to quality medical facilities.
    • Discrimination in health, forced sterilization, and institutionalization contribute to health inequities.
  • Implementation Gaps:
    • Despite initiatives, a lack of disability-friendly infrastructure and significant vacancies in reserved posts.
  • Risk Factors and Exclusion:
    • Higher susceptibility to non-communicable diseases due to exclusion from public health interventions.
    • Discriminatory practices, inaccessible facilities, and insufficient data contribute to health disparities.
  • Social Challenges and Discrimination:
    • Discrimination, loss of social status, inhuman treatment, and identity issues faced by persons with disabilities.
  • Limited Access to Education:
    • Lack of materials for visually impaired individuals and exclusion of children with learning disabilities from schools.
  • Unemployment Struggles:
    • Lower employment rates, reluctance from the private sector, and societal stigma impact financial independence.
  • Education and Employment Barriers:
    • Limited availability of special schools, trained teachers, and employment opportunities for disabled individuals.
  • Political Participation Obstacles:
    • Exclusion of persons with disabilities in the political arena, including challenges in voting processes and party politics.
  • Accessibility Hurdles:
    • Challenges in public transportation and building access due to inadequate disabled-friendly infrastructure.
  • Execution of Policies Concerns:
    • Disability inclusion efforts hampered by poor policy execution and program implementation.
  • Preamble: The Preamble underscores the commitment to securing social, economic, and political justice, ensuring equality of status and opportunity for all citizens.
  • Fundamental Rights: All fundamental rights enshrined in the Constitution, rooted in the dignity of the individual, are equally applicable to persons with disabilities.
  • Directive Principles: Article 41 emphasizes the State’s responsibility to make effective provisions for the right to work, education, and public assistance, particularly for unemployment, old age, sickness, and disability.
  • Article 46: This article mandates the State to promote the educational and economic interests of weaker sections, safeguarding them against social injustice and exploitation.
  • Mental Health Act, 2017:
    • Focusing on mental healthcare and services while safeguarding the rights of individuals with mental illness.
  • Rights of Persons with Disabilities (RPwD) Act, 2016:
    • Provisions include increased reservation in government jobs and higher education, emphasizing accessibility in public buildings.
  • Rehabilitation Council of India Act, 1992:
    • Grants statutory status to the Rehabilitation Council of India (RCI), regulating services for persons with disabilities, standardizing syllabi, and maintaining a central register of qualified professionals.
  • About the Act:
    • Enacted to align with the UNCRPD, replacing the outdated 1995 Act.
  • Definition and Classification:
    • Recognizes 21 types of disabilities, empowering the government to notify additional categories.
    • Defines a person with a disability and benchmark disability.
    • Acknowledges high support needs requiring intensive assistance.
  • Rights and Entitlements:
    • Equality and Non-discrimination:
      • Prohibits discrimination, ensuring equal protection and opportunities in all aspects of life.
    • Women and Children with Disabilities:
      • Recognizes special needs, ensuring safety, health, education, and participation.
    • Community Life:
      • Promotes independent living and community inclusion.
      • Establishes community-based rehabilitation programs.
    • Protection from Abuse, Violence, and Exploitation:
      • Provides mechanisms to prevent and address abuse, violence, and exploitation.
      • Mandates reporting of cases to authorities.
    • Accessibility:
      • Mandates accessibility in various domains.
      • Sets time limits for making infrastructure accessible, with penalties for non-compliance.
    • Education:
      • Ensures free and compulsory education for children with benchmark disabilities.
      • Reserves seats in higher education and provides scholarships.
    • Employment:
      • Reserves posts in government establishments.
      • Offers incentives to private sector employers to hire persons with disabilities.
      • Mandates equal opportunity policies and grievance redressal.
    • Social Security:
      • Offers various schemes for social security, healthcare, rehabilitation, and recreation.
    • Provides insurance schemes for the benefit of persons with disabilities.
  • Government Responsibility:
    • Mandates awareness campaigns, accessibility norms, and human resource development.
    • Requires social audit, reasonable accommodation, accessible public buildings and transport, information, communication, assistive devices, rehabilitation services, awareness programs, and sensitization.
    • Calls for collecting disaggregated disability data and establishing grievance redressal mechanisms.
  • Accessible India Campaign:
    • Launched in December 2015.
    • Aims to create a barrier-free environment based on the Social Model of Disability.
    • Targets universal accessibility in the built environment, transportation, and information & communication technology.
  • Deendayal Disabled Rehabilitation Scheme (DDRS):
    • Aims for equal opportunities, equity, social justice, and empowerment.
    • NGOs receive financial assistance for projects such as special schools, halfway homes, and community-based rehabilitation.
  • Assistance to Disabled Persons for Purchase/Fitting of Aids and Appliances (ADIP):
    • Assists disabled individuals in procuring durable and scientifically manufactured appliances.
    • Implemented by NGOs, National Institutes, and ALIMCO (a PSU manufacturing artificial limbs).
  • Indian Sign Language Research and Training Centre:
    • Promotes the use of sign language.
    • Aims to develop human resources in the field.
  • National Institute of Mental Health Rehabilitation (NIMHR):
    • Focuses on capacity building in mental health rehabilitation.
    • Aims to develop community-based rehabilitation protocols for mainstreaming persons with successfully cured mental illness.
  • Scholarship Schemes:
    • Various scholarship schemes at different educational levels for disabled students.
    • Provides 5% reservation for disabled individuals in higher education.
  • Collaborators:
    • Implemented by the International Labour Organization (ILO) and the International Fund for Agricultural Development (IFAD) in collaboration with the Women’s Development Corporation in Maharashtra.
  • Objective:
    • Sparks Disability Inclusive Rural Transformation (SPARK) project focuses on empowering persons with disabilities in rural areas.
  • Key Initiatives:
    • Identification and Training: Persons with disabilities are identified and trained as Disability Inclusion Facilitators (DIFs).
    • DIF Engagement: DIFs engage with the community, persons with disabilities, caregivers, women from self-help groups, and other stakeholders.
    • Awareness and Inclusion: DIFs raise awareness about disability inclusion and existing barriers.
  • Mainstreaming Women with Disabilities:
    • Identification and mainstreaming of women with disabilities into existing self-help groups for social and economic development.
  • Access to Funds and Entrepreneurship:
    • Women with disabilities in self-help groups gain access to funds, enabling them to initiate entrepreneurial endeavors.
  • Attitudinal Shift:
    • The SPARK project has successfully initiated a positive attitudinal shift toward persons with disabilities at societal and administrative levels.
  • Holistic Impact:
    • Extending beyond economic development, the project has contributed to a broader societal transformation in attitudes towards disability inclusion.
  • Significance in Disability Inclusion:
    • The approach to disability inclusion is profoundly influenced by ‘by’ and ‘for’ distinction.
    • “For” signifies the role of a recipient in receiving something.
    • “By” specifies the identification of the agent actively performing an action.
    • Inclusion must be actively led “by” persons with disabilities, involving them in the process.
    • Mere actions done “for” them, without their participation, may not achieve genuine inclusion.
  • Preventive Actions:
    • Scale up the Comprehensive Newborn Screening (CNS) program under the Rashtriya Bal Swasthya Karyakram for early detection and prevention.
    • Implement comprehensive newborn screening programs like Kerala’s to identify deficits early.
  • Accommodation and Inclusion:
    • Identify opportunities for better accommodation in society, including improved education, equal job opportunities, and active participation in social and political decisions.
  • Sensitization:
    • Overcome stigma by educating and sensitizing society about the challenges faced by Persons with Disabilities (PwDs).
    • Promote positive terms like “Divyangjan” coined by the Prime Minister.
  • Interventions in Public Policy:
    • Allocate a larger portion of the budget for the welfare of disabled people.
    • Implement gender-sensitive budgeting and ensure proper monitoring and accountability.
  • Community-Based Rehabilitation (CBR) Approach:
    • Adopt CBR approaches to maximize physical and mental abilities, ensuring access to services and community integration.
  • Increasing Public Awareness:
    • Run social campaigns to change attitudes towards disability.
    • Encourage positive representations of disabilities in mainstream media.
  • Collaboration With States:
    • Raise awareness about care for pregnant mothers and improve medical facilities in rural areas.
    • Support state governments with fiscal decentralization for effective health sector management.

References:
The Hindu
Office of Chief Commissioner for Persons with Disabilities

Practice Question: Conduct a comprehensive analysis of welfare programs and initiatives targeted at persons with disabilities. Assess the effectiveness of these provisions in addressing the unique needs of persons with disabilities.

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