Definition
of Disability
Statistics are based on a set of statistical indicators
that are designed to measure a specific issue. Critical
to the design of statistical indicators is the definition
of disability. In the region, the definition of disability
is mainly based on the medical model. This means that the
definition has a narrow scope, i.e. it is restrictive and
exclusionary, leaving out whole segments of population with
particular disabilities such as people with intellectual
disabilities. Furthermore, the definition can often be contradictory
depending on the different laws in which it is specifically
defined. For example, in Albania, the National Disability
Strategy gives a wide definition of disability but the specific
laws on the status of people with disabilities are very
narrow and do not include people with intellectual or psycho-social
disabilities.
Depending on the choice of definition, statistics will cover
a wide or a narrow group of people and this greatly impacts
the data sets and the analysis of information. For example,
according to the UN Compendium of Disability Statistics
(DISTAT) compiled in 1992, the percentage of people who
are disabled ranges from 0.2 to as far as 20.9 % of the
total population in different countries under survey. A
large part of this variation is due to the choice of definition
of disability.
Methods for Collecting Data
A country can collect data on disability using three national
data collection systems: surveys, population censuses and
registries (or administrative records).
1. Surveys
Sample surveys are not intended to enumerate and poll every
household or individual in the country. They are designed
to be representative of specific portion of population under
study so they could be as small as 500 households or as
large as 15,000. Surveys should be determined randomly to
be representative of the population.
Surveys can be used to collect data on disability either
by conducting a special survey on disability or by including
questions or a module (a set of questions) on disability
in another survey such as Labour Force Surveys, Household
Budget Surveys or Living Standards Measurement Surveys.
Surveys cover many different and often specialized topics
such as health, welfare, labour force, agriculture and other
socioeconomic issues often through a series of detailed
questions. The majority of surveys are household-based.
However, in surveys of the population with disabilities
it is also important to include the general population for
comparative purposes.
2. Population censuses
In most national statistical systems, population censuses
are the principal source of statistical data on the population
and its characteristics. A census is a nationwide study
with every person enumerated separately and their characteristics
recorded separately.
Universal enumeration, an essential feature, permits population
censuses to provide comprehensive demographic, economic
and social data for small geographical areas, which would
not be possible with a sample survey. A population census
is a complex and costly undertaking that the majority of
countries are able to conduct at ten-year intervals only.
Using the census to collect information about a certain
segment of the population is not a new concept, although
census organizers typically try to avoid using the census
to collect anything other than basic demographic information.
However, with the high cost of data collection and the increasing
need for socio-economic and demographic information, many
countries are exploring the census as a way to obtain other
types of data.
Although a broad range of topics can be included in a census,
most can be covered only briefly because of budgetary, personnel
and time constraints.
Disability is increasingly a topic investigated in a population
census. For the first time, the United Nations Principles
and Recommendations for Population and Housing Censuses,
Revision 1, includes disability as a topic that may be covered
in censuses.
3. Administrative records and registers
Information on disability can also be collected in administrative
recording and registration systems. These include population
registers, disability pension registration systems, social
security systems, registries of occupational injuries, employment
registries, rehabilitation programmes and other services
for persons with disabilities. Usually the information in
these systems has been collected for reasons other than
statistical and is usually related to the administration
of a particular programme or service for persons with disabilities
who meet its specific criteria.
Registries can be restrictive sources of data firstly because
there may be legal problems, such as privacy issues or confidentiality
of personal information, in the use of administrative service
records or registers for statistical purposes other than
in support of the programme or service. Secondly, they only
show the people with disabilities who have access to a particular
programme or service. Thirdly, in many cases, the data in
registries overlap or have duplicate information that cannot
be disaggregated. However, in some cases, these barriers
can be overcome and, particularly in conjunction with other
data sources, administrative records can enrich our knowledge
about trends concerning persons with disability.
|
The Washington Group on Disability Statistics
The Washington Group (WG) on Disability Statistics was formed
as a result of the UN International Seminar on Measurement
of Disability in New York, June 2001. Among the main outcomes
of that meeting was the recognition that statistical and
methodological work was needed at an international level
in order to compare data on disability cross-nationally.
Thus, the UN Statistical Division authorized the formation
of a City Group to address these issues. Since February
2002, the Washington Group has been operating under the
aegis of the United Nations Statistical Commission and it
meets once a year, gathering representatives of national
statistics institutes, international agencies and non-governmental
organisations.
The main purpose of the Washington Group is the promotion
and coordination of international cooperation in the area
of health statistics by focusing on disability measures
suitable for censuses and national surveys which will provide
basic necessary information on disability throughout the
world. More specifically, the Washington Group aims to guide
the development of a small set or sets of general disability
measures (or questions), suitable for use in censuses, sample
based national surveys, or other statistical formats, for
the primary purpose of informing policy and policy-makers
on equalization of opportunities.
The second priority of the Washington Group is to recommend
one or more extended sets of questions for surveys to measure
disability, or principles for their design, to be used as
components of population surveys or as supplements to specialty
surveys such as Living Standards Measurements Surveys (LSMS),
Household Budget Surveys (HBS) or Labour Force Surveys (LFS).
At the last meeting in Rio de Janeiro in 2005, the Washington
Group identified three major categories of purposes for
statistical data collection on disability: 1) service provision,
2) monitoring functioning in the population and 3) assessment
of equalisation of opportunities.
Equalisation of opportunities was identified as feasible
and relevant for all countries in the proceses of policy
making. This issue was then selected as a primary concern
and the key purpose for the development of an internationally
comparable general disability measure. This disability measure
is based on adding questions to national censuses on disability
and the WG developed a draft set of 6 questions for this
purpose to identify all those at greater risk than the general
population as result of limitations in activity or participation.
The ICF was used as the conceptual starting point for formulating
these questions.
The questions are intended for use primarily in national
census formats and can be used for international comparison
of the resulting data. In the latter, the objective would
be to identify persons with similar types and levels of
limitations in basic activity functioning regardless of
nationality or culture.
The intended use of this data would be to compare levels
of participation in employment, education, or family life
for those with a disability versus those without to see
if persons with disabilities have achieved social inclusion.
In addition, the data could be used to monitor prevailing
functioning trends for persons with limitations in the particular
basic activity domains.
Pertinent to the formulation of these questions is the definition
for statistics purposes which is an on-going debate within
the WG.
|