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Access to services Experience of Handicap International in China Presentation at Seminar on access to services in challenging environments Amman, December 2009. 1. Background on disability in China.
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Access to services Experience of Handicap International in ChinaPresentation at Seminar on access to services in challenging environments Amman, December 2009
1. Background on disability in China • 83 million people with disabilities, representing more than 6% of the total population (= population of Germany) • 75% of them live in rural areas (= higher than average proportion) Sources: Second China Sampling Survey on Disability, 2006
1. Background on disability in China • Although there is strong politicalwill, clear regulations and a well organized national system (CDPF): • Only 1/3 of people withdisabilities needing rehabilitation services receive them • Only 1/5 of people with disabilities needing assistive devices have access to such devices • Similar figures for access to education and employment Sources: Second China Sampling Survey on Disability, 2006
2. Presentation of Handicap International in China • Presence in China since 1998 • Promote the rights and socio-economic inclusion of people with disabilities, especially in rural and poor areas • Main areas of work : • Prevention • Rehabilitation • Inclusion
2. Presentation of Handicap International in China • Current projects in Tibet, Sichuan and Guangxi
3. Why did we decide to work on access to services • Past: historic involvement in direct implementation of physical rehabilitation centers for people with leprosy • Now: • National statistics show a clear need • Lack of disability professionals (e.g. study of Renmin University) • Focus of national and local authorities on quantity rather than quality • Lack of financial access to mainstream and specialized services in rural areas • Specific requests from partners who really see an added value from HI in this field
4. How did your action contribute to improving access to services • Action at both local (service providers) and national level (lobby) • Lobby at national level • Collaboration with national/provincial regulators • Credibility gained on direct services to beneficiaries • Pilot project – continuous focus replication opportunities • Work with existing regulations and systems do not reinvent the wheel • Progressive approach: • Focus on technical know-how • Focus on management • Focus on financial accessibility (e.g. conference on social security and services)
4. How did your action contribute to improving access to services
5. Which partners do you work with • National and provincial Disabled Persons Federations (both regulator and service provider ) • National and provincial Rehabilitation Research Centers • Departments of Education, Labor and Poverty Alleviation • Universities and academic research institutes • Associations of professionals (e.g. CARM)
6. Challenges • Time and investment needed to make pilot projects official recognized and replicated • Lack of qualified and motivated staffs in rural areas • Training provided by foreign experts are not officially recognized • Lack of professional standards of many specialized disability professions
Thank You ! 谢谢!