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This position paper proposes an internationally comparable general disability measure to promote equal opportunities for persons with disabilities. The paper discusses the relevance and feasibility of implementing the measure for monitoring levels of functioning, assessing equalization of opportunities, and evaluating purposes. It also highlights the need for harmonization and training to ensure meaningful and comparable measures across countries. However, cultural and contextual factors may limit comparability.
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Comments on the Washington Group Position Paper Proposed Purpose of an Internationally Comparable General Disability Measure Alicia Bercovich IBGE Brazil
Goals To promote the participation of persons with disabilities in all aspects of life preventing the onset and consequences of impairments, promoting optimal levels of functioning, equalizing opportunities for participation. *United Nations, New York, 1983 World Programme of Action concerning Disabled Persons*
The International Classification of Functioning and Disability (ICF) is a guide for the measurement design. Framework
to provide services, including the development of programs and polices for service provision and the evaluation of these programs and services, to monitor the level of functioning in the population, to assess equalization of opportunities. Purposes of the harmonized mensuration of disability
Relevance Is the purpose of relatively equal importance across countries with respect to policy? Feasibility Is it possible to collect the proposed information using a comparable general disability measure that includes a small set of census-like questions? International relevance and feasibility of implementation
Provision of Services Relevance (yes) Feasibility (no) Monitoring the level of functioning in the population Relevance (yes) Feasibility (no) Assessing equalization of opportunity Relevance (yes) Feasibility (yes) Evaluation of purposes Relevance and Feasibility
Assessment of equalization of opportunitiesas the purpose for the first general disability measure to be developed by the WG. Purpose for the measure
Identification of a broad subpopulation, which can be further described using detailed information obtained via extended survey sets. Limitations the general disability measure developed to suit the proposed purpose may not suit other purposes no comprehensive assessment of disability or identification of the “true” disabled population Lacking information about mechanisms that facilitate participation Groups related to the NGO’s on Disability and other related Organizations are not encouraging the identification of a large subpopulation of people with disability Benefits
Measuring Activity and Participation Willful actions Specific tasks Organized activity Information considered indication of participation Transition to Measurement
Necessity of Harmonization to have meaningful and comparable measures Cultural Differences between countries continue to affect comparability The need for the Census and Surveys teams tounderstand the purpose Training people in the technical and operational teams To achieve a concrete set of questions recommended for insertion in Censuses and Surveys Some Comments (I)
Minimum set of Questions recommended Questions must be operationalized by the countries according to local characteristics Pilot tests harmonized and analyzed Documentation of the results of the tests Recommendations on Editing and Imputation of the new variables Analyzing the results: standardization of a minimal set of checks to be performed at the country level Some Comments (II)
Documentation on the limitations on comparability due to cultural and contextual factors for each one of the participating countries Statistical measures on the accuracy of results (to establish comparisons) More Comments (III)