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94<br />

Inclusive Communities = Stronger Communities<br />

GLOBAL REPORT ON ARTICLE 19: THE RIGHT TO LIVE AND BE INCLUDED IN THE COMMUNITY<br />

While people with<br />

intellectual disabilities<br />

seemed to fare better in<br />

accessing health care<br />

than education and<br />

employment, care<br />

tends to be delivered<br />

through disability<br />

specific programmes<br />

and services and is not<br />

delivered on an equal<br />

basis with others in the<br />

community. People<br />

with intellectual<br />

disabilities are more<br />

likely to live in poverty<br />

and people who are<br />

poor are much less<br />

likely to access health<br />

care in both high and<br />

low income countries.<br />

Figure 11: Characteristics of the health services for people<br />

with disability. Country Profiles survey<br />

Barriers to inclusion may be attitudinal or exist in policy or<br />

law. Several key issues were identified as critical factors in<br />

the exclusion faced by people with intellectual disabilities<br />

from their communities.<br />

Key Issues:<br />

‰ Societal Attitudes<br />

The overwhelming message from self-advocates and<br />

families was that communities and societal attitudes<br />

including religious beliefs were negative towards the<br />

inclusion of people with intellectual disabilities. Fear,<br />

prejudice and ignorance characterized the response<br />

from communities when people who had been<br />

excluded previously attempted to participate. A<br />

mother in Russia told us “I wanted to take my child to<br />

the children’s party devoted to the New Year<br />

celebration, but they didn’t let me. This is the attitude<br />

not only of our society but also of government and

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