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Inclusive Communities = Stronger Communities<br />

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

75<br />

‰ Institutions<br />

The continued existance of institutions in high<br />

income countries reflects in part the failure of service<br />

systems to deliver adequate, flexible and self-directed<br />

supports to people with intellectual disabilities. We<br />

heard from our member organizations in countries<br />

where residential institutions continue to exist that<br />

they continue to consume a disproportionate<br />

percentage of resources while serving a comparitively<br />

small percentage of people needing supports. They<br />

continue to exist due to pressure from staff,<br />

sometimes from families and from local legislators<br />

who are focused more on jobs than on the best way<br />

to support people with an intellectual disabilities.<br />

Supporting People in Low Income Countries<br />

In low income countries the infrastructure of services for<br />

the general population is limited and the services available<br />

to support people with disabilities and particularly people<br />

with intellectual disabilities are almost non-existent.<br />

Where disability related services do exist they are often<br />

provided by internationally funded NGOs and most often<br />

they are focused on services for people with physical and<br />

sensory disabilities. They are heavily centered on medical<br />

programmes and continue to be based on a medical<br />

model of disability.<br />

We heard from national member organizations in Latin<br />

America, Africa, MENA, Asia and Eastern Europe about the<br />

particular issues that impact on living and being included<br />

in the community.<br />

Key Issues:<br />

‰ Poverty<br />

One of the key factors which members reported that<br />

prevent people from being included in their<br />

SOUTH AFRICA “We used to have<br />

our children with intellectual disabilities<br />

in the institutions before – We did not<br />

know what to do with regard to their<br />

care. But we were not happy with the<br />

care at the institutions we therefore<br />

took them out.¨ Some of the parents<br />

of children with disabilities are thinking<br />

of starting a day care centre to keep<br />

their children busy during the day and<br />

teach them different sports including<br />

dancing. But they are challenged by<br />

lack of resources and appropriate<br />

space to carry out the activities. They<br />

do not prefer institution life for their<br />

children. They said chances are that<br />

they could be ill-treated as abuse is<br />

rife in the institutions.

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