Question & problem
Employment contributes to well-being and dignity. Additionally, it can break the vicious cycle of poverty and the resulting negative mental health. However, nearly two-thirds of persons with disabilities aged 15 years and over are unemployed in low- and middle-income countries (LMICs). The ratio of persons with disabilities in employment compared to the general population in employment is almost half. Furthermore, among people with disabilities who are employed, two-thirds continue to experience workplace barriers. Inequality and discrimination in employment deprive persons with disabilities of their rights. Goal 8 in the 2030 Agenda for Sustainable Development explicitly calls for “promoting sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all.” The United Nations’ ‘Disability and Development’ report highlights the international frameworks relevant to optimize opportunities for persons with disabilities to participate in employment, to achieve Goal 8. This brief will provide an overview of the available literature on LMICs’ efforts to promote inclusive employment underpinned by the UN Convention on the Rights of People with Disabilities (UNCRPD) framework.
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Recommendations
Key recommendation
Action
Review existing legal and policy frameworks to ensure that they align with the UNCRPD principles including respect for inherent dignity and autonomy; non-discrimination; full and effective participation; acceptance; equality of opportunity and gender; and accessibility. Disability frameworks should be translated into legislation laws to promote and protect the rights of persons with disabilities at workplace. In particular, the frameworks should be inclusive and consider all types of disabilities including hidden disabilities such as those due to poor mental health. Similarly, ensure that all persons with disabilities including women have equal opportunities to participate fully and effectively in employment.
Key recommendation
Action
Establish effective mechanisms for coordination and sharing information between multiple stakeholders involved in disability advocacy and programmes. Engage in a deliberative, and collaborative process with all the relevant stakeholders to ensure the goals and contents of the policies reflect their purpose and needs. Use evidence from quantitative and qualitative studies, operational research, and rapid assessments to identify needs, formulate and implement policies.
Key recommendation
Action
Develop clear guidelines through regulations to mandate implementing law that safeguard and promote the realisation of the right to work for all persons with disabilities, on an equal basis with others. Enforce penalties to employers that do not comply with the law. Similarly, reward employers with Government schemes such as tax reduction that comply. Government ministries should work collaboratively with civil society organisations and persons with disabilities to implement the policies and meet the obligations of CRPD through awareness raising and sensitisation workshops.
Key recommendation
Action
Disability should be at the heart of all the processes involved during consideration of national budgets, and fiscal policies and programming. Access to Government grants should be made available for persons with disabilities to access assistive technology, employment assistance, or to support extra costs due to disability. Similar grants should also be available for Organisations of People with Disabilities (OPDs) to engage in disability awareness and advocacy activities as well as facilitate their participation in policy formulation, implementation, monitoring, and evaluation.
Key recommendation
Action
Use standardised tools and relevant outcome indicators to monitor the implementation of international agreements on disability (e.g., World Health Organisation ICF, Washington Group questions). Use disability situational analyses to establish a benchmark measure of accountability and to ensure effective monitoring of disability inclusion. Set up an independent monitoring committee comprising of diverse stakeholders including government officers, persons with disabilities, OPD representatives and academic researchers.
Key recommendation
Action
Allocate sufficient funds to undertake rigorous evaluations of the effectiveness of disability inclusive employment programmes. Apply standardised tools to assess the benefits by disaggregating routine data based on types of disability. Adopt a systematic approach to document, analyse, and report programme implementers’ experiences and learning to further improve the uptake and utility of the policies. Conduct implementation research using methods such as the Plan-Do-Study-Act Cycle to understand policy implementation gap.
Challenges
Challenge #1: While domestic laws related to inclusive employment in many settings are underpinned by the UNCRPD framework, they do not fully reflect the key principles.
- The UNCRPD replaces a charity approach with a human rights approach to disability, which is described in terms of environmental barriers, including negative attitudes and discrimination which exclude persons with disabilities. However, in many cases, domestic laws do not fully incorporate the key principles of UNCRPD. The heterogeneous nature of disability and its implications to individuals and society is often overlooked leading to discordance between domestic laws and the UNCRPD framework. One review noted that laws in East Africa often do not explicitly recognise certain types of disability such as mental illness, making people who experience mental illness vulnerable to discrimination due to inadequate legal protection. Societal attitudes such as stigma can make it hard for people with mental illness to get a job, retain their job or return to a job after an episode of medical leave. Furthermore, over-medicalisation remains prevalent, for example forced treatment for people with mental illness or the need for disability registration where impairment criteria is assessed by medical professional.
- Restrictive clauses in legislation narrow the scope of opportunities related to inclusive employment, for example thresholds and criteria to trigger tax exemptions for employing persons with disabilities. These clauses are often placed either at an individual or organisational level. For example, at the individual level - adopting a relatively narrow definition of disability such as requirement of substantial limitation in functioning; requirement of medical certification from a specific professional or disability centre as a proof of impairment. At organisational level, restrictive clauses might include size of enterprise, or only public or private sector enterprises are included.
- Gender bias either explicitly or implicitly disadvantages women with disabilities with and without caring responsibilities. In Thailand, the membership quota for women with disabilities in the National Committee for Empowerment of persons with disabilities, is often overlooked.
Challenge #2: Relevant employment policies are poorly conceived, with a lack of participation and coordination
- Policy formulation processes have been ambiguous, unsystematic, and not evidence-informed. Contextual political and economic factors dominate, with sub-optimal policies drawn for political gains, particularly during elections. For example, in Uganda, the persons with disability act 2006 was passed speedily, closer to an upcoming election, bypassing the required deliberate process and overlooking the shortcomings present in the act.
- Participation of persons with disabilities and Organisations of People with Disabilities (OPDs) is vital to the Human Rights-Based Approach and CRPD but is overlooked in many instances. However, participation alone cannot resolve policy issues. Even with participation of persons with disabilities and Organisations for Persons with Disabilities (OPDs) one review reported that the country’s policies fell short of the standards to completely embrace the key CRPD principles. Insufficient financial resources, multiple competing priorities, bureaucracy, and Government ministries’ short-sighted vision to prioritise policies and projects that reap immediate benefits have been viewed as additional hurdles impacting the policy formulation and implementation processes.
- Effective coordination among different actors including government departments, persons with disabilities, and OPDs can drive the various stakeholders to engage in awareness and advocacy activities, which in turn can facilitate optimal buy-in from both employees with disabilities and employers of persons with disabilities. Nevertheless, it was reported that even individual government departments do not coordinate well to streamline the processes, leading to piecemeal policies.
Challenge #3: Implementation of policy and legal frameworks suffers from inadequate guidelines, and lack of effective coordination.
- Absence of robust guidelines to mandate implementation have resulted in employers’ lack of enthusiasm for adopting or enforcing affirmative actions. Moreover, in some countries, different jurisdictions have adopted policies as they fit, or based on their interpretation. This has resulted in discrepancy in the translation of policies into practice across regions. This variation causes confusion among both employers and employees about the elements of the policies and results in a ‘location lottery’ contributing to further widening inequities between persons with and without a disability.
- Multiple governmental ministries are tasked with implementation responsibilities resulting to confusion and duplication of tasks especially when there is lack of a central mechanism for policy coordination. In Namibia, there is variation in terms of the disability model adopted by individual ministries which again can have an impact on the effective implementation of policies and programmes.
Challenge #4: Lack of monitoring and evaluation strategies limit assessing the success of inclusive policies.
- Article 33 and Article 34 of the UNCRPD provide mechanisms for national and international monitoring, respectively. However, there is a lack of concrete measures and outcome indicators to efficiently measure the usability of the policies. Limited understanding of the concept of human rights and participatory approaches on the part of policy makers have been cited as the reasons.
- Government reports tend to focus more on the output and the process of policies delivered by Government agencies rather than the goals and objectives of the policies. Although one study reported monitoring indicators related to employment statistics there was discrepancy between those reported by Government agencies and independent commission such as the National Human Rights Commission of Thailand.
Finding the answers
We conducted a review of reviews, examining systematic, narrative, and other types of review evidence on the topic of operationalisation of the UNCRPD framework towards inclusive employment for persons with disabilities. All recommendations are based on reviews of literature about LMICs. This evidence brief is based on the findings of 8 reviews, of which one review summarised evidence from 193 countries. Of the remaining reviews, six reviews focussed on studies from African region while the evidence in one review came from Thailand in Southeast Asia.
Recommendations & actions
Key recommendation
Action
Review existing legal and policy frameworks to ensure that they align with the UNCRPD principles including respect for inherent dignity and autonomy; non-discrimination; full and effective participation; acceptance; equality of opportunity and gender; and accessibility. Disability frameworks should be translated into legislation laws to promote and protect the rights of persons with disabilities at workplace. In particular, the frameworks should be inclusive and consider all types of disabilities including hidden disabilities such as those due to poor mental health. Similarly, ensure that all persons with disabilities including women have equal opportunities to participate fully and effectively in employment.
Key recommendation
Action
Establish effective mechanisms for coordination and sharing information between multiple stakeholders involved in disability advocacy and programmes. Engage in a deliberative, and collaborative process with all the relevant stakeholders to ensure the goals and contents of the policies reflect their purpose and needs. Use evidence from quantitative and qualitative studies, operational research, and rapid assessments to identify needs, formulate and implement policies.
Key recommendation
Action
Develop clear guidelines through regulations to mandate implementing law that safeguard and promote the realisation of the right to work for all persons with disabilities, on an equal basis with others. Enforce penalties to employers that do not comply with the law. Similarly, reward employers with Government schemes such as tax reduction that comply. Government ministries should work collaboratively with civil society organisations and persons with disabilities to implement the policies and meet the obligations of CRPD through awareness raising and sensitisation workshops.
Key recommendation
Action
Disability should be at the heart of all the processes involved during consideration of national budgets, and fiscal policies and programming. Access to Government grants should be made available for persons with disabilities to access assistive technology, employment assistance, or to support extra costs due to disability. Similar grants should also be available for Organisations of People with Disabilities (OPDs) to engage in disability awareness and advocacy activities as well as facilitate their participation in policy formulation, implementation, monitoring, and evaluation.
Key recommendation
Action
Use standardised tools and relevant outcome indicators to monitor the implementation of international agreements on disability (e.g., World Health Organisation ICF, Washington Group questions). Use disability situational analyses to establish a benchmark measure of accountability and to ensure effective monitoring of disability inclusion. Set up an independent monitoring committee comprising of diverse stakeholders including government officers, persons with disabilities, OPD representatives and academic researchers.
Key recommendation
Action
Allocate sufficient funds to undertake rigorous evaluations of the effectiveness of disability inclusive employment programmes. Apply standardised tools to assess the benefits by disaggregating routine data based on types of disability. Adopt a systematic approach to document, analyse, and report programme implementers’ experiences and learning to further improve the uptake and utility of the policies. Conduct implementation research using methods such as the Plan-Do-Study-Act Cycle to understand policy implementation gap.
Policy priorities
Employment laws and policies for people with disabilities should closely align with the UNCRPD principles. This will ensure that people with disabilities have equal employment opportunities and do not experience discrimination due to disability. To achieve this, governments should engage with all stakeholders, including persons with disabilities, in a deliberate and collaborative manner to formulate and implement evidence-informed inclusive employment policies. Explicit guidelines should also be provided to mandate the implementation along with the use of standardised tools and relevant outcome indicator to monitor the implementation of policies and programmes and disaggregate data by disability. Finally, conducting rigorous evaluations to assess the benefits of the policies and programmes is key for ascertaining feasibility.
Conclusion
Persons with disabilities in LMICs have experienced inequality, discrimination, and human rights violation at the workplace. The UNCRPD provides a framework that can inform individual nation’s effort to facilitate inclusive employment and uphold the human rights of persons with a disability. Despite ratifying the UNCRPD, there are still several gaps in the effective translation of the principles to promote inclusive employment for persons with disabilities in LMICs.
Gaps & research needs
Increase the evidence base on the impact of policies and programmes, using robust methodologies such as impact evaluation methods, to support inclusive employment for persons with disabilities in low- and middle- income countries.
Acknowledgements
Peer review: This brief was reviewed by Islay Mactaggart, Assistant Professor; and Tom Shakespeare, Professor of Disability Research. Both the reviewers are based at the International Centre for Evidence in Disability at LSHTM.
Publication details: © London School of Hygiene & Tropical Medicine, May 2021.
Suggested citation: Felix Lambert. Evidence Brief: What progress has been made to operationalise the United Nations’ Convention on the Rights of People with Disabilities (UNCRPD) framework to promote inclusive employment? Disability Evidence Portal, 2021.
Disclaimer: The views expressed in this publication are those of the author/s and should not be attributed to Disability Evidence Portal and/or its funders.