2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire

Page created by Micheal May
 
CONTINUE READING
2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire
2030 – the
countdown
is on

Youth with disabilities
on the Sustainable
Development Goals
2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire
Contents
1. A little bit of background                       4

2. 2030 and counting – how the project works        7

3. Youth with disabilities in their own words       14
   – the project findings

4. Priorities for change                            29

5. Reflecting on the methodology                    31

6. This is just the beginning                       32

Appendices                                          33

2 • 2030 – the countdown is on • Leonard Cheshire
2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire
Foreword

Over half of the world’s population is under the age of 35. The emphasis must
now be to prioritise the engagement and full participation of all youth. The future
depends on the youth. The problems the world faces will need to be solved
by the youth. More than ever with changing times, we must acknowledge the
participation of youth with disabilities.

We, as youth with disability, are experts     Globally, 2030 and Counting is
of our experiences. We can offer leaders      fostering leadership and mentorship
and society the chance to understand          that equips youth with disabilities with
what it is like to be a young person with     a fresh perspective, sense of value and
a disability.                                 enthusiasm. This will give us the power
                                              to have an impact on our own lives
Engagement is very important to               and that of future generations. We
ensure youth in general can be positive       are enlightened to be part of this
advocates and have the opportunity to         tremendous opportunity.
develop our leadership and civic roles.
Yet, youth with disabilities often can’t      The 2030 and Counting lead reporters
engage in opportunities – whether that’s
learning experiences, the world of work,
social activities or decisions that affect
our lives. Too often other people speak
out on our behalf. This needs to change.
We need to stand up for ourselves.

We have been motivated to take part in
the 2030 and Counting project by the         Maria Njeri                 Regina Mwangi
very thought of creating ripples of change
in our countries. In a disability data-light
world, having evidence to address the
challenges and real-life situations facing
youth with disabilities is crucial.

The project is about much more than
collecting stories. It is an extraordinary    Dianne Mallari             Kevin Palaca
opportunity to have a seat at the table
towards the implementation of the
Sustainable Development Goals by
2030, in particular the goals relating to
good health, quality education
and decent work.

                                              Ian Banda

                                                       Leonard Cheshire • 2030 – the countdown is on • 3
2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire
1. A little bit of background

So what’s 2030 and Counting all about?
2030 and Counting brings together youth with disabilities and Disabled People’s
Organisations (DPOs) from Kenya, the Philippines and Zambia to report on
and advocate for their rights.

The global commitments made through                 Another challenge for DPOS is the lack
the Sustainable Development Goals                   of available data that is disaggregated by
(SDGs) are central to the project. The youth        disability, in particular in relation to youth.
reporters taking part are using them as a           This means that, for example, while we
way to frame their experiences and as a tool        might know how many people overall are
to hold governments to account. The target          in employment within a country, too often
date set for the achieving the SDGs is 2030 –       we do not have a figure for how many
the countdown is on!                                persons with disabilities are in employment,
                                                    compared to those without disabilities. And
The youth reporters are united by a passion         we are even less likely to have a breakdown
to engage in the issues that affect their lives.    of how many youth with disabilities are
They want to see youth-friendly disability-         in employment. The lack of data makes it
inclusive policies implemented in their             harder for DPOs to effectively represent
countries.                                          youth with disabilities and identify the key
                                                    issues they are facing.
All too often, youth with disabilities
fall through the cracks; mainstream                 The project has three main phases:
development programmes rarely include
youth with disabilities. Programmes for             1) Training: lead youth with disabilities
disabled populations, where these exist, are        and DPO representatives attended an
often no more inclusive, concentrating on           intensive training course in London on
children with disabilities in schools or on the     leadership, citizen reporting and the SDGs.
employment and social integration                   Once back in their communities, the lead
of adults with disabilities.                        youth delivered similar training sessions to
                                                    their peers.
Disabled People’s Organisations (DPOs)
are run by and for persons with disabilities.       2) Story gathering: the trained youth with
They exist in all countries and are a powerful      disabilities used their mobile phones to
advocacy base for change. However, few              capture their experiences and those of
DPOs have organised systems of youth                their peers, submitting them to an online
groups, internship or training programmes.          reporting hub.
This means that youth with disabilities are
underrepresented within DPOs – they are             3) Influencing: youth with disabilities and
rarely brought in to represent the voice of         DPOs have engaged – and will continue
youth with disabilities, or given training to       to engage – duty bearers by sharing
assume leadership roles.                            experiences and findings on social media,
                                                    and at global and national advocacy events.

4 • 2030 – the countdown is on • Leonard Cheshire
2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire
Some facts and figures on youth with disabilities
Estimates suggest that there are somewhere between 180 and 220
million youth with disabilities worldwide. Nearly 80% live in developing countries.1

Youth with disabilities are amongst the most marginalised and poorest of the world’s
youth. They are routinely excluded from most educational, economic, social and
cultural opportunities.2

        Kenya                                                           The Philippines
        •	A young person in Kenya                                      •	A young person in the
           is defined as those aged                                        Philippines is defined
           15 to 30                                                        as those aged 15 to 30
        •	Young people account for 32% of the                          •	Young people account for 28.9%
           population – over 10 million people3                            of the population – over 30 million
        •	According to the 2009 Kenya                                     people
           Population and Housing Census,                               •	According to the 2010 Philippine
           the disability prevalence rate in                               Statistics Authority Census of
           Kenya is 3.5%                                                   Population and Housing, the
        •	There is no data available for youth                            disability prevalence rate in the
           with disabilities. However, it is                               Philippines is 1.57%
           estimated those aged 15 to 34                                •	There is no data available for
           account for 34.5% of all persons with                           youth with disabilities. However,
           disabilities in the country4                                    those aged 15 to 49 account for
                                                                           approximately 40% of all persons
                                                                           with disabilities in the country5

                                                                        Zambia
          Estimates suggest                                             •	A young person in Zambia
                                                                           is defined as those aged
          that there are                                                   15 to 35
          somewhere                                                     •	Young people account for 36.7%
          between 180 and                                                  of the population – over 6 million
                                                                           people6
          220 million youth
                                                                        •	According to the 2010 Census
          with disabilities                                                of Population and Housing, the
          worldwide.                                                       disability prevalence rate in Zambia
                                                                           is 8.5%
                                                                        •	There is no data available for youth
                                                                           with disabilities

1
    Groce, N.E. (2003). HIV/AIDS and people with disability. The Lancet, 361(9367), 1401-1402
2
    Groce, N.E. (2004). Adolescents and Youth with Disabilities: Issues and Challenges. Asia Pacific Disability Rehabilitation
    Journal. 15(2):13-32 www.aifo.it/english/resources/online/apdrj/apdrj204/adolescent.pdf
3
    Kenyan Bureau of National Statistics 2010
4
    www.globaldisabilityrightsnow.org/infographics/disability-kenya
5
    Philippine Youth Development Plan 2017 – 2022 nyc.gov.ph/pydp
6
    Zambian Ministry of Youth and Sport National Youth Policy 2015

                                                                               Leonard Cheshire • 2030 – the countdown is on • 5
2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire
The lowdown on the
Sustainable Development Goals
The 2030 Agenda for Sustainable                                  The SDGs also focus on data – crucial to
Development (often shortened to the                              understanding how the targets are being
2030 Agenda) was agreed at the United                            achieved for everyone. SDG 17 is focused
Nations (UN) in 2015. The SDGs are right                         on global partnerships and includes a
at the heart of the 2030 Agenda. They                            target on increasing the availability of
are a set of 17 goals, accompanied by                            data.7 Globally, disaggregated data on
169 targets.                                                     disability is weak, and this project will
                                                                 help contribute to the growing evidence
The SDGs provide an important platform                           base around disability.
to drive the inclusion of youth with
disability in national development                               The SDGs present a huge opportunity.
processes. There is a global commitment                          Governments have made a global
to deliver on this development agenda.                           commitment to make sure that
The principle of ‘leave no one behind’ is at                     persons with disabilities are included
the core. Everyone must be included, no                          in development. But they also present
one must be left behind, including youth                         a challenge. How can youth with
with disabilities. The SDGs are distinctly                       disabilities make sure that commitment
different from their predecessors – the                          isn’t just on paper, and leads to real
Millennium Development Goals (MDGs).                             change in communities? The target date
The MDGs contained no mention of                                 set for the achieving the SDGs is 2030 –
disability. By contrast, the SDGs include                        the countdown is on!
11 explicit references to persons with
disabilities. These include the areas
of poverty eradication, education,
employment, reducing inequalities,
sustainable and inclusive cities and
peaceful and inclusive societies.

  17.18 By 2020, enhance capacity-building support to developing countries, including for least developed countries
7 

  and small island developing States, to increase significantly the availability of high-quality, timely and reliable data
  disaggregated by income, gender, age, race, ethnicity, migratory status, disability, geographic location and other
  characteristics relevant in national contexts

6 • 2030 – the countdown is on • Leonard Cheshire
2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire
2. 2030 and Counting –
how the project works
The methodology: increasing the voice of youth
with disabilities
This project acknowledges that youth         The approach deployed a relatively
with disabilities are experts in their own   small network of trained community
experiences and can help bring a deeper      reporters to crowdsource insight from
understanding of the challenges they         groups within their communities who
face and those of their peers. This makes    may lack the mobile connections,
youth with disabilities ideally placed       language, literacy or perhaps confidence
to become part of the solution to the        to engage as reporters in their own right.
challenges they and their communities        This allowed for the time investment
face. Their voices must be heard.            necessary to delve deeper into a variety
                                             of story points.
On Our Radar is the 2030 and Counting
project’s communications and
technology partner. Its community
research builds on established action
research methods and has been
developed with a wide range of
communities. As a community-led and
centered approach, this model empowers
marginalised groups to reveal and explain
key issues as they experience them, using
simple mobile devices to share personal
insights in their own words, in their own
time, and on their own terms, generating
more powerful and persuasive data than
traditional methods.

For this project, the methodological
approach has consisted of community
conversations and interviews to ‘collect’
constituent perspectives on key SDG
themes. This ‘Deep Dive’ method has
been developed by On Our Radar
and is most suited to respond to
communication gaps or needs that
require in-depth community-driven
reporting on a static story of
international relevance.

                                                     Leonard Cheshire • 2030 – the countdown is on • 7
2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire
A partnership approach                              The partnership with On Our Radar
The success of 2030 and Counting                    was integral to the centralised training
has relied on working in partnership                content, guidance on citizen reporting
with DPOs and communications and                    and the set-up and maintenance
technology partner On Our Radar.                    of the data collection processes.

The project has been implemented in       You can read more about the
Zambia and Kenya directly through         organisations involved in this
DPOs. In the absence of a national DPO in project in the annex.
the Philippines, two regional DPOs have
been recruited as collaborating partners.

The implementing DPO partners
provided on the ground support for the
lead youth with disabilities and their
group of reporters. Partners were a base
for the group’s training and reflection
meetings, facilitated the successful
delivery of the story gathering and were
instrumental in providing access to
networks in the community to support
the project.

8 • 2030 – the countdown is on • Leonard Cheshire
2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire
An inspiring start
2030 and Counting kicked off with four days of training in London in March 2018
for the lead youth with disabilities and DPO representatives. The training aimed to
increase awareness and understanding of the 2030 Agenda and to develop strong
reporting and advocacy skills.

The topics covered in the training           After the initial training in London, youth
included: journalism, safeguarding,          with disabilities and DPOs led a call for
mobile multimedia reporting, ethics,         more youth with disabilities to join the
the 2030 Agenda and the SDGs, and the        project across the four communities of
importance of the youth voice.               Nairobi (Kenya), Manila (The Philippines),
                                             General Santos (The Philippines) and
Leonard Cheshire Global Ambassador,          Lusaka (Zambia). This led to reporter
Judith Heumann, joined the group to talk     groups forming in each community.
about her own experiences as a youth         All those taking part then received
advocate. The training wound up with a       cascaded training from the lead reporters.
visit to the BBC for a question and answer
session with journalists on the powerful
impact of storytelling.                         “My engagement with this team of
                                                reporters inspired me to speak up for
The training helped to foster a great           the unheard communities especially
sense of positivity and connection among        for the youth with disabilities…
the group. Throughout the project they          Overall, this project has helped me to
have stayed in touch with each other            become a better leader and disability
using social media chat apps to share           rights advocate.”
progress and ideas.                             Youth reporter

   “We all left the training feeling
   inspired. And like we really were
   capable of contributing towards the
   efforts to achieve the Sustainable
   Development Goals. This feeling
   was a great source of motivation.”
   Youth reporter

                                                     Leonard Cheshire • 2030 – the countdown is on • 9
2030 the countdown is on - Youth with disabilities on the Sustainable Development Goals - Leonard Cheshire
Choosing what to focus on
The lead reporters agreed that it                            SDG 3 has no targets that specifically
wouldn’t be possible to focus on all                         reference young people or disability, but it
17 SDGs – they wanted to focus their                         commits to universal access to healthcare,
energy on the goals that they felt were                      including sexual and reproductive
most relevant to them and their peers.                       healthcare. However, both SDG 4 and 8
Their three chosen SDGs were:                                have targets where young people and/or
                                                             disability are explicitly mentioned.
•	SDG 3: Ensure healthy lives and
   promote well-being for all at all ages                    So, equipped with leadership and citizen
                                                             reporting skills from the training, and
•	SDG 4: Ensure inclusive and equitable                     an agreed focus on health, education
   quality education and promote lifelong                    and employment, the next step was to
   learning opportunities for all                            collect data and stories from youth with
•	SDG 8: Promote sustained, inclusive                       disabilities. The aim was to use these
   and sustainable economic growth,                          experiences to see how policies and
   full and productive employment and                        laws were meeting the requirements
   decent work for all                                       of the SDGs and how well they were
                                                             being implemented.

  SDG 3: Good Health                  SDG 4: Quality Education                    SDG 8: Decent Work

  Targets                             Targets                                     Targets
  3.7                                 4.4                                         8.5
  By 2030, ensure                     By 2030, substantially increase             By 2030, achieve full and
  universal access to                 the number of youth and adults              productive employment
  sexual and reproductive             who have relevant skills, including         and decent work for
  health care services,               technical and vocational skills,            all women and men,
  including for family                for employment, decent jobs and             including for young
  planning, information               entrepreneurship                            people and persons with
  and education, and                                                              disabilities, and equal pay
  the integration of                  4.5                                         for work of equal value
  reproductive health into            By 2030, eliminate gender
  national strategies and             disparities in education and                8.6
  programmes                          ensure equal access to all levels of        By 2020, substantially
                                      education and vocational training           reduce the proportion of
  3.8                                 for the vulnerable, including               youth not in employment,
  Achieve universal health            persons with disabilities, indigenous       education or training
  coverage, including                 peoples and children in vulnerable
  financial risk protection,          situations                                  8.B
  access to quality                                                               By 2020, develop and
  essential health care               4.6                                         operationalize a global
  services and access to              By 2030, ensure that all youth and          strategy for youth
  safe, effective, quality            a substantial proportion of adults,         employment and
  and affordable essential            both men and women, achieve                 implement the Global Jobs
  medicines and vaccines              literacy and numeracy                       Pact of the International
  for all                                                                         Labour Organization
                                      4.A
                                      Build and upgrade education
                                      facilities that are child, disability and
                                      gender sensitive and provide safe,
                                      nonviolent, inclusive and effective
                                      learning environments for all

10 • 2030 – the countdown is on • Leonard Cheshire
Collecting stories
In their communities, the youth reporters
reached out to youth with disabilities to
capture their experiences – collecting an
impressive total of 332 reports. They were
recorded as texts, videos, photographs
and audio reports on mobile phones,
and submitted to an online reporting
database.

Coded data was collated at the
community level and included in the
database, producing national data
sets and adding to regional and global
knowledge. The data could also be
disaggregated back to community level.

The aim of this phase was to increase
knowledge and understanding of issues
affecting youth with disabilities and build
an evidence base of real life experiences.

   “What stood out for us during the
   data collection phase is that there are
   many untold stories. The fact that we
   offered a listening ear to our peers
   made them know that their stories
   matter and that they are valued.
   Listening to other people’s stories
   and challenges has made us develop
   a deeper sense of appreciation of our
   lives, despite our various hurdles.”
   Youth reporter

   “The project has given us all a sense
   of empathy, duty and the desire to
   advocate for the rights of persons
   with disabilities more than ever. We
   have seen what our peers – and we
   ourselves – go through, sometimes
   in silence.”
   Youth reporter

                                              Leonard Cheshire • 2030 – the countdown is on • 11
The role of technology
The youth reporters used mobile phones
to collect data as they are a quick and                Technology
accessible to way to capture information                 More than 5 billion people are
                                                       •	
in real-time. Owning a mobile phone                      today connected to a mobile
wasn’t a requirement for taking part in                  network – equivalent to roughly
the project. Two youth with disabilities                 two thirds (66 per cent) of the
did not own a phone and submitted                        world’s population8
content to their reporting hub using
                                                         Almost 600 million additional
                                                       •	
a family member’s phone (with
                                                         people, the vast majority from
permission).
                                                         low- and middle-income countries,
                                                         have begun using mobile internet
On Our Radar provided the reporters                      services since 2015
with their Radius platform so that they
                                                         By the end of this decade, it is
                                                       •	
could make the most of the available
                                                         forecast that half of the world’s
technology. The platform acts as a
                                                         population will be accessing the
single, adaptable tool that turns basic
                                                         internet via their phones
mobile handsets into broadcasting tools.

Communities (self-enrolled or
registered) can use any handset to
report at any time on community or
personal issues and receive feedback,                Number of
without the need for credit or data.
They can access mobile reporting
                                                     reporters with
training via text or voice.                          a smart phone:
                                                     80% (47)
                                                     Number of
                                                     reporters using
                                                     a basic handset:
                                                     20% (12)

8
    2018 GSMA Mobile Industry Report

12 • 2030 – the countdown is on • Leonard Cheshire
Social media
Social media is a great way for citizens
to voice their concerns and claim
their rights. More and more it is also
becoming a powerful tool to influence
how leaders govern.

Throughout the project, reporters used
a number of social media platforms to
generate conversation around the project
and its findings. At the time of going
to print, there have been 150 mentions
of #2030andCounting and a number of
blogs from our reporters, including a
high-profile blog retweet from the UN’s
Canada Mission.

Advocacy
Attracting the attention of influencers     In Zambia, the youth reporters were
and policy-makers is the crucial final      delighted to welcome the Human Rights
stage of the project.                       Commissioner, Mr Waliuya Wamundila, to
                                            the cascaded training to hear the group’s
Ensuring the stories gathered, and the      views as they embarked on the project.
themes and trends emerging from them,
are presented to those in power is the      The end of the reporting phase in the
only way significant and lasting change     Philippines also coincided with the
can be achieved. This process has already   biennial Philippines Youth Parliament
begun but will start in earnest with the    where two of our youth reporters were
sharing of this report.                     able to share initial findings from the
                                            project in the form of draft bills.
Profile-raising activities such as social
media posts and radio and newspaper         More events are being planned across
campaigns are already underway              Kenya, the Philippines and Zambia to
for young people to highlight the           give the youth reporters the platform to
importance of 2030 and Counting.            raise their voice.

                                                   Leonard Cheshire • 2030 – the countdown is on • 13
3. Youth with disabilities
in their own words – the
project findings
The overarching research question guiding the reporting was:

What barriers, challenges and opportunities do youth with disabilities face in your
country relating to:

• Health
• Education
• Employment

The findings present a rich catalogue of qualitative data in the form of stories from
all sections of the local communities of the youth reporters. They provide a real
community snapshot of youth with disabilities discussing and reflecting on the
subject of disability on their own terms and in their own words.

Table 1: Number of reports collected by country and by theme

                                 Kenya            The Philippines                 Zambia      TOTAL

    SDG 3:
    Good Health                    22                    N/A9                        24        46
    SDG 4:
    Quality                       45                       58                        45       148
    Education

    SDG 8:
    Decent Work                    36                      63                        10       109

    Other                           5                      10                        14        29

332 reports were collected in total. They have been collated, organised and analysed
to identify key themes and common experiences amongst the reporters and
interviewees.

9
    The Philippines group decided to focus on SDG 4 and SDG 8 as the most important issues

14 • 2030 – the countdown is on • Leonard Cheshire
Sustainable
    Development Goal 3
    – Good Health

Summary                                       1.		 Youth with disabilities have the
                                                 same healthcare needs as their
There were 46 testimonies on health.             non-disabled peers
Overall, these demonstrated that youth
with disabilities were not routinely          Youth with disabilities told us they wanted
getting the same access to healthcare         and deserved the same access to healthcare
services as their non-disabled peers. They    as their non-disabled peers. Making sure the
encountered physical barriers that limited    healthcare needs of persons with disabilities
their access to healthcare services in        are met requires adjustments to be made.
general, and faced particular difficulties    Our reporters found that this was not
accessing sexual and reproductive health      routinely happening.
services.

Reports also indicated that healthcare            “Disability is extremely diverse,
professionals were not always trained             and while some health conditions
in disability, resulting in poor quality or       associated with disability result
potentially harmful treatment. Overall,           in poor health and extensive
this led to a lack of trust in healthcare         health care needs, all persons with
professionals.                                    disabilities have the general health
                                                  care needs as everyone else.”
Other findings showed that access to
healthcare insurance was restrictive,             Rudith, Zambia
and youth with disabilities struggled
to transition into managing their             2. It is difficult for youth with
healthcare needs independently.               disabilities to physically access
                                              health facilities

                                              The practicalities of accessing health
                                              facilities was a common theme. Many
                                              buildings have not been designed with
                                              disability in mind, making services hard
                                              to access.

                                              Reports included issues such as narrow
                                              doorways, internal steps, inadequate
                                              bathroom facilities, inaccessible medical
                                              equipment and/or inaccessible parking
                                              areas. These all create barriers to
                                              healthcare.

                                                                                                  XX
                                                      Leonard Cheshire • 2030 – the countdown is on • 15
3. It is difficult for youth with                    4. Health staff are not always
disabilities to access sexual and                    adequately trained to support
reproduction health services                         youth with disabilities

Another issue that came up a lot                     Many youth with disabilities highlighted
was a lack of information for youth                  the poor health service they receive
with disabilities around sexual and                  because of health staff who do not always
reproductive health.                                 know how to respond appropriately.

     “Teenagers with disabilities
                                                        “There is communication barriers
     accessing family planning services
                                                        between some doctors and people
     is not that easy for the reason
                                                        with disabilities. Most doctors are
     that health service providers say
                                                        not trained to handle people with
     that they cannot engage in sexual
                                                        disabilities.”
     activities.”
                                                        Kennedy, Zambia
     William, Zambia

One anonymous report said this was                   In some instances, this is leading to
unnecessarily putting youth with                     health information not remaining
disabilities’ health at risk: “Persons with          confidential. William highlighted this by
disabilities are excluded on grounds that            saying: “A deaf person finds it a challenge
persons with disabilities cannot contract            to communicate to a service provider
diseases because they cannot indulge                 who does not know how to use sign
themselves in sexual activities. This has            language. For that reason they bring in
the propensity to risk lives of those living         interpreters which breaks confidentiality.”
with disabilities.”
                                                     In one case that was reported
In some cases, this has led to distrust              anonymously, a miscommunication led
between youth with disabilities and                  to a youth with disability becoming ill
healthcare services to the extent that               through taking an incorrectly prescribed
they don’t seek treatment, particularly in           medication:
relation to sexual assault.

                                                        “Not training health personnel in
      “[There are] hundreds of young
                                                        sign language and other means
     girls with disabilities who
                                                        and formats of communication is a
     don’t seek or are discouraged
                                                        clear indication that people living
     to seek medical services after
                                                        with disabilities are considered
     sexual assault. Young people
                                                        less in Zambian societies. She
     with disabilities don’t trust the
                                                        [an interviewee] said she is
     healthcare [services].”
                                                        usually misunderstood by health
     Interviewee, Kenya                                 specialists and has been given
                                                        wrong prescriptions which in turn
                                                        has created health problems.”
                                                        Youth reporter, Zambia

16 • 2030 – the countdown is on • Leonard Cheshire
5. Youth with disabilities do not always have health insurance

   “Youth with disabilities fear             Even when coverage is an option,
   applying for healthcare insurance         some youth with disabilities told us
   with the idea of overcharging and         they avoided applying for healthcare
   rejection. Youth opt to pay for on-       insurance. One anonymous reporter
   the-counter treatment.”                   said the results of having no coverage
                                             can lead to “youth getting cheap and
   Beth, Kenya                               poor-quality healthcare from other non-
                                             authoritative institutions, which increases
Youth with disabilities reported that        medical negligence.”
insurance is restrictive and not always
an attractive option, leading to increased
costs or risk of sub-standard service.

One of our youth reporters from Kenya
spoke to Christine, a mum of two children
with Down’s Syndrome. They are not
covered by health insurance companies
because they have congenital conditions.
Christine was driven to the point of
setting aside resources for emergencies.
This drastically affected the family
economically.

                                                     Leonard Cheshire • 2030 – the countdown is on • 17
6. Health services do not enable independent living

Youth with disabilities told our reporters           Transport was another factor that
that they wanted health services which               restricted the independence of youth
enabled their transition towards being               with disabilities accessing health services.
independent adults. But health systems               A reporter from Zambia told us:
often don’t support this. Processes are
often overly complex and do not make                    “Specialist transport services
the most of available technology. For                   provided by social services are
example, many of those interviewed in                   not flexible enough to enable
Kenya who had access to insurance said                  independent living, especially in
that they were frustrated that when                     rural areas. This makes movement
they turned 18 they still had to use their
                                                        difficult to people with disability.”
parent’s national hospital insurance fund
(NHIF) card.                                            Rudith, Zambia

     “Can youth with disabilities
     attain independence in getting
     healthcare services? Can the
     government trust youth with
     disabilities not to be dependent
     on their parents as other youth?
     Health assessments and records
     are a tedious process especially
     for an independent youth with
     a disability… Health assessment
     is a major thing which is not yet
     digitalized.”
     Leon, Kenya

18 • 2030 – the countdown is on • Leonard Cheshire
Sustainable Development
    Goal 4 – Quality Education

Summary                                       1.	Education is seen as a pathway
                                                 to a brighter future
There were 148 testimonies on quality
education. The findings tell us that          Youth with disabilities told our reporters
although education is seen as crucial         that they value education highly. They
to improving life chances, services are       feel it is crucial to improving their life
overall not meeting the needs of persons      chances and that of their families.
with disabilities.
                                                 “For Marydol, education is the
Children and youth with disabilities             way for her to have a bigger
all too often drop out of education,
                                                 opportunity that will help her
and classrooms are not being adapted
                                                 achieve her dreams for herself
adequately to meet needs. This can often
be attributed to a lack of staff training.       and also for her one and only son.”
                                                 Youth reporter, Philippines
Encouragingly, findings indicated
that inclusive education systems are
becoming more prevalent. Alongside the
                                                 “Education is one of the keys
challenges raised, a collection of positive      to success for everyone whether
experiences were reported, including the         you have a disability or not.”
development of tailored support plans to         Michael, Kenya
support students with disabilities.
                                              However, a number of barriers were
                                              identified that make getting a quality
                                              education for all far from a reality.
                                              Many of the frustrations voiced by
                                              those interviewed were based on legal
                                              commitments not being met in practice.

                                                 “The policies are there, they
                                                 exist. However, they are not
                                                 implemented to the fullest so
                                                 that challenges in every aspect of
                                                 the disabled learners are met.”
                                                 Kennedy, Zambia

                                                      Leonard Cheshire • 2030 – the countdown is on • 19
2.	Children and youth                               3.	There is a lack of adequately
    with disabilities are not                            trained teachers to support
    completing education                                 youth with disabilities

Youth with disabilities dropping out of              Our reporters found that teachers did
school was a common concern raised                   not always make adjustments to ensure
during the reporting. There are several              youth with disabilities were able to access
reasons for this, but in many cases they             information. Some examples of simple
drop out because of a lack of family                 adjustments, such as leaving written
support or financial barriers.                       instructions on the board longer or
                                                     speaking more loudly and clearly,
Maria from Kenya told us about George,               were not always happening.
who was born blind. His mother didn’t
think it was important to educate him,
                                                        “Some teachers would rub off
but his father made sure he went to
                                                        the notes on the chalkboard
school. When his father died, he didn’t
have the financial support to keep going                whilst she was still writing.”
with his studies, so he dropped out.                    Naomi, Zambia

     “Fact is many youth with                           “She [Psyche – an interviewee]
     disabilities lack family and                       experiences a day to day difficulty
     financial support enough to                        in a loud environment, people who
     educate them”.                                     talk fast and those who are soft
     Maria, Kenya                                       spoken, professors and classmates.
                                                        Even she has an extra focus and
                                                        patience with regards to listening,
Another of our reporters captured Ana’s
experience: “She said that education                    she cannot really comprehend
is a luxury. She observed that some                     what the instructor is talking
deaf people wants to study and finish a                 about. Absolutely, it affects
tertiary education but cannot because of                her studies.”
financial difficulties.”                                Youth reporter, the Philippines

Stigma was also given as a reason why
children and youth with disabilities                 In some cases adjustments were being
do not complete their education. For                 made, but were not fit for purpose. For
example, Lorena from the Philippines,                example in the case of Daramis in Kenya:
who lives with juvenile rheumatoid
arthritis, was bullied and as a result                  “Another challenge she faced was
stopped going to school.                                trying to read what was written on
                                                        the board by the teachers. Despite
     “Currently she [Lorena] is not                     being seated at the front of the
     doing anything; she just sits home                 class she is still short sighted and
     and does the house chores.”                        could not read the writing due to
     Youth reporter, Philippines                        the distance between her and the
                                                        board. Trying to explain this to her
                                                        teachers and fellow classmates can
                                                        be challenging.”
                                                        Youth reporter, Kenya

20 • 2030 – the countdown is on • Leonard Cheshire
We also found that when adequately            “During the training, the
trained teachers were in post, it can be      teachers suggested to introduce
difficult to keep their in-demand skills in   an Individualized Educational
the classroom.                                Program (IEP). IEP refers to a
                                              document developed for each
                                              public school child who needs
   “Teachers who have been trained
                                              special education. This document
   in special education they are
                                              helps children with special needs
   promoted and get confined in
                                              to cope with others. The teachers
   offices depriving children with
                                              were also advised to let children
   disabilities of their rights and
                                              indulge in talents and gifts and
   opportunities to acquire quality
                                              introduced in the new curriculum
   education on an equal basis
                                              that will nurture and motivate
   with others for education as an
                                              them and this is the way to go
   equalizer.”
                                              for everyone.”
   William, Zambia
                                              Youth reporter, Kenya

However, it wasn’t all bad news. We also
heard some examples of how teachers
were helping address the issue of how
best to support youth with disabilities,
including tailored support.

                                                 Leonard Cheshire • 2030 – the countdown is on • 21
4.	Inclusive education systems                      The principal of a primary school in
   are preferred but are not                         Kenya told one of our reporters: “Some
                                                     lessons are intergrated and the school is
   commonplace
                                                     planning to be fully integrated due to the
                                                     demand of the society which has many
Youth with disabilities said there were
                                                     cases of disability”. She added: “Children
many barriers to receiving a proper
                                                     with disabilities perform very well in co-
education. One of these is that children
                                                     curriculum activities like music.”
with disabilities are sometimes educated
in special schools, separate from children
                                                     Martha, one of our reporters in Kenya, was
without disabilities.
                                                     pleasantly surprised when she reported on
                                                     the positive ethos of one school:
     “Disabled people are considered
     weak, worthless and in some cases                  “I was able to visit M-pesa
     subhuman by societies. This stigma                 Foundation Academy which
     generates profound social barriers                 is in Thika during one of their
     in such a way that disabled people                 Open Days and learnt quite a lot
     often live isolated and excluded                   about the school. It ensures that
     from their friends at school.”                     there are students with physical
     Rudith, Zambia                                     disability and albinism who are
                                                        admitted every year. This allows
Encouragingly, reporters found there                    the students with disability to
was evidence to suggest a sea change in                 interact with their colleagues who
approach. Inclusive education – where                   are not disabled and learn from
children with disabilities are taught in                them while their colleagues learn
mainstream schools alongside those                      to love and accept people with
without disabilities – is becoming                      disabilities.”
more prevalent.
                                                        Martha, Kenya

22 • 2030 – the countdown is on • Leonard Cheshire
5.	Youth with disabilities often feel      6.	Schools and educational
    limited in their education, and             buildings are not fully accessible
    ultimately, career options
                                            Accessibility of school buildings was
Some youth with disabilities said that      raised as an issue. The barriers described
they felt held back in their academic       were very similar to those that came
aspirations because of the perceptions of   up in relation to healthcare facilities.
additional support the school may need      A lack of accessible transport to and
to provide.                                 from school was also a barrier.

   “Disability is still a deterrent to         “Despite there being two ramps
   academic prowess …Students                  leading to the library she finds
   of late are not allowed even to             it hard to wheel herself up the
   study any other studying program            ramp since they are very steep.
   than special education with the             Consequently, Regina cannot
   argument that the staff in the              access the library whenever she
   program are the only ones                   wants to.”
   who would be able to                        Youth reporter, Kenya
   understand them.”
   Kicky, Zambia                               “Mariel is also dealing with
                                               accessibility issues in the
Our reporters also found that                  Philippines and to some public
assumptions were made about what               transportations such as jeepneys
education routes and resulting career          which have high step.”
paths were suitable for persons with
                                               Youth reporter, the Philippines
disabilities.

   “Will they be stuck being just
   a masseuse or singing in the
   middle of the streets, or begging
   and just leaning on others for the
   rest of their lives or even worse?
   Is this the only option applicable
   and available for them? And
   also the discrimination they
   face from those individuals who
   were fortunate to complete their
   education, whose voices are the
   ones most often selected and
   heard. What about us, the others?”
   Eljohn, the Philippines

                                                   Leonard Cheshire • 2030 – the countdown is on • 23
Sustainable
Development
Goal 8 –
Decent Work

Summary

Among the 109 testimonies on decent
work, youth with disabilities reported
that employment provided a sense of
self-worth. However, finding work was
often difficult.

Employers all too often made negative                1.	Employment provides self-worth
assumptions about the ability of persons                and a sense of purpose
with disabilities to work. Youth with
disabilities also reported that those who            Youth with disabilities want to work. The
were in work feared losing their jobs, and           youth our reporters spoke to said that
many experienced discrimination in their             work not only provides financial security,
workplaces.                                          it also improves self-esteem.

Some helpful government initiatives
                                                        “Working helps her to sustain her
were mentioned, including employment
quotas. A number of youth with
                                                        everyday living, and as a person
disabilities had successfully found                     with a disability, she can manage
jobs with support from DPOs and                         to help her family financially.
development programmes.                                 Work also helps her to boost her
                                                        confidence facing other people.”
                                                        Marry, the Philippines

                                                        “Persons with disabilities want the
                                                        opportunity to use their talents
                                                        and skills.”
                                                        William, Zambia

24 • 2030 – the countdown is on • Leonard Cheshire
2. Finding employment is difficult

Many stories described how difficult it was for youth with disabilities to get a job,
even when they have the right qualifications.

   “For more than three years Isaiah          The role of DPOs was one factor that was
   has been unable to secure a                cited in terms of helping provide career
   stable job… Isaiah only applies            support and guidance.
   for jobs that he feels he has the
   qualification and experience                   “The organization trains persons
   required but he never gets                     with disabilities on what the
   any response.”                                 employers are looking for. They
   Isaiah, Kenya                                  help you in editing your curriculum
                                                  vitae and also help you in
                                                  application of jobs.”
   “Eric fortunately is a well-educated
                                                  Isaiah, Kenya
   college graduate with a diploma
   in teaching but he can’t find a
   job. He has been applying both             Despite the challenges, there are some
   in government and private                  positive developments. Some of our
   institutions but to no avail.”             reporters found governments were
   Youth reporter, Zambia                     taking steps in the right direction,
                                              particularly around self-employment.

One anonymous report from Kenya
described how a youth with disability can         “The National Council for People
be taken advantage of: “He once worked            with Disabilities has together with
as an intern and he was promised to be            Kenya Revenue Authority waived
confirmed as a full time employee which           taxes for SMEs owned by persons
never happened.”                                  with disabilities as well as the 30%
                                                  of government contracts which
                                                  is set aside for women, youth and
                                                  persons with disabilities.”
                                                  Kelvin, Kenya

                                                      Leonard Cheshire • 2030 – the countdown is on • 25
3.	Employers incorrectly assume disability means inability

     “People with disabilities have to                   “He [Onesma, an interviewee] feels
     work harder than non-disabled                       that people living with disability
     people to get their foot on the                     are still perceived to be less
     career ladder.”                                     productive despite the creation of
     Rudith, Zambia                                      awareness that has been done.”
                                                         Youth reporter, Kenya
Youth with disabilities said that
employers misunderstand their ability to
                                                         “Nancy, a literature graduate,
perform in the workplace. Interviews with
                                                         mentioned when applying (for
youth with disabilities with a wide range
of impairments confirmed that these                      jobs) her biggest fear is ‘will the
assumptions are made across the board.                   company doubt my skills and
                                                         knowledge?’…. Nancy doesn’t
                                                         even apply for the job”
     “A common incorrect assumption
                                                         Youth reporter, Kenya
     is that individuals with
     speech disorders have poor
     communication skills.”                          Jared in Kenya describes how a potential
                                                     employers’ attitude changed during
     Joyce, the Philippines                          an interview: “When he discloses his
                                                     disability status to a potential employer,
                                                     they seem to change their perspective
                                                     towards him and become reluctant in
                                                     offering him an opportunity.”

                                                     Another perception is that youth with
                                                     disabilities will be absent for work.
                                                     Kelvin in Kenya said “Discrimination is
                                                     still widely spread cloaked as ‘health
                                                     concerns’. The employers or potential
                                                     employers will say how person with
                                                     disabilities will be out of work for long
                                                     periods of time, which is rarely ever
                                                     the case.”

26 • 2030 – the countdown is on • Leonard Cheshire
4.	Youth with disabilities who are in work are worried about losing
   their job

A number of youth with disabilities who were employed said that they did not have a
permanent contract or, if self-employed, a guaranteed income. The fear of losing their
job often prevented them raising concerns at work.

   “I’m overworked but I don’t              Youth with disabilities also said that they
   have a choice. It’s so hard for          are often refused public transport. In
   me to have a job again.”                 some instances this led to them paying
                                            more for private transport, to make sure
   Anonymous interviewee,                   they got to work on time and didn’t lose
   the Philippines                          their job.

   “Ronalyn is worried at the same             “It is difficult to use public means
   time because her job is not                 [of transport] as most vehicles tend
   stable as it is about to end soon.          to ignore persons with disabilities
   She hopes that she can still be             and this forces a person with a
   considered for extension as she             disability to use other means
   needs the job so much.”                     such as uber which may not
   Reporter, the Philippines                   be affordable.”
                                               Catherine, Kenya

                                               “Tricycles (public transport) also
                                               reject persons with disabilities
                                               too. If accepted, drivers will ask
                                               for higher fares and she has no
                                               choice so she can make it on
                                               time for work.”
                                               Katherine, the Philippines

                                                   Leonard Cheshire • 2030 – the countdown is on • 27
5.	Youth with disabilities experience discrimination in the workplace

The most common grievance experienced by youth with disabilities in the workplace
was bullying. It wasn’t all bad – some employers were reported as creating positive
working environments. However, some youth with disabilities spoke of how they were
often verbally abused by colleagues. This caused distress and in some cases this led
to them asking for a job transfer.

     “He is often bullied in his                        “He has not had a salary increase
     workplace, he find it harder to                    for the last three years yet there
     make friends and being seen as                     are other employees who have
     different to others … which lead                   been promoted. He feels this
     him to a general lack of self-                     is unfair because he delivers to
     confidence.”                                       his best and has not had any
     Youth reporter, Zambia                             complaints from management.”
                                                        Youth reporter, Kenya

     “She experienced bullying from
     her co-workers due to her disability
                                                        “He worked as a housekeeper in a
     .... She requested to be transferred
                                                        private company for almost 6 years
     to another work station where she
                                                        now but is still only a contractual
     can work better.”
                                                        employee.”
     Youth reporter, the Philippines
                                                        Reporter, the Philippines

Instances were also reported of youth
with disabilities not receiving pay                  In Kenya, there were reports of
increases in line with other employees.              some employers being unwilling to
They were also often overlooked for                  take into consideration the NCPWD
promotion or felt employers were                     recommendation letter – the
reluctant to offer permanent contracts.              government-approved document which
                                                     confirms you are a registered person with
                                                     a disability – because the candidates’
                                                     disability was not easily visible.

28 • 2030 – the countdown is on • Leonard Cheshire
4. Priorities
for change

During the story gathering, strong
views emerged from the youth with
disabilities on how their governments
and other duty bearers could address
the issues they raised. These were their
key priorities:

Healthcare

•	Invest in appropriate training for
   healthcare professionals
•	Provide sexual and reproductive health
   information targeted to youth with        Education
   disabilities
•	Pass laws to ensure health insurance      •	Ensure inclusive education choices for
   fund cards are available when youth          youth with disabilities
   with disabilities become legal adults     •	Train all teachers in inclusive education
•	Digitise processes, including health         approaches
   assessments                               •	Set policies to raise the number of
•	Persons with disabilities must be            students with disabilities who are
   explicitly named in policies relating        admitted to university
   to healthcare                             •	Engage youth with disabilities in
•	Make sure health information is              ensuring appropriate adjustments are
   provided in accessible formats for all       made
   types of disability                       •	Integrate sign language into the school
•	Build and upgrade healthcare facilities      curriculum
   to be inclusive of persons with           •	Provide free assistive devices for
   disabilities                                 students with disabilities
                                             •	Make sure curriculum materials are
                                                provided in accessible formats for all
                                                types of disability
                                             •	Build and upgrade education facilities
                                                to be inclusive of persons with
                                                disabilities

                                                     Leonard Cheshire • 2030 – the countdown is on • 29
Employment                                           General

•	Ensure effective implementation of                •	Allocate more resources towards
   disability employment quotas                         disability awareness activities to
•	Reduce income tax contributions for                  reduce stigma
   employees with disabilities                       •	Improve disaggregated data for youth
•	Employers and service providers should               with disabilities
   routinely provide disability-awareness            •	Take tougher action on those charging
   training to their workforce                          higher transport fares to persons with
•	Employers and service providers should               disabilities
   directly involve youth with disabilities to       •	Increase collaboration both between
   improve the design and development                   government ministries and across other
   of accessible products and services                  sectors to find solutions to common
•	Run networking events for employers                  challenges
   and youth with disabilities                       •	Engage DPOs and other organisations
•	Build and upgrade workplaces to be                   representing youth with disabilities at
   inclusive of persons with disabilities               all stages of national planning
                                                     •	Empower youth with disabilities by
                                                        investing in peer-to-peer support
                                                        networks

30 • 2030 – the countdown is on • Leonard Cheshire
5. Reflecting on the
methodology
The project was successful in mobilising                 The focus of the training on the SDGs
a large number of youth with disabilities                appeared to be the right one. At the
to take part in the project. It successfully             time of recruitment, just over half the
recruited a representative cohort of                     group (55 per cent) said that they knew
reporters, including recruiting more                     a lot about the 2030 Agenda – a crucial
female participants (53 per cent) than                   element in supporting effective advocacy.
male, bucking the trend when it comes
to access to leadership opportunities.10                 The technology component was highly
                                                         successful in allowing youth with
Youth with a range of different                          disabilities with a range of devices – from
impairments took part in the project.                    smart phones to the most basic handset
However, the majority of participants (56                – to participate. While the reporting hub
per cent) had a physical disability. Those               received reports in all formats – text, voice
from rural areas and those with intellectual             and video reports – the vast majority of
impairments were underrepresented.                       youth with disabilities chose to report
                                                         via text.
While progress was made to engage
some of the most marginalised youth with                 Given that 80 per cent of reporters
disabilities, the majority of participants               had smart phones, and with them the
(72 per cent) told us they had previously                functionality to send video reports, this
taken actions which had brought                          is something the project would look to
about positive change for persons with                   increase. Another factor to be explored
disabilities in their community.                         is the ability to maximise the tagging
                                                         function of reports submitted for data
Any future roll out of the programme                     analysis purposes.
will ensure positive recruitment
strategies, and adequate resources, to
reach inclusive representation across the
spectrum of disability, and those that are
most marginalised.

 www.gpcwd.org/uploads/2/6/0/9/26097656/global_mapping_exercise_and_needs_assessment_report.pdf
10

                                                                    Leonard Cheshire • 2030 – the countdown is on • 31
6. This is
just the
beginning

The stories that have been collected                 The project has developed youth advocates
around the SDGs show that youth with                 and had a direct impact on promoting
disabilities still encounter significant             youth with disabilities in leadership roles.
barriers in relation to health, education            Those taking part spoke of increased
and employment.                                      confidence in their ability to be change
                                                     makers in their communities. And they
The reports show there are a number                  have identified this through being able to
of common concerns that are                          link their experiences to the SDGs.
relevant across the SDGs researched.
The inaccessibility of buildings and                 The reporters identified that policies
information stands out, as does                      often exist which, if effectively
discrimination and the lack of awareness             implemented, can help reduce
of appropriate adjustments.                          the barriers youth with disabilities
                                                     experience. They also reported that some
The reports also identified that all                 positive action is being taken. However,
too often youth with disabilities are                on the whole, implementation remains
incorrectly pigeon-holed – for example               slow. There is still a lot more to be done.
as unworthy of information about
sexual health or not useful to potential             This report is the start of the story. But
employers. But our reporters have                    it is certainly not the end. The next step
unearthed a different narrative; one                 will be to relate the evidence to each
where youth with disabilities are resilient,         country’s national planning processes to
active, talented and driven.                         identify gaps and how the evidence can
                                                     support the process.
Independence was particularly important
for youth with disabilities. The reports             The youth reporters will also identify
demonstrated that as youth with                      opportunities to make their voices
disabilities move into adulthood they                heard wherever they can – through
are demanding to be engaged in the                   social media, and at global and national
processes that affect their lives and want           advocacy events. The world needs to
to be given choices and trusted to make              hear their stories. And the world needs
their own decisions.                                 to listen, and act to make sure the 2030
                                                     deadline for the implementation of the
                                                     SDGs is met for all.

32 • 2030 – the countdown is on • Leonard Cheshire
Appendix 1:
Sample reports
Here’s a selection of some of the reports and interviews submitted by our
reporters to the online reporting hub. These have mostly been kept as reported,
but in some instances they have been edited for clarity and length.

  Reporter: William Tembo                         Reporter: Leon Juma
  Country: Zambia                                 Country: Kenya
  Theme: Good Health                              Theme: Good Health

In an unnamed health center in Lusaka,          Health assessment is a major thing which
persons with disabilities faced a number of     is not yet digitalised. Medical reports and
challenges due to the fact that the health      assessments are always paper based and
service providers are not trained to handle     they are piled up and mishandled. Health
person with disabilities. For example, a deaf   assessments and records are a tedious
person finds it a challenge to communicate      process especially for an independent
with a service provider who does not            youth with disabilities. A recommendation
know how to use sign language for that          would be for the process to be digitalised
reason they bring in a third party called       and through the use of computers make
interpreters which breaks confidentiality.      it easier for letters to be produced in
For the blind, health service providers think   time. This would mean that people with
that the blind can only give information to     disabilities can more easily find suitable
their guide and not the blind person who        places in schools, find jobs and also get
is seeking their services. These challenges     their National Council for Persons with
have continued making persons with              Disability card.
disabilities very uncomfortable to access
HIV and Sexual Reproductive services.

                                                       Leonard Cheshire • 2030 – the countdown is on • 33
You can also read