Include us! A study of disability among Plan International’s sponsored children FULL REPORT The designations employed in this publication and the presentation of the material do not imply on the part of Plan International the expression of any opinion whatsoever concerning the legal status of any country or territory or of its authorities or the delimitations of its frontiers. Extracts from this publication may be freely reproduced with due acknowledgement using the following reference: Include us! A study of disability amongst Plan International’s sponsored children: Full Report. Plan International, 2013. This report has been compiled by: Adrienne Monteath-van Dok, Jacqueline Gallinetti from Plan International and Hannah Kuper, Maria Zuurmond, Lisa Danquah, Kevin Wing, Jenny Evans from the London School of Hygiene and Tropical Medicine. Design: Sandra Dudley © 2013 Plan International Woking, United Kingdom A large print summary report is available on: www.plan-international.org Individual country reports are available upon request. For an accessible format of the report, further information or questions on the analysis, please contact: [email protected], Research Coordinator at Plan International, International Headquarters. Photographs have been obtained with informed consent and permission to use in this publication We would like to thank all the Plan Key Informants who agreed to be interviewed and provided useful information on Plan’s work on disability. Thanks to: the Plan Disability Inclusion Working Group, Victor Ochieng, Julio Garcia, Isobel Taylor, Lynda Taylor and all the Plan sponsorship staff for collaborating on the research. 2 Contents List of tables and figures List of acronyms explained Executive Summary 1. Introduction 2. Setting the scene 2.1 A global overview 2.2 Guiding international conventions 2.3 Data on children with disabilities 2.4 Poverty and disability 2.5 Disability and health 2.6 Water and sanitation 2.7 Education 2.8 Child protection and disability 2.9 Plan’s work on children with disabilities 2.10 Plan’s disability conference 3. Methodology 3.1 Collection of data 3.2 Data analysis 3.3 Limitations 3.4 Contextualising the data 4. Global and Regional Analysis 4.1 Demographics 4.2 Education 4.3 Health 3 5. Country Analyses Asia 5.1 India 5.2 Indonesia 5.3 Nepal 5.4 Philippines 5.5 Sri Lanka 5.6 Vietnam Africa 5.7 Benin 5.8 Egypt 5.9 Guinea 5.10 Kenya 5.11 Mozambique 5.12 Niger 5.13 Rwanda 5.14 Senegal 5.15 Sudan 5.16 Tanzania 5.17 Uganda 5.18 Zambia 5.19 Zimbabwe Latin America 5.20 Bolivia 5.21 Brazil 5.22 Colombia 5.23 Dominican Republic 5.24 Ecuador 5.25 El Salvador 5.26 Guatemala 5.27 Honduras 5.28 Nicaragua 5.29 Paraguay 5.30 Peru 4 6. Conclusion 7. Recommendations 7.1 Recommendations for programme 7.2 Recommendations for research to inform future programmes and projects 7.3 Recommendations for the use of the sponsorship dataset Bibliography Appendix 5 List of figures and tables Figure 1: Map of countries that were part of the analysis Table 1: Demographic characteristics of sponsored children in Latin America Table 2: Demographic characteristics of sponsored children in Africa Table 3: Demographic characteristics of sponsored children in Asia Table 4: Age and disabilities amongst sponsored children in Latin America Table 5: Age and disabilities amongst sponsored children in Africa Table 6: Age and disabilities amongst sponsored children in Asia Table 7: Prevalence of disabilities of sponsored children by gender in Latin America Table 8: Prevalence of disabilities of sponsored children by gender in Africa Table 9: Prevalence of disabilities of sponsored children by gender in Asia Table 10: Type of impairment amongst sponsored children in Latin America Table 11: Type of impairment amongst sponsored children in Africa Table 12: Type of impairment amongst sponsored children in Asia Table 13: Education and disabilities amongst sponsored children in Latin America Table 14: Education and disabilities amongst sponsored children in Africa Table 15: Education and disabilities amongst sponsored children in Asia Table 16: Education level amongst sponsored children in Latin America Table 17: Education level amongst sponsored children in Africa Table 18: Education level amongst sponsored children in Asia Table 19: Education and type of impairment amongst those aged 5+ attending formal education in Latin America Table 20: Education and type of impairment amongst those aged 5+ attending formal education in Africa Table 21: Education and type of impairment amongst those aged 5+ attending formal education in Asia Table 22: Health and disability amongst sponsored children in Latin America Table 23: Health and disability amongst sponsored children in Africa Table 24: Health and disability amongst sponsored children in Asia Table 25: Type of impairment by gender in India Table 26: Educational variables in relation to disability in India Table 27: Attendance of formal education by impairment type in India Table 28: Reason for not attending formal education by disability status in India Table 29: Association between health and health seeking behaviour and disability in India 6 Table 30: Type of impairment by gender in Indonesia Table 31: Educational variables in relation to disability in Indonesia Table 32: Attendance of formal education by impairment type in Indonesia Table 33: Reason for not attending formal education by disability status in Indonesia Table 34: Association between health and health seeking behaviour and disability in Indonesia Table 35: Type of impairment by gender in Nepal Table 36: Educational variables in relation to disability in Nepal Table 37: Attendance of formal education by impairment type in Nepal Table 38: Reason for not attending formal education by disability status in Nepal Table 39: Association between health and health seeking behaviour and disability in Nepal Table 40: Type of impairment by gender in the Philippines Table 41: Educational variables in relation to disability in the Philippines Table 42: Attendance of formal education by impairment type in the Philippines Table 43: Reason for not attending formal education by disability status in the Philippines Table 44: Association between health and health seeking behaviour and disability in the Philippines Table 45: Type of impairment by gender in Sri Lanka Table 46: Educational variables in relation to disability in Sri Lanka Table 47: Attendance of formal education by impairment type in Sri Lanka Table 48: Reason for not attending formal education by disability status in Sri Lanka Table 49: Association between health and health seeking behaviour and disability in Sri Lanka Table 50: Type of impairment by gender in Vietnam Table 51: Educational variables in relation to disability in Vietnam Table 52: Attendance of formal education by impairment type in Vietnam Table 53: Reason for not attending formal education by disability status in Vietnam Table 54: Association between health and health seeking behaviour and disability in Vietnam Table 55: Type of impairment by gender in Benin Table 56: Educational variables in relation to disability in Benin Table 57: Attendance of formal education by impairment type in Benin Table 58: Reason for not attending formal education by disability status in Benin Table 59: Association between health and health seeking behaviour and disability in Benin Table 60: Type of impairment by gender in Egypt Table 61: Educational variables in relation to disability in Egypt Table 62: Attendance of formal education by impairment type in Egypt Table 63: Reason for not attending formal education by disability status in Egypt 7 Table 64: Association between health and health seeking behaviour and disability in Egypt Table 65: Type of impairment by gender in Guinea Table 66: Educational variables in relation to disability in Guinea Table 67: Attendance of formal education by impairment type in Guinea Table 68: Reason for not attending formal education by disability status in Guinea Table 69: Association between health and health seeking behaviour and disability in Guinea Table 70: Type of impairment by gender in Kenya Table 71: Educational variables in relation to disability in Kenya Table 72: Attendance of formal education by impairment type in Kenya Table 73: Reason for not attending formal education by disability status in Kenya Table 74: Association between health and health seeking behaviour and disability in Kenya Table 75: Type of impairment by gender in Mozambique Table 76: Educational variables in relation to disability in Mozambique Table 77: Attendance of formal education by impairment type in Mozambique Table 78: Reason for not attending formal education by disability status in Mozambique Table 79: Association between health and health seeking behaviour and disability in Mozambique Table 80: Type of impairment by gender in Niger Table 81: Educational variables in relation to disability in Niger Table 82: Attendance of formal education by impairment type in Niger Table 83: Reason for not attending formal education by disability status in Niger Table 84: Association between health and health seeking behaviour and disability in Niger Table 85: Type of impairment by gender in Rwanda Table 86: Educational variables in relation to disability in Rwanda Table 87: Attendance of formal education by impairment type in Rwanda Table 88: Reason for not attending formal education by disability status in Rwanda Table 89: Association between health and health seeking behaviour and