The overall prevalence of people with disabilities is 4.52% of the population, i.e., 63.28 million, according to the ICMR's publication from the NFHS-5 survey 2019-21 [1] . India is a party to the United Nations Convention on the Rights of Persons with Disabilities. Legislation that affects people with disabilities in India includes the Rights of Persons with Disabilities Act, 2016, the Mental Health Care Act, 2017, the National Trust Act, 1999, and the Rehabilitation Council of India Act, 1992. People with disabilities in India are faced with negative social attitudes in the wider population.
The number of people with disabilities in India was stated as 21 million in the 2001 Census of India. [2] In the 2011 census, the figure rose by 22.4% to 26.8 million. [3] According to the 2011 census, 20.3% of people with disabilities in India have movement disabilities, 18.9% have hearing impairments, and 18.8% have visual impairments. The 2011 census additionally collected data on mental disability for the first time, and found that 5.6% of Indians with disabilities fall into that category. [3]
However, Anita Ghai offered a higher estimate in 2002, of 70 million. [4] The World Health Organization's World Health Survey data from 2002 to 2004 gave a far higher estimate that 25% of people in India have some form of disability, much higher than the world average, but WHO has acknowledged that this survey had serious limitations. [5] A 2009 World Bank report estimated that 5-8% of India's population had a disability. [6]
Two analyses of data from a 2004 study in a rural area of Karnataka have estimated the rate of disability to be 6.3% [7] and the rate of mental disability specifically to be around 2.3%. [8] Data collected in a village in Chandigarh from 2004 to 2005 found the prevalence of disability to be 4.79%. [9] A major study published in 2018 of five sites in India found that 9.2% of children aged 2–5 and 13.6% of children aged 6–9 had at least one of seven neurodevelopmental disorders (vision impairment, epilepsy, neuromotor impairments including cerebral palsy, hearing impairment, speech and language disorders, autism spectrum disorders, and intellectual disability). [10]
India is a party to the United Nations Convention on the Rights of Persons with Disabilities, having signed the treaty on 30 March 2007 and ratified it on 1 October 2007. [11]
India enacted the Persons with Disabilities (Equal Opportunity, Protection of Rights and Full Participation) Act in 1995 to provide recognition to the rights and special needs of disabled people in the country. [2] It also provided for reservations for persons with disabilities in government jobs and higher educational institutions. [12] The Rights of Persons with Disabilities Act, 2016 replaced the earlier legislation and increased the number of recognised disabilities from seven to 21. [13] While the 1995 legislation had reserved 3% of government jobs, the new legislation reserves 4%. [14] Under the new legislation, all institutions of higher education run or funded by the government must reserve 5% of their spaces for enrollment for people with disabilities. [14]
The rights of persons with psychosocial disabilities are protected under the Mental Health Care Act, 2017. [15] The Rehabilitation Council of India Act, 1992 created the Rehabilitation Council of India, which is tasked with training rehabilitation professionals and promoting research in rehabilitation and special education. [16] Another law governing disability affairs in India is the National Trust for the Welfare of Persons with Autism, Cerebral Palsy, Mental Retardation and Multiple Disabilities Act, 1999, or simply National Trust Act. [16] This law created the National Trust, which is a government body that works with volunteer networks and Disabled People's Organizations and also forms local-level committees that appoint legal guardians for people with disabilities deemed to need them. [16]
Issues related to disability are addressed by the Department of Empowerment of Persons with Disabilities, which falls under the Ministry of Social Justice and Empowerment. [16] The government of India has also enacted initiatives such as the Accessible India Campaign to make public spaces and transportation barrier-free for persons with disabilities. [17]
The usage of the term Divyangjan ("those with divine abilities") has been promoted by Prime Minister Narendra Modi as an alternative to the term "Persons with Disability". [18] However, disability rights activists have called it condescending [19] and derogatory. [20] [21]
Attitudes towards disability vary considerably between regions and sub-cultures. While disabilities do not hold any universal social stigma, there are regions and sub-cultures which do not agree. In some places, people with disabilities are seen as wicked or deceitful, or as unable to progress to adulthood and dependent on charity and pity for assistance. [4] In such scenarios, people with disabilities are often socially segregated, often as a results of ingrained cultural and religious attitudes toward disability. [22]
Most people with disabilities in India and their families are focused on survival in the context of deep poverty. India's disability rights movement, however, mainly comprises elite, middle-class activists who generally mirror the goals of the disability rights movement in Western countries. [4]
Disability in India is affected by other social divisions such as class, gender, and caste. [4] Statistics show that women with disabilities in India are more marginalized than their male counterparts. [4] Anita Ghai argues that Indian feminism has ignored the unique conditions of women with disabilities. [4]
India's Hindi-language cinema has often reinforced negative stereotypes about people with disabilities, but more recently it has produced several films that have helped raise awareness. [23] A recurrent theme has for a long time been that disability is a punishment for misdeeds, for instance in Jeevan Naiya (1936), Aadmi (1968), and Dhanwan (1981). [23] Characters with mental disabilities have frequently been used as comic relief, a trend which has been criticized by Dinesh Bhugra as reinforcing social stigma. [23] Atanu Mohapatra identifies several ways in which women with disabilities are misrepresented in Hindi films as compared to men with disabilities: they are included less frequently, they very rarely win the love of able-bodied men despite the converse often being the case, they are much less likely to become self-supporting economically, and they are not included unless they are physically attractive. [23]
The decade following 2005 has seen a shift in the representation of people with disabilities by Hindi cinema. The immediate cause for the shift appears to have been an international disability film festival in 2005 facilitated by the Ability Foundation (an Indian NGO). [23] Black (2005) broke new ground by focusing on a female protagonist with a disability, a girl who is blind, deaf, and mute but succeeds academically after considerable struggle. [23] Other films including Taare Zameen Par (2007) by famed actor and director Aamir Khan have explored the lives of people with dyslexia, progeria, Asperger syndrome, and amnesia, among other conditions. [23] There were some earlier precedents to these more well-rounded portrayals, including Koshish (1972) and Sparsh (1980), which explored deafness and blindness respectively. [23] Conversely, some recent Hindi films have continued to display ill-founded stereotypes about people with disabilities.
In addition, some Tamil film industry movies have portrayed people with disabilities, like the movie Deiva Thirumagal , which portrays a mentally disabled father and his daughter.[ citation needed ]
India made its Summer Paralympic début at the 1968 Games, competed again in 1972, and then was absent until the 1984 Games. The country has participated in every edition of the Summer Games since then. It has never participated in the Winter Paralympic Games. [24]
Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be cognitive, developmental, intellectual, mental, physical, sensory, or a combination of multiple factors. Disabilities can be present from birth or can be acquired during a person's lifetime. Historically, disabilities have only been recognized based on a narrow set of criteria—however, disabilities are not binary and can be present in unique characteristics depending on the individual. A disability may be readily visible, or invisible in nature.
Obsessive–compulsive personality disorder (OCPD) is a cluster C personality disorder marked by a spectrum of obsessions with rules, lists, schedules, and order, among other things. Symptoms are usually present by the time a person reaches adulthood, and are visible in a variety of situations. The cause of OCPD is thought to involve a combination of genetic and environmental factors, namely problems with attachment.
The social model of disability identifies systemic barriers, derogatory attitudes, and social exclusion, which make it difficult or impossible for disabled people to attain their valued functionings. The social model of disability diverges from the dominant medical model of disability, which is a functional analysis of the body as a machine to be fixed in order to conform with normative values. While physical, sensory, intellectual, or psychological variations may result in individual functional differences, these do not necessarily have to lead to disability unless society fails to take account of and include people intentionally with respect to their individual needs. The origin of the approach can be traced to the 1960s, and the specific term emerged from the United Kingdom in the 1980s.
People with disabilities in the United States are a significant minority group, making up a fifth of the overall population and over half of Americans older than eighty. There is a complex history underlying the U.S. and its relationship with its disabled population, with great progress being made in the last century to improve the livelihood of disabled citizens through legislation providing protections and benefits. Most notably, the Americans with Disabilities Act is a comprehensive anti-discrimination policy that works to protect Americans with disabilities in public settings and the workplace.
Disability studies is an academic discipline that examines the meaning, nature, and consequences of disability. Initially, the field focused on the division between "impairment" and "disability", where impairment was an impairment of an individual's mind or body, while disability was considered a social construct. This premise gave rise to two distinct models of disability: the social and medical models of disability. In 1999 the social model was universally accepted as the model preferred by the field. However, in recent years, the division between the social and medical models has been challenged. Additionally, there has been an increased focus on interdisciplinary research. For example, recent investigations suggest using "cross-sectional markers of stratification" may help provide new insights on the non-random distribution of risk factors capable of acerbating disablement processes.
Intellectual disability (ID), also known as general learning disability in the United Kingdom and formerly mental retardation, is a generalized neurodevelopmental disorder characterized by significantly impaired intellectual and adaptive functioning. It is defined by an IQ under 70, in addition to deficits in two or more adaptive behaviors that affect everyday, general living. Intellectual functions are defined under DSM-V as reasoning, problem‑solving, planning, abstract thinking, judgment, academic learning, and learning from instruction and experience, and practical understanding confirmed by both clinical assessment and standardized tests. Adaptive behavior is defined in terms of conceptual, social, and practical skills involving tasks performed by people in their everyday lives.
Research published from 2000 to 2020 illustrates increased prevalence rates of sexual violence against people with intellectual disabilities, compared to the general population.:61 The World Health Organization (WHO) funded a study which concluded that 15% of the adult population worldwide in 2012 had a disability, putting them at increased risk of physical, sexual, and intimate partner violence. Of that 15%, 6.1% or an estimated 7,008,716,704 adults worldwide had intellectual disability with 5.5% experiencing sexual violence. In another 2012 report, the WHO found that worldwide, children with intellectual disabilities experienced a 4.6 times greater risk of sexual violence than those without disability.
Ableism is discrimination and social prejudice against people with physical or mental disabilities. Ableism characterizes people as they are defined by their disabilities and it also classifies disabled people as people who are inferior to non-disabled people. On this basis, people are assigned or denied certain perceived abilities, skills, or character orientations.
Vocational rehabilitation, also abbreviated VR or voc rehab, is a process which enables persons with functional, psychological, developmental, cognitive, and emotional disabilities, impairments or health disabilities to overcome barriers to accessing, maintaining, or returning to employment or other useful occupations.
Covert medication, the covert administration of medicines is when medicines are administered in a disguised form, usually in food or drink, without the knowledge or consent of the individual receiving the drug. The decision-making processes surrounding covert medication should be in the best interests of the patient, transparent and inclusive.
Dr Satendra Singh is a medical doctor at the University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi. A physiologist by profession, Singh contracted poliomyelitis at the age of nine months but went on to complete a Bachelor of Medicine, Bachelor of Surgery from Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur and later on Doctor of Medicine in Physiology. He is the first-ever Indian to win the prestigious Henry Viscardi Achievement Awards given to extraordinary leaders in the global disability community.
Disability in China is common, and according to the United Nations, approximately 83 million people in China are estimated to have a disability.
People with disabilities in Pakistan are seen differently than in most Western countries due to cultural and religious beliefs. The lack of accurate epidemiological evidence on disabilities, insufficient resources, weak health care facilities and worker shortages are major obstacles to meeting the needs of disabled Pakistanis.
Disability affects many people in Zimbabwe in both rural and urban areas. In spite of services provided by the government, philanthropists and welfare agencies, people with disabilities and their families often face several barriers. Philanthropist, Jairos Jiri, started services for people with disability in Zimbabwe in the 1940s. He is regarded as the father or founder of disability work in Zimbabwe.
People with disabilities in Sri Lanka typically face significant stigma and discrimination. The main causes for disability in Sri Lanka are poor hygiene, lack of medical care, the prevalence of 30 years of war, the aftereffects of the 2004 tsunami, and an increase in accidents.
In India, the Mental Health Care Act 2017 was passed on 7 April 2017 and came into force from 29 May 2018. The act effectively decriminalized attempted suicide which was punishable under Section 309 of the Indian Penal Code. The law was described in its opening paragraph as "An Act to provide for mental healthcare and services for persons with mental illness and to protect, promote and fulfill the rights of such persons during delivery of mental healthcare and services and for matters connected therewith or incidental thereto." This Act superseded the previously existing Mental Health Act, 1987 that was passed on 22 May 1987.
Estimates of the prevalence of disability in Egypt have ranged from 1.8% to 11%. Egypt ratified the United Nations Convention on the Rights of Persons with Disabilities on 10 April 2008. The Egyptian constitution of 2014 guarantees a range of rights for people with disabilities, and Egypt passed legislation entitled the Law on the Rights of Persons with Disabilities in February 2018.
Individuals with disabilities are more susceptible to contracting COVID-19 and have higher mortality rates compared to those without disabilities. This is particularly true for people with intellectual and developmental disabilities, those residing in care facilities, and women with disabilities. Individuals with disabilities face heightened risks of mental health issues related to the pandemic, such as increased feelings of loneliness and isolation. They were also more likely to face domestic violence and abuse during the pandemic. People with disabilities are more likely to experience unemployment as a result of the pandemic and may require changes to the types of accommodations they require for work. Children with disabilities experience complications in their educational programming. Remote learning poses a host of challenges for children with disabilities, including disruptions to physical and occupational therapies and access to assistive technologies.
Mental healthcare in India is a right secured to every person in the country by law. Indian mental health legislation, as per a 2017 study, meets 68% (119/175) of the World Health Organization (WHO) standards laid down in the WHO Checklist of Mental Health Legislation. However, human resources and expertise in the field of mental health in India is significantly low when compared to the population of the country. The allocation of the national healthcare budget to mental health is also low, standing at 0.16%. India's mental health policy was released in 2014.
Suicide prevention and intervention efforts in India are in the nascent stage. According to the World Health Organization (WHO), suicide in India is a serious public health issue but it can be prevented with timely interventions that are based on evidence. Suicide prevention is also one of the United Nations Sustainable Development Goals (SDG3.4.2) wherein they have asked member countries to work towards reduce global suicide rates by one third by 2030. Notable steps taken by the Government of India include the decriminalization of suicide in the Mental HealthCare Act of 2017 and launching of India's first mental health toll free helpline KIRAN. Many experts have emphasised the urgent need for a national strategy for suicide prevention to be implemented that is multi-sectoral in nature.