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3. Current Situation of Persons with Disabilities

3.1 Definition and Classification

Article 2 of the Draft Legislation on "The Rights of People with Disabilities" which is being developed by the Legislation Working Group defines "a disabled person", as a person who loses any physical organ or capacity or suffers from any significant mental impairment such as loss of limbs, quadriplegic, a visual/hearing impairment, mental disability, etc. that significantly affects his/her capacity to participate in social activities". The above mentioned persons are required to have a certified document of disability issued by the Ministry of Health.

The formal definition for general classification of types of disability in Cambodia was not stated until the "Socio-economic and Behavioral Pilot Survey on the Situation for the Disabled in Cambodia" was undertaken from March-June 2000. According to this survey, an unofficial agreement to classify disabilities into eight types of difficulties was made as follows:

  • Visual difficulties or visual impairments
  • Hearing difficulties or hearing impairments
  • Speaking difficulties of deaf/speaking impairments
  • Mobility difficulties or physical impairments
  • Emotional difficulties
  • Behavioral or mental impairments
  • Learning difficulties or intellectual impairments
  • Epilepsy

The official definition of the above types of disabilities in Cambodia is now not available. However, there are attempts, in conjunction with World Health Organization (WHO), to amend the definition of disability.

3.2 Government Policy and National Plan towards Persons with Disabilities

In order to improve rehabilitation and welfare services for persons with disabilities, the Government of Cambodia developed long term goals, and implemented and managed a national strategy to prevent causes of disabilities and rehabilitation services for persons with disabilities using an integrated participatory and decentralized approach. The priority goal is to ensure that the maximum possible number of persons with disabilities receive appropriate services and support to live and participate in society with dignity. Polices on disability-related issues cover:

National Development Plan

  • The First Five-Year Socio-economic Development Plan (SEDP I)
    [Legislated year: 1996-2000]
The Plan indicates:
  1. The Government's position in promoting the prevention of disabilities and rehabilitation for the disability; the rehabilitation sector is based on an integrated, participatory, and decentralized approach to service delivery.
  2. The immediate goal that the government has set is for a maximum number of persons with disabilities to receive appropriate services and support that will enable them to live with dignity and integrate into mainstream activities as much as is possible.
  3. Measures to conduct a situational analysis of persons with disabilities to contribute to policy and strategy development. However, enforcement is still limited due to overwhelming needs.
  4. Public awareness and educational programs that will contribute to preventing disabilities by increasing knowledge regarding disabilities, and enforcing implementation of a vocational training program and the development of a monitoring and evaluation system.
  • The Cambodia Plan of Action
    [Legislated year: N/A]

The main purposes of the Plan of Action are to provide an orientation strategy, offer opportunities to gain an overview of the disability and rehabilitation sector, and guide investment in this area. The Plan encourages organizations to think in broader terms than is usually necessary for implementation of individual programs/projects to cope with the overwhelming needs of persons with disabilities in Cambodia. Objectives of the Plan include

  1. To establish systematic co-ordination of services and programs.
  2. To prioritize major areas of work.
  3. To provide better geographical distribution of services for persons with disabilities
  4. To identify gaps in services.
  5. To improve and/or establish services for types of disabilities that are not adequately served.
  6. To plan for future assistance.
  7. To avoid overlapping services.
  8. To improve the allocation of budgetary resources on a national basis.
  9. To identify appropriate use of human and financial resources and gaps in human resources.
  10. To establish a comprehensive monitoring and evaluation system.
  11. To assess the impact of programs and services
  12. To ensure technical and financial sustainability of programs/services.

3.3 Government System

The assigned organizations directly and indirectly working for persons with disabilities are the following:

Ministry of Social Affairs, Labor, Vocational Training, and Youth Rehabilitation (MOLSAVY)
Department of Rehabilitation, Department of Child Welfare
 
As a care agency responsible for activities directly related to PWD, and children with disabilities.
• provide rehabilitation services
• provide vocational/skills training.
 
Ministry of Education, Youth and Sports (MOEYS)
Special Education Office, introduce the inclusive education of children with disabilities based on the principal of education for all
 
Ministry of Women's and Veterans' Affairs (MWVA)
responsible for pensions of disabled veterans
 
Ministry of Health
responsible for health services and rehabilitation
 
Ministry of Rural Development
responsible for health services and rehabilitation
 
Disability Action Council (DAC)

There are several sectoral groups covering all levels of involvement in disability issues in order to coordinate the concerned NGOs and to coordinate and collaborate with the Ministry of Social Affairs, Labour and Vocational Training and Youth Rehabilitation (MOLSAVY).

A task force was set up including representatives of the sectoral groups from all rehabilitation services, PWDs, and government officers. The responsibility of the task force, which is a consultative group, is to provide ample opportunities for all interested and potentially affected groups to contribute to the development of a national strategy on rehabilitation and disability issues. The members of the task force met regularly to 1) review the progress of each group of the four sub- committees, and 2) to discuss the issues raised and keep concerned people informed and updated.

Six steps have been conducted

  1. Formation of the task force
  2. Assessment of the current situations through distributing a general questionnaire, a questionnaire on training and making site visits
  3. Drafting the guiding principles
  4. Analysis of the information collected and identification of the main issues
  5. Prioritization of the main issues
  6. Development of recommendations and action plans to address each of the main issues

The recommendations from the task force are used to guide the NGOs and the MOLSAVY to continue their efforts to coordinate, improve, and expand the programs and activities for PWDs. A few action plans resulted from those recommendations.

After the task force accomplished its mission, the Disability Action Council (DAC) was formed as a new coordinating body in order to monitor and implement the recommendations and action plans.

Organizational Chart of Central Government (National Level)

Figure 4
Images:Organization Chart of Central (National Level) Description

Source:The Phnom Penh Post, November 12-25,1999

Organizational Chart (Local Level)

Figure 5Images:Orgainzational Chart (Local Level) Description
Source: 1. MOSALVY, Report on Work Results of the Year 2000 and Future Objectives, 2001
  2. MOH, Health Situation Analysis 1998 and Future Direction for Health Development 1999-2003, 1999
  3. MOEYS, Education in Cambodia, 1999
  4. National Task Force, Situation of the Disabled in Cambodia, 1996

In 1997, the Disability Action Council (DAC) was established as a semi-autonomous National Coordinating Body with representatives from related agencies under the authority of MOLSAVY and representatives from NGOs and individuals committed to work for promoting the well being of persons with disabilities and providing services and programs for them. DAC also serves as a national focal point on disability.

DAC Structure

Figure 6

Image:DAC structure
Description Source:MOSALVY, Prakas No. 308 Cambodia: 1999 W.G. : Working Group

3.4 Regional Cooperation

The country has been actively participating in several regional activities organized by UN ESCAP, Rehabilitation International and Disabled Peoples' International.

Moreover, national cooperation between government, NGOs and international organizations related to the rehabilitation service for PWDs has been very satisfactory.

3.5 Statistics Data

Figures on PWDs were collected from a survey conducted by the Rehabilitation Department, MSALVA and NGOs. There are several directories on rehabilitation services for PWDs but none of them are complete.

Attempts to develop and enhance a database on PWDs have continued by the Department of Rehabilitation and several NGOs. A National Resource Center, under the National Center of Disabled People (NCDP), has been established and is expected to provide resources and information to those interested in disability issues.

Census

The latest national population census was in 1998, which covered social and economic conditions demographically. However, in this census, data on persons with disabilities was not collected.

Survey

Ministry of Planning, National Institute of Statistics conducted a "Socio-economic Survey of Cambodia" in 1999.

Registration

There is no registration system for persons with disabilities in Cambodia.

3.6 Law and Legislation

Cambodia does not have separate disability laws at the present, but disability issues have been addressed in some existing laws and legislations. However, draft legislation on "The Rights of PWD" is being developed. The draft law aims to promote integration of PWD into mainstream development programs/activities which include health, accessibility, education, vocational training, employment, etc. to ensure the protection and promotion of the rights of all PWD and the prohibition of abuse and neglect of these PWD and discrimination against them.

Several regulations related to social welfare of PWDs have been issued. The first Act permits PWDs to receive medical and vocational rehabilitation services, training and employment. The second Act is a directive to implement the first regulation.

A small working group under the task force has been focusing on legislation related to issues on PWDs.

The Constitution of the Kingdom of Cambodia
Legislated year: 1993 (amended in 1999)
Description: The Constitution stipulates the rights and responsibilities of Cambodian citizens (Chapter 3) and Education, Culture and Social Welfare for Cambodian citizens (Chapter 6).
The Labor Law
Legislated year: January 10, 1997
Description: The Labor Law stipulates contractual agreements between employers and employees including persons with disabilities.
Royal Decree NS/ RKM/ 0295/ 16
Legislated year: February 25, 1995
Description: Establishment of Cambodian Mine Action Center which is responsible for administering, controlling, and coordinating all mine and unexploded ordnance activities in Cambodia.

National Laws and Legislation

Royal Decree NS/RKM/0900/160
Legislated year: September 4, 2000
Description: Establishment of Cambodian Mine Action and Victim Assistance Authority-CMAA as a national regularity on mine action and victim assistance in Cambodia.
Ministerial Decision (Prakas) No 306/ MOSALVA
Legislated year: August 28, 2000
Description: Establishment of a Working Group on Draft legislation to Protect the Rights of PWD.
Ministerial Regulation (Prakas), No 174/MOSALVY
Legislated year: May 12, 2000
Description: Establishment of a Component Factory to provide Pando devices for rehabilitation workshops countrywide.
Ministerial Regulation (Prakas), No 175/MOSALVY
Legislated year: May 12, 2000
Description: Establishment of a Physiotherapy Rehabilitation Center in Phnom Penh
Ministerial Regulation (Prakas), No 318 PRK/ KC/ MOEYS
Legislated year: January 31, 2000
Description: Establishment of a Special Education Bureau for PWD and Minority Groups.
Ministerial Regulation (Prakas), No 043/MOSALVY
Legislated year: January 28, 2000
Description: Organization, Roles and Function of Municipal/ Provincial SALVY to provide rehabilitation services to PWD.
Ministerial Decision (Prakas) No 308/ MOSALVA Legislated year: October 26, 1999
Description: Establishment of the Disability Action Council-DAC as National Semi-autonomous Coordinating Body on Disability and Rehabilitation.
Government Sub-decree No 87/ANK/ BK
Legislated year: October 04, 1999
Description: Organization and Function of the MOSALVY with one of the main priorities to prepare guidelines and policies to protect and support PWD.
Royal Decree NS/RKM/0699/06
Legislated year: June 17, 1999
Description: Establishment of Ministry of Social Affairs, Labor, Vocational Training, and Youth Rehabilitation-MOSALVY
Royal Decree NS/ RKM/ 0599/03
Legislated year: May 28, 1999
Description: Promulgating a law for implementing the Mine Ban Treaty, which prohibits the Use, Stockpiling and Transfer of Anti-personnel Mines and on their Destruction.
Government Sub-decree No 28/ANK/ BK
Legislated year: April 9, 1999
Description: Supplementary Salary of Civil Servants, Military, National Police, Retirees, and Disabled Officials.
Government Decisions No 15/SSR/ RGC, No 22/SSR/RGC
Legislated year: February 2, 1995/ March 10, 1999
Description: To form an Inter-ministerial Committee for Organizing Cambodian Handi-sports Day on a yearly basis.
Government Sub-decree No 70/ANK/ BK
Legislated year: October 24, 1997
Description: Establishment of a National Paralympic Committee of Cambodia with the main responsibility to organize sporting activities for PWD at national and international levels
Government Sub-decree No 059/ANK/ BK
Legislated year: October 6, 1997
Description: Retirement Pensions and Disability Regime for Civil Servants
Ministerial Decision (Prakas) No 757/ MOSALVA
Legislated year: May 10, 1997
Description: Establishment of a National Center for Disabled Persons with the main responsibility to provide rehabilitation services, job placement, and referral services.
Government Sub-decree No 37/ANK/ BK
Legislated year: April 4, 1995
Description: Establishment of an Inter-ministerial Committee on Primary Health Care to Support the Development and Implementation of a National Policy on Primary Health Care. It is a basis for prevention of disabilities.
Ministerial Decision No 10 PKNN/ MDVSA
Legislated year: January 10, 1992
Description: Implementing Declaration of Organizational Structure of Rehabilitation for PWD.
Government Decision No 181 SSR/ SC
Legislated year: December 20, 1990
Description: Principle Guidelines of Rehabilitation, Vocational Training, and Job Placement for PWD.

Remarks: The legal documents shown in the above table are listed based on a hierarchy of legal status and followed by the date of issuance

International Legal Binding Documents

Cambodia is one of the leading Asian countries that signed and recognized most of International and Regional instruments such as UN Resolutions, Treaties, Covenants, and Laws, that can be used to protect the rights of PWD.

Mine Ban Treaty
Legislated year: July 28, 1999
Description: Prohibit the use, stockpiling, production and transfer of anti-personnel mines and their destruction. It stipulates concrete action for eradicating landmines and for ensuring assistance to victims.
UN ESCAP Asian and Pacific Decade of Disabled Persons, 1993- 2002
Legislated year: October 20, 1994
Description: The target of the Decade is outlined in the document "Implementation of the Agenda for Action for the Asian and Pacific Decade of Disabled Persons ".
International Covenant on Civil and Political Rights
Legislated year: April 20, 1992
Description: Use language similar to the Universal Declaration of Human Rights to protect the right to privacy which is entitled "UN Convention Against Torture and other Cruel, Inhuman or Degrading Treatment or Punishment" that are major causes of disability.
International Covenant on Cultural and Economic Rights
Legislated year: April 20, 1992
Description: Article grants the Right of self-determination. Article 6 guarantees the Right to Work, which includes the right to freely choose and accept work to make a living. Article 12-the right to attain the highest standard of physical and mental health.
United Nations Convention on the Rights of the Child
Legislated year: 1989
Description: Provide comprehensive Rights of the child to education and health and prohibition to the labor force.
World Program of Action Concerning Disabled Persons UN Resolution 37/ 52
Legislated year: 1982
Description: Aimed at the promotion of effective measures for the prevention of disabilities, rehabilitation and the realization of equal opportunities for PWD; Declared the UN Decade of Disabled Persons (1983-1992)
Universal Declaration of Human Rights
Legislated year: December 10, 1948
Description: Promote fundamental human rights to all. Each article applies to every individual regardless of disability, gender, race, color, religion or any other status of life. Any form of discrimination violates the principle of equality.

International Legal Non-binding Documents

UNESCO World Declaration on Education for All
Legislated year: Involved in 1990 but real activities started in 2000
Description: The main aim is to enforce the implementation of the Principle of Inclusive Education.
United Nations Declaration on the Rights of PWD
Legislated year: December 9, 1997
Description: Provide instruments to protect fundamental rights of PWD.
UN Standard Rules on Equalization of Opportunities for PWD
Legislated year: December 1993
Description: A set of objectives implying a strong political and moral commitment by the State to take action for the equalization of opportunities for PWD.
Sources:

1) Compendium of Cambodian Laws Volume III, CLRDC, 2000 Landmine Monitor, Cambodia 2000

 

2) ASEAN and the Banning of Anti-personnel Landmines, Landmine Monitor 2000

3.7 Social Services

Social services for persons with disabilities are gradually growing in Cambodia. The National Center for Disabled People (NCDP) was established in 1997 to provide social services for persons with disabilities. The life of persons with disabilities who can receive social services from NCDP is getting better.

3.8 Medical Services, Rehabilitation and Assistive Devices

Much limitation in medical and rehabilitation services for persons with disabilities continues. Medical rehabilitation in Cambodia is under the responsibility of the following two Ministries; the Ministry of Health and the Ministry of Social Affairs, Labor, Vocational Training, and Youth Rehabilitation. Currently, there are rehabilitation centers in seven provinces. Three of them are managed by international non-governmental organizations. At the rehabilitation centers, persons with disabilities are given social, vocational, and medical rehabilitation as well as food and accommodation. There are several rehabilitation centers providing prosthetics, orthotics, wheelchairs, and other adaptive equipment.

There is also a school of physiotherapy. Physiotherapists are based in provincial hospitals, rehabilitation centers and are part of the national health system.

Rehabilitation training of health professionals for PWDs such as medical doctors, nurses, physiotherapists and allied health personnel is insufficient and has not been conducted for small hospitals and institutions.

Assistive Devices

There is an orthopedic component factory, a national school for prosthetics and orthotics, and 15 workshops which produce and repair assistive devices.

Three prosthetic workshops are in Phnom Penh and 12 are in the provinces. Only 3 workshops provide orthoptics for PWDs. Three different technologies have been used including polypropylene technology, aluminum technology, and leather with a combination of wood technology.

The production of assistive devices is only able to meet approximately 25 per cent of the needs of PWDs in Cambodia.

3.9 Community Based Rehabilitation

Community Work with Disabled People (CWDP) has been used as a fundamental unit to:

  • create awareness on disability to all levels of society,
  • promote self-esteem and the performance of disabled people,
  • promote their inclusion in the community,
  • promote employment opportunities using a networking approach,
  • provide family and community support

Community-based services are opening up in many provinces. Some are outreach services to follow-up on PWDs who have come to the centers. Some are truly CBR services, in that the focus on one geographically limited area and attempts to lead the community in developing local solutions to the problems that PWDs face. Some services are in between where trained rehabilitation agents go from house to house, offering counseling, referrals to other services, and direct assistance for basic therapeutic needs and for income generation.

Community-based Rehabilitation Bureau within the Department of Rehabilitation, MOSALVY
Legislated year: 1998
Has overall responsibility for CBR activities.
Major CWDP Programs have been carried out by NGOs in collaboration with relevant Ministries. Legislated year: 1993 ~
  1. Self-help group formation and socio-economic support
  2. Community-based Socio-economic rehabilitation
  3. Link between rehabilitation centers, communities, and mainstream NGOs
  4. Referral and follow-up, emergency grants
  5. Development of a federation of self-help groups
  6. Counseling, advocacy, referrals
  7. Awareness and information
  8. Community education
  9. Leadership training courses
  10. Rehabilitation work with clients and family/ follow-up with children, technical aids/ referrals
  11. Pilot project for hearing impaired children
  12. Outreach and follow-up programs
  13. Surgical referrals
  14. Facilitation of access to services for persons with disabilities
  15. Support for older people with special needs related to health, sanitation, income generation, home gardening, loans, counseling
  16. Home-based care for differently able children, as well as victims of polio, landmines, clubfoot and cerebral palsy
  17. Provision of access to education, health care, etc.

3.10 Public Awareness

Cambodia has developed more positive attitudes towards PWDs through a public awareness program to educate and change public misconceptions over PWDs. Key personnel to this issue include teachers, monks, healthcare personnel, government organizations, and NGOs.

Awareness campaign activities like the celebration of the National Day of Handicapped Sports which organized contests and games for PWDs was very successful. This event is becoming regular and popular among PWDs and the public. The Annual Handy Sports Day is also organized to promote the employment of persons with disabilities through a demonstration of their abilities.

Also, public awareness campaigns have been undertaken through periodical press releases, printed media, radio and television broadcasts.

Government Sub-decree on Retirement-Pensions and Disabilities Regime
Legislated year: 1997
The minimum and maximum levels of disability pension are fixed at 50% and 65% of net salary, respectively. Those disabled due to an accident at work or on duty are able to apply for the maximum level of pension. The calculation is based on seniority.
Cabinet Resolution on Organizing the Handy Sports Day No.15/ SSR
Legislated year: 1995
An Inter-ministerial Committee was established to organize the Handy Sports Day to promote disability awareness and sensitize the public regarding the abilities of persons with disabilities.
Government Sub-decree on the Establishment of a National Paralympic Committee of Cambodia No. 70/ANK/BK
Legislated year: 1997
To organize sport activities and events at national and international levels.

3.11 Prevention

The greatest cause of the high prevalence of disability is the lack of prevention programs such as the promotion of primary health care, improvement of hygiene and nutrition, vaccination, landmines, unexploded ordnance (UXO) awareness, and weapons reduction.

Some prevention programs are related to the following issues:

  1. Mines
    Mines awareness is taught throughout the country and particularly in provinces at high risk.
    Underground anti-personnel mines must be removed and the laying of new ones stopped.
  2. Polio
    A nationwide immunization program is provided for children under the age of five.
  3. Leprosy
    The International Federation of Leprosy Association through an NGO, funds a National Leprosy Control Program implemented by the Ministry of Health and the National Center of Dermatology and Leprosy
  4. Eye
    Eye problems are also a cause of disability. There are only four specialist centers for eye care; three are in Phnom Penh and the fourth is in Battambang. People in the rural provinces, therefore, do not receive treatment for very simple eye problems such as cataracts, trachoma and conjunctivitis, resulting in thousands of cases of blindness which could have been prevented. Children become blind through a lack of Vitamin A and measles. Distribution of Vitamin A capsules has been implemented.

Some legislations regarding prevention are as follows:

Sub-decree No.37, the establishment of an Inter-ministerial Committee on Primary Health Care (PHC) Legislated year: April 1995 ~
  1. To support the development and implementation of a National Policy on PHC.
  2. To support the understanding of PHC issues and implementation of the National Policy on PHC. This entails the following:
    1. Promoting health through the National Policy on PHC
    2. Providing information on PHC in the Cambodian context and factors influencing health and community development
    3. Establishing a conceptual framework for analysis of factors influencing the health and well being of people in Cambodia
  3. The PHC policy is based on interNationalityrecognized PHC principles. These are regarded as core characteristics essential for all PHC activities. In implementing activities, all agencies and activity participants should adhere to the following five principles of the Government's policy:
    1. Universal accessibility and coverage in accordance with need
    2. Community participation in development and improving health
    3. Inter-sectoral action on improving health
    4. Appropriate technology and cost effectiveness
    5. Sustainability, monitoring and evaluation
National Subcommittee for the prevention of blindness
Legislated year: December 1994
National Plan : Eye care development (1995-2001) to provide eye care services to reduce blindness to less than 0.5 % of the population by 2005 :
  1. Human resource development, facilities, materials, financial resource mobilization and management, and specific control of locally endemic diseases such as cataracts, trachoma, and Vitamin A deficiency.
  2. Second phase of the National Plan (1997-2001).
  3. Training of basic eye doctors and nurses, overseas training of ophthalmologists and ophthalmic nurses, and provincial training of primary eye care workers and optometrist technicians.
  4. Development of guidelines and protocol to support eye care services, extend outreach activities, and cataract intervention programs.
Polio Eradication Unit of MOH with the support of WHO
Legislated year: 1994 ~
Polio vaccination for babies across Cambodia to prevent disability caused by polio:
  1. Royal Decree NS/ RKM/ 0295/16
  2. Royal Decree
  Legislated year: 1. February 1995
    2. September 2000
  1. Established the Cambodian Mine Action Center (CMAC) with responsibility for administering, controlling, and coordinating all landmine and UXO activities.
  2. Established the Cambodian Mine Action and Victim Assistance Authority (CMAA) with the main roles of administering all demining and UXO's clearance activities, and assisting landmine victims.
Disability Awareness Modules
Legislated year: 2000 ~
In collaboration with MOH, modules have been developed in relation to the identification of disability. The main purpose of the modules is to spread and promote awareness on disability so that people can seek intervention and referral for treatment as early as possible.
  Government efforts to regulate weapons in Cambodia
  Legislated year: 1. January 1992
    2. July 1995
    3. July 1996
    4. October 16, 1998
    5. April 1999
  1. The law on penalties for the possession of weapons and wearing of uniforms in violation of the regulations, sets jail penalties of one to five years for keeping, selling or making explosives, ammunition or weapons without authorization.
  2. Sub-decree 62 on Illegal Weapons and Explosives Control splits the responsibility of issuing weapons and explosives permits between the Ministry of Defense for military, military police and militia personnel, and the Ministry of Interior for the police and civilians. It also specifies the rank and level of military and government staff entitled to carry a weapon.
  3. The Ministry of Interior releases a decree canceling weapons and explosives permits for officials, police and civilians.
  4. The Ministry of Defense issues a direct order for soldiers to turn in weapons they hold illegally. The directive prohibits them from carrying guns in Phnom Penh unless on a mission and from using them unless ordered.
  5. The Interior Ministry issues Sub-decree 38 on "management and control of the import, production, purchase, distribution, sale and use of weapons and explosives of all kinds."
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Biwako Millennium Framework Seven Priority Areas

3.12 Self-help Organizations of persons with disabilities and related family and Parents associations

The Cambodian Disabled People's Organization (CDPO), which is an important voice of PWDs, was established in 1994. It represents most groups involved with disability issues.

In 1996, the National Center of Disabled People was formed as a resource center and training, aiming to collect information, to hold meetings and to perform as an outlet to sell products made by PWDs.

3.13 Women with Disabilities

______

3.14 Early Detection, Intervention and Education

As the result of a prolonged war, the general education system is very limited in terms of both resources and capacity, preventing basic education for all children including children with disabilities. Low literacy rate and limited skills of children is the result of an insufficient educational system.

There is no law in Cambodia for educational enrolment of children with disabilities. Currently, the educational programs for persons with disabilities have been undertaken by NGOs only. A limited number of special schools and classes exist as a few community-based initiatives. Some children with disabilities are put in mainstream schools. According to the national policy, a pilot program to promote educational opportunity for children with disabilities has been undertaken by the Disability Action Council (DAC) in cooperation with the Ministry of Education Youth and Sports (MOEYS).

The Government of Cambodia has launched several programs including the promotion of "Education for All". However, an educational opportunity for persons with disabilities is still minimal.

Legislations regarding education for persons with disabilities are as follows:

Educational program for Persons with Disabilities
Legislated year: 1993 ~
  1. Programs with a particular focus on children with disabilities have been implemented mainly by NGOs.
  2. Programs' targets are mainly in Phnom Penh and other urban areas, and currently cater primarily for children with physical disabilities and sensory impairments.
  3. The ultimate goal of all special schools is to incorporate integration into mainstream schools.
Special Education Office
Legislated year: January 2000
Development of educational opportunities for children with disabilities, girls, minorities, and other vulnerable groups such as street children.

3.15 Training and Employment

Persons with disabilities have limited opportunities for equal and full participation in society. The abilities of these persons with disabilities are often easily ignored and they generally have a disadvantage in employment as well as access to resources such as basic social services, education and vocational training. Most persons with disabilities are poor and suffer in comparison to non-disabled persons. Vocational and skills training to enhance the employment opportunity of persons with disabilities is one of the major issues for concerned authorities.

As a part of the National Rehabilitation Program in 1987, the Ministry of Social Affairs, Labour, Vocational Training, and Youth Rehabilitation (MOLSAVY) has been working together with non-governmental organizations and international organizations to establish vocational training centers in the country. As a result, 11 vocational training centers were established. There are three main activities conducted by these centers.

1. Pre-training activities
This program provides vocational assessment, guidance, student selection and preparatory courses. Potential students need to discuss their situation with counselors, social workers or other knowledgeable persons to determine their needs. Clarification must be done since these training centers need students who can follow through and complete the courses. They also need to enroll a certain number of students in order to make it viable for them in terms of usage of equipment, and trainer and supporting staff strengths.

2. Skills training
This course consists of theoretical topics followed by practices in the workshop.

3. Post-training follow-up
This course is to assist disabled graduates in making the transition from the classroom to the workshop to achieve maximum results from their skills training. It is for graduates who need some follow-up action upon completion of their training courses.

However, a job placement for PWDs with these training courses cannot be guaranteed since the labor market remains unfavorable to PWDs. Also, employers are not yet encouraged to employ PWDs with specific incentives or quota systems.

A follow-up program for graduates who were successful in gaining employment is conducted through regular visitation at their work places. This helps to provide more support in terms of start-up equipment and loans/grants.

Specific limitations in employment opportunities faced by graduates are as follows:

  1. Self-employment usually requires access to credit, which is very difficult for poor persons with disabilities to access.
  2. Persons with disabilities often face discrimination in employment because of a low estimation of their performance and ability.
  3. The labor market for persons with disabilities is very limited since employment is particularly based on a trust or network basis.
  4. Rate of payment is very low, which does not meet the minimum expectations and needs of the job seekers.
  5. The majority of persons with disabilities live in rural areas where economic activities are very limited.
  6. The promotion of a micro-enterprise is mainly for entrepreneurs but not for persons with disabilities.

In order to promote services and employment for persons with disabilities, provincial rehabilitation centers as well as vocational and skills training centers have been established by the Cabinet Resolution No.181/SSR, which is the only regulation related to the strategy and policy of the government on this issue. At the same time, other Ministries such as the National Bank have been ordered to take appropriate measures to promote the employment of persons with disabilities.

In addition, the following initiatives have been taken by local NGOs, the government, international organizations, and the private sector, with technical support from the International Labour Organization (ILO), to promote job opportunities for persons with disabilities.

  1. The Rural Development and Income Generation Project for persons with disabilities have been initiated by DAC. The project aims to promote employment opportunities for persons with disabilities in rural areas by conducting surveys on existing income generation activities to identify gaps and potential.
  2. The ILO Disability Resource Team, in cooperation with MOLSAVY, implements activities on work place accessibility for persons with disabilities, promotes job placement for persons with disabilities including credit schemes and provides a modest allowance or grant to disabled trainees after graduation. The team also implements other activities such as follow-up monitoring, counseling, and the promotion of self-confidence of persons with disabilities. The Business Advising Council is:
    1. Advising Training Centers to include persons with disabilities in their programs and update curricula so that it becomes practical and applicable and realistic.
    2. Advising on current and future job opportunities and requirements.

At present, 8 vocational training schools/centers are operating (3 in Phnom Penh, 1 in Kandal, 1 Kampot, 1 in Battambang, 1 in Pursat and 1 in Kampong Thom) in close collaboration and support with World Vision, Maryknoll, AIR-J, BUCK, JS-C, JCIA, CWARS and others. So far 3,493 trainees with disabilities have been trained in various skills. Among them, 1,751 graduates currently have a paid job or are self-employed in their own villages. However, these services only meet a small percent of the needs of persons with disabilities, and job placement is not granted after training as there are not strong, quota systems or legislative instruments promoting the employment of persons with disabilities.

Some legislation regarding employment of persons with disabilities are as follows:

Cabinet Resolution on Principle Guidelines on Rehabilitation, Vocational Training, and Job Placement for Persons with Disabilities No. 181/SSR
Legislated year: 1990
Persons with disabilities are to be provided with more opportunities for vocational/skill training and job employment, made a priority for credit and loans as well as incentives including tax reductions.
Ministerial Proclamation on Guiding Implementation of Cabinet-Resolution
No.181/SSR and No.02/PRNN
Legislated year: 1991
Establish Provincial Rehabilitation Centers and Vocational Training Centers, and provide employment for persons with disabilities
Ministerial Decision to Establish a National Center for Disabled Persons NCDP
No. 757/MOSALVA
Legislated year: 1997
Develops data on job placement and referral services for persons with disabilities, and provides catering services for persons with disabilities.
Government Sub-decree on Supplementary Salary of Civil Servants, Military, National Police, Retirees, and Disabled Officials No. 028/ANK/BK
Legislated year: 1999
A net salary increase of 30% for civil servants, military personnel, the national police, retirees, and disabled officials has been authorized effective May 1999.
Prakas No.757 MOSALVY on Establishment of a National Center for Disabled Persons (NCDP)
Legislated year: 10 May 1997
The main task of NCDP is to provide rehabilitation services, and to improve economic conditions through the provision of employment opportunities for persons with disabilities in order that they can live with dignity and full participation in society.
MOSALVY-Rehab-dept. Vocational Training Bureau (8 Vocational Training Centers across Cambodia)
Legislated year: 1998
Tasks of the Vocational Training Bureau, Rehabilitation Department of MOSALVY are as follows :
  1. Facilitate, coordinate and act as a liaison with 8 Vocational and Skill Training Centers
  2. Collect and collate data/ statistics and compile a progress report on graduates from skill training programs.
  3. Facilitate the import/ export of materials and equipment for vocational training centers.

3.16 Access to Built Environment and Public Transportation

The accessibility issue along with communication and other regular supporting facilities are not available due to the lack of awareness in public and private sectors as well as strong legislative support. Only the production of wheelchairs is improved for people who are mobility-impaired.

Many improvements on accessibility are required including widespread basic health services, power stations, water systems, roads, and other facilities and services.

3.17 Access to Information and Communication

Not much action has been taken to an accessible communication system for PWDs. However, there is one blind school in Phnom Penh run by a local NGO, Kruasa Thmey Organization, where Braille is taught. They also have a small center-based program for young blind students

3.18 Poverty Alleviation through capacity-building, social security and sustainable livelihood programs




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