The social framing of disability is at the heart of the White Paper and follows on similar moves globally. However, WHO declines to make a clear exclusionalry defintion of disablitily.
HIV health programmes is mentioned on page 88 as a prime intervention in South Africa. The only clear funding at a national level is for HIV-related programmes via a conditional grant. Disability is framed as a social issue and added as a priority via the social chapter of the National Development Plan (NDP).
his means in effect the prevention and treatment of NCDs preventable sight loss like diabetes and hypertension are not considered in this policy as it follows the social model of disability. This kind of dualism is outdated. Deal with social issues but allow for the causes to be addressed directly through the National Department of Health. with funding.
white paper on disability rights 2019
That means making NCDs a priority in chapter 10 of the National Development Plan.
[vc_row][vc_column width=”1/2″][vc_column_text]The final draft of the 3rd NCDs+ National Strategic Plan that was submitted to the South African National Health Council Technical Committee in Nov 2021 for approval by the National Department of Health. This approximate version has been approved.
The version was finalised by an NDoH Technical Committee after a long non-transparent development process. The SA NCDs+ Alliance was the only civil society representative on the TC.[/vc_column_text][/vc_column][vc_column width=”1/2″][vc_column_text]Annex a sancda ncds timeline policy events 26 Jan word version
[/vc_column_text][vcex_spacing][vcex_button align=”left”]Click Here To Download[/vcex_button][/vc_column][/vc_row]
NYP objectives 1 and 2 are directly relevant to the NCDs agenda:
- Integrate youth development into the mainstream of government policies, programmes and the national budget.
- To promote physical, mental, spiritual; and sexual reproductive health and rights
A quick look at sections in the NYP draft directly to health and NCDs are:
6.4 — Poor health, high HIV/AIDS prevalence, and high rates of violence and substance abuse (page 19).
6.7 — Youth with disabilities (page 20).
7.2 — Physical and mental health promotion (page 32).
?A policy wish list ?
The policy is suitably vague interventions using language like “should ensure” and no targets. Critical health issues like substance abuse and youth suicide must be linked with the NCDs strategic plan. tical issues like youth suicide gets one line in a paragraph one
[embeddoc url=”https://www.sancda.org.za/wp-content/uploads/2020/03/nationalyouthpolicy-nyp-draft-1.pdf” download=”all” viewer=”google”]
An estimated 1 billion people, or 15% of the world’s population, have a disability 1, and the increase in diabetes, cardiovascular diseases (heart disease and stroke), mental disorders, cancer, and chronic respiratory illnesses, will have a profound affect on this population. According to the World Report on Disability, these diseases are estimated to account for 66.5% of all years lived with a disability in low and medium resource countries.
The research report on experiences of the disability facilitators make for extremely interesting reading in informing our individual and collective efforts to strengthen programmes which foster inclusion of children with disabilities.