Issues faced

  • day to day
    • inaccessible roads, footpath, buildings, toilets, public transport
    • assisstive devices
    • social stigma, stereotype, paternalistic attitude
    • dependence on caregiver
    • risk of abuse, neglect, exploitation
    • limited access to recreation, sports, cultural activities
  • e-govarnence
    • websites / apps not compatible with screen readers
    • lack of captions in audio description
    • sign language interpretation
    • poor PDF accessibility, online forms
    • CAPTCHA / auth systems create barriers
    • lack of universal design principles
  • Education
    • inaccessible schools, classrooms, laboratories, toilets
    • shortage of special educators, sign language interpretors, trained teachers
    • lack of accessible textbooks
    • delayed identification & intervention
    • high dropout rates
    • difficulties in examination & assessment
    • social isolation, bullying, discrimination
  • Workplace
    • discrimination during recruitment, promotion
    • stereotype regd. productivity, capability
    • inaccessible workplaces, transprot
    • lack of reasonable accomodation
    • concentration in low paid / informal employment
    • wage disparities
    • difficulties in adaptation and limited career progression
  • healthcare
    • physically inaccessible hospitals
    • communication barriers w/ docs/staff
    • high OOPE for specialized care
    • expensive assistive devices, rehabilitation
    • insufficient specialized rehab in rural areas
    • neglect of sexual & reproductive health needs
  • mobility
    • inaccessible buses, railway, airports, metro
    • poorly designed foothpaths, crossings
    • lack of last mile connectivity
  • justice
    • courts, police station not physically accessible
    • dependence on intermediaries compromises autonomy
    • lack of accessible legal documents
  • political
    • inaccessible polling stations
    • innaccessible election info
    • limited decision making representation
    • pol info not available in accessible formats
  • Economic
    • HCoL due to assistive devices
    • high insurance premium
    • high recurring healthcare OOPE
    • poverty and disability reinforce each other
    • lower labour force participation
    • difficulty obtaining credit, financial services
  • disaster/emergency
    • evacuation plans ignore mobility of disabled
    • emergency warnings not accessible
    • shelters lack ramp, accessible toilet, suitable facilities
    • PWD face greater risk during disasters, displacement

Govt measures

What can be done

  • move from retrofitted accessibility accessibility by design
  • strengthen enforcement of RPwD Act
  • fix clear accountability for accessibility violations
  • involve PwD in policy formulation
  • digital:
    • WCAG compliant website/app
    • screen reader compatible govt portals
    • captions / transcripts for govt vids
    • sign language interpretation, accessible PDF
    • voice based interaction
      edu
    • train teachers in disability inclusive pedagogy
    • inc special educatiors, braille textbooks, assistive tech in clasrooms
    • flexible assessment methods
  • healthcare
    • integrate disability rehab into primary healthcare
    • district level rehab teams
    • train ASHA Workers in early identification
    • accessible sexual & reproductive healthcare
  • social security
    • DBT w/ accessible banking
    • portability of benefits across states
    • improve coverage & adequacy