Handicap International experience in Afghanistan - CBM

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Figure 51: Distribution of Persons with Disability Above 14 Years Old Accordingto Participation in Ceremonies by Types and Causes of Disability1009080706050403020100Landmine/UXO SurvivorsOther warSurvivorsOther Causes:Disease,Accident...Non-Disabled1009080706050403020100PhysicalDisabilitySensorialDisabilityMentalDisabilityAssociatedDisabilitiesEpilepsy/SeizuresNon-DisabledSuch events are very important and reinforce the sense of belonging to the community. Therefore, for peoplewho are kept away from them, this represents segregation from family and community life. 27% personsdisabled due to accident, disease or mistreatment are in this situation.Figure 52: Distribution of Persons with Disability and Non-Disabled According toReasons of Non-Participation in Ceremonies5045• Persons with Disability• Non-Disabled4035302520151050I was notInvitedTransportor AccessProblemI am tooAshamed toParticipateTheCeremonywas BoringBecause itDisappointsMeNobodyWould TakeMeOther/Don’tKnowAre all persons with disability on an equal stand regarding participation in social life? Figure 51 shows thatpersons with physical disability or epilepsy or other forms of seizure do participate in higher proportion thanother forms of disability. Persons with mental forms of disability or associated disabilities participate in alesser proportion in these social gatherings. They are often victim of stigmatization and rejection.A small minority of non-disabled persons (3.2% of men and 4.6% of women) who do not participate inceremonies declare that it was due mainly to absence of invitation or of means of transportation as shownin Figure 52.Non-disabled persons not participating in social gatherings state the fact that they were not invited. However,this needs to be interpreted with caution since this usually means that there was no celebration. It can alsosignify that there are also marginalised groups in the community due to different reasons. Similarly for thisgroup, transport problems usually signify the venue was far and that the entire family could not go.68 Understanding the Challenge Ahead
Figure 53: Distribution of Persons with Disability According to Reasons ofNon-Participation in Ceremonies by Types of Disability504540• Physical Disability• Mental Disability• Epilepsy and Forms of Seizures• Sensorial Disability• Associated Disabilities35302520151050I was notInvitedTransportor AccessProblemI am tooAshamed toParticipateTheCeremonywas BoringBecause itDisappointsMeNobodyWould TakeMeOther/Don’tKnowPersons with disability face a larger variety of problems. The 11.2% that stated that they were not invitedcan be considered together with 17.4% who state that nobody would take them. Many answers show thereis a certain effect of non-acceptance that leads to a feeling of shame in being with others: 9.5% declaredopenly that they were ashamed to participate, another 10.7% that it disappoints them and 7.0% that theygot bored. In other words, they did not feel at ease with other people. Not being fully accepted, 55.8% ofthem feel shunned in one way or another.Looking at the breakdown by types of disability as shown in Figure 53, the main problem for persons withphysical difficulties is access to or at the venue (45.5%). Transport is also stated as the main problem for42.6% of persons with sensorial disability. Persons with mental disability state that either they were notinvited or nobody would take them to the celebration. These latter reasons are also stated by persons havingepilepsy or seizures.It is difficult to completely grasp what participating in these ceremonies clearly implies in terms of acceptanceand inclusion. On one hand participating in these celebrations is related to having certain visibility within thefamily and the community. However, apart from problems of physical access and transport (which is sharedby the non-disabled as well) there is a certain level of ‘exclusion’ of the mentally disabled. Nevertheless,whatever is the reason for it, the absence from major ceremonies that are inherent to Afghan social life is asign of ostracism and isolation.Whatever is thereason for it, theabsence frommajor ceremoniesthat are inherentto Afghan sociallife is a sign ofostracism andisolationFigure 54: Distribution of Persons with Disability and Non-Disabled According toPerception of the Future by Sex, Areas of Living and Causes of Disability8070605040• Women with Disability• Non-Disabled Women• Men with Disability• Non-Disabled Men8070605040• Rural Area Persons withDisability• Urban Area Persons withDisability• Rural Area Non-Disabled• Urban Area Non-Disabled3030202010100The Sameas TodayBetter thanTodayWorsethan TodayDon’tKnow0The sameas TodayBetter thanTodayWorsethan TodayDon’tKnowSocial Participation and Future Prospects69
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Islamic Republic of AfghanistanUNDE
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ContentsAcknowledgementsAbbreviatio
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Figure 25 : Retention, Transition a
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AbbreviationsAFAs : AfghanisBPHS :
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PrefaceThe National Disability Surv
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IntroductionAs the process of recon
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Figure 1. Sampling Stages of NDSA1s
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A variety of subjects and fields ad
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• Beliefs and expectations of wha
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Prevalence Threshold with Regard to
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The proportion of persons with disa
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Mental disability shows a much more
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The effectiveprevalencerate of seve
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to a maximum of 37.4% unable to coo
Page 34 and 35: Table 3. Proportion of Persons with
Page 36 and 37: Table 4: Proportion of Persons with
Page 38 and 39: Figure 9. Distribution of Persons w
Page 40 and 41: Figure 12: Distribution of Persons
Page 42 and 43: Comparing the situation between mal
Page 44 and 45: Figure 17. Number of Visits to Heal
Page 46 and 47: Table 5: Yearly Average Expenses (A
Page 48 and 49: 32 Understanding the Challenge Ahea
Page 50 and 51: A crucial aspect that influences ac
Page 52 and 53: Table 6 highlights the advantage th
Page 54 and 55: Figure 26: Retention, Transition an
Page 56 and 57: to take this into consideration whe
Page 58 and 59: • Boys with physical disability a
Page 64 and 65: to others: usually they benefit fro
Page 66 and 67: Figure 37: Distribution of Active P
Page 70 and 71: According to NRVA 2003, poverty is
Page 72 and 73: means that the average living space
Page 76 and 77: Figure 46: Distribution of Househol
Page 80 and 81: The inability tobear children is am
Page 82 and 83: The situation is somewhat different
Page 86 and 87: 706050• Landmine/UXO Survivors•
Page 88 and 89: ConclusionInclusion is a major fact
Page 90 and 91: of persons with disability 48 . Thi
Page 92 and 93: GHOSH N., MOHIT A., MURTHY R.S. (20
Page 95: The National Disability Survey in A
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Handicap International experience in Afghanistan - CBM

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