Enhancing Personal Assistance Policies for Persons with Disabilities Worldwide

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This study delves into the importance of personal assistance in promoting the dignity and autonomy of individuals with disabilities. It discusses the challenges, methodology, main findings, and recommendations for ensuring decent working conditions for personal assistants, thus facilitating independence and inclusion for persons with disabilities.


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  1. Towards Dignity and Autonomy Personal Assistance Policies for Persons with Disabilities Worldwide Lilia Angelova-Mladenova 6 March 2024

  2. Background and objectives Care and support discussions working conditions gender equality Brings the perspective of persons with disabilities Personal assistance: key for independent living and inclusion (Art. 19, CRPD)

  3. Methodology Upper-middle income Costa Rica High income Inclusion criteria Mapping Country selection Desk research and consultations Americas Asia and the Pacific Thailand Japan, Republic of Korea, Taiwan England, Slovenia, Sweden Europe and Central Asia Serbia, Bulgaria

  4. Challenges and limitations Variability in the quality and quantity of information Language Public access Timeframe Does not capture diversity within countries

  5. Main findings and recommendations Promoting independence and inclusion of persons with disabilities Ensuring decent working conditions for PAs

  6. Promoting independence and inclusion of persons with disabilities Self-directed funding (direct payments) Equal access across the country Coverage of all costs Funding based on individual needs 24/7 availability Training and support Assess quality through impact on users

  7. Personal assistants PA services create jobs; mainly women Significant workforce shortages: low wages, poor recognition High job satisfaction: lower turnover

  8. Ensuring decent working conditions of PAs Adequate pay rates Access to support Improved job stability and security Improved visibility and image of PA profession Training and development opportunities

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