Workshop on Improving Disability Data for Policy Use
23-26 September 2003, Bangkok, Thailand

Administrative sources of national disability data

Country: Kyrgyz Republic

1. Overview of administrative sources

1. List the titles of the different registers and the ministry/organisation responsible for them
2. What purpose do they have?
3. How often are they updated? (continuously, annual, ad hoc, etc.)
   National Statistical Committee of the Kyrgyz Republic develops summary primary disability statistics on the basis of annual reports of Medical and Social Expertise General Department and Ministry of Health Care. There is also developed summary disability care statistics by the data of Ministry of Labour and Social Protection and Social Fund.

   Data are developed on the basis of department statistical reporting provided by the following administrative resources:

   Medical and Social Expertise General Department.
   Interdistrict, interregional and regional medical and social expert commissions (MSE) report once a year. MSE General Department makes a summary report by the republic with the breakdown by region. A primary recognised disabled people and re-examined at the age of 16 and more are covered by reporting. Nowadays an activity on covering all age groups invalids is implemented (including children and juveniles). Information on disabled people primary recognised and re-examined is contained on paper format as album register.

   Ministry of Health Care provides with the following statistical reports with annual periodicity:

   • Report on health care institution activity (Family Medicine Centre, dispensaries).

   There are submitted data on invalids sought medical assistance from health care institutions and Family Medicine Groups doctors.

   • Report of Infant House

   This report contains number of disabled children at the age of 0-3 (4) years old being under Infant Houses care.

   Compulsory Medical Insurance Centre under the Healthcare Ministry registers invalids who sought for medical assistance as a part of definite benefits from medical service payment.

   Ministry of Labour and Social Protection provides with the following statistical reports with annual periodicity:

   • Summary report on availability rest home serving disables and the old.

   This report contains data on number of disabled people in rest homes for invalids. Data are submitted as of the end of the reference year.

   • Summary report and appendices on number of recipients, disbursements and required amount of Common Monthly Subsidy for lower-income families and social service benefits.

   This report contains data on number of disability welfare recipients (invalids from a child, children-invalids and invalids from common disease without working experience). Data are submitted as of the end of the reference year.

   Social Fund provides with the following statistical reports with annual periodicity:

   • Report and appendices on number of retirees and amounts of their monthly pensions.

   This report contains data on number of retirees (with working experience) receiving disability pension due to common disease or industrial injury and professional decease. Data are submitted as of the end of the reference year.

2. Brief summary of register(s)

1. Describe what information on disability is collected
   State authorities of the Medical and Social Expert Commission fix disability. Medical and social expertise is carried out by the Medical and Social Expert Commission (MSEC), which is in the part of the Labour and Social Protection Ministry system. Medical services of examination in Medical and Social Expert commission bodies and rehabilitation prescribed accordingly expertise conclusion are included in the Compulsory Medical Insurance Programme of the Kyrgyz Republic and financed from republican and territorial Compulsory Medical Insurance Funds.
   Medical and social expert commission in accordance with the established procedure defines examined person's needs in social service measures, including rehabilitation on the basis of assessing living restrictions caused by obstinate functional disturbance of the body. According to an integrated assessment medical and social expert commission defines state of examining person health on the basis of analysis of clinical and functional, everyday-social, professional-industrious and psychological data applying classifications and criteria, which are developed and approved by the Government of the Kyrgyz Republic.
   Labour medical expert commission is responsible for:
   • defining disability group, its causes, period, date of occurrence of disabled person needs in different social service measures;
   • developing various programs for disabled people rehabilitation;
   • studying level and causes of population disability;
   • participating in development of disability preventive measures, disability medical and social rehabilitation and social protection integrated programs;
   • defining disability degree and professional decease;
   • defining death cause of disabled person in the case of providing with benefits to decedent family guaranteed by the legislation of the Kyrgyz Republic.

   Classification of primary recognised disabled people by form of a disease corresponds to International Classification of Disease-10 (ICD-10).

   Depending on degree of body functional disturbance and living restrictions of recognised disable people, it is determined disability group for adults and "disabled child" category for people at the age under 16.

   Legislatively there are three disability groups depending on disablement degree.

   In statistical observation disability is classified as following:

   • primary disability in the reference year;
   • common disability characterising contingent of disabled people registered in social protection and insurance division independently from date of recognising disability.

   It is currently included indicators on disabled people living standard and their employment into sample survey questionnaires of the NSC's Sample Survey Division and Labour and Finance Statistics Division.

2. What uses are made of the data and who are the users?
   Main disability data users are the Government of the Kyrgyz Republic and human Societies.
3. Were users involved in deciding what information to collect?
   No.
4. What definition of disability is used?
   Disability is a decline in health with body obstinate functional disturbance caused by diseases, injury effects or defects leading to living restrictions and requiring social protection.
   Living restrictions are personal full or partial loss of capacity or ability to self-service, self-move, orient, communicate, manage own behaviour, be trained and work.
5. Are the definitions used in the register(s) compatible with survey or census definitions? With international standards?
   It is required knowledge of actual international standards, methodology of statistics and disability data collection and analysis for defining comparison with international standards. In the Kyrgyz Republic main definitions are submitted in normative legislative acts and according to them there is developed current disability statistics.

3. Coverage

1. What population is covered in the register(s)?
   For Medical and Social Expert Commissions, Ministry of Health Care and Compulsory Medical Insurance Fund there is covered population went to medical institutions for disability recognising.
   For Ministry of Labour and Social Protection and Social Fund there is covered those groups who accepted as disabled person and who legislatively needs in state support.
   National Statistical Committee surveys 3 000 sampled households, thereof 250 households - for population employment survey.
2. How complete is the coverage? (who is included? who is missed out?)
   Non definite
3. How is/are the register(s) evaluated for completeness?
   Non definite
4. Manner of updating the register(s)? (automatic from computerised forms, from paper forms, other?)
   Paper form (card-files, journals)

4. Highlight some of the strengths and limitations of your administrative register(s)

• lack of technical equipment of ministries and agencies responsible for disability data completion. And as a result there is inaccessibility to existent information of administrative resources and unavailability to quick-look data and their analysis.
• Unavailability of common methodology on statistical accounting, data collection and analysis.

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