Thailand's Strategic Plan for Disability Statistics: First Workshop for Improving Disability Statistics and Measurement, Bangkok, 24-28 May 2004

Decentralized statistical system, NSO and other agencies collect disability statistics.
The collection classified into 2 types
Regular collection
Provisional study

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1. REGULAR COLLECTION:

From registration system and recording
From census and survey

2. PROVISIONAL STUDY

Some small areas or some groups of disabled persons.
In depth analysis or research
Ex. Epidemiology study, Disabled students

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From registration system and recording

Organization	Coverage	Periodicity
Office of Empowerment for Persons with Disabilities, Ministry of Social Development and Human Security	Disabled registrants	Monthly
Social Security Office, Ministry of Labour	Insured of Social Security Office	Monthly
Department of Mental Health, Ministry of Public Health	Inpatient with Psychosis	Annual

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From census and survey survey carried out by other agencies:

Survey carried out by other agencies:

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Organization	Coverage	Periodicity
National Health Foundation	Population age 5 years and over	Quinquennial
Institute for Population and Social Research, Mahidol University	Disable persons age 0 - 19 years	-
The Community Development Department, Ministry of Interior	Households in non - municipal area	Annual
The Community Development Department, Ministry of Interior	Villages in non - municipal area	Biennial

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From census and survey (Contd.)

Census and survey carried out by NSO:
- 1970,1990 Population & Housing Census
- 1974,1976,1977,1978,1981,1986,1991,1996 and 2001 Health and Welfare Survey
- 1994,2002 Survey of Elderly in Thailand
- 2002 Disability Survey

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THE 2002 DISABILITY SURVEY

The NSO carried out Disability Survey independently for the first time in 2002, concept, definition, classification and methodology had been improved.

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OBJECTIVE OF 2002 DISABILITY SURVEY

To collect data on:

Demographic and characteristics of disabled persons.
Persons having consecutively health problems or chronic illness for 6 months and over or having impairment.
Persons having health problems and problems in performing the activities of daily living.
Persons having impairments.

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COVERAGE

Covered private and special households which members have consecutively health problems or chronic illness for 6 months and over or have impairments.

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METHODLOGY - Sample Design

Coverage: Whole country (Geographical )
“ Stratified Two-Stage Sampling ”
- The Primary Sampling Units were blocks for municipal areas/villages for non-unicipal areas
- The Secondary Sampling units were private households and member of special households.
Total sample = 50,000 households
Response rate = 82%

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METHODOLOGY

Method:

face - to - face interview

Interviewer:

permanent officers of NSO

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CONCEPT, DEFINITION AND CLASSIFICATION

CONCEPT

View disability as the consequent of health problems or chronic illness or impairment which limit persons from performing the activity of daily living (ADLs) and Instrumental activities of daily living (IADLs).
The 2002 Disability Survey, studied disability of performing activities of daily living: eating, bathing, cleaning face, brushing teeth, dressing, go to the toilet and cleaning after passing a stool.

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DEFINITION

Developed definition of persons with disabilities by basing on the Rehabilitation of Disabled Persons Act B.E. 2534 (1991).

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DEFINITION (Contd.)

Disabled Person refers to person having at least one of the following characteristics:

Impairment in terms of sight, could not see normal alphabet eventhough wearing glasses or contact lenses.
Impairment in terms of hearing or communication, hard of hearing normal speaking voice, has malfunctioning of speaking, etc.

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DEFINITION (Contd.)

Impairment in terms of physical and locomotion, has difficulty to walk or move body.
Impairment in terms of mentality or behavior, has psychological abnormalily or malfuntioning of certain part of the brain associated with perception, emotion and thought.
Impairment in terms of intellectual or learning ability, has abnormality or malfuntioning of the brain or intelligent level.

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Disability refers to any restrictions orto perform basic activities as normal individual which consequence from health problems or illness consecutive 6 months and over or impairment.

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CLASSIFICATION

Studied the International Classification of Functioning, Disability and Health (ICF), tried to apply classification of human functioning and disability to the survey.

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SURVEY CONTENT

Set of Questions

Questions on:

Health problems or chronic illness consecutive for 6 months and over or impairment
Disability
Impairment

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SOME PROBLEMS IN COLLECTING DISABILITY STATISTICS

More than one agencies collect disability statistics, concept, definition and classification are not standard.
Lack of statistical personnel who have skill in the field of disability statistics.
Lack of special sampling frame for carrying out the disability survey.

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SOME PROBLEMS IN COLLECTING DISABILITY STATISTICS (Contd.)

Interviewers have no experiences on medical knowledge. Need skill training on technical language.
Respondents have various background of education, always view disability as inferior characteristics.
Questions on disability are not standard for many purposes and for comparison across agencies.

etc.

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Strategic plan

Goals:

To have more integrated approaches to gathering and sharing information and to policy uses
To have better quality disability statistics through censuses and surveys
To have better registration system

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1st Goal: To have more integrated approaches to gathering and sharing information and to policy uses

Objective	Activity	Output
1.1 To have a common framework of disability based on the ICF	To set up committees working on the ICF	ICF Thailand user guide
	To set up working committee work on setting minimum data set	National minimum data set
1.2 To promote the use of ICF	To organise workshops to work on, to promote use of the ICF

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1st Goal: To have more integrated approaches to gathering and sharing information and to policy uses (contd.)

Objective	Activity	Output
1.3 To improve and develop the ICF Thailand user guide	To set up working groups to monitor and evaluate the use of ICF	Update ICF Thailand user guide

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2nd Goal: To have better quaility disability statistics through censuses and surveys

Objective	Activity	Output
2.1 To promote understanding the use of ICF in censuses and surveys	To organise workshops to disseminate the concepts, definitions and classifications of ICF
2.2 To ensure that data are relevant to users’ needs	To organise meetings with users

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2nd Goal: To have better quaility disability statistics through censuses and surveys (contd.)

Objective	Activity	Output
2.3 To improve the quality of disability statistics in terms of questionnaire design, sampling methodology, data processing and dissemination	To study and analyse the previous data collection and revise questionnaire design, sampling methodology, data processing and dissemination

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2nd Goal: To have better quality disability statistics through censuses and surveys (contd.)

Objective	Activity	Output
2.4 To collect data in a cost-effective manner	To introduce a disability module in existing surveys or population census	Good quality disability statistics relevant to all major users though censuses and surveys
2.5 To provide the output that is clearly understood to the key policy makers and other users	To analyse on specific issues relating to policy

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3rd Goal: To have better registration system

Objective	Activity	Output
Short term
3.1 To assist people with disabilities to obtain appropriate services.	To modify the current form based on the ICF	People with disabilities have better access to services
3.2 To monitor and report to the public and the government on services providing.	To carry out data analysis and research	Analytical reports

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3rd Goal: To have better registration system (contd.)

Objective	Activity	Output
Long term
3.3 To obtain new hardware, software for registration system
3.4 To revise and improve the current Rehabilitation of Disabled Persons Act (1991) and Ministerial Regulations (1994)
3.5 To set up working groups to improve the content of registration based on the ICF framework and the new revised Act and regulations

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Thank you