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Disability Certification: A Key Tool for Inclusion

November 27, 2024 por Carolina Freire - Florencia Magdalena Méndez Leave a Comment


In Latin America and the Caribbean, over 80 million people live with some form of disability, experiencing greater vulnerability than the rest of the population. This represents nearly 15% of the region’s population.

In this context, disability certification emerges as a key tool to ensure inclusion. In this blog post, written for the International Day of Persons with Disabilities, we explore the vulnerabilities faced by people with disabilities and the benefits of certification. We also highlight Panama’s example.

Why Obtain a Disability Certification?

People with disabilities face higher poverty rates compared to the general population, partly due to high costs associated with healthcare, technical support, and transportation, as well as lower workforce participation. Data from Mexico, Chile, Costa Rica, and Bolivia show that poverty rates in households with members with disabilities are 5 to 15 percentage points higher than in other households.

Moreover, they encounter barriers in accessing healthcare, education, and work. According to the Pan American Health Organization, less than 3% of this population accesses rehabilitation services due to limited infrastructure and a lack of trained personnel.

In the labor market, studies have shown mixed results for inclusion quotas, as compliance sometimes only involves reclassifying existing employees rather than significantly increasing new hires of people with disabilities.

In this context, certification helps people with disabilities exercise their rights, obtain legal protection, and access services that ensure inclusion.

In the realm of social protection, certification standardizes disability assessments, facilitating transitions between programs without the need to repeat administrative processes to access services. This paves the way for services and benefits essential for true inclusion.

In the health sector, this certification grants access to rehabilitation programs and specialized care tailored to individual needs.

In education and employment, certification promotes environmental adaptations according to individual needs, removing barriers and fostering equal opportunities for all.

The Case of Panama: Disability Certification and Inclusion Policies

Panama is a standout example in the region, expanding disability certification coverage through the Social Inclusion Program for People with Disabilities, supported by the IDB. This program aims to enhance the state’s ability to identify and respond to the needs of people with disabilities, improving the coverage and quality of health, education, and personal autonomy support services. Since its launch in 2014, the certification system has become a cornerstone of inclusion, ensuring access to social protection policies and resources.

Panama’s certification system aligns with the principles of the Convention on the Rights of Persons with Disabilities, applying a biopsychosocial approach and being managed by the National Disability Secretariat (SENADIS).

Until 2019, the system had reached only 2.1% of the population with disabilities, largely due to infrastructure and resource limitations. However, over the past five years, thanks to reforms including decentralization and digital transformation, certification coverage has doubled.

SENADIS decentralized the certification process, making it accessible to people with disabilities nationwide. Additionally, seven of its ten regional offices were renovated to enhance accessibility, and they were equipped with private certification rooms, technology, and connectivity to access the RENACER information system.

This information system was also upgraded with features that streamline evaluation boards, appointment scheduling, and the issuance and printing of certification cards, including georeferencing.

The digital transformation included developing a mobile app, enabling individuals to access their disability card digitally and present it to businesses using a QR code.

For disability certification to have a real impact, governments, organizations, and civil society must work together to ensure access to services and opportunities for all individuals with disabilities. This involves implementing sustainable public policies and creating accessible environments. Panama’s example demonstrates that progress in certification and inclusion is possible with a multisectoral approach and the use of adaptive technologies.

On this International Day of Persons with Disabilities, we highlight certification’s importance as a tool for promoting equal opportunities. However, it is only one piece of a broader set of actions required to achieve inclusion. While certification opens doors, its impact depends on the context in which it is implemented. Without a cultural shift that eliminates exclusionary and discriminatory attitudes, simply certifying a disability does not guarantee real inclusion. On this day, the true call to action is to challenge and transform our culture toward one that values and respects diversity in all its forms.


Filed Under: Health services Tagged With: IDB, Inter-American Development Bank, International Day of Persons with Disability

Carolina Freire

Carolina Freire es Especialista de Protección Social y Salud del Banco Interamericano de Desarrollo (BID). Es licenciada en Política Internacional de la Universidad de Georgetown y tiene una Maestría en Políticas Públicas de la Universidad de Texas. Es Fellow del Aspen Institute y Young Global Leader 2012 del Foro Económico Mundial. Fundó Voluntarios de Panamá, organización que moviliza y conecta a los panameños con las causas y organizaciones que los necesitan.

Florencia Magdalena Méndez

Consultant in Gender and Diversity in the Social Protection and Health Division of the IDB, with more than fifteen years of experience in economics and public policies with a gender and diversity perspective, with special emphasis on social protection, labor market and health issues. Florencia holds a PhD in Social Sciences from the Universidad Nacional de General Sarmiento, is an Economist and a specialist in university teaching in Economics at the Universidad de Buenos Aires. In the past, Florencia worked as technical coordinator of the Interministerial Program on Gender Budgeting and advisor to the Minister of Women, Gender and Diversity in Argentina and as an independent consultant on gender and diversity in international organizations, such as FAO, UNDP and IDB.

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Latin American and Caribbean countries face multiple challenges to provide quality healthcare for their citizens. In this blog, IDB Specialists and international experts discuss current health issues and hope to build a dynamic dialogue through your comments.

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