Disability and the Global South, 2018 OPEN ACCESS
Vol.5, No. 2, 1430-1449 ISSN 2050-7364
www.dgsjournal.org
© The Authors. This work is licensed under a Creative Commons Attribution 3.0
License 1430
The Convention on the Rights of Persons with Disabilities and its
implications for the health and wellbeing of indigenous peoples with
disabilities: A comparison across Australia, Mexico and New Zealand
Minerva C. Rivas Velarde
a*
, Patricia O’Brien
b
, Trevor R. Parmenter
c
a
University of Geneva;
b
University of Sydney;
c
University of Sydney. Corresponding Author-
Email: minerva.rivas@unige.ch
This paper explores how the expressed health needs of Indigenous peoples with
disabilities resonate with the mandate of Article 25 ‘Health’ of the United Nations
Convention on the Rights of Persons with Disabilities (CRPD). The perceptions of
indigenous peoples with disabilities are investigated, regarding their access to, and
expectations of, health care. Their views are compared to those of health workers,
senior bureaucrats and United Nations delegates. An exploratory case study approach
was taken to compare three jurisdictions: Australia, Mexico and New Zealand. The
data collection techniques used involved semi-structured interviews, focus groups and
field notes. The findings suggest that the health needs of indigenous peoples with
disabilities are largely underserved and misunderstood by health departments.
Specialised and preventive health care for those with disabilities was found to be
particularly problematic. Poverty, discrimination and disenfranchisement emerged as
being the possible major determinants of the ill health experienced by indigenous
peoples with disabilities. The findings and conclusions outlined in this paper advocate
the need to build capacity and rights literacy for indigenous peoples with disabilities,
particularly with respect to the CRPD, in order to enhance its impact on the health of
indigenous people. A legitimate redistribution of resources and decision-making in
response to the expressed health needs of indigenous peoples with disabilities is
needed if the vision of the CPRD is to be realised in relation to Article 25.
Keywords: Indigenous persons with disabilities; Right to health; CRPD; Barriers to
health care; Disability
Introduction
Disability is known to be a cause and consequence of poverty (WHO and World Bank, 2011).
It took 30 years, from 1976 (when the UN adopted the Declaration on the Rights of Disabled
Persons) to 2006 to the adoption of the Convention on the Rights of Persons with Disabilities.