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Table 3 Disability inclusiveness of government responses to COVID-19

From: Disability inclusiveness of government responses to COVID-19 in South America: a framework analysis study

Area

Argentina

Brazil

Chile

Peru

Relevant and accessible information

• Information directly related to disabled people provided16.

• Information line via video-call with sign-language interpretation, and through a dedicated online channel16,17.

• Published recommendations specifically for disabled people18.

• Simultaneous sign language interpretation provided through specific software (VLIBRAS)38.

• Information available in high contrast in all governmental webpages.

• Published recommendations specifically for disabled people32, 34.

• Published recommendations specifically for indigenous people24.

• Video- calls, with sign language interpretation, available through a website51.

• Information available in easy-read49.

• Published recommendations specifically for disabled people50.

• All information, provided by any means, must be in accessible formats58.

Access to healthcare

• All services of the Programa Federal Incluir Salud are available online, including day centres and rehabilitation6,10,12,19.

• Telemedicine available for people with COVID-19 related symptoms25.

• All general health appointments are suspended, but variations exist across states25.

• The GES programme (aimed at people diagnosed with one of currently 85 conditions with the objective of reducing inequalities in healthcare access) was suspended between March 30 and April 3054.

• Establishment of a community network to identify severely disabled people in the community, monitor their wellbeing, and offer support64,65.

• Diagnostic services for suspected cases and treatment services are provided free of charge63.

• Home visits to vulnerable people over 65 years of age60.

Access to education

• All services of the Programa Federal Incluir Salud are available online, including all levels of special education. If students do not have access to the internet, they are sent hard copies of educational material10.

• Free access to online educational platforms (no data charges)4.

• Reduction of educational support provision6,22.

• Mainstream education: The national program ‘Seguimos educando’ does not make specific reference to disabled students5.

• National authorisation, exceptionally, allows the switch from face-to-face to digital classes in higher education. No specific reference to disabled students26.

• In each state, measures to offer educational alternatives and provide internet access to students from public schools (primary and secondary education is the responsibility of states and municipalities).

• Distribution of educational materials for disabled students32.

• Distribution of food parcels to parents or guardians of state primary school students27.

• Extra financial support given to facilitate reasonable adjustments, like sign language interpretation. These are not available to students who have an open litigation case with the Servicio Nacional de Discapacidad48.

• General measures do not specifically take into account the needs of disabled students46,47.

• Accessible education activities via the programme ‘Aprendo en casa’60.

• Mainstream education: The national guidelines make explicit reference to the needs of disabled students and provide specific measures to promote inclusive education62.

Employment and Financial support

• Disabled people who receive a disability pension are entitled to an extra cash transfer of 3000 Argentine pesos (USD 44)8.

• New disability registrations can happen via distance7.

• Automatic renewal for 3 months (six in the Autonomous City of Buenos Aires) to all disability registrations that are about to expire3,13.

• In order to safeguard jobs, an agreement can be signed between companies and corresponding unions, with a duration of 60 days starting 29/04. The payment of wages may not be less than 75% of the net wages. The State pays 50% of wages through the Work and Production Assistance Programme23.

• Suspension of “proof of life” (prova de vida) for beneficiaries of retirement and other social benefits, including disabled people28.

• New disability registrations can happen via distance98.

• Advance payment of R$200,00 (USD $40) for disabled people waiting for medical evaluation to receive financial benefits29.

• Households with a disabled member are entitled to an extra financial benefit (usually it is ¼ of minimums salary, but it has increased to ½during the pandemic)29.

• Emergency aid of two payments of R$600,00 (USD 120) each for freelancer workers or those informally employed30.

• Temporary law allows salary reduction, with workload reduction, and contract suspension to keep jobs and income30.

• Disabled people who receive a disability pension are not entitled to the Covid-19 cash transfer of 50,000 Chilean pesos (USD 62), but disabled people who belong to vulnerable households are entitled to it42,43.

• Family emergency income: for families of 2 people and above that are within the 60% poorest population. Amount depends on family characteristics, and will be given for 3 months, starting in May42,43.

• Disability registrations continue but in order to certify disability, people need to go physically to the appropriate office56.

• The Employment Protection Law allows workers to access the benefits and supplements of Unemployment Insurance, in case of contract suspension or working day reduction. It can apply from April 6th, 2020 for up to six months55.

• Households with a disabled member are entitled to an extra cash transfer of 380 soles (USD111) per household70.

• Paid leave for disabled people who cannot carry on working during the pandemic58.

• In order to compensate for working time lost to quarantine, agreements can be made for the workers to take vacations, compensate for hours lost with accumulated overtime, accept reduced wages and working hours. If an agreement cannot be reached, the employer can unilaterally impose these measures59.

Protection of people living in residential settings

Recommendations for:

 • Prohibition of all visits14.

 • Suspension of all therapeutic and recreative outings14.

 • Obligatory self-isolation in their room for those residents who return to the facility14.

 • Suspected cases need to be referred to health system within 2 h of identifying them, and residents need to be moved to secondary care14.

• Recommendations for preventive actions in institutions for elderly people, including suggestions of visiting restrictions37.

Recommendations for:

 • Prohibition of all visits52.

 • Suspension of health appointments, unless they are necessary52.

 • Suspected cases need to be referred to health system and remain physically isolated52.

• Prohibition of all visits68,69.

Reasonable accommodations for disabled people

• Disabled people, who are registered as disabled, and their carers, are able to go for brief walks at a distance of up to 500 m from their houses up to three times a week, without needing a special permission1,9.

• Recommendations published by many organizations and universities, but no formal government policy.

• People with autism spectrum disorders and other mental health conditions, who are registered as disabled or have a doctor’s certificate, and their carers receive permission to be out for 2 h at a time, without restriction as to how many permissions they can receive41.

• Carers of disabled people receive permission to go to work, even in areas that are under quarantine measures, if they work in care homes for disabled people41.

• Priority access to humanitarian supplies and all other resources provided by the State, at all levels of public administration (including water and food)58,64.

• All measures directed to disabled people also include people who care for a family member64.

• People with autism spectrum disorders, learning disabilities, and mental health conditions , and their carers, can be out of their house, but close to it, without needing a special permission, despite prohibition of movement58,66.

• Disabled people can self-certify their disability status in order to receive associated benefits58.

• Carers of disabled people receive permission to go to work57.

Consideration of the needs of disabled people who face multiple exclusions

• Assistance line for gender-based violence, with special reference to disabled women (but without communication accommodations)11.

• Disabled prisoners are considered for early release20.

• Disabled prisoners are considered for early release (but new law being prepared at the time of writing, May 2020, will no longer allow this)36.

• Information about women violence, including disabled people, and a special assistance line31,35.

• Increased resources for the reporting of human rights violations, including against disabled people33.

• No information

• Disabled people at situations of risk receive priority attention by the Ministry of Women and Vulnerable Populations64.

Inclusion to decision making process

No information

• No information

• No information

• No information

  1. Note 1: Exchange rates used as of May 26th, 2020: 1 ARS = 0.01 USD, 1 BRL = 0.19 USD, 1 CLP = 0.0012 USD, 1 PEN = 0.29 USD
  2. Note 2: Superscript numbers indicate the number of the document from Supplementary material 1 where the information was found