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Kinnon Scott Cem Mete June 2007

Measurement of Disability and Linkages with Welfare, Employment and Schooling: The Case of Uzbekistan. Kinnon Scott Cem Mete June 2007. Disability and Welfare. Causality  both ways Limited information on the link Conceptually different Sources: Administrative data Census Surveys

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Kinnon Scott Cem Mete June 2007

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  1. Measurement of Disability and Linkages with Welfare, Employment and Schooling: The Case of Uzbekistan Kinnon Scott Cem Mete June 2007

  2. Disability and Welfare Causality both ways Limited information on the link • Conceptually different • Sources: • Administrative data • Census • Surveys • Need link to other information

  3. Official Disability in Uzbekistan Legal definitions of persons with disability: • Category 1: Lost ability to work and depend on others for their care • Category 2: Lost ability to work but do not depend on others for their care • Category 3: Partially lost ability to work

  4. Disability in Uzbekistan Pop w/ official disability status: • 1996 2.4% 2003 3.4% Real increase? • Increase in disease (TB) • Value of benefits • Denominator problem Survey alternative

  5. Questions to answer • Disability Measurement • How do different measures affect incidence and distribution of disability • Poverty and Disability • What linkages exist between disability (various measures) and welfare (monetary, education, labor)

  6. Uzbekistan Regional Panel Survey, 2005 • Living Standards Measurement Study survey • Welfare measure: consumption • Individual characteristics: education, health, labor, migration • Household level data: welfare, housing, agriculture, businesses • Regional: Tashkent, Andijan, Kashkadarya • Panel (short and truncated)

  7. Uzbekistan Regional Panel Survey, 2005 Multiple measures of disability • Official • Physical functioning: WG 6 areas: hearing, vision, mobility, learning, communication, self-care, Full difficulty, severe, index • Self-described as having disability • Self-described physical functioning limitation • Chronic Illness • Activities of daily living- index

  8. Physical Functioning: 2005 URPS

  9. Alternative measures: 2005 URPS

  10. Age and Disability Measures

  11. Determinants of Official Disability Status • Serious difficulty in 1/6 pf • Own assessment • ADL • Working age • Being male • Regional differences • Welfare level not significant

  12. Summary of Different Measures • 12 percent with serious difficulty or full limit on at least one area • 3.2 % with full limit • Official disability 3.8% • Does change in definition change our understanding of welfare links and indiviudal characteristics

  13. Characteristics of those with disabilities (Causality beyond the scope) • Welfare • Education • Labor force participation

  14. Characteristics of those with disabilities (Causality beyond the scope) • Welfare • Education • Labor force participation

  15. Welfare • Log pc consumption • Five measures: • One full limitation • Official disability status • One full or serious difficulty • Chronic Disease • ADL, normalized score • Hold constant: region, hhld composition, age, educ and gender of head

  16. Welfare • One full or serious difficulty leads to 4.8 percent decline in pc consumption • Other four: negative but NS

  17. Characteristics of those with disabilities • Causality beyond the scope • Welfare • Education • Labor force participation

  18. Education • Higher to basic: 60% increase in earnings • Over 90% of 6-14 enrolled (2003) • Enrollments start to fall at 15 and by 18 down to 2/3 enrollment

  19. Education Probability of enrollment 7-14 yr olds • Official disability status- 24% decline • One serious or full limit: 6.1% • Chronic illness: 11.6% Probability of enrollment 15-18 • Official disability status: 42-49 % Yrs of schooling (tentative) • Full limitation: 2.5 yrs • Serious difficulty 1 yr

  20. Characteristics of those with disabilities • Causality beyond the scope • Welfare • Education • Labor force participation

  21. Labor force participation • Active –ILO defn • W1 and W3: seasonality • Official disability status: 52% pts • Full Limitation: 37% pts • One serious or full: 24 % pts • Chronic illness: 19 % pts

  22. Summary • Measurement matters • For incidence • For understanding of linkages between disability and welfare, education, labor • Official disability status: increase women’s access, consistent application across region • Surveys can usefully include disability questions

  23. Incidence: physical funct.

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