Disability

Goals and Indicators

Methodological issues Needs proper adaptation to the conditions and language of country The indicator provides a screening of children identified by parents/caretakers as experiencing disability/impairment The MICS3 effort can is seen within the WHO framework described in the 2001 International Classification of Functioning, Disability and Health. As a classification, ICF systematically groups different domains for a person in a given health condition Functioning is and umbrella term encompassing all body functions, activities and participation Disability serves as an umbrella term for impairment, activity limitations or participation restrictions.

Methodological issues In this framework, a childs functioning in a specific domain is an interaction or complex relationship between his/her health condition and the contextual factors surrounding his/her life (environmental and personal factors). The MICS3 measurement of disability will fall within one of the main components of the ICF part of function and disability: activity limitations and participation restrictions MICS3 will also collect data related to the contextual factors of the ICF framework, particularly on the personal factors representing the background of an individuals life and living (age, gender, ethnic, education, household wealth, nutrition, health, etc.). The idea here is to use the collected data to explore associations between existing impairments in childrens activities and participation in life situations, and their contextual factors.

Methodological issues This module was implemented during MICS2 in 25 countries with little analysis It was recommended to follow the screening obtained with this module with a physical examination of children to identify false positives and false negatives False positives are children identified as disabled by their parent/caretaker but without a physical disability False negative are children identified as not impaired by their parent/caretaker but with a physical disability Recommendations: proper training of interviewers, optimal data cleaning and tabulations, and adequate analysis and presentation of results.