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

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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 Need link to other information

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

Disability in Uzbekistan Pop w/ official disability status: % % Real increase? Increase in disease (TB) Value of benefits Denominator problem Survey alternative

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)

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)

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

Physical Functioning: 2005 URPS VariableAllFemaleMaleQ 1Q 5 Official disability No full limitations One full limitation One serious diff. or full limit No. of full limitations No. serious diff. or full limit Normalized domain score

Alternative measures: 2005 URPS VariableAllFemaleMaleQ 1Q 5 Official Disability Status Chronic Illness Own disability assessment (w2) Own func. Disab. Assess, (w2) Normalized ADL score, w Normalized ADL score, w

Age and Disability Measures

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

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

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

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

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

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

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

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

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 Official disability status: % Yrs of schooling (tentative) Full limitation: 2.5 yrs Serious difficulty 1 yr

Characteristics of those with disabilities Causality beyond the scope Welfare Education 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

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

VariableAllFemaleMaleQ1Q5 No problem w/ Vision Hearing Movement-walk Learning Communication Self-care (wash) Full limit. with: Vision Hearing Movement-walk Learning Communication Self-care (wash) Incidence: physical funct.