Disability inclusive statistics in Sub-Saharan Africa: Evidence from the Disability Data Initiative

Bradley Carpenter, Nolufefe Zukulu, Aphiwe Mhlongo, Thakasile Ndlovu, and Jill Hanass-Hancock

What is the Disability Data Initiative - DDI?

The Disability Data Initiative (DDI) focuses on monitoring disability rights using existing data

  • Global initiative led by Fordham University with nine regional teams https://disabilitydata.ace.fordham.edu/

  • Utilises publicly available national household and census data (from 2009 onwards) to monitor disability rights enshrined in the CRPD and SDGs

  • Monitors outcomes related to disability prevalence and disability gaps in health, education, employment, participation, food security, and multidimensional poverty (deprivation in more than one well-being indicator on health, education, employment, and standard of living)

  • Methods described at: https://disabilitydata.ace.fordham.edu/2023-method-briefs/

Image of the CRPD document and SDG logo.

Why do we need disability data?

CRPD Article 31 Statistics and Data Collection

  1. States Parties undertake to collect appropriate information, including statistical and research data, to enable them to formulate and implement policies to give effect to the present Convention …

  2. The information collected in accordance with this article shall be disaggregated, as appropriate, and used to help assess the implementation of States Parties’ obligations under the present Convention and to identify and address the barriers faced by persons with disabilities in exercising their rights.

  3. States Parties shall assume responsibility for the dissemination of these statistics and ensure their accessibility to persons with disabilities and others.

SDGs and disability data

The SDG principle of “leaving no one behind” requires understanding who is left behind and if this is people of different ages, races, ethnicities, sexes, genders, and abilities. This requires disaggregation of data, including disaggregation via disability. Hence, disability data is integral to achieving the SDGs.

What data and Methods do we use to create information on disability rights?

What type of disability questions do we see in national household surveys and censuses?

  • Generic disability question (underestimates disability)

  • Medical or impairment questions (underestimates disability)

  • Functional difficulty questions (different variations across questionnaires)

  • Functional difficulty questions in the form of the Washington Group Short Set on Functioning (WG-SS)


WG-SS Questions (domains)

  1. Do you have difficulty seeing, even if wearing glasses?

  2. Do you have difficulty hearing, even if using a hearing aid?

  3. Do you have difficulty walking or climbing steps?

  4. Do you have difficulty remembering or concentrating?

  5. Do you have difficulty with self-care, such as washing all over or dressing?

  6. Using your usual (customary) language, do you have difficulty communicating, for example understanding or being understood?

Answer Options

  1. No difficulty

  2. Some difficulty

  3. A lot of difficulty

  4. Cannot do at all

What information can the DDI reports provide?

  • Percentage of datasets that include functional disability questions (and WG-SS) and which datasets include these questions (nationally and internationally)

  • Disability prevalence disaggregated via degree and type of disability per country

  • Disability gaps comparing three groups (no, some, at least a lot of difficulty) or two groups (no or any difficulty) in terms of education, health, food security, income, participation, and multidimensional poverty outcomes

  • Disability gaps disaggregated via gender or age

  • Subnational prevalence estimates and disability gap

DDI country briefs show the country-specific prevalence and key indicators for each country that collects disability data. They can be downloaded at: https://disabilitydata.ace.fordham.edu/2023-country-briefs/

DDI reports from 2021 to 2023.

What can the DDI reports and briefs show us?

Where can we find functional difficulty data in at least one survey?

Preliminary data from 2024 estimates

Where can we find functional difficulty data in SSA?

Datasets with functional difficulty questions

Preliminary data from 2024 estimates

What does disability prevalence data reveal?

Population Any difficulty Some difficulty At least alot of difficulty
All adults 20.43 14.55 5.87
Females 23.25 16.47 6.78
Males 17.08 12.28 4.80
Rural 19.25 14.15 5.10
Urban 22.30 15.19 7.11
Age 15 to 29 7.40 5.59 1.81
Age 30 to 44 12.01 9.18 2.84
Age 45 to 64 34.60 25.97 8.64
Age 65+ 62.93 38.22 24.71
Household prevalence 42.75 27.33 15.42

Preliminary data from 2024 estimates

Population Any difficulty Some difficulty At least alot of difficulty
All adults 7.22 4.29 2.93
Females 7.89 4.67 3.22
Males 6.47 3.88 2.60
Rural 9.19 5.54 3.65
Urban 3.55 1.97 1.58
Age 15 to 29 2.84 1.57 1.27
Age 30 to 44 4.62 3.07 1.55
Age 45 to 64 14.30 9.53 4.78
Age 65+ 35.95 17.45 18.50
Household prevalence 17.50 9.53 7.97

Preliminary data from 2024 estimates

What does education gender data reveal?

Cross Country estimates for education indicators among women (%)

Preliminary data from 2024 estimates

Women who have completed secondary school or higher (%)

What does food insecurity data reveal?

Adults in food insecure households (%)

Country No difficulty Any difficulty Disability gap
Ethiopia 22.00 32.70 10.70
Liberia 62.75 72.12 9.38
Malawi 73.09 81.69 8.60
Namibia 26.49 35.31 8.82
Nigeria 38.31 51.81 13.50

Preliminary data from 2024 estimates

What does health data reveal?

Cross-country estimates for health indicators among women (%)

Preliminary data from 2024 estimates

What does multidimensional poverty data reveal?

Key indicators for adults age 15+ by functional difficulty status (%)

Indicator No difficulty Some difficulty At least alot of difficulty
Multidimensional poverty 16.46 33.03 48.71
Living in adequate housing NA NA NA
At least primary school 85.19 67.75 52.59
Clean cooking fuel 83.47 82.54 79.25
Electricity 91.29 91.76 90.47
Employment 39.07 39.79 26.57
Safe sanitation 69.06 71.81 72.48
Safe drinking water 91.72 91.08 88.31

Preliminary data from 2024 estimates

Key indicators for adults age 15+ by functional difficulty status (%)

Indicator No difficulty Some difficulty At least alot of difficulty
Multidimensional poverty 69.19 87.17 93.20
Living in adequate housing 11.67 2.86 4.34
At least primary school 52.90 28.36 21.63
Clean cooking fuel 11.95 2.38 3.05
Electricity 61.49 36.72 40.38
Employment 54.13 44.23 26.77
Safe sanitation 71.07 83.02 81.62
Safe drinking water 90.14 81.84 81.91

Preliminary data from 2024 estimates

How can we use the DDI results to monitor SDG’s, CRPD, and county-specific obligations?

How do we monitor the SDG’s or CRPD?

Domain SDG indicator example1 CRPD indicator example2
Poverty
(SDG 1 and CRPD 28)
Proportion of population with access to basic services

Proportion of population using:

  • safely managed drinking water services.

  • safely managed sanitation services

  • living in households with access to basic services

Zero hunger and Food insecurity
(SDG 2 and CRPD 28)
Prevalence of food insecurity Prevalence of moderate or severe food insecurity in the population (FIES scale)
Health
(SDG 3 and CRPD 25)
Proportion of women of reproductive age who have their needs for family planning satisfied with modern methods Proportion of women and girls of reproductive age who have their need for family planning satisfied with modern methods disaggregated by age and disability.
Education
(SDG 4 and CRPD 24)
Disparities in educational access: e.g. school enrolment, school life expectancy, and completion rate Rates to children with disabilities out of school, rate of enrolment, attendance, promotion, and completion

What data is available from the DDI?

Domain DDI indicators South Africa Rwanda
Poverty
(SDG 1 and CRPD 28)

Adults in households using safely managed drinking water

Adults in households using safely managed sanitation services

Adults in households with adequate housing

Census 2016

Census 2016

Census 2016

LFS 2018

LFS 2018

LFS 2018

Zero hunger / Food insecurity
(SDG 2 and CRPD 28)
Adults in food insecure households - -
Health
(SDG 3 and CRPD 25)

Adults covered by health insurance

Women with family planning needs met

Household health expenditures out of total consumption expenditures

-

DHS 2016

-

-

DHS 2020

-

Education
(SDG 4 and CRPD 24)

Adults who have ever attended school

Adults ages 25+ who have completed primary school or higher

Adults ages 25+ who have completed secondary school or higher

Census 2016

Census 2016

Census 2016

LFS 2018

LFS 2018

LFS 2018

What SRHR data is available and what is missing?

Type of SRHR data Available surveys
Access to Comprehensive Sexuality Education None available, only proxies in SABSMM survey (South Africa, HIV knowledge), DHS (SRHR and HIV knowledge)
Family Planning (e.g. contraceptives) DHS, MICS
Safe motherhood and neonatal care (e.g. pregnancy visits) MICS
Access to safe abortion None available
Disease prevention (e.g. HIV or STI testing, cancer screenings) None available
Sexual Violence GBV surveys, DHS, MICS 7 (2024-2025)


Potential future data: Health information systems (currently doesn’t include disability questions)

Thank you - Do you have any questions?

https://disabilitydata.ace.fordham.edu/

SAMRC logo.

DDI and Fordham logo.