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Module 5. The Right to Health
Availability, Accessibility, Acceptability and Quality of Health Care Facilities, Goods, and Services

When thinking about the right to health it is important to consider the availability, accessibility, acceptability and quality of health care facilities, goods, and services.

Availability

Health care facilities, goods, and services must be available in adequate numbers through a State, including adequate numbers of health care providers trained to provide disability specific support and mental health-related services.

Accessibility

Accessibility includes four overlapping dimensions:

  1. Non-discrimination: Mental and physical health care services must be available without discrimination on the basis of disability or any other prohibited ground. States must take positive measures to ensure equality of access to persons with disabilities. States must also ensure that persons with disabilities get the same level of medical care within the same systems as others.
  2. Physical accessibility: Health facilities, goods, and services must be within safe physical reach for persons with disabilities and other vulnerable or marginalized groups, such as ethnic minorities and indigenous populations, women, children, adolescents, older persons, and persons with HIV/AIDS. Accessibility also implies that medical services and underlying determinants of health, such as safe and potable water and adequate sanitation facilities, are accessible, within safe physical reach, including in rural areas. Accessibility further includes adequate access to buildings for persons with disabilities.
  3. Economic accessibility: Health facilities, goods, and services, including medicines and assistive devices, must be economically accessible (affordable) to consumers with disabilities.
  4. Information accessibility: Accessibility includes the right to seek, receive, and impart information and ideas concerning health issues. Information relating to health and other matters, including diagnosis and treatment, must be accessible to persons with disabilities. This entitlement is often denied to persons with disabilities because they are wrongly judged to lack the capacity to make or participate in decisions about their treatment and care. However, accessibility of information should not impair the right to have personal health data treated with confidentiality.

Acceptability:

Health care facilities, goods, and services provided to persons with disabilities must be culturally acceptable and respectful of medical ethics.

Quality:

Health care facilities, goods, and services provided to persons with disabilities must be of good quality, as well as scientifically and medically appropriate. Among other things, this quality requirement mandates skilled medical and other personnel who are provided with disability training, evidence-based interventions, scientifically approved and unexpired drugs, appropriate hospital equipment, safe and potable water, and adequate sanitation.

Have Questions or Issues?
If you have any questions or need help registering or completing the training,
please send an email to crpdsupport@mlpd.mb.ca. We will respond as quickly as possible.
Copyright © 2020. Council of Canadians with Disabilities (CCD).