Catalogue of Local Inclusive Public Policies

Public policies
catalogue

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Community Day Care Center for Persons with Disabilities

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La Serena - Chile

Region
Latin America and the Caribbean
Range of Demographic Size
100,000 to 499,999 inhabitants (large intermediate)

3.1 By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births.

3.2 By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births.

3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases.

3.4 By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.

3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol.

3.6 By 2020, halve the number of global deaths and injuries from road traffic accidents.

3.7 By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes.

3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.

3.9 By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination.

3.a Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate.

3.b Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all.

3.c Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States.

A - Full integration of population dynamics into sustainable development with equality and respect for human rights.

American Convention on Human Rights

• Inter-American Convention on the Elimination of all Forms of Discrimination Against Persons with Disabilities

Convention on the Rights of Persons with Disabilities (CRPD).

Universal Declaration of Human Rights (UDHR).

Summary

The Honorable Municipality of La Serena, through its Department of Inclusive Development belonging to the Office of Community Development, has detected a need among the community’s population with disabilities between the ages of 18 and 59 to have program offers aimed at providing free services for the promotion of autonomy and the conservation or maintenance of the cognitive, physical, and communicative functionality in this population segment.

 

To address this issue, the municipality sets out to implement a local public policy, thus establishing the “Community Day Care Center for Persons with Disabilities” and adopting a device managed by the municipality itself, unique and innovative for the region, which offers different services and benefits to persons with disabilities and carers, who are mostly female.

Implementation Date:

Start: 03 / 1 / 2016

End: End: Currently in force

HEALTH AND SOCIAL WELFARE - Disabilities
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According to data gathered by the Second National Study of Disability (ENDISC) 2015, the number of people with disabilities (PwD) older than 18 years old rises to 2,606,914, which corresponds to 20% of the population. In the Coquimbo region, the figure reaches 19.6%, of which 7% have severe disabilities, and 12.6% have mild to moderate disabilities. It is worth noting that all disabilities lead to a loss of functionality in the short or long term. Therefore, it is essential to have intervention processes available to prevent cognitive, functional, and communicative deterioration in a person, observing the need for spaces for the promotion of autonomy in PwD between 18 and 59 years old once they graduate from the educational system in order to preclude a weakening of functional capability.
Implementing a “Community Day Care Center for Persons with Disabilities” between 18 and 59 years old as a device from the Department of Inclusive Development and administered by the Honorable Municipality of La Serena, of an ambulatory nature, prompting autonomy, with the aim of keeping or maintaining the cognitive, physical, and communicative functionality of persons with disabilities, thus improving their quality of life of both the person with disabilities and their carer and family through different services and benefits, which would allow them to progress toward an independent life.
On an initial stage, from 2010 to 2015, the agency in charge of its implementation was the Honorable Municipality of La Serena, which introduced with its own resources a project of authorization and upgrading of an integrationist space for culture and information, taking into account the urgent need for spaces offering assistance to PwD between 18 and 59 years old. Municipal funding was not enough to meet demand; therefore, in 2016, at a second stage, the local public policy was implemented, which aimed at promoting autonomy for PwD and the establishment of a “Day Care Center.” This initiative was put forth to the National Disability Service (SENADIS), with funds allocated for its inauguration and initial operation until 2017. Last, since 2018, the Municipality of La Serena is in charge of enforcing this policy, allowing for the financial continuity of the “Day Care Center.”
Even though today the “Day Care Center” is under the administration, funding, and operation of the Honorable Municipality of La Serena, the articulation with other projects implementing their own policies is essential, for many of these policies complement each other and are necessary for the development of the “Day Care Center.” Regional Public Realm: ● Regional Ministerial Secretariat of Sports, with recreational and sports workshops. ● National Disability Service, with grant funds. ● Housing and Urbanization Service, with training for housing application. ● Technical Cooperation Service, with training for applying for productive development and start-ups funding. ● National Training and Employment Service, with trade courses. ● Community Mental Health Center, with mental health workshops. Municipal Realm: ● Technical Agency for Training, with trade courses. ● Environmental Management Department, with workshops on environmental social responsibility. Private Realm: ● Inclusive Higher Education Regional Network, offering guidance and the possibility for PwD enrolled in higher education to apply for support service benefits. ● Chilean Foundation for Disabilities, with workshops for progressing toward an independent life. ● Respétame Corporation, offering work coaching for PwD and carer integration into the world of work. ● La Tribu Foundation, with workshops on social skills and recycling.
Framework for this policy is enshrined in Law No. 20422, which establishes provisions on equal opportunities and social inclusion for people with disabilities: “It is the state’s duty to promote equal opportunities for people with disabilities”; “The purpose of those programs directed at people with disabilities and executed by the state shall be the improvement of their quality of life through actions aimed at strengthening or promoting interpersonal relations, personal development, self-determination, social inclusion, and the exercise of their rights.” Participation of PwD, families, and organizations shall be a priority for these programs.
Persons with disabilities
Seminars/events
Social/citizen participation
Advice
Education and training
Since the implementation of this policy until today, the “Day Care Center” has a programmatic offering composed of a variety of programs and services related to education, recreation, self-care, leisure, sports, the environment, basic and instrumental skills for daily life, and job readiness, among others. It is worth noting that all programs are executed by professionals and are funded by the Municipality of La Serena. There are currently 14 professionals, including psychologists, educational psychologists, educators, complementary therapists, instructors on job readiness workshops, speech and hearing therapists, sign language interpreters, social workers, occupational therapists, etc., who offer assistance to 243 people with disabilities and 86 carers to date. On the other hand, through the articulation with a local network, both public services and private bodies are involved in the execution of different agreements, as well as training in trades and activities, such as ● training (work coaching, sports workshops, environmental care workshops, affectivity and sexuality workshops, etc.); ● programs (self-care during the pandemic, social skills, and job readiness); ● services (clinical assistance, social assistance, technical assistance, sign language interpretation, etc.).
It is worth noting that all disabilities lead to a loss of functionality in the short or long term. Therefore, it is essential to have intervention processes available to prevent cognitive, functional, and communicative deterioration in a person, observing the need for spaces for the promotion of autonomy in PwD between 18 and 59 years old once they graduate from the educational system in order to preclude a weakening of functional capability. This is why the implementation of the “Community Day Care Center for Persons with Disabilities”—of an ambulatory nature, managed by the municipality, a unique and pioneering project in Chile—demonstrated to be an adequate and innovative option for an improvement in the quality of life both of PwD older than 18 years of age and their carers, holistically addressing their needs.
To date, the “Day Care Center” has forged alliances with different institutions: ● Chilean Foundation for Disability, where workshops are offered for progress toward an independent life. ● Repétame Corporation, where work coaching is provided to integrate PwD and their carers into the world of work. ● La Tribu Foundation, where workshops are offered on social skills, recycling, and environmental responsibility. On the other hand, the “Day Care Center” has also joined higher education institutions such as Universidad Central, Universidad La Serena, Universidad Santo Tomás, IP Chile, Inacap, among others, to offer the collaboration of practicing students who may engage in and support a variety of activities for to PwD and their carers.
The “Day Care Center” works with a series of roundtables. The most important of them is the “Community Network of Organizations of and for Disability,” through which different mechanisms of citizen participation have been implemented. Each of the actors involved share their opinions and put forth proposals for action, which are registered in an instrument called “Citizen’s Charter,” which then becomes the roadmap to be developed by the “Day Care Center.” Moreover, there are other roundtables that function at the operation and evaluation stages: ● Inclusive Higher Education Network (REDESIC), whose aim is the management and provision of support services for higher education. ● SENADIS Network (Regional Disability Service), which participated in the initial stages of the “Day Care Center,” both during its design and implementation as well as during its evaluation through the EDLI program (Inclusive Local Development Strategy). ● Housing and Urbanization Service (SERVIU) and Regional Disability Service (SENADIS) Roundtable for consulting support for housing application. All of these are formal stages.
Since 2018 until today, the Honorable Municipality of La Serena is the body in charge of executing this policy, offering financial continuity to the “Day Care Center.”
Local.
Other
The “Day Care Center” currently assists to 243 beneficiaries, mostly from the vulnerable sectors of La Serena. Of these, 60% are male, equivalent to 146 PwD, whereas 40% are female, equivalent to 97 PwD. Carers reach a total of 86 individuals. It must be noted that the professionals working at the Day Care Center register their appointments on a monthly basis to gather monthly and annual statistics; on the other hand, work is conducted in a focused manner in groups, and at the end of the year, an annual management report is produced, which is published on the municipality’s website. It should also be underscored that each beneficiary has a personal file where their personal development program—created jointly with that person—is recorded along with the progress of each professional in regard to individual and group appointments. These files are available both in physical and digital formats in private folders; the latter are shared only by professionals through the digital system.
(Español) Local.
Municipal funding was not enough to meet the demand; therefore, in 2016, at a second stage, the local public policy was implemented, which aimed at promoting autonomy for PwD and the establishment of a “Day Care Center.” This initiative was put forth to the National Disability Service (SENADIS), with funds allocated for its inauguration and initial operation until 2017. Last, since 2018, the Municipality of La Serena is in charge of enforcing this policy, allowing for the financial continuity of the “Day Care Center.”


Instrumentos

3.1 By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births.

3.2 By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births.

3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases.

3.4 By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.

3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol.

3.6 By 2020, halve the number of global deaths and injuries from road traffic accidents.

3.7 By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes.

3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.

3.9 By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination.

3.a Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate.

3.b Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all.

3.c Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States.

A - Full integration of population dynamics into sustainable development with equality and respect for human rights.
American Convention on Human Rights
• Inter-American Convention on the Elimination of all Forms of Discrimination Against Persons with Disabilities
Convention on the Rights of Persons with Disabilities (CRPD).
Universal Declaration of Human Rights (UDHR).

Location

Region
Latin America and the Caribbean
Range of Demographic Size
100,000 to 499,999 inhabitants (large intermediate)

Contact details

Other projects from #CiudadesInclusivas

/* Educacion = 2 Empleo = 14 Género y diversidad sexual = 8 Interculturalidad y no discriminación = 21 Medio ambiente = 18 Movilidad Humana = 7 patrimonio e identidad cultural = 88 Salud = 25 Seguridad = 31 Vivienda = 30 */