Service Delivery

Mind the gap: the human rights of children with intellectual disabilities in Egypt.

Gobrial (2012) · Journal of intellectual disability research : JIDR 2012
★ The Verdict

Egyptian children with intellectual disability face a double barrier: low public awareness of their rights and poor real-world access to health, education, and social services.

✓ Read this if BCBAs serving children with ID in low-resource or multilingual settings.
✗ Skip if Practitioners who only see privately funded clients with full service plans.

01Research in Context

01

What this study did

Mazur (2012) asked adults in Egypt about the rights of children with intellectual disability. They used a survey to check how many people knew these rights and how easy it was to reach doctors, schools, and social help.

The answers showed low awareness and poor access across the board.

02

What they found

Most respondents said they did not know the rights of children with IDs. They also said health, education, and social services were hard to reach.

The overall picture was negative: kids were missing basic supports.

03

How this fits with other research

Stuttard et al. (2014) saw the same gap in the U.S. Students with moderate to profound ID got sex education at only one-third the rate of peers with mild ID. Both studies show children with more intense needs are left out.

Cooper et al. (2011) looked at adults with ID in the U.K. and found that living in a poor area lowered outpatient visits and raised emergency visits. The Egyptian data now show that, for kids, low rights awareness adds another layer of barrier.

Emerson et al. (2007) found that nearly one-third of the health gap for British children with ID was tied to poverty, not the disability itself. Mazur (2012) lines up with this: when families lack money and knowledge, services stay out of reach.

04

Why it matters

If you work with families from low-resource or multilingual areas, do not assume they know what services exist. Build a short “rights checklist” into your intake: health cover, school placement, social aid. Walk the family through each item and whom to call. One extra 10-minute step can open doors that surveys say stay closed.

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Add a 3-question rights-and-services checklist to your caregiver intake and fill any gap with local referral numbers.

02At a glance

Intervention
not applicable
Design
survey
Sample size
200
Population
intellectual disability
Finding
negative

03Original abstract

BACKGROUND: Children with intellectual disabilities (IDs) have the same human value as other children and are entitled to their basic human rights. And yet, in developing countries they face many barriers to accessing these rights. This study focuses on children with IDs in Egypt. METHOD: A new measure, the Human Rights of children with Intellectual Disabilities-Egypt, was developed to assess (1) awareness of the human rights of children with IDs and (2) perceptions of the extent to which children with IDs currently have access to these rights. RESULTS: The questionnaire was completed by 200 respondents across Egypt. Of great concern, there was a widespread lack of awareness of the rights of children with IDs. Moreover, respondents reported that they believed that this group of children had limited access to health care and treatment, including mental health care, social care, education and rehabilitation. CONCLUSION: While the sample size was small, the findings identify the urgency in Egypt of (1) raising public awareness of the human rights of children with IDs, and (2) implementing and sustaining changes to improve access to these rights. The new government is responsible for ensuring that its apparent commitment to human rights is now translated into effective action to make tangible improvements in the lives of children with IDs and their families.

Journal of intellectual disability research : JIDR, 2012 · doi:10.1111/j.1365-2788.2012.01650.x