Action for Access: Equity for Children With Disabilities in Lowand Middle-Income Countries

Abstract

Sixteen percent of the world's population experiences significant disability. This is likely an underestimation, as there is not a uniformly accepted definition of disability and there are limited validated tools to support clinicians in their diagnoses, especially in low- and middle-income nations. Even when a diagnosis is made, access to specialized health care and community resources is limited, with increased travel distances and high cost of services presenting additional challenges for patients and families. The World Health Organization and the United Nations have provided additional frameworks for supporting physical access and social inclusion for people living with disabilities. However, these frameworks remain inequitably applied with individuals living in low- and middle-income countries experiencing both the largest burden of disease and the fewest resources. Pediatricians can take action to ensure adequate access to health care, education, assistive technology, psychosocial support, and policy action for children with disabilities around the world.