The Protection and Enforcement of Disability Rights in South Africa: Challenges and Prospects

Authors

DOI:

https://doi.org/10.25159/2520-9515/15866

Keywords:

disability rights, accessibility, healthcare services, inclusivity, protection, enforcement

Abstract

Disability rights without effective enforcement strategies and protections are essentially meaningless. While the protection of rights and their enforcement are interconnected, they represent distinct challenges. South Africa has made notable strides in fulfilling the rights of disabled citizens in accordance with its constitutional and international commitments. Nevertheless, significant obstacles remain, particularly regarding access to healthcare services. This article delves into two critical issues: the language barrier and the physical accessibility of healthcare services. Despite the South African government’s recognition of sign language as an official language, a plethora of health professionals in South Africa are not well equipped with sign language. Furthermore, a significant number of healthcare facilities are ill-equipped for access by patients with mobility challenges. This article critically examines the implications of these challenges on the South African government’s implementation objectives regarding inclusivity and equal treatment for all citizens. It first scrutinises the existing legal framework and the obligations for realising disability rights. It then delves into the significant barriers posed by language and accessibility, highlighting their profound implications for effective service delivery. The article offers recommendations for the government to develop and implement comprehensive policy reforms to foster true inclusivity. This includes essential staff training and the enhancement of infrastructure to facilitate the realisation of disability rights.

References

Betancourt, J.R., Green, A.R. and Carrillo, E.J. 2002. “Quality of Care for Underserved Populations.” Cultural Competence in Healthcare: Emerging Frameworks and Practical Approaches. New York: Commonwealth Fund.

Bell, D., Arend, C and Swart, E. 2016. “Students with Hearing Impairment at a South African University: Self-identity and Disclosure.” African Journal of Disability 5(1): 1–9. Bell, D., Arend, C and Swart, E. 2016. “Students with Hearing Impairment at a South African University: Self-identity and Disclosure.” African Journal of Disability 5(1): 1–9. https://doi.org/10.4102/ajod.v5i1.229 DOI: https://doi.org/10.4102/ajod.v5i1.229

Bischoff, A. and Denhaerynck, K. 2010. “What do Language Barriers cost? An Exploratory Study Among Asylum Seekers in Switzerland.” Biomed Central Health Services Research. PMID: 20731818; PMCID: PMC2939598. Accessed 13 September 2023. https://doi.org/10.1186/1472-6963-10-248

Chichirez, Cristina-Mihaela. and Purcărea V.L. 2018. “Interpersonal Communication in Healthcare.” Journal of Medicine and Life 11(22): 119–122.

Claassen, J.I., Jama, Z., Manga, N. and Hellenberg Derek. 2017. “Building Freeways: Piloting Communication Skills in Additional Languages to Health Service Personnel in Cape Town, South Africa.” BMC Health Services Research 7(390): https://doi.org/10.1186/s12913-017-2313-1 DOI: https://doi.org/10.1186/s12913-017-2313-1

Collins, S.K., Hughes, D.L., Doty, M.M. and Ives, B.L. 2002. Diverse Communities, Common Concerns: Assessing Healthcare Quality for Minority Americans. New York: Commonwealth Fund.

Government of South Africa, President Cyril Ramaphosa: Signing Ceremony of South African Sign Language Bill (Pretoria: Government of South Africa, 19 July 2023). https://www.gov.za/speeches/president-cyril-ramaphosa-enact-sign-language-12th-official-langauge

Gulati, G., Fistein, E., Dunne, C.P., Kelly, B.D. and Murphy, E.V. 2021. “Persons With Intellectual Disabilities and the COVID-19 pandemic.” Irish Journal of Psychological Medicine 38(2): 1–5. https://doi.org/10.1017/ipm.2020.66 DOI: https://doi.org/10.1017/ipm.2020.66

Hashemi, G., Wickenden, M., Bright, T. and Kuper Hannah. 2022. “Barriers to Accessing Primary Healthcare Services for Persons with Disabilities in Low and Middle-income Countries, a Meta-synthesis of Qualitative Studies.” Disability and Rehabilitation 44(8):1207–1220. https://doi.org/10.1080/09638288.2020.1817984 DOI: https://doi.org/10.1080/09638288.2020.1817984

Humphrey, J. 2000. “Researching Disability Politics, or, Some Problems With the Social Model in Practice.” Disability and Society 15(1): 63–86. https://doi.org/10.1080/09687590025775 DOI: https://doi.org/10.1080/09687590025775

Hussey, N. 2012. “The Language Barrier: The Overlooked Challenge to Equitable Healthcare.” South African Health Review 15: 189–195. https://hdl.handle.net/10520/EJC133688

Janis, K., Schenider, M., Swartz, L. and Braathen, S.H. 2013. “I Just Answer ‘Yes’ to Everything They Say.” Access to health care for deaf persons in Worcester. South Africa and the Politics of Exclusion.” Patient Education and Counselling 94(3): 279–383. https://doi.org/10.1016/j.pec.2013.12.006 DOI: https://doi.org/10.1016/j.pec.2013.12.006

Kushalnagar, P., Paludneviciene, R. and Kushalnagar, R. 2019. “Video Remote Interpreting Technology in Healthcare: Cross-sectional Study of Deaf Patients’ Experiences.” JMIR Rehabilitation and Assistive Technologies 6(1) e13233. https://doi.org/10.2196/13233 DOI: https://doi.org/10.2196/13233

Kwame, A. and Petrucka, M. 2021. “A literature-based Study of Patient-Centered Care and Communication in Nurse-patient Interactions: Barriers, Facilitators and the Way Forward.” BMC Nursing 20(158): 1–10. https://doi.org/10.1186/s12912-021-00684-2 DOI: https://doi.org/10.1186/s12912-021-00684-2

McKinney, E.L., McKinney, V. and Swartz L. 2021. “Access to Healthcare for Persons With Disabilities in South Africa: Bad at Any Time, Worse During COVID-19?” South African Family Practice 63(1): 1–5 ISSN: (Online) 2078-6204, (Print) 2078-6190. https://doi.org/10.4102/safp.v63i1.5226 DOI: https://doi.org/10.4102/safp.v63i1.5226

Nagi, S. 1991. “Disability Concepts Revisited: Implications for Prevention.” In Pope, A.M., Tarlov, A.R. eds. 1991. “Disability in America: Toward a National Agenda for Prevention.” Washington: National Academy Press.

Narelle, W., Manderson, L., Darshini, Ayron. 2022. “Mobility Issues for Persons with Disabilities,” in Filomena Maggino (ed), Encyclopedia of Quality of Life and Well-Being Research (Cham 2022). Accessed 14 September 2023.

https://doi.org/10.1007/978-3-319-69909-7_1826-2 DOI: https://doi.org/10.1007/978-3-319-69909-7_1826-2

Ned, L., McKinney, E.L., McKinney, V.L. 2020. “COVID-19 Pandemic and Disability: Essential Considerations.” South African Medical Research Council 18(2): 136–148.

Presidency of the Republic of South Africa., National Planning Commission. 2011. “National Development Plan 2030.” Accessed 13 September 2023. https://www.nationalplanningcommission.org.za/assets/Documents/NDP_Chapters/NDP%202030-Prelims.pdf

SAHRC, Human Rights and Persons With Disabilities (Johannesburg: SAHRC, 2018).

Slade, S. and Sergent, SR. 2024. Language Barrier. Treasure Island: StatPearls Publishing. Language Barrie-PubMed (nih.gov). Accessed 13 January 2024. https://www.sahrc.org.za/index.php/publications/investigative-report-north-west-school-for-the-deaf-january-2018/viewdocument/274

Sherry, K. 2014. “Disability and rehabilitation: Essential Considerations for Equitable, Accessible and Poverty-reducing Healthcare in South Africa.” South African Health Review 1(1): 89–99. Accessed 14 September 2023. https://journals.co.za/doi/abs/10.10520/EJC189294

Wan-Yin, C., Yuh, J., Jung-De Wang., We-Ni, H. and Chan-Chia, C. 2011. “Wheelchair-related Accidents: Relationship With Wheelchair Using Behaviour in Active Community Wheelchair Users.” Archives of Physical Medicine and Rehabilitation 92(6): 892–898. https://doi.org/10.1016/j.apmr.2011.01.008 DOI: https://doi.org/10.1016/j.apmr.2011.01.008

Cases

Government of the Republic of South Africa and Others v Grootboom and Others (CCT11/00) [2000] ZACC 19; 2001 (1) SA 46; 2000 (11) BCLR 1169 (4 October 2000).

Soobramoney v Minister of Health.

Legislation

Employment Equity Act, 1998 (Act 55 of 1998).

National Building Regulations and Building Standards, 1977 Act (103 of 1977), as amended.

National Building Regulations and Building Standards, 1995 (Act 49 of 1995).

Promotion of Equality and Prevention of Unfair Discrimination, 2000 (Act 4 of 2000) (hereafter PEPUDA).

The Constitution of the Republic of South Africa, 1996.

The International Convention on the Protection and Promotion of the Rights and Dignity of Persons with Disabilities, G.A. Res. 61/106, Annex I, U.N. GAOR, 61st Sess., Supp. No. 49, at 65, U.N. Doc. A/61/49 (2006), entered into force 3 May 2008.

The National Health Act, 2003 (Act 61 of 2003).

Policies

Notice 667 of 1997; and the National Department of Health Language Policy.

White Paper on the Transformation of the Health System in South Africa.

Published

2024-12-31

How to Cite

Mukwevho, Tshimangadzo Donald, and Rorisang Matlala. 2024. “The Protection and Enforcement of Disability Rights in South Africa: Challenges and Prospects”. Journal of Law, Society and Development 11 (December):17 pages. https://doi.org/10.25159/2520-9515/15866.