Development and Testing of a New Model of Disability Determination

Development and Testing of a New Model of Disability Determination

December 2017- January 2020 – Micro-capital grant agreement with UNDP Armenia

Development and Testing of a New Model of Disability Determination”

Goal – Harmonize the disability assessment tools and procedures and facilitate electronic data exchange and cross-sectoral data management between social protection, health and education, including development of monitoring methodology on availability, access, and affordability of services for adults and children with disabilities, enhancing the skills and knowledge of respective staff in application of new technologies and update of relevant legislative and normative documents.

Key achievements          

  • Inter-agency working group is establish to support the harmonization of assessment tools, methodology, and criteria for eligibility of services for persons with disabilities between health, education, and social protection sectors.
  • The Reform White Paper (Reform Program) is developed and summarizes the Armenia Model for ICF based disability assessment and eligibility determination.
  • Road-map for the reform implementation is developed and approved by the Minister.
  • A two-day workshop on data exchange methods and information needs was conducted with participation of MoH, MoESCS and MoLSA and a list of data needed from cross-sectoral exchange is clarified. An agreement between three ministries is gained on harmonization of information flow using ICF codes.
  • Profile and equipment needed for assessment centres is developed and with WB loan support 48 assessment centres will be established according to the designed layout and requirements.
  • Algorithm for eligibility determination is developed, piloted and agreed.
  • Monitoring plan of the reform and new assessment system is drafted, Monitoring components are outlined.
  • Complaint mechanism is developed.
  • Cross-sectoral data flow with key players and information need are discussed and agreed. New ToR for e-disability system is drafted.
  • Training materials and modules developed in 2017 were revised in summer 2018 to align with the new approach of having focused protocols. However, the pilot results of new tools of December 2018 demonstrated that the assessment criteria and methodology should be revised thoroughly to guarantee the same outcome of assessment for the same person from various assessors. The assessment criteria need to be validated with developing Armenia specific tests, which was out of the project scope.
  • The list of specialists for functional assessment` doctors and therapists is developed with respective details of requirements and job descriptions.
  • Announcement for inviting specialists to register in the roster of specialists is developed and posted on MoLSA website. Roster of specialists is established and recruitment of specialist is started. The training of specialists will be conducted after the recruitment is completed. Give link to MoLSA website.
  • Two new laws are drafted to frame the implementation of the reform and protect the rights of persons with disabilities. the Law on the Rights of Persons with Disabilities and the Law on Functional Assessment were circulated among the government agencies and the Ministry of Justice for their comments and suggestions. The English versions of the Laws are submitted by UNDP for expert review by UNPRPD team.
  • List of by-laws needed to force the implementation the reform and system functioning is developed.
  • Aged bound focus protocols linked to types of disability and chronic disease are developed and tested proving to be more fair and comprehensive approach for collecting information on individuals functional limitations and deriving functional limitation score.
  • The Draft version of Individual Service Delivery Plan (ISDP) is developed and discussed with inter-agency working group.
  • List of services considering age and gender specifics by types of disability and chronic disease is developed as a result of two-days intensive workshop with key representatives of service providers, Organizations of People with Disabilities and line ministries.

 

ESI Final UNDP Report Feb 2020

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