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RIWC_PARA_A135 analysis of the needs for the disabled residents in rural area


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A135 analysis of the needs for the disabled residents in rural area

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RIWC_PARA_A135 analysis of the needs for the disabled residents in rural area

  1. 1. Analysis of the needs for the Disabled Residents in Rural Area of South Korea Jonghwa JEONG Vice President, Korean Council on Social welfare Education(KCSWE) Ph.D, Professor, Sahmyook University, Seoul, Korea e-mail:
  2. 2. Ⅰ. Introduction • Korea is regularly conducting a nationwide disabilities survey and the survey data are cited as an important basis for determining the disability policy(Source: National Disability Survey Korea 2014, KIHASA). • Since conducted the nationwide disabilities survey in 1980, it was conducted in 1985, 1990, 1995, 2000, 2008, 2011 and 2014, a total of 9 times. • In the basis of this disabilites survey 2014, Korea has 2.7 million disabiblities and the disabled in household are approximately 2.6 million people and the disabled residing in the facilities are about 80,000 people(Source: National Disability Survey Korea 2014, KIHASA).
  3. 3. • In addition, the prevalence of disability is 5.6% of 50 million people based on the population in Korea. • Disability prevalence of rural households is 21.69% among the 5.6% and when the estimated of the national disabilities population, the rural disabilities is 15.5%. • Despite of the disabilities survey that the government has being carried out, they do not understand the actual situation in rural disabled people and don't have any attention the results. • Particularly, in the disabilities survey 2014, the proportion of the disabled over age 65 is 43.3% among 2.7 million the total disabled. And with population aging, the aging of the disabled are accelerated.
  4. 4. • Reflecting this situation, the precedent research is searched only the 26 cases and the official journal articles are just 3( • Based on this situation, the purpose of this study is, • First, researching about the situation of the rural disabilities that was not receive attention in national disabilities survey which is doing in every three years by Korean government. • Second, providing basic data for setting the direction of disabilities welfare policies to cope with the aging of the disabled analyzing the severity of the rural disabilities aging with the data of the disabilities survey. • Last, contributing to the future disabilities research as I report the situation of the Korean rural disabled objectifying the problems of Elderly with Disability.
  5. 5. Ⅱ. Research Methods • For the fulfilling of the research purpose, I conducted a survey. I selected firstly comparatively high disabilities aging area and secondly selected comparatively high disabilities aging over 65 area and finally selected Y region(Y means is Yangpyeong Gun).  Survey period : February 1 ~ 27, 2015.  Survey target : stratified sampling method, analyzed 248 questionnaires among the distributed 500.  Survey method : Visit Survey, FGI(focused group interviews disabled persons), Town Meeting(100 people with disabilities discussion forum).  Survey contents : Living conditions of the disabled(income, occupation, utilization of welfare services), needs for disabilities welfare services, priorities of policies, needs for policy improvement etc.
  6. 6. 1) 100 People with disabilities discussion forum Process Large-screen display Display coded data (Topics, categories, meaning) Using Google spread sheet chart (Subject categorization) Diagrammatic Subject (Mind map Diagrammatic KJ Methods analysis) 100 People with disabilities discussion
  7. 7. 2. Research framework Yangpyeong Community Disability Rehabilitation Center, Sahmyook University Advice Committee FGI (focused group interviews) Surveyed (500 people with disability Living in Yangpyeong Community) Town Meeting (100 people with disabilities discussion forum) 9 Disabled agencies 101 survey items 97 people with disabilities Yangpyeong County office
  8. 8. 3. Population and Sociological characteristics <Table 1> Yangpyeong Gun Population Aging index(Unit: %) Year Population Ratios floating costs Aging index Aged 0~14 Proportion (%) Aged 15~64 (%) 65 years later (%) child floating cost Parents Floating Cost 2005 13,300 15.5 58,222 68.1 14,011 16.4 46.9 22.8 24.1 105.3 2006 12,858 14.9 58,854 68.2 14,586 16.9 46.6 21.8 24.8 113.4 2007 12,570 14.3 59,913 68.2 15,391 17.5 46.7 21.0 25.7 122.4 2008 12,335 13.7 61,381 68.3 16,096 17.9 46.3 20.1 26.2 130.5 2009 12,074 13.2 62,612 68.5 16,764 18.3 46.1 19.3 26.8 138.8 2010 12,230 12.8 65,878 68.7 17,725 18.5 45.5 18.6 26.9 144.9 2011 12,499 12.6 68,219 68.6 18,712 18.8 45.8 18.3 27.4 149.7 2012 12,765 12.5 69,634 68.1 19,794 19.4 46.8 18.3 28.4 155.1 2013 12,706 12.3 70,290 67.8 20,624 19.9 47.4 18.1 29.3 162.3 2014 12,709 12.1 71,142 67.5 21,528 20.4 48.1 17.9 30.2 169.4 Source: : Korea National Statistical Office 2015
  9. 9. Yangpyeong County is aging rate very high Rural Yangpyeong County Yangpyeong County Aging rates 21% Aging rate in Korea 12.7% Rural Aging rate Source: : Korea National Statistical Office 2015
  10. 10. Ⅲ. Survey Results 25.9% 25.9% 25.1% 10.9% 5.0% 4.6% 2.5% 0 5 10 15 20 25 30 51~60 61 years later 41~50 31~40 21~30 11~20 Less than 10 years 1) Age of respondents
  11. 11. 2) Disability types Physical Disability, 47.5% Intellectual disability, 13.5% Cerebral Palsy & stroke, 11.1% Deaf, 9.8% Visual impairment, 9% Mental Disorders, 3.7% Renal impairment, 3.7% Speech impaired, 0.8% Autistic Disorder, 0.8%
  12. 12. 3) Average Monthly Income No Income, 2.4% 500,000Won Below, 26.1% 510,000 ~ 1,000,000Won, 27.5% 101,000~1,500,000, 14.5% 1,510,000~2,000,000won, 10.6% 2,010,000~2,500,000Won, 6.3% 2,500,000won More Than, 12.6% 1,000,000WON = 730GBP
  13. 13. 4) Health & Medical Diabetes, 21% High blood pressure, 19% Osteoarthritis, 10% depression, 7% stroke, 5% Dyslipidemia, 4% Kidney failure, 4% angina pectoris, 3% Myocardial infarction, 3% asthma, 3% Atopic, 3% thyroid, 3% Duodenal Ulcer, 2% Hepatitis B, 1% Lung Disease, 1% hepatitis c, 1% cancer, .6, 1% Other diseases, 10.9, 11% Chronic illness(N=85)
  14. 14. Hospital treatment and Disability welfare center, 23% walk, Exercise, 19% Commute, 19% Using welfare center, 11% Religious activities, 7% Shopping, 7% Visiting neighbors and friends, 6% Using public office, 2% Etc., 6% 5) Activities and Participation
  15. 15. PAS expanding, 36% Running carriage free bus for the disabled, 19% Expanding of call taxi for the disabled, 13% Expanding the supporting center for vulnerable road users(happy-call), 11% Introduction of Low-floor bus, 4% Etc., 17% 6. Things Caring out for social participation
  16. 16. Ⅳ. Conclusion & Recommendations
  17. 17. 1. Agenda of survey results • First, there is a need to seek for the multilateral measures for transit facilities of the disabled. • Second, there is a need for the development of a comprehensive disability welfare services considering the disabled aging. For example, there are the development of transit facilities, constructing of the road, installation of elevators, introduction of low-floor bus and using the sports facilities of the disabled and the old. • Third, there is a need for the development of a comprehensive approaching of the purpose facilities, the disorder Counseling and the moving facilities organization considering the disabled again. • In particular, the problems caused discrimination in supporting activities aid service can create the systematic blind spot. So it can be solved by approaching of the comprehensive assessment.
  18. 18. 2. Installing operations the integration information call for the disabled, tentatively named "OK Dial" • One of the important situation revealed from this survey is to be difficult to approach the integrated informations related the disabilities welfare. • It is more urgent matter that the disabled are getting information than simply getting pension or allowance. • There are lack of welfare information, lack of employment information, lack of educational information, lack of cultural and recreational information, etc. • The integrated information center is needed for the disabled to get more informations.
  19. 19. 3. Necessity and measure of disability preventative approaching about health and medical service • It is important to be free from the prejudice that it is bad(not healthy) itself the disabled have a disability. It is important to prevent secondary disabilities. The disabled need the health care information and the exercise information to be able to develop and sustain their health. It is important to promote a method of stretching exercises for the disabled through local broadcasting stations. • Yangpyeong Gun has local health branch offices and branch offices associated with health centers. They have visiting nurses and home care nurses. As they visit house to house they can teach stretching or exercising. The 29.7% people of Yangpyeong Gun are watching TV as a leisure activities so it would be effective to give health Informations and stretching Educational program through local cable TV.
  20. 20. • The improvements related to health services are providing subsidies for medical costs about treatment Disabilites, care Counseling and services associated with hospitals and regional health centers, and providing informations about physician or the disabled healthcare professional. • There are 54.7% disabled with aging and chronic diseases of the disabled. Diabetes is 21.1%. Hypertension is 19.4%. degenerative arthritis is 9.7%. Depression is 6.9%. In particular, Medicare(medical assistance and support for disability medical certificate fee) is the second needs among the priority of welfare service next to the first needs is economic income guarantee. • For Yangpyeong Gun, the Disabilitity aging population is becoming accelerated and the current 40 to 50 years old people become the senior disability population in 20 years. So they must carry out often health education and provide health program for the middle-aged disabled. And they need measures to deal with obesity and adult disease risk quickly when the visiting nurses visit and check them.
  21. 21. 4. Job Sharing Information Fair for the disabled, tentatively "We Can" held • It will be effective to hold job sharing information fair for 50% of those who are not in employment. The hope fields of the disabled employment are (19.8%) of health and social services(13.2%) of manufacturing, 9.9%(9 people) of agriculture and fisheries and educational services and civil servants. • They may hold seminars and trainings of disability recognition improvement, operations of employment information center, providing supporting information for the disabled employer, debate for job creating through job sharing information fair "We Can" which can be held jointly with the Korea Disabled Employment Corporation so that local governments will be able to make it attractive event actively looking for a job for the disabled. • If they hold the Fair once a year with the surrounding area like Gapyeong or Yeoju, it will grow to more effectively disabled job fair.
  22. 22. 5. Possibilities to operate the long distance area center of Yangpyeong Gun Disabled Welfare Center • One of the geographical features of Yangpeong Gun is the long distance between the regions so the disabled are not easy to use the disabilities welfare services. To solve thie problem. • As an example, in order to improve the vulnerable of the travel distance and the accessibility of the service, Gangwon Disabled Welfare Center operates a local branch which provides services that the region needs. • In additon, they are trying to solve the service needs of local disabled people through the providing visiting medical services program like specialized rehabilitation services or visiting physical therapy. • It will be reasonable approach for Yangpyeong Gun to provide services as the form of branch services focusing most needed services around Yangdongmyeon, Seojongmyeon and Cheongunmyeon. For example, they can try to operate the professional and ungent programs like early intervention treatment program for disabled children or rehabilitation of the disabled. • The regional hub branch operation has additional financial difficulties so initially it can be started as a regional circulation patrol service that the Yangpyeong Gun Disablity Welfare Center or Special Education Centers or Yangpyeong Gun Health Center operates.
  23. 23. 6. Reflecting policy conducting survey regularly about the Disabled Welfare • The government conducts the disabled survey every 3 years to examine the local disabled welfare and to reflect the disabled welfare policy. they can present as a basis for policy recommendations collecting the various opinions of disabled welfare professionals networking and the disabled parents participation and the disabled participation It accommodates the contemporary paradigm of the disabled welfare policies. the calculation of the policy data on survey can increase effects. • In the future, the disabled welfare survey can be conducted once in three years on a regular basis and have to be promoted in the direction to produce the basic data to perform a disablity welfare policies. For this, Yangpyeong Gun will have to operate budgeting and be arranged to reflect the survey and research data to policies. Currently in Yangpyeong the community survey is conducted four times and the plan of social welfare devised throughout the three period but it is almost impossible to find the disabled welfare situation. • It is necessary to note that this legal justification to conduct a survey on the basis of Article 18 "Disabled Welfare Enforcement Ordinance" and Article 31 "Disabled Welfare Law".
  24. 24. 7. Supporting colleague counseling of disabled parents and disabled families • In this survey, the importance of the families of the disabled is new understanding. If unmarried, family living with a parent was 61%, in the case of married, spouses represented by a 49%, 36% of children, the parents of 9%. • 40% answered to consult with the family so desperately has to share information with families and educate the parents. • There was averaged 3.8 out of 5 in family satisfaction. It means that the family satisfaction is high. So it is still necessary to do consulting and educating with parents who have the disabled children. • Article 31(supporting counseling to caregivers) "Rights guarantees of developmental disability and Law of the supporting" regulates to provide professional psychological counseling for the local government and the nation to the diasbled caregivers. And Article 25 subdivides into Peer Counseling, couple or family psychological counseling and colleagues consultation. • It is necessary to materialize the counseling of disabled parents and colleagues and also professional counseling considering educating and counseling of intellectual and developmental disabilities parents. Education for disabled parents can configure the healthy family and this happy family can increase satisfaction level so it is needed to materialize that counseling services are activated through the disabled parents.