CRPD/C/LTU/CO/1
(a)
The current legislation on health insurance does not fully guarantee
reimbursement or other forms of compensation to persons with disabilities for expenditures
caused by disability when receiving treatment within the mainstreamed health system;
(b)
The systemic barriers, including physical barriers, and the lack of accessible
information, communication, training or treatment equipment, and health-care professionals
trained in the human rights model of disability are limiting persons with disabilities’ access
to mainstream health services;
(c)
Persons with disabilities face discrimination in accessing sexual and
reproductive health care services due to the lack of accessible equipment suitable for use by
all persons with disabilities, among other reasons.
50.
The Committee recommends that the State party:
(a)
Take appropriate legislative measures to secure access for persons with
disabilities to free and affordable health-related habilitation and rehabilitation goods
and services;
(b)
Train health personnel on the human rights model of disability,
including on the right to free and informed consent, and ensure the accessibility of
health-care facilities and equipment to ensure that all such facilities and equipment,
including in hospitals and in the practices of dentists, gynaecologists and obstetricians,
are accessible to persons with disabilities, regardless of their impairments;
(c)
Ensure universal access to sexual and reproductive health-care services,
including family planning, information and education, and ensure also the integration
of reproductive health into national strategies and programmes as set out in target 3.7
of the Sustainable Development Goals.
Work and employment (art. 27)
51.
The Committee is seriously concerned at the commonly applied concept of “working
incapacity”, which results in a low employment rate among persons with disabilities, and at
a singular focus on segregated work environments, such as social enterprises, to which
European Union funds are being directed.
52.
The Committee recommends that the State party, in close collaboration with
representative organizations of persons with disabilities, eliminate the concept of
“working incapacity” of persons with disabilities and develop and implement efficient
strategies and programmes aimed at increasing the employment rate of persons with
disabilities in the open labour market, by eliminating segregated work environments
and investing in promoting vocational training, access to appropriately adjusted
workplaces, the provision of reasonable accommodation and the training of private
and public employers, as set out in target 8.5 of the Sustainable Development Goals.
Adequate standard of living and social protection (art. 28)
53.
The Committee is concerned that:
(a)
Persons with disabilities face a higher risk of poverty than others;
(b)
Part of the support provided to persons with disabilities is based on discounts
and vouchers, which increases stigmatization and harmful stereotyping of persons with
disabilities as a group that lacks autonomy and is dependent on social welfare.
54.
The Committee recommends that the State party adopt new policies that secure
income levels among persons with disabilities and their families that are adequate and
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