Volume 24, Issue 1 (Spring 2023)                   jrehab 2023, 24(1): 56-75 | Back to browse issues page


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Niazi M, Farhadian A, Khodakarmian Gilan N, Omidvar A. The Rights of Disabled People in Iran: A Meta-synthesis Study. jrehab 2023; 24 (1) :56-75
URL: http://rehabilitationj.uswr.ac.ir/article-1-2948-en.html
1- Department of Social Sciences, Faculty of Humanities, Kashan University, Kashan, Iran.
2- Department of Management, Faculty of Humanities, Kashan University, Kashan, Iran.
3- Department of Social Sciences, Faculty of Humanities, Kashan University, Kashan, Iran. , n.khodakaramian.g@gmail.com
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Introduction
Disabled people are known as one of the biggest minorities in the world, accounting for 10% to 15% of the world’s population [12]. Disabled people can, like other healthy people, enjoy all the basic rights and freedoms that exist in international and domestic documents.
The human rights of disabled people have been partly denied and disabled people have been discriminated against because of cultural and social barriers [3, 4]. Unfair discrimination and physical, social, and cultural barriers have caused denial or disruption in education, employment, housing, transportation, and individual and social life [5]. Government organizations, institutions, and companies can act in the design, production, and construction of buildings, public places, passages, and service facilities in the city in such a way that they provide the possibility of access and benefit from them for disabled people, like other people. On the other hand, the Ministry of Health, Treatment, and Medical education can cover the physical and mental rehabilitation services of disabled people in addition to providing the medical services needed by these people [6, 7]. The government and various organizations can provide multiple job opportunities for disabled people. Of course, disabled people also expect to have the right to free housing. Welfare and social security, freedom, non-discrimination, free education, and participation in cultural activities are fundamental rights of disabled people [8, 9].
The difference between this research and previous research is that in our study, all rights of disabled people have been described and collected. While the earlier studies in the field of the rights of disabled people are divided into three categories: studies that have considered specific aspects of the rights of disabled people or several aspects of the rights of disabled people [10, 11], studies that have expressed the rights of disabled people from the perspective of different organizations [1213], and studies that have investigated the inadequacies in the field of disabled people’s rights [14]. The main question of this research is what the prominent, central, and common dimensions are in the field of disabled people’s rights.
Materials and Methods
In this research, the meta-synthesis method has been used. Also, the researcher has systematically reviewed and studied the previous research. The researcher finishes the work by analyzing the results and findings. Its output is a way to find research gaps, innovation in methodology, and research methods for the desired field. Sandelowski and Barros’s 7-step method was used to analyze the selected studies in this research.
This research selected articles via the following websites: Magiran, NoorMgaz, Regional Science and Technology Information Center, Science net database, Nematan, Civilika, and Humanities Portal. Also, keywords, such as rights of the disabled people, the weak people, the disabled in Iran, the disabled, and international rights of the disabled, have been used to search for articles. The sources were evaluated based on four parameters (title, abstract, quality, and research content). Thirty-six articles on the rights of disabled people were examined. Among these articles, 14 were selected as a source to enter the meta-synthesis process and were finally approved. According to the results, the maximum score given to the articles was 48, and the minimum score was 35.
Results 
In the phase of extracting the results, the research information was categorized into 4 columns: in the first column, the title of the examined articles is stated; in the second column, the title of the quarterly magazine of selected articles is mentioned; in the third column, the dimensions of disabled people’s rights are classified in the reviewed articles; and in the fourth column, the names of the authors and the year are stated.
To analyze the research conducted concerning the dimensions of the rights of disabled people, coding has been used. By examining the articles’ content and findings, 38 codes have been extracted from the articles that align with the dimensions of the rights of disabled people. These codes have been presented based on experts’ opinions and the codes’ integration. In the following, common concepts have been extracted by studying the resulting codes and considering each of them. Based on that, each code has been categorized into a similar concept and included in the explanatory dimensions of the research framework.
The review of 14 selected studies that investigated the dimensions of the rights of disabled people shows that the dimensions of the rights of disabled people include citizenship rights in seven domains of social, cultural, economic, architectural, and urban planning, and medical and political rights. The seven rights are composed of 38 subsections (Table 1).




To check the content validity, the questions’ simplicity, clarity, and relevance were examined, and the content validity ratio (CVR) and content validity index (CVI) scores were calculated. The acceptable value of CVR for each of the dimensions and questions was different based on the number of experts determining the CVR. Based on the information in the Lawshe table, the minimum acceptable value is 0.75 for 8 people. The results of the study were given to 8 experts, which are summarized in the table below. Regarding the CVR, given that the CVR calculated for each question was higher than the maximum value (0.75), it is acceptable for all dimensions. By the content validity index, the next table presents the collected data (Table 3).


In the final stage of the research, the theoretical model extracted from the conducted research, including cultural, social, political, architecture and urban planning, medical, economic, and legal rights, which include 38 subsections, have been determined (Figure 1).

A large number of disabled people in the world have caused the adoption of various measures nationally and internationally. In this regard, developing a convention on the rights of disabled people by the United Nations General Assembly is considered a turning point in protecting the rights of individuals. This convention seeks to recognize the elimination of discrimination and create equal opportunities between disabled people and other people. Today, many institutions, organizations, and policies related to the issues of disabled people, including medical issues, insurance, inappropriate architectural/urban space, etc. consider the matter of disability to be related to the family of disabled people; therefore, families are facing many problems in this field.
Although in the world and according to global standards, disabled people have become a social issue, disabled people believe that they are neglected in society; ignoring disabled people by the people of society causes frustration and avoids their presence in society. They expect that other people do not stare at them; express regret, judgment, curiosity, pity; or withdraw them. Based on various documents approved by different countries and Iran in the rights of disabled people, job security, protection of dignity and status, improvement of the workplace, rights of trade and labor :union:s, access to public programs, promotion of opportunities, advancement of art education, and security are other rights of disabled people in different fields that are not discussed in the reviewed articles.
In European countries and some East Asian countries (open for tourism), such as Brazil and China, public transportation is adapted for disabled people who can use buses without steps and stations equipped with ramps [3233, 34]. In England, obligations related to disabled people include social care payments, the new national strategy for disabled people, hospital parking costs, disabled people mobility budget, mental health law, transport, education, department of work and pensions, and employment gap for disabled people [3536]. In China, people’s attitude toward abled people has improved compared to the past, and disabled people owe this attitude to support people and activists in this field [37]. The constitution in China indicates that the government should help the elderly, sick, and disabled citizens. In other words, health, medical, medical, and social security services, educational laws, work, etc. should be provided for disabled people [39]. In addition, in Sweden, several programs exist for the barriers to disabled people’s participation in society, combating discrimination against disabled people, and independence and self-reliance in disabled people [34, 35]. In France, all companies and the government should choose 6% of their workforce from people with physical and mental disabilities, victims of accidents, war wounded, and other people; sponsored workshops and home centers exist for disabled people. Disabled people are supported against discrimination.
Regarding the situation of disabled people in Iran, higher education is free for disabled people in the educational units of the ministries of education, science, health, and other government agencies, as well as at Azad University. In Iran, disabled people have this disability card, through which they can get half-price tickets, introduction to institutions, receive services, use the 3% quota for employment in government institutions, etc. However, many disabled people who live in China believe that this service has not been able to solve many of their problems; unlike many developed countries, the public transportation system cannot provide service to disabled people and veterans in the city. In Iran, unlike in developed countries, disabled people have to work hard to get a vehicle; and they make it suitable for their disabled people. In self-employment, loans have been considered for disabled people, but the loans are not enough to create self-employment. The payment of insurance premiums is also not done well, and this is due to the lack of laws and non-compliance. Most disabled people suffer from economic poverty. In Iran, unlike in France, disabled people still suffer from discrimination. Compared to Sweden, the government has not prioritized the right to rehabilitation and help for disabled people and does not care about the problems of disabled people. Also, in Iran, like in Germany, disabled people receive different assistance according to their disabled status.
Regarding the rights of disabled people, their social rights are considered essential, which include the rights of independence and human dignity, welfare and social security, social discrimination, freedom, and disability insurance. The fundamental rights of disabled people are employment, housing, poverty alleviation, job counseling, internship, and employment permit. The government should recognize these rights among disabled people. Also, physical health, the right to rehabilitation and the right to access to health, equality before the law, access to legal benefits, legal counsel, guardianship, the right to have a free lawyer, and medical and legal rights of disabled people are those that should take measures to eliminate restrictions. Various movements at the global level for the rights of the disabled are a promise of the realization of the lost rights of this group. The views of humiliation, discrimination, and oppression in society towards disabled people cannot be solved only by passing the law. Still, it requires culture building in this field by the officials, organizations, media, and educational centers. In this context, the effort of disabled people and the efforts of everyone as well as special organizations for disabled people and other domestic and international media and human rights organizations, can help disabled people’s right to work on the one hand and spread the culture of respecting the rights of disabled people in the society on the other hand.

Ethical Considerations
Compliance with ethical guidelines

This article is a Meta-synthesis with no human or animal sample.

Funding
This research did not receive any grant from funding agencies in the public, commercial, or non-profit sectors. 

Authors' contributions
Conceptualization and management: Mohsen Niazi, Ali Farhadian and Neda Khodakarmian Gilan; Methodology: Ali Farhadian and Neda Khodakarmian Gilan; Original draft writing, review, editing, and data collection: Neda Khodakarmian Gilan; Data analysis: Ali Farhadian and Neda KhodaKaramian Gilan; Funding and resources: Azad Omidvar.

Conflict of interest
The authors declared no conflict of interest.

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Type of Study: Original | Subject: Social Worker
Received: 29/06/2021 | Accepted: 11/12/2021 | Published: 1/01/2023

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