Human Rights Watch (HRW) released a report on Wednesday highlighting significant gaps in the comprehensive care framework for individuals with disabilities in Uruguay. Despite Uruguay’s pioneering efforts in integrating personal assistance for people with disabilities into its national care system, the report underscores that persistent deficiencies hinder the independent living of individuals with disabilities, impacting their human rights.
The report notes that eligibility restrictions within the Personal Assistants Program disproportionately exclude adults aged 29 to 79, as well as those residing in institutions, limiting access to essential support services. Furthermore, the existing system does not adequately cater to the diverse needs of all individuals with disabilities, undermining the effectiveness of the National Integrated Care System (SNIC).
This shortfall raises concerns regarding Uruguay’s compliance with international human rights standards, including the Convention on the Rights of Persons with Disabilities (CRPD). HRW has called for reforms to better align Uruguay’s policies with these standards and to adopt an inclusive approach that recognizes the right to independent living for all individuals with disabilities.
Uruguay established its National Integrated Care System in 2015 through Law No. 19,353, aiming to provide structured care for older adults and people with disabilities. The system was initially not inclusive of personal assistance services until advocacy from disability rights activists led to their integration. This effort was part of addressing historical deficiencies in the nation’s support systems.
For more detailed information, you can read the complete report here.