.

Type of Disability

Among disabled people, the distribution of disability by type was estimated in the 2005.

	Male	Female
Moving difficulties	25.8%	18.9%
Feeling difficulties	12.5%	10.6%
Phusiological	6.0%	10.6%
Leaning difficulties	3.0%	2.9%
People who have fits	2.9%	3.0%
Other	7.8%	6.6%
	100	100
(Source National Institute of Statistice 2005)

Couses of Disability

The Asia Developement Bank 2005 survey indicated that pricipal reported cause of disability in Cambodia in 2004 were desease (Or illness) and old age accounting for 52% accidents and injuries (including war and violence related)

Powerty

People with disabilities (PWD) are among the most vulnerable groups in Cambodian society. They suffer even more than the general population from limited access to basic social services, education, skills and vocational training, job placement, and income generation opportunities. As a result, many PWD are extremely poor. Income generation for PWD thus not only contributes to establish a sense of dignity and self-confidence among PWD, but it is also directly linked to poverty reduction and development. There is much potential for expansion of activity in this field.

Discimination

PWD also face discrimination by other Cambodians which prevents them from functioning as full members of society. This is due to a combination of a decline of community spirit as a result of conflict, the Buddhist belief in Karma which influences the view that disability is the result of bad actions in previous lives, and a general lack of public awareness and understanding of disability issues.

Disability Awareness

Public awareness and mass education campaigns on the inclusion of PWD in the country's mainstream development programmes, by mobilising the private sector and the community for eradication of discrimination, are almost non-existent. Such campaigns are needed to promote awareness of the rights of PWD; the abilities that PWD possess; and to overcome inaccurate stereotypes that PWD cannot be productive members of society.

Accessibility

Cambodia's built environment contains many obstacles for PWD as well. The majority of public buildings, hospitals and schools have been built with complete lack of consideration for the needs of disabled people, and they find it difficult to navigate public thoroughfares due to obstructions, uneven and unpaved surfaces, steps, and suchlike.

At present the responsibility for building and construction permits is not clearly regulated. Also, the legislation on disability is still in draft form. Hence it is difficult at this stage to place responsibility for the implementation and monitoring of accessibility features on a specific government body.

Education

The Khmer Rouge regime (1975 - 1979) oversaw the almost complete destruction of the education system, which has been trying to recover ever since. After a lengthy period of emergency relief and emergency deployment of teachers, there has been a growing emphasis since the early 1990s on government-led policy reform. However, the education system still has very limited capacity and resources, particularly in rural areas, where most disabled people are located. For PWD, formal and non-formal education are among the services essential for development of children's capacity and a vital means for empowerment and self-help. To date, education programmes for PWD have been implemented solely by NGOs, and have focussed on children with disabilities. A limited number of special schools and classes exist, as do a few community-based initiatives. Collectively these services provide for only a fraction of children with disabilities in Cambodia; are concentrated mainly in urban areas; and cater almost exclusively for children with physical disabilities and sensory impairments. Educational opportunities for adults with disabilities is still minimal. A small number of children with disabilities are included into the mainstream education system; however, the present school environment does not facilitate integration. The Disability Action Council, in close collaboration with the Ministry of Education, Youth and Sports, is coordinating a national policy and piloting inclusive education programmes for children with disabilities.

Training and Employment

Skills training, income generation and job placement are important means of rehabilitating PWD. In Cambodia, PWD typically come from the poor and poorest segments of society. It is a high priority for these people to gain an income for themselves and their families. Existing training and employment programmes can be categorised as follows:

• Provision of vocational training (which can include literacy, numeracy and small business management.
• Referral services to training providers and employers.
• Production of crafts for the local market and export through production workshops or independent producer groups.

Follow-up after graduates have left centres has received increasing emphasis in most programmes. This takes the shape of regular visits to the graduates' work place, the provision of start-up equipment, and - in some cases - the provision of loans or grants. PWD face some specific constraints when trying to develop an income:

• Self-employment usually requires access to credit facilities. Poor PWD find it particularly difficult to access credit.
• PWD often face discrimination when job-seeking. Non-disabled people have very low belief in their abilities.