Despite the wide ratification of the United Nations Convention on the Rights of Persons with Disabilities , children with disabilities are still marginalised and their status as rights holders not fully acknowledged in many parts of Africa. In response to the call for research to focus on a distinct African conceptualisation of disability , an exploratory desk study was conducted on the disability discourse on children with disabilities in Africa. Though the authors uncovered positive African cultural and legislative narratives of disability, the dehumanising discourse identified, was more pronounced. The authors suggest that any strategy to improve the plight of children with disabilities in Africa will have to take into account and not underestimate the dehumanising discourse. The power of discourse should be used to emphasise the positive African cultural and legislative narratives of disability to counter the dehumanising discourse.
The Kigali Declaration, adopted in 2003 during the first African Union Ministerial Conference on Human Rights in Africa, laments the absence of sufficient protection of children’s rights and the plight of vulnerable groups including persons with disabilities in Africa.1 Almost a decade later, the situation has not improved. Koszela records his personal experiences during 2011 of the severe stigmatisation and exclusion that people with disabilities and in particular children, experienced in Patriensa, Ghana.2 Plan International Norway et al conducted a study in Uganda (Kamuli district) and Malawi (Mulanje and Kasungu districts) in 2015 and concluded that the fact that children with disabilities are regarded as easy targets of violence can be attributed to how they are perceived and in particular to the perception that they are useless.3 The African Committee of Experts on the Rights and Welfare of the Child issued a press release to commemorate Children’s Day 2016 and identified violence against children with disabilities as one of the continued challenges Africa faces.4 In 2018, Njelesani et al conducted a study on violence against children with disabilities in four West-African countries, namely Guinea, Niger, Sierra Leone and Togo. They positively linked stigma, traditional beliefs and the perception that children with disabilities are worthless to the violence perpetrated against these children. 5
It is evident that the contention of the National Disability Authority that the social construct of disability is a barrier to social inclusion because it supports the denial of human rights and resistance to change is correct.6 There is a need to reconceptualise people with disabilities in Africa. This need was indeed identified in a study conducted in nine Southern African countries under the auspices of the Open Society Initiative for Southern Africa, the Open Society Foundations' Disability Rights Initiative, and the Open Society Foundation for South Africa. 7
Concepts or ideas are formed and reinforced by means of discourse8 with the result that the disability discourse will empower or disempower, include or exclude.9 One can therefore agree with the Foucauldian notion of discourse which stresses the role of discourse in the establishment, maintenance, extension and resistance or mobilisation of power relations.10 Discourse can legitimise a dominant social ideology and support unfair discriminatory practices against children with disabilities. Or it can play an important role in resisting disempowering discourses, such as the dehumanising-disability discourse, and replace them with empowering and equalising discourses.11 Cobbinah argues that language, names, tags and labels carry meaning that reinforces behaviour.12 The nature of the response that a name triggers relates to the stereotypical meaning attached to such a name.
The authors conducted an exploratory desk study on the disability discourse on children with disabilities in Africa to determine how these children are conceptualised. They worked deductively by basing explanations and conclusions on a few examples.13 They identified a pronounced dehumanising discourse, but also initiatives to promote positive African cultural and legislative narratives of disability.
One initiative to change peoples’ conceptualisation of people with disabilities is the adoption of the Protocol to the African Charter on Human and Peoples’ Rights on the Rights of Persons with Disabilities in Africa of 2018 (African Disability Protocol).14 The fact that the African Disability Protocol is adopted as an African initiative indicates the presence of a regional awareness of the need to reconceptualise disability in Africa and that there is a need for discourse that will counter discourse that supports the stigmatisation and exclusion of people with disabilities and in particular children with disabilities. The African Disability Protocol was approved for adoption by Heads of State of the African Union on 31 January 2018, but is subject to the ratification by 15 countries to come into force and that has not been the case yet. In the light of the power that discourse holds, the authors hope this article will contribute to the reconceptualisation of children with disabilities in Africa in line with the positive discourse supported in the African Disability Protocol.
The authors organised the article in four sections. In the first, before reporting on the exploratory desk study that they conducted on the discourse on children with disabilities in Africa, they explain when a discourse will be regarded as dehumanising. Thereafter, they present the dehumanising discourse in terms of three main strands that emerged, namely: the discourse portraying children with disabilities as non-humans; as unworthy of social interactions; and as having ‘compromised’ humanness. In the second section, they briefly consider the positive African cultural narratives of disability. In the third section, the authors reflect on legislative narratives countering the dehumanising discourse before drawing conclusions and making recommendations to conclude the article.
In the medical models, the emphasis is on protection and welfare and people with disabilities are depicted as sick and in need of being cured. According to this model, a disability is something that is wrong with the child and the identity of a person with disabilities is described primarily through his or her condition.15 In the social models, on the other hand, the emphasis is on the barriers that prevent the child with disabilities from being included in society. The AbleChild Africa identifies three possible barriers, namely, environmental, institutional and attitudinal which ‘can interact in any combination, with an individual’s impairment to prevent them from participating equally in everyday activities’.16 According to Stone-MacDonald and Butera17 in terms of the social model of disability, disability is but one characteristic of an individual that - depending on the individual's social interactions - becomes either more salient or more pronounced.
The human-rights variant of the social model considers disability as the consequence of social organisation and the relationship of the individual to society and aims at the provision of political and social entitlements through reformulation of economic, social and political policy.18 Reformulation of political policy was, inter alia, done through the adoption of the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD).19 The UNCRPD20 defines ‘a person with disabilities’ in terms of the social model to include people:
[W]ho have long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others.
The major difference between the dehumanising discourse and the human-rights disability discourse is the legal status afforded to people with disabilities. The human-rights discourse is based on the recognition of people with disabilities’ individual autonomy, their independence, and ability and freedom to make their own choices (UN 2006, Preamble). Although the human-rights discourse, as a variant of the social model, is making progress in Africa, the disempowering, dehumanising discourse is still deafening. There is still a strong tendency to portray ‘the person with rights ... to be fully rational, able-bodied, able-minded, and psychologically an adult’,21 thereby implying that people (and especially children) with disabilities cannot be rights holders. Children in general are marginalised because, despite the growing emphasis on children’s rights, they are still regarded as less human, less equal and less deserving of having their rights recognised. Children with disabilities are thus doubly marginalised: first, as children and, second, as persons with disabilities who are defined by what they lack rather than by what they have. 22
A dehumanising discourse is a discourse that fails to acknowledge a person’s humanness, that stigmatises, excludes or dissociates, immobilises and silences, devaluates and invalidates by stripping a person of any self-worth.23 Discourse has the power to perpetuate the plight of persons with disabilities.24 As far back as 1963, Goffman observed that: ‘By definition, of course, we believe the person with a stigma is not quite human.’25 A person who is perceived as not quite human will not be regarded as someone with human dignity and, consequently, he/she will be treated in a manner that is inconsistent with his/her intrinsic worth.26 If a person is dehumanised, he or she is viewed as someone who falls outside the scope of morality and justice, which makes it easy for others to regard any harm done to such a person as morally justified and warranted.27
Three main strands emerged in the dehumanising-disability discourse, namely discourse portraying children with disabilities as non-humans; as unworthy of social interactions; and as having ‘compromised’ humanness which makes them worthless.
According to Stone-MacDonald and Butera, it is common in East Africa to use terms from the ki-vi noun class, which is reserved for inanimate, non-human objects, to denominate people with disabilities.28 In some Namibian villages, children with disabilities are ‘made into objects of superstitious fear’ in that children are warned that if they misbehave, a person with a disability will come and get them. Children are, in other words, taught from a very early age that it is morally acceptable - and even preferable - to distance themselves from and not to have any compassion for persons with disabilities.29
Children with disabilities are either elevated to a superhuman standing or relegated to a sub-human status. A very prominent dehumanising discourse is found in the perception that people with disabilities are possessed by evil spirits or have inherited demonic powers.30 According to Njelesani et al children who are blind or suffer from polio are branded as ‘devils’ in certain communities in Sierra Leone.31 UNICEF Sierra Leone mentions the case of Alpha, a street child with a disability from Kambia in Sierra Leone, whose mother abandoned him because herbalists couldn’t cure him of the ‘debul’ (devil).32 There are accounts from West African communities of children with autism who were thrown into a bush because they were considered ‘possessed’ and their behaviour was deemed ‘demonic’.33 A community member, in the Sierra Leone-part of the study conducted by Njelesani et al, admitted that, in his community it is custom to, when the community has identified a child with disabilities as a witch, take the child into the bush in the middle of the night, kill her and leave her there. The community is then told: ‘The witch has returned where it came from.’34
Stobart documented cases of children who were accused of witchcraft and subjected to ‘exorcism’ or ‘deliverance’ rituals which involved beatings, holding a red hot blade, forced ingestion of potentially fatal substances and incisions to release ‘evil forces’.35 In Sierra Leone, for example, persons with disabilities are forced to drink kerosene.36 In 2013 Cobbinah found the belief that disability is a curse was still quite widespread in Uganda.37 The practice to consult traditional spiritual mediums who are believed to have supernatural powers to keep demons at bay and to bring about healing from ‘disability’ is common in rural Ethiopia.38 In some parts of Ghana, children with psychosocial disabilities are subject to abuse in prayer camps where they are chained to trees for hours, denied food, and exposed to the sun as part of their ‘healing’ process.39 Odoom and Van Weelden reveal that in Northern Ghana two reasons are proffered why children with intellectual disabilities are referred to as kinkirigo (spirit children). These children are either seen as ‘not meant for this world’ or as being sent by the spirits to bring harm to a family.40
Accusations of witchcraft are used to explain the perceived abnormality and unnaturalness of disability.41 In the Central African Republic and neighbouring countries, children (mostly boys) with physical deformities or conditions such as autism, are accused of witchcraft, subjected to abuse and driven out of their homes and communities. Molina reports the case of a ten-year-old girl with a hunchback living in the Democratic Republic of Congo who was abandoned by her mother in the marketplace after her father died. Her witchcraft was regarded as the cause of her father’s death and her ‘hump’ was taken as proof of her witchcraft.42 In the Central African Republic, a disabled child accused of witchcraft can be executed because ‘witchcraft’ is a criminal offence under the Penal Code punishable by execution in cases where the ‘witch’ is accused of
homicide.43 In its 2010 Concluding Observations to Nigeria, the CRC Committee expressed its ‘utmost concern at reports of arbitrary killings of children during the course of activities designed to extract a confession of witchcraft or resulting from exorcism ceremonies’. 44
Several child participants in Baffoe’s study on the stigmatisation of people with disabilities in Ghana referred to the fact that their humanness is vilified: ‘People don’t regard us as human beings’, ‘They say all kinds of dirty things about me as if I am not a human being’ and ‘Why can people not accept us for who we are as human beings?’.45 A 12-year-old boy from Guinea with a physical impairment explained that his father took him out of school because the other children called him ‘half a person’ and ‘incomplete’. 46
Discourse that demotes children with disabilities to the status of animals is common. Kumar describes the plight of a Nigerian girl with a clubfoot who is called ‘a goat’ by village children.47 In some places in South Africa, children with albinism are referred to by members of some communities as ‘nkau’, which means ‘apes’, ‘monkeys’ or ‘baboons’.48 This is also the case in certain communities in Swaziland where children with albinism are referred to as izinkawu (monkeys).49
In parts of Togo, children with cerebral palsy or children who cannot stand are called ‘snakes’ and are drowned during a ritual where the children are believed to be sent back to where they came from.50 A participant in the study conducted by Njelesani et al referred to above confirmed that in some communities in Togo children with cerebral palsy who cannot stand are called ‘snakes’ and are drowned during a ritual to ‘prevent the return of the snake in [sic] the family’.51 A study conducted by Bayat in the Ivory Coast (mostly in Abidjan) on children with intellectual and developmental disabilities found that these children are commonly called ‘snake children’. The term seems to have originated from a folktale of a pregnant woman who, although forbidden to do so, ate some food in the woods and dropped a few bread crumps. A snake that ate them became so obsessed with human food that he exchanged places with the unborn child in the women’s womb and was born into the human world.52 Bayat concluded that these children are regarded as ‘animals with no moral status’.53 To get rid of them, they are either killed or taken back into the woods and left there to turn back into snakes or allowed to live in the community as an ‘other’, in other words, a ‘non-human’.54 Julieth, a woman with albinism, recalls how her uncle once told her father to get rid of her because she looks like a fish.55
The plight of children with albinism is at the centre of the demonising discourse. Traditional societies are torn between the contradictory discourses that portray persons with albinism as divine beings on the one hand and sacred monsters on the other.56 They are believed to be in possession of evu - the witch substance - which they can use either in a positive way as a healer, seer, musician, dancer, orator or hunter, or in a harmful way as a witch.57 In Kenya, Swaziland and Tanzania, children with albinism are referred to as zeru-zeru (the Swahili word for ‘ghostlike creature’). The first person with albinism who became a Member of Parliament in Tanzania, Ms Kway-Geer recalls how, when she was a child, other children ran after her shouting ‘zeru-zeru’.58 In the Central African Republic, a child with albinism is believed to be the offspring of a woman who had sexual intercourse with a water spirit.59 In Malawi, people living with albinism are sometimes referred to as napwere which equates them to a tomato with leaf-spots.60 Amnesty International mentions that women with albinism in Malawi are called machilitso, meaning ‘cure’, because of the belief that sex with them can cure men of HIV.61
Hosea, himself a person living with albinism, divulges that people living with albinism are confronted with myths such as they are ‘not human’, ‘never die’, are cursed by the gods and anyone who touches them will become cursed too. Another myth is that anyone possessing charms and potions containing hair, body parts and organs of persons living with albinism will be rich and prosperous.62 Hosea conveys how they had to flee Mwanza in Tanzania after being warned that there were people planning to murder him and his brother (also living with albinism) to harvest their body parts.63 Amnesty International reports children living with albinism in Malawi are hunted like animals because it is believed that their bones contain gold and having their bones in your possession will bring wealth, happiness and good luck. 64
Because children with albinism are defined as something less than human, it is considered acceptable to discriminate against them or mistreat them.65 Mostert attests to the death ritual customary to north-eastern Tanzania where babies with albinism are dropped into a lake and if they drown, it is taken as proof that they were not truly human.66
Another discourse that came to the fore was the one that children with disabilities are unworthy of social (human) interaction. Partly because they are concealed, the majority of children with disabilities in African countries are not registered at birth or their birth is not recorded in public documents. For instance, about 80 per cent of children with visual impairments surveyed in Ethiopia and about 70 per cent of children with multiple disabilities surveyed in Uganda were not registered at birth.67
These children are hidden or abandoned because they are regarded as a sign of impurity, a curse and a shame on their families.68 Members of the community tend to disassociate themselves from members of that family and effectively isolate the child and his/her family from community participation. This can be attributed to the fact that the stigma tends to spread from the stigmatised - the child with the disability - to his or her close relatives. More often than not, those closest to the stigmatised person tend to deny, hide or sever relations with the stigmatised person.69 Ghoneim relates the story of a 13-year-old boy who suffers from cerebral palsy and spina bifida who whenever he and his family visit relatives, is kept in a bedroom away from others because they find his presence embarrassing.70 The common belief that disability is punishment from God results in the practice of hiding children with disabilities in the house so that their supposed sins do not become known.71 Her research team found children with disabilities who were kept hidden away for their whole lives. A women living with albinism in Malawi mentioned, in an interview with Amnesty International, that she and her sister - who also lives with albinism - were given food separately from the other children. 72
Brocco mentions that because mothers who give birth to a child with albinism are believed to be the primary cause of the ‘abnormality’ they are marginalised and the choice whether or not to reject a child with albinism lies mostly with fathers.73 The UN Office of the High Commissioner for Human Rights74 reported the case of a mother who received a one-year prison sentence for killing her 4-month-old baby daughter because she was born with albinism. The father threatened to divorce the mother because having a child with albinism was a bad omen and a disgrace to the family.
Some customs prohibit a person with a disability from attending national or cultural events where royalty will be present (such as the reed dance in Swaziland) because it is believed that ‘a disabled person making contact or coming close to royalty will actually bring bad luck to either the king or the queen mother’.75 Eide and Jele inferred from their national representative study in Swaziland, that there is a belief that people with disabilities are bewitched or possessed by bad spirits. As a result, people with disabilities are not allowed to be part of society.76 Even after death, persons with disabilities are excluded from customary practices as they may not be buried according to traditional funeral rites. 77
It seems to be quite common to deny children with disabilities any participation or voice.78 Non-participation by people with disabilities is not due to inability, but to discriminatory attitudes and practices.79 Their right to develop towards self-determination is denied. Parents do not allow children with disabilities to attend school either because they want to protect them or because they are ashamed of them. Human Rights Watch quotes a person with a mental disability who claimed: ‘People look down upon you; those who know you will not want you to speak in society.’80
The ultimate form of denying somebody self-determination is institutionalisation without consent. Slee correctly describes institutionalisation as ‘social severance’.81 Institutionalisation worsens stigmatisation and stereotyping, and isolates children with disabilities from their communities.82 In the case of Purohit v The Gambia, the African Commission on Human and People’s Rights deals with the forced and indefinite institutionalisation of mentally disabled persons under the Gambian Lunatics Detention Act. The Commission confirmed the following:
The Commission maintains that mentally disabled persons would like to share the same hopes, dreams and goals and have the same rights to pursue those hopes, dreams and goals just like any other human being. Like any other human being, mentally disabled persons or persons suffering from mental illnesses have a right to enjoy a decent life, as normal and full as possible, [our emphasis] a right which lies at the heart of the right to human dignity. 83
People with disabilities - and children in particular - are regarded as worthless and without any future.84 In the Luganda language spoken in Uganda, people with disabilities are called kikulekule, which means ‘something strange’. They are also referred to as kateyamba, which means ‘helplessness’ or ‘someone who cannot help him or herself’.85 They grow up with a profound sense of their own incapacity and being defined by what they are not and what they cannot do.86 Having a child with disabilities is regarded as a setback or a punishment sent by the gods. Children are, it is believed, given to parents to assist them in old age and a child with a disability is incapable of that.87
Plan International tells the story of a ten-year-old girl who is paralysed from the waist down. She is regarded as a liability by her parents who see no use in sending her to school. After all, she has no prospects and will never be able to marry.88 This belief was also evident in a study conducted by the Kenyan Red Cross Society et al on children with disabilities in the Turkana County in Kenya.89 Kavesu conducted a study for Save the Children Sweden in 3 districts, Jonglei, Lakes and Northern Bahr el Ghazal in Southern Sudan and it is evident that girl participants accept that they are regarded as liabilities without any future prospects. The girls commented inter alia: ‘Girls with disabilities are not taken to school because they may not get married and thus bring wealth to the family’ and ‘Parents feel like they are wasting resources sending a girl with disability to school’.90 Sadly, these comments also speak to the marginalisation of girls in general and the fact that their ‘value’ lies in being a commodity. Girls with disabilities do not even have the value of being a commodity. A parent with a child with disabilities who participated in the study conducted under the auspices of Inclusion Ghana in the Greater Accra, Volta, Upper East and Brong Ahafo regions in Ghana commented on her attempts to take her child to school: ‘The teacher in the regular school called to tell me it was useless bringing my child to school. He would never learn anything’.91
A mother with a daughter with epilepsy who participated in a qualitative study conducted in December 2015 in the Kamuli District in Uganda’s Eastern Region by Plan International Norway et al explains that children with disabilities are vulnerable to violence because they are perceived as having no value, ‘are good as nothing’, ‘very useless’ and have ‘nothing good in them’.92
Plan International links the conceptualisation of and the attitudes towards children with disabilities to infanticide and the trade in body parts of children with disabilities in West Africa.93 Infanticide and the trade in body parts illustrate how children with disabilities are objectified and not regarded as human beings with self-worth. In fact, the study conducted in Turkana referred to above found these children are described as ‘not alive’ and ‘dead useless person(s)’.94 Brocco refers to the fact that, in Tanzania, people with albinism are referred to as dili - which means ‘to deal’ - and signifies the fact that their body parts are traded as commodities.95 A participant in a study conducted by Bucaro recalls the common practise in the city of Mwanza in Tanzania where a crowd would run after a person with albinism harassing him or her yelling dili-dili.96 The same beliefs and practices were identified in Malawi and Burundi. 97
During a workshop organised by the Southern African Federation of the Disabled held in Kempton Park in October 2007, people with disabilities described how they were branded by people in their communities. A discourse of invalidation is evident from descriptions such as: ‘morons’, ‘idiots’, ‘stupid’, ‘non-achievers’, ‘not worthy of wasting money on’, ‘useless to society’, ‘remains a child - not expected to ever behave like an adult’, ‘a burden’, ‘a liability’, ‘unproductive’, and ‘cannot be educated’.98
According to Plan International, children with disabilities are regarded as only good for becoming beggars.99 Kamaleri and Eide concluded after a national household survey in Lesotho during 2009 and 2010 that people with disabilities are perceived as ‘objects of charity and passive recipients of rehabilitation’ and excluded from society.100 Wa-Mungai101 argues that beggary is seen as an activity reserved for people with disabilities. In support of his argument, he refers to the Gĩkũyũ phrase Urahooya nĩ kwonja wonjete?, meaning: ‘Why beg as if you are crippled?’ It appears in a song by Daniel Kamau Mwai and also to the Kiswahili phrase, with the same meaning, mbona unaomba kama wewe ni kilema?
There is a general belief that children with disabilities cannot be educated because they are stupid.102 The Akan-speaking people in Ghana, call a person with intellectual disabilities jimijimi or nea wanyinagya n’adwene ho (a person who has outgrown his brains).103 Odoom and van Weelden mention that the Ewe-speaking people in Ghana refer to a person with intellectual disabilities as asotowo (idiot or fool). They also quote an educator in the Navrongo in the Upper East Region who said he is called ‘the teacher of fools’ or the ‘fools’ teacher’.104 In Uganda persons with intellectual disabilities who are also hard of hearing are called kasiru which means ‘a stupid person’.105 The World Health Organisation contends that even teachers who support inclusive education do not have high expectations of learners with disabilities.106
The African disability landscape is, as seen in the foregoing sections, littered with dehumanising and belittling discourses. But, countering those narratives, the Continent also offers us examples of inclusive and disability-friendly discourses, to which we now turn.
As revealed in the foregoing sections, the predominant lay narratives about disability in Africa are dehumanising. But there are societies where discourses are respectful and inclusive with clear indications of the person-first discourse.107 ‘People-first’ language prefers the postmodified noun to the premodified noun:108 ‘Children with disabilities’ instead of ‘disabled children’ and ‘people who are hearing impaired’ instead of the ‘deaf and dumb’ or ‘the deaf’.109 For instance, among the Dinka in Sudan, the phrase raan chie ming is used, which translates to ‘one who speaks using gestures’, to describe people with hearing impairments. It is worth noting that the focus on the mode of communication rather than on the impairment itself is perfectly in line with the social model of disability.110 In the DRC, among the Lingala, the term ebosono is used to describe a person with physical disabilities. The term literally means ‘someone who cannot walk or perform physical tasks’.111 Among the Acholi of Northern Uganda, the term latowa (pl Lutuwa) which means ‘a person with visual impairments’ is used to describe a blind person. Similarly, the term lading yit which is translated as ‘a person who cannot hear’ is used to describe a deaf person.112
In Botswana, the concept kagisano imposes the responsibility for caring for the disabled on societies and communities; denoting that disability is seen as socially constructed.113 This is related to the botho concept in Tswana, which means respect for the humanity in all human beings. A related notion, called ubuntu (in full it reads Umuntu ngumuntu ngabantu), is found among the Zulu. Eze114 argues that the worldview of many other ethnic groups in sub-Saharan Africa is the principle of ubuntu. This concept embodies the fact that ‘a person is a person through other people’.115 The African view of what it means to be human based on Ubuntu, regards disability as a common humanity and any threat to a child with disability is a threat to humanity.116 Berghs117 explains that:
Disablement happens when that otherness or diversity becomes a difference predicated as inhuman, for example, in that a person is viewed as threatening the social order, kinship relations or is viewed as morally outside the realm of what it socially means to be human.
The theory of Goodley and Runswick-Cole118 that intellectual disabilities challenge people to reconsider ‘normative, taken-for-granted, deeply societally ingrained assumptions about what it means to be human’ also rings true with regard to children with disabilities. Because people do not want their idea of what it means to be human disrupted they tend to dis (African-American slang term meaning to ‘put down, fail to show respect, abuse, and disparage’) the person with disabilities and not accept him or her into the human registry. This theory may explain why the ubuntu worldview is dissed in favour of harmful customary beliefs about children with disabilities.
The authors contend that ubuntu, because it is a worldview of humanity as determined by the interrelatedness of people,119 can be utilised to counter the dehumanising discourse. For example, sayings that support the ubuntu worldview such as Motho gase mphshe ga a tshewe sesotlho (no single human can be thoroughly and completely useless),120 could be employed to contradict dehumanising discourse on the worthlessness of children with disabilities.
Human rights instruments counter the dehumanising discourse through the principle of human dignity - dubbed as ‘the normative fountainhead of human rights’.121 A number of countries in Africa have ratified major international human rights treaties which - directly or indirectly - promote a discourse focusing on the dignity of children with disabilities. Human-rights instruments that apply to all people (children included) that are notable in this regard include the Convention on the Rights of Persons with Disabilities (UNCRPD)122 and the African Disability Protocol. 123
Under article 8(2)(a), the UNCRPD calls upon states parties to take measures, to ‘promote positive perceptions and greater social awareness towards persons with disabilities’. The Convention itself contributes towards promoting such positive perceptions and it contains ample evidence of discourse that focuses on people-first language, countering dehumanising discourse. Under its underlying principles, the UNCRPD promotes discourse emphasising people of disability as part of humanity. It calls for the ‘respect for inherent dignity, individual autonomy including the freedom to make one’s own choices, and independence of persons with disabilities’. It also calls for ‘respect for difference and acceptance of persons with disabilities as part of human diversity and humanity’ [our emphasis].124 The UNCRPD counters exclusion and invisibility discourses by urging states parties to take measures to put children with disabilities on an equal footing with other children, to ‘ensure that children with disabilities have equal rights with respect to family life’ and ‘to prevent concealment, abandonment, neglect and segregation of children with disabilities’.125 The UNCRPD contains provisions which are a direct contrast to dehumanising cultural discourses and practices. Under article 8(1)(a)), the Convention urges states parties: ‘To combat stereotypes, prejudices and harmful practices relating to persons with disabilities, including those based on sex and age, in all areas of life.’
The African Disability Protocol126 contains a similar provision imploring states parties to reconceptualise people with disabilities:
States Parties shall take measures to discourage stereotyped views on the capabilities, appearance or behaviour of persons with disabilities, and they shall prohibit the use of derogatory language against persons with disabilities.
The African Disability Protocol acknowledges persons with disabilities’ inherent dignity, individual autonomy and freedom to make their own choices.127 It further appreciates the ‘value of persons with disabilities including those with high support needs, as full members of society’ (our emphasis).128 The African Disability Protocol defines harmful practices to include ‘behaviours, attitudes and practices based on tradition, culture, religion, superstition, which negatively affect the human rights and fundamental freedoms of persons with disabilities or perpetuate discrimination’.129 Similar to the UNCRPD, the African Disability Protocol urges states to take measures ‘to eliminate harmful practices on persons with disabilities, including witchcraft, abandonment, concealment, ritual killings or the association of disability with omen’ (our emphasis).130
Except for the above instruments, specific instruments were adopted to provide extra protection for children in particular. These include, inter alia, the Convention on the Rights of the Child (CRC)131 and the African Charter on the Rights and Welfare of the Child (ACRWC).132
Children with disabilities are disproportionately vulnerable to non-registration at birth. Without birth registration they are not recognized by law and become invisible in government statistics ... Children with disabilities who are not registered at birth are at greater risk of neglect, institutionalization, and even death [our emphasis].133
Though people-first language is not used in the ACRWC as it is in the UNCRC, it still supports equalising and empowering discourse. Equalising and empowering discourse is especially evident in article 13:
Depending on the country’s legal tradition, treaties can either automatically become part of domestic law or be domesticated through parliamentary enactment of related laws. Many countries have not only domesticated these international human rights instruments but have also incorporated the spirit of human dignity that lies at the heart of these instruments within their domestic laws. This spirit is especially evident in constitutional discourse. For example, the Constitution of the Republic of Uganda, 1995 (as amended) requires society and the state to ‘recognise the right of persons with disabilities to respect and human dignity’ (our emphasis).135 The Constitution of the Democratic Republic of the Congo, 2005 provides ‘[t]he abandonment and maltreatment of children, in particular paedophilia, sexual abuse and the charge of engaging in witchcraft, are prohibited and punishable by law’.136 The Constitution of the Arab Republic of Egypt, 2014 explicitly guarantees the rights of children with disabilities and ensures them of the government’s commitment to their rehabilitation and incorporation into society.137 Constitution of Kenya, 2010 article 54(1)(a) provides that ‘[a] person with any disability is entitled to be treated with dignity and respect’. It further acknowledges that the manner in which persons with disabilities are addressed and referred to can marginalise them. It thus prescribes that people with disabilities should not be addressed or referred to in a manner that demeans them.138
There are examples of national legislation that criminalise the exclusion of persons with disabilities through upholding the right to non-discrimination or through criminalising concealment. ‘[U]sing words, gestures or caricatures that demean, scandalize or embarrass a person with disability’ constitutes discrimination in terms of the Sierra Leone Persons with Disability Act 3 of 2011.139
Several countries have laws criminalising the concealment of persons with disabilities. For instance, the Zambian Persons with Disabilities Act 6 of 2012;140 the Sierra Leone Persons with Disability Act 3 of 2011;141 and Persons with Disability Act 14 of 2003 of Kenya.142 The Persons with Disabilities Act 33 of 1996 of Zambia contains anti-discrimination provisions including those practices that discriminate among persons with disabilities, such as:
Treating a person with a disability less favourably from a person without a disability; treating a person with a disability less favourably from another person with a disability; requiring a person with a disability to comply with a requirement or condition which persons without a disability may have an advantage over; or not providing different services or conditions required for that disability.
The Kenyan Children Act 8 of 2001 as amended by CAP 141 of 2012 prohibits discrimination against children with disabilities.143 It further requires that a child with a disability accused of an offence be treated with the same dignity as a child with no disability.144 The Egyptian Childhood Law 12 of 1996 (as amended by Law 126 of 2008) provides that children with disabilities have the right to ‘[e]njoy special social, physical, and mental care promoting self-reliance, and facilitating the child's integration and participation in the community’.145 The Act also guarantees the right to rehabilitation of children with disabilities. In terms of this right, children with disabilities have a right to social, mental, medical, educational and professional services that they or their families may require to overcome the barriers created as a result of their disabilities.146 Under the Mauritius Child Protection Act 30 of 1994 sexual offences on children with disability, ill treatment, exposure or abandonment or forcing a child with a disability to beg are criminal offences.147 Though the Act does not specifically mention children with disabilities, it is clear that they are covered under the protection that this Act offers since ‘child’ is defined as ‘... any unmarried person under the age of 18’. 148
Great strides were made towards positive disability discourse in Nigeria on 23 January 2019, when the Nigerian President Muhammadu Buhari signed the Discrimination against Persons with Disabilities (Prohibition) Act 2018 into law. The main aim of the Act is the full integration into society of people with disabilities. In terms of section 1(2) it is an offence to discriminate against a person on ground of his or her disability.149 It can be taken that since discrimination is broadly defined as ‘differential treatment’150 it covers discrimination through discourse. Other offences provided for in the Act include to abuse a person with a disability by employing, using or involving him or her in begging, to parade a person with a disability in public for the purpose of soliciting handouts and to use having a disability as a guise for begging in public.151
The above discourses foster inclusion rather than exclusion, acceptance rather than rejection. They promote humanity’s oneness and, consequently, protect persons with disabilities.152 These discourses can be used as a stepping stone in reconceptualising children with disabilities in Africa. The focus should be to build upon the existing positive discursive practices and create more inclusive, humane and respectful discourses.
Two general observations can be made from the preceding discussions. First, the continent abounds with examples of progressive legislative narratives, where the principles of human rights, human dignity and equality of children with disabilities are promoted. The fact that the UNCRPD is one of the instruments which enjoyed a rapid rate of ratification in the continent is testimony to growing awareness about the issue. Africa’s adoption of the African Disability Protocol, which takes into account existing negative cultural narratives, is yet another commitment to the realisation of the rights of persons (children) with disabilities. The African Disability Protocol, in its Preamble, rightly expresses the prevailing concern that ‘persons with disabilities continue to experience human rights violations, systemic discrimination, social exclusion and prejudice within political, social and economic spheres’.153 Furthermore, in line with these and other relevant instruments, many countries have put in place legislative frameworks that counter dehumanising, denouncing and exclusionary discourses.
Secondly, there is a mixed and contradictory cultural discourse of disability, whereby both the dehumanising, denouncing and discriminatory discourses live side by side with inclusive, human-rights based narratives. Such discourses vary from one community to another and even from one family to another, hence rendering any generalisations about these discourses practically impossible.
Based on these observations, it is important to deconstruct the negative discourses and reconstruct them to reinforce the existing positive, inclusive discourses such as the ubuntu worldview so that the humanising, inclusive and empowering discourse becomes the dominant discourse. That is the first important step towards creating a continent where children with disabilities enjoy their full range of rights, as humans, as rights holders and as equal citizens.
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