Conv TXT of Port
Conv TXT of Port
Conv TXT of Port
August, 2012
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Initial Report of Portugal on the implementation of the
Convention
Introduction
General section
Article 1 Purpose
Article 2 Definitions
Article 8 Awareness-raising
Article 9 Accessibility
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Article 16 Protection from exploitation, violence, and abuse
Article 24 Education
Article 25 Health
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Introduction
This report covers the period between the ratification of the Convention by
Portugal (September 2009) and September 2011.
Article 1 - Purpose
The national legal framework concerning persons with disabilities adopts the
definition of person with disabilities contained in Framework Act 38/2004 of 18
August General Basis of the Legal System for Prevention, Habilitation,
Rehabilitation and Participation of Persons with Disabilities.
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with environmental factors, hinder or limit their full and effective participation on
an equal basis with others (Law 38/2004, of 18 August).
The Constitution of the Portuguese Republic, in its Article 71, affirms the equal
rights of persons with disabilities, requiring the State to carry out a national
policy of prevention, rehabilitation and integration.
INR is a public Institute within the Ministry of Solidarity and Social Security, with
administrative autonomy and resources.
The principles that guide the action of the National Institute for Rehabilitation
are the guarantee of equal opportunities, fight against discrimination and the
empowerment of persons with disabilities.
In this sense, all sectoral policies include specific measures to ensure equal
opportunities as established in the Constitution of the Portuguese Republic.
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Following the ratification of the CRPD, Council of Ministers Resolution 97/2010,
published in the Official Gazette, 2nd series, N. 5 of 14 December approved the
National Strategy on Disability (ENDEF) for 2011-2013 and established an
interdepartmental group responsible for monitoring the implementation and
adequacy of the 133 measures comprised therein, its objectives and indicators
as well as main responsible entities.
The National Strategy on Disability stems from the Action Plan for the
Integration of Disabled or Incapacitated Persons (PAIPDI) 2006-2009, as well
as from the major planning options for 2010-2013, which are composed by a
consistent set of multiannual measures, presented around five strategic axes:
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The enforcement of Law 46/2006 implies that every citizen should prevent and
mend actions that can result in breach of any fundamental right or in denial or
infringement of exercise of any economic, social, cultural or other, by any
person, based on disability.
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competitiveness and development through the strengthening of the transversal
character of the gender dimension.
These objectives are part of the Measure 61 of the plan "universal access to
information and communication media on what concerns educational
opportunities, vocational training and employment for special vulnerable
groups".
On the other hand, the IV National Action Plan against Domestic Violence 2011-
2013 (the instrument to combat domestic violence) gives special attention to
victims of domestic violence in a situation of particular vulnerability, v.g. persons
with disabilities.
These were the main areas of study: education and vocational training, labour
market and employment, social protection and access to other essential goods
and services, participation in cultural activities, leisure and sport, protection
against violence and abuses.
In the conclusions of this study, it can be seen that, for instance, women with
disabilities are generally considered as potentially less productive. They may,
for the same function, have a lower income than most people, including men
with disabilities. Their access to family planning, sexual education and
motherhood is hindered by biases.
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The aforementioned Study aimed at understanding the extent to which women
with disabilities are subject to multiple discrimination and at proposing
appropriate measures to ensure their fundamental rights and freedoms, in
accordance relevant national, European and international standards on equality
and non-discrimination, including the requirements laid down in Article 6 of the
Convention on the Rights of Persons with Disabilities and the Council of
Europes Disability Action Plan 2006-2015.
The general framework for the protection of child rights in Portugal is based on
the provisions of the Portuguese Constitution and of the Convention on the
Rights of Child, as well as of ordinary legislation, namely on what concerns the
elimination of all forms of discrimination.
Nine Long Term Care Homes were inspected as well as three Temporary Care
Homes, a Residence of Empowerment and the specific case of the Psycho-
Pedagogical Rehabilitation Center of Sagrada Famlia. In all these
establishments the physical conditions - including accessibility for persons with
disabilities were inspected.
Surprisingly, and despite the fact that facilities were recent, only one of them
could receive persons with disabilities.
Article 8 Awareness-raising
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The Portuguese State is permanently developing information and awareness-
raising activities on the rights of persons with disabilities, with a particular focus
on their capacities, through the National Institute for Rehabilitation. High-impact
training actions are undertaken for students, journalists, families and NGO
leaders. Seminars and debates are held on the most problematic issues -
accessibilities, sexual education, quality of life and self-representation of
persons with intellectual disabilities.
INR has made available through its website (www.inr.pt) comments on various
Articles of the Convention, prepared by renowed experts and practitioners.
This book essentially aims at making the text of the Convention accessible, as
well as at promoting the empowerment of children with disabilities to exercise
their rights.
This book has been widely disseminated in schools and events targeted at
children and young people, especially school project fairs and vocational
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training activities, and there is a proposal for its integration into the National
Plan for Reading of the Ministry of Education and Science.
Article 9 Accessibility
Thus, since 1977, Portugal has established as a top priority the combat to
physical, architectural and communication barriers, through a consolidated law
on accessibility (Decree-Law 163/2006, of 8 August, which replaced Decree-
Law 123/97 of 22 May).
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It stems from Law 38/2004 of 18 August, (General Basis of the Legal
System for Prevention, Habilitation, Rehabilitation and Participation of
Persons with Disabilities) and is a priority of the XVII Constitutional
Government;
This plan is being implemented in two phases: the first until 2010 and the
second from 2011 to 2015.
Obligations incumbent upon local authorities are quite similar to those of central
administration, apart from monitoring the achievement of the goals set forth in
the Convention, which the governmental department responsible for national
buildings and monuments is traditionally responsible for, in accordance with the
provisions of Article 22 (1) of Decree-Law 163/2006, of 8 August.
This responsibility is now entrusted to the Institute for Habitation and Urban
Rehabilitation (Instituto da Habitao e da Reabilitao Urbana).
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current situation (based on the evidence gathered in their respective
supervisory actions.
For IGAL, the issue of accessibilities is addressed within its inspection powers,
along with other material issues.
The Ombudsman has also undertaken several initiatives with the basic purpose
of standardizing conditions of accessibility to facilities and/or services.
The Ombudsman decided to assess ex officio the conditions for the parking of
vehicles of persons with reduced mobility in urban areas of restricted access, in
which, in general, parking places do not meet local demands, which led to the
initiation of a process that is still ongoing.
The Portuguese State has been raising awareness of competent entities to the
specific needs of persons with disabilities, in case of serious or catastrophic
accident.
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communication (in this case through the seminar "Seismic Risk: awakening
consciousness, enabling behaviors", organized by ANPC on October 12).
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Article 13 Access to justice
The legal framework on legal aid aims at facilitating and assisting citizens in
their access to courts, so as to ensure that nobody is denied the right to either
enforce or defend their rights in a court of law due to economic insufficiencies or
by reason of their social or cultural status.
Legal aid shall be granted regardless of the applicant's procedural position and
of legal aid already having been granted to the counterparty.
Article 141 establishes the rules for deaf, mute or deaf and dumb testimonies,
foreseeing the possibility of intervention of a suitable interpreter or the
formulation of written questions or answers, where relevant.
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Finally, on what concerns enforcement actions, Article 930 - C provides for the
possibility of deferring an eviction from rented housing property in case the
evicted has a disability with a proven degree of incapacity exceeding 60%.
Pursuant to Article 64 (1) (c) of the Code of Criminal Procedure, the assistance
of an attorney is mandatory at any procedural act in case the defendant is blind,
deaf, mute, illiterate, unaware of the Portuguese language, under 21 years old,
or if his or her criminal liability, or reduced criminal liability, is disputed.
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There is also the action of the Alternative Dispute Settlement Office, which
provides information to citizens about access to legal aid through social security
structures; and undertakes education activities on alternative dispute settling
means and on access to law. Protocols have also been signed with various
entities, to ensure the proper implementation of actions and measures
concerning the promotion of access to law and methods of alternative dispute
settlement.
The Registries and Notaries Institute provides various online services, which
constitute, in fact, real advantages for persons with disabilities and has a
registration telephone support hotline available to all citizens.
Services and bodies within the Ministry of Justice, such as the Judiciary Police
School, the Center for Judicial Studies, the Directorate-General-General of
Social Rehabilitation, the Registries and Notaries Instituteor the prison guard
corps regularly provide general training courses on human rights, as part of
the initial and ongoing training of their staff.
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Amblopes de Portugal) and the Portuguese Association of Cerebral Palsy
(Associao Portuguesa de Paralisia Cerebral), this year organized about 20
training actions to staff of the Registration and Notary Services in order to
address the needs of persons with disabilities or impairments, especially visual
impairments and cerebral palsy.
The Constitution of the Portuguese Republic recognizes the right of all citizens
to liberty and security. No one shall be totally or partially deprived of liberty
except as a consequence of a judicial conviction and sentence imposed for the
practice of an act that is legally punishable by a prison term or the judicial
imposition of a security measure. (Article 27 (1) and (2)).
The following cases of deprivation of freedom for the period and under the
conditions laid down by law are exceptions to this principle: a) Detention in
flagrante delicto; b) Detention or remand in custody due to strong indications of
the wilful commission of a crime that is punishable by imprisonment for a
maximum term of more than three years; c) The imprisonment or detention of,
or the imposition of any other coercive measure subject to judicial control on, a
person who improperly entered or improperly remains in Portuguese territory, or
who is currently the object of extradition or deportation proceedings; d) The
disciplinary imprisonment of military personnel, which imprisonment is subject to
the guarantee of appeal to the competent court; e) The subjection of a minor to
measures intended to protect, assist or educate him in a suitable establishment,
when ordered by the competent court of law; f) Detention by judicial decision for
disobeying a court decision or to ensure appearance before a competent
judicial authority; g) Detention of suspects for identification purposes, in the
cases that are and for the time that is strictly necessary; h) Committal of a
person suffering from a psychic anomaly to an appropriate therapeutic
establishment, when ordered or confirmed by a competent judicial authority.The
Constitution also guarantees the principle nullum crimen nulla poena sine lege,
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the principle of ne bis in idem, as well as the principle of non retroactivity of
criminal law (Article 29).
Thus:
Under the Portuguese criminal law framework, the application of sentences and
security measures should never exceed the level of guilt and must be
proportionate to the gravity of the offence and the perilousness of the agent.
Only security measures can be applied to non-liable agents, incapable of guilt.
Children under 16 years are not criminally liable, as well as all those who, due
to psychic anomaly, at the time of committing the act, were unable to assess the
lawfulness of such act or to conform themselves in accordance with such
assessment.
Pre-trial detention and home detention are automatically and regularly reviewed
by a judge (Article 213). The Code of Criminal Procedure also establishes the
maximum duration of measures involving deprivation of liberty (Articles 215 and
218 (3)), which vary, depending on the circumstances, from four to eighteen
months (this duration may be extended for certain crimes, in cases of
exceptional complexity, or if there is an appeal to the Constitutional Court or
pending another court ruling on a prejudicial issue).
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instrument has reinforced the detainees integration in society, by his or her
inclusion in the national health system and in national policies for education,
training and social support; and the provision of social and economic support to
the detainee and his or her household in order to strengthen and maintain
family ties. It improves work in prison by reviewing the legal framework for
working in productive units of entrepreneurial nature. It contains provisions on
education, labor, vocational training and enrolment in specific programs which
make the execution of the sentence more flexible.
Pursuant to Article 118 of the Code, if the sentenced prisoner condemned has a
serious disability or irreversible illness that implies his/her permanent
dependence on a third person and whose maintenance in prison is
incompatible, he or she can have his sentence modified, should this not be
contrary to the strong demand for prevention, order and social peace.
Articles 126 et seq., on the institutional care of persons with mental illness as a
security measure, provides that such measures shall be geared towards the
patients rehabilitation and his or her his/her family and social reintegration.
On the other hand, the Mental Health Law (Law 36/98 of 24 July, amended by
Law 101/99, of 26 July) regulates the compulsory internment of persons with
psychic anomalies, particularly persons with mental disorders.
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The following rights are recognized: right to be present during procedural acts
which directly concern the inmate, unless reasons of health prevent it; right to
be heard by a judge whenever a decision to be taken personally concerns him
or her, unless ones health situation makes such court hearing useless or
infeasible; right to have legal counsel in all acts the inmate participates in, and
in the procedural acts that directly concern him or her and in which he or she
may not be present, and the right to communicate in private with such counsel;
right to produce evidence and to request the adoption of necessary measures;
the right to be informed and clarified about his or her rights; the right to be
informed about the reasons of his or her deprivation of liberty; the right to
appeal against a decision to initiate or extend a measure of internment; the right
to vote, in accordance with the law; and the right to send and receive
correspondence.
Thus:
The Penal Code criminalizes and punishes offenses against the physical
integrity in Articles 143 et seq., in particular torture and other cruel, inhuman or
degrading treatment or punishment.
On the other hand, Article 126 of the Code of Criminal Procedure provides that
any piece of evidence obtained through torture, coercion or, in general, offence
to ones physical or moral integrity, shall be null and void, and thus may not be
used in any criminal procedure.
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This diploma proclaims the following as its guiding principles: respect for human
dignity and other fundamental principles enshrined in the Constitution of the
Portuguese Republic, in instruments of international law and in other
instruments, as well as respect for the human personality of the prisoner and for
his or her rights and legal interests to avoid that they are affected by the
sentence or by the execution of a measure involving deprivation of liberty.
This diploma clearly specifies the common and specific security means allowed
in prisons for the maintenance of law and security, and has been complemented
by the General Regulation for Prisons Decree Law 51/2011 of 11 April
which contains more detailed provisions on the use of security means. This new
legislation has improved mechanisms for the protection of inmates.
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The Observatory on Trafficking in Human Beings considers it important to
highlight the issue of harnessing psychic disability or any situation of special
vulnerability of victims of trafficking in human beings. Those situations are
already covered in Article 160 of the Penal Code, which defines the crime of
trafficking in persons (Title One, Book Two, Special Part, Crimes Against
Persons, Chapter IV, crimes against individual freedom).
The Penal Code establishes and punishes any crime of ill-treatment of a child or
particularly defenseless person due to age, disability, sickness or pregnancy
(Article 152). It also establishes and punishes the crimes of slavery (Article
159), trafficking in persons (Article 160), abduction (Article 161) and crimes
against sexual freedom and self-determination (Articles 163 to 177).
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electronic means for the remote surveillance of aggressors, the possibility of
arresting the perpetrator if caught in flagrante, the right of victims to
compensation, as well as to judicial, medical, social and labour support
measures.
The Judicial Police has created adequate premises for the examination of
victims of offences against sexual freedom and self-determination.
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The National Republican Guard (GNR) developed IAVE Project Investigao
e Apoio a Vtimas Especficas (Research on and Support to Specific Victims) on
the basis of another existing project (dedicated to women and children victims
of violence in family settings), which ensures research on and support to
specific victims, including persons with disabilities.
Currently, there are 282 Core Services and Teams (22 NIAVE- Research and
Support Centers for Specific Victims and 259 Investigation and Inquiry Teams),
throughout the entire national territory, involving 344 militaries enabled with
appropriate expertise.
The Penal Code establishes and punishes crimes against physical integrity in
its Articles 143 et seq., namely those regarding medical and surgical
treatments. Articles 38, 39, 149, 150, 156 and 157 of the Penal Code impose
the duty to make clear to the patient the diagnosis and the nature, scope, extent
and possible consequences of intervention or treatment, as well as to obtain his
or her free and clear consent before carrying out surgical interventions or
medical treatments. Medical interventions performed without the patient's
consent are punished as arbitrary medical and surgical interventions or
treatments.
The law requires filling in a written consent form for certain medical
interventions, such as voluntary termination of pregnancy, sterilization, prenatal
diagnosis, participation in clinical trials or the practice of electroconvulsive
therapy and psychosurgical interventions.
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On the other hand, a judicial authorization is required for organ and tissue
donation by living adults with mental disability and for the sterilization of
incapacitated adults. (Source: ENTIDADE REGULADORA DA SADE, Consentimento
Informado Relatrio final, maio de 2009, disponvel em
http://www.ers.pt/atividades/pareceres-e-recomendacoes/Estudo-CI.pdf).
The experience of the Safe School PSP teams (Programa Escola Segura)
,aimed at preventing and investigating situations of violence at the local level, is
seen as an example of good practices. In 2010-2011, Safe School teams
undertook 4867 awareness-raising actions with school communities on the most
varied topics, for instance alcohol, drug abuse, issues relating to discrimination
and gender equality.
In this context, PSP has promoted, in partnership with other public and private
entities, training sessions for its its officers on sexual and domestic violence
against women, issues related to gender equality, issues related to social
exclusion and integration difficulties. PSP has also equipped its units with
special premises to receive and provide support to victims of violence, as well
as other target audiences, with the view to ensure specialized assistance.
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The National Republican Guard (GNR), within the framework of community
policing and community safety, has allocated means and human resources, in
exclusive, to the implementation of special community policing programs.
Community policing involves the population in efforts to solve its own problems,
including the special needs of persons with disabilities and their families.
On the other hand, paragraph 1 of Article 44 atates that every citizen shall be
guaranteed the right to move freely and to settle anywhere in national territory;
pursuant to paragraph 2, citizens shall be guaranteed the right to emigrate or to
leave Portuguese territory and the right to return thereto.
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national may also acquire Portuguese nationality by means of a declaration
made during the duration of marriage.
If, within 20 days upon birth, or until the mother is released from the health unit,
the birth is not declared, administrative and police authorities will report the fact
to Public Prosecution who must act to overcome such failure (Article 98,
paragraph 1). Within twenty-four hours upon birth, health units must introduce
the birth record (data about the birth, date and time, child's sex and mothers
name and address - article 101-A, paragraph 1) in a platform (of exclusive
access to health units) managed by the Institute of Notaries and by the Institute
of Social Security.
Article 105 of the Portuguese Civil Registry Code determines the process
applicable to the registration of abandoned children. For the purposes of this
process, it is considered to be an abandoned child every newborn of unknown
parents who is found abandoned in any place, and every child apparently under
14 or mentally disturbed, whose parents, known or unknown, keep themselves
away in an unknown place, forsaking their child.
Whoever finds a child in such situation must take him or her, within twenty-four
hours, to the competent authorities with all the objects and clothes that the child
is carrying, for birth registration (Article 106, paragraph 1).
The civil registrar must give the child a full name, preferably a common name or
derived from any particular characteristic or from the place where the child has
been found, but always in order to avoid misleading designations or
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designations that may recall the childs abandoned condition (Article 108,
paragraph 1).
With the creation of the service Born citizen (Nascer Cidado), a child can be
resgistered immediately upon birth in health units that have joined this project. It
is free of charge and allows the official registration of the newborn in the
hospital or maternity immediately upon birth, making it unnecessary to go to any
Civil Registry office.
This is accessible and convenient for the fulfillment of all formalities essential for
safeguarding child rights and allows an early identification of children at risk.
On the basis of Article 113 (2) of Law 23/2007, of 4 July, Portugal, through the
Foreigners and Borders Service (Servio de Estrangeiros e Fronteiras - SEF)
allows the positive discrimination of persons with disabilities, by considering
them persons with special needs in relation to the rights of the holders of
residence permits issued to victims of trafficking in persons or smuggling.
In this regard, persons with disabilities with a residence permit issued under that
legislation receive the necessary medical and social assistance.
It should also be noted that persons with disabilities are considered " particularly
vulnerable persons " by national law, as specified in Article 2 (1) (r) of Law
27/2008 of 30 June, which prescribes the conditions and procedures for
granting asylum or subsidiary protection, as well as the status of asylum
seekers, refugees and beneficiaries of subsidiary protection. Persons with
disabilities seeking asylum and subsidiary protection are also protected by
special provisions, concerning pharmaceutical and medical assistance (Article
52 (5)), material conditions of reception and healthcare, in particular social
support (art. 56 (2)) and the reduction or removal of reception requisites (Article
60 (6)).
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The Ombudsman has undertaken a series of inspective actions to places of
detention of foreign nationals who do not meet the legal conditions for entering
Portugal or to stay in the country, given their vulnerable and fragile physical and
psychological situation and the precariousness of their legal and economic
condition.
From the perspective of autonomy and quality of life, some local communities
are offering home support services. This allows persons with disabilities to
remain at home rather than in institutions.
On the other hand, measures for strengthening social protection and combating
poverty implemented by the Social Security Institute have taken into account
the guarantee of economic, social and financial sustainability of the social
security system, increasingly based on the positive differentiation of benefits
vis--vis various risk situations, adjusting social responses to this new reality.
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persons with disabilities; enhancement and extension of the social services and
facilities network, development and qualification of home support services, and
improvement of access to public services.
In this sense, INR has kept contacts with transport companies in order to
achieve the goal of full accessibility.
Concerning this issue, the national reality has evolved positively with the
cooperation of NGOs and with particular emphasis on the commitment of city
councils, through Municipal Plans of Accessibility for All.
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To fulfill this constitutional imperative, INR has a DIRECT LINE working via e-
mail, telephone or in person. This service has a team of experts who provide
tailored support to persons with disabilities, their families, organizations and
services intervening in this area, within the framework of their rights, duties and
benefits and referring them to existing resources.
Article 34 states that the individual's home and the privacy of his
correspondence and other means of private communication are inviolable. A
citizen's home may not be entered against his will, except by order of the
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competent judicial authority and in the cases and in compliance with the forms
laid down by law.
Furthermore, Article 35 (3) states that information technology may not be used
to treat data concerning philosophical or political convictions, party or trade
union affiliations, religious faith, private life or ethnic origins, save with the
express consent of the datasubject, or with an authorisation provided for by law
and with guarantees of nondiscrimination, or for the purpose of processing
statistical data that are not individually identifiable.
The Law on the Protection of Personal Data defines personal data as any
information of any type, irrespective of the means involved, including sound
and image, relating to an identified or identifiable singular person (data subject)
and its general principle states that the processing of personal data shall be
carried out transparently and in strict respect for privacy and for other
fundamental rights, freedoms and guarantees.
Thus, the processing of personal data can only be effected if the holder has
unambiguously given his or her consent or if the processing is necessary for
situations expressly laid down by law, and it is prohibited for questions
concerning political or philosophical beliefs, trade-union or party affiliation,
religious faith, private life and racial or ethnic origin as well as the processing of
data concerning health or sex life, including genetic data, except in the cases
provided for by law.
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The law protects the rights of personality in Articles 70 et al of the Civil Code,
expressly including the right to ones own image and the right to protection of
privacy.
Article 484 of the Civil Code specifically deals with the offense against a
persons credit or good name, implying responsibility for damage. The Penal
Code also protects honor and reputation by providing for and punishing crimes
of defamation and insult (Articles 180 and 181).
Civil law, in particular Articles 1577 and following of the Civil Code, recognizes
the right to marry. However it still prohibits or restricts its celebration to persons
under 16, with clear mental illness, inabilitated or disabled by psychic/illness
reasons or persons whose previous marriage has not been dissolved. Pursuant
to Law 9/2010, of 31 May, same sex persons can now enter into civil marriage.
Civil law also recognizes the right to form a family, namely pursuant to Articles
1874 and following of the Civil Code, which specify the reciprocal rights and
duties within parenthood. The law states that parents, in the interest of children,
shall ensure their safety and health, provide for their maintenance, guide their
education, represent them and manage their property. Parents cannot waive
parental responsibilities.
On the other hand, children cannot leave the parental home or the home that
has been assigned to them, nor be withdrawn from it.
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Parents with final condemnation for crime, interdicted or disabled by psychic or
mental illness reasons, or absent, are considered inhibited for the exercise of
parental responsibilities. Any parent who violates the duties towards his or her
children, with serious injury, or when, by inexperience, infirmity, absence or
other reasons, does not fulfill such duties, may be inhibited.
Civil law also regulates adoption, establishing in particular who can adopt and
who can be adopted, and considering that only people with full capacity can
adopt. Law 103/2009, of 11 September, established the legal framework on
child sponsorship.
Article 24 Education
Everyone has the right to education, with the guarantee of the right to equal
opportunities in access to and success in schooling."
The State shall create a network of public education institutions to cover the
needs of the entire population, including special education needs of persons
with disabilities.
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learning achievements, through the design, development and evaluation of
several initiatives, namely those concerning pupils with special educational
needs.
In 2008, the legal act defining the specialized support to be provided in pre-
school, primary and secondary education (Decree-Law N. 3/2008) has been
published.
In this regard, it should be noted that the higher education of Portuguese sign
language interpreters is ensured by the Higher Education Schools of
Polytechnic Institutes in Setbal, OPorto and Coimbra.
The number of students placed under special quota for persons with physical
disabilities or sensory impairments was the following over the past five years:
Article 25 Health
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The Constitution of the Portuguese Republic establishes that "everyone has the
right to the protection of health and the duty to defend and promote health". The
right to health shall be implemented through a universal and general national
health service which, taking into account the economic and social conditions of
users, tends to be free of charge.
It also establishes equity as the general principle of the national health system,
providing for effective equality in access to healthcare.
Finally, the fact that the means and activities of the healthcare system are
primarily geared to the promotion of health and the prevention of diseases is of
particular relevance. This implies a comprehensive notion of health and
enhances the challenge of healthcare units to implement, within a framework of
health promotion and disease prevention, strategies that should contribute to
reduce inequalities in health and improve equity in access to healthcare,
particularly for persons with disabilities.
In this context, the following actions have been developed with the view to
promote and ensure the access of persons with disabilities to healthcare and to
give all such persons and their families better living conditions, namely:
Within the framework of the implementation of the National Mental Health Plan,
special attention is given to national and regional intervention by improving the
local network of mental health services, rehabilitation measures and
deinstitutionalization of pacients with severe mental illness from regional mental
health services and psychiatric hospitals.
Also, the National Mental Health Plan pays particular attention to mental health
services for children and adolescents, to the relationship of mental healthcare
with primary healthcare and to the necessary articulation with expert provision
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of comprehensive mental healthcare, to be ensured by the National Network for
Integrated Continuous Care (Rede Nacional de Cuidados Continuados
Integrados de Sade Mental (R.N.C.C.I.S.M.).
Portugal has adopted a National Program for Rare Diseases, with the following
general objectives:
Within the overall health policy, other projects are ongoing that have an impact
on the health of persons with disabilities:
More than 90% of mothers state that they use a postpartum contraception
method.
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The use of contraceptive methods is very popular among all reproductive age
groups, especially adolescents.
More than 90 % of deliveries occur in National Health System units, with high
rates of C-section delivery (more than 20 %).
There is a wide range of activities for the initial and ongoing training of all
rehabilitation practitioners, on such areas as Portuguese sign language, Braille,
accessibility, mobility, orientation and augmentative or alternative
communication.
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Article 27 Work and employment
Under the national reform plan 2008-2010, the situation of persons with
disabilities has been covered by field 5, concerning equal opportunities, in
accordance with the Integration Plan for Persons with Disabilities or
Impairments. These are the measures to be adopted:
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Article 28 Adequate standard of living and social protection
One of the goals of the social security system, whose basic legal framework has
been approved by Law 4/2007, of 16 February, is to promote a sustainable
improvement of living conditions, adequate social protection and strengthening
of equity. These goals are achieved through its systems and subsystems.
Within the framework of this report, the citizenship social protection system
has to be highlighted. This system includes the social action subsystem, the
solidarity subsystem and the family protection subsystem. Specific benefits are
provided to improve the protection of persons with disabilities.
The Childhood and Youth family allowance for children and youngsters
with disabilities, with a majoration of 20% in single parent families,
summed to the family allowance for children and young people (the age
limit is extended in case of persons with disabilities), for descendants of
beneficiaries, people with disabilities, under the age of 24 years and that:
attend or are admitted to specialized establishment or rehabilitation or are
capable of frequency or inpatient care; require individualized support
pedagogical and/or specific therapeutic.
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Allowance for special school attendance, assigned to persons with
disabilities under 24 years of age, descendants of beneficiaries, who are
in one of the following situations: attending special education institutions,
whether private, public or cooperative, profit-making or non-profit-making,
, provided by the Ministry of the Education and entailing the payment of a
tuition fee; need individualized educational support by a specialized entity;
need to attend a private education institution, after having attended special
schools; attend a regular nursery or kindergarten, in order to rapidly
overcome disability and achieve faster social integration.
- Pursuing a professional activity and the income derived there from exceeds
167,69 (40% of the social support index) or, in the case of couples,
251,53 (60% of the social support index)
42
However, the payment of the suspended social pension can be immediately
resumed, upon communication to social security services, if:
43
There are 4 types of social responses for children and young persons with
disabilities, namely: early intervention; support homes; transportation; holiday
and leisure centers.
For older people and adults with disabilities the following social responses
are also available: foster care; home assistance; occupational and animation
support centers; residential care; t transportation; holiday and leisure centers.
Benefit for the care of children - either mother or father can take the leave
to provide urgent or indispensable assistance to children, in case of illness
or accident. It is granted for
30 days per calendar year or during the period of hospitalization in case of
children under the age of 12 or without age limits in case of children with
disabilities or chronically ill.
Benefit for the care of children with disabilities or chronically ill - either
mother or father can take the leave to provide urgent or indispensable
assistance children with disabilities or chronically ill with whom they live, if
one of them is employed and may not take the leave. It is granted for a
maximum period of 6 months, extendable to 4 years.
5. It should also be noted that the Social Security System provides incentives
for the employment of persons with disabilities. It applies to workers with
disabilities under labour contract, provided that their working capacity is less
than 80% of the capacity generally required for the performance of similar
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tasks (the total contribution rate is 22.9%, of which the employer pays 11.9%
and the employee 11%).
The Constitution guarantees all citizens without discrimination the rights to vote
and to be elected , except in the case of incapacities established by law.
In paragraph 1 of Article 50, the Constitution states "Every citizen has the right
of access to public office under equal and free conditions."
These constitutional norms are poured in the different legal texts that govern the
various electoral and referendum acts in Portugal: for President of the Republic,
Parliament, autonomous regions of Azores and Madeira, local authorities and
referendum system.
Concerning citizens with intellectual disabilities, such electoral laws state that
the Persons who are clearly acknowledged to be demented, even if they are
not barred by a sentence, when they are committed to a psychiatric
establishment or are declared to be demented by a board of three doctors do
not enjoy electoral capacity.
45
Citizens affected by illness or clear physical disability do enjoy active and
passive electoral capacity.
Electoral and referenda laws specify that a person in such conditions can vote if
accompanied by another elector of his or her choice, if unable to perform
autonomously those acts which are inherent to the personal right of suffrage.
There have been several initiatives concerning the exercise of the right to vote
by blind persons, in order to legally establish a voting system that provides such
citizens with an array of options for those who dominate Braille.
The mayor has the competence to decide on which locations polling stations
are to operate. Polling stations shall be organized in public buildings, preferably
schools or seats of municipal councils or parish councils that offer the
necessary conditions in terms of capacity, access and security.
With regard to the right to vote and to stand as a candidate there are still no
official indicators that assess the exercise of such rights by persons with
disabilities.
In 2010, the National Institute for Rehabilitation, I.P., within its editorial policy on
the rights of persons with disabilities, published an easy language booklet on
the election for President of the Republic, providing voters with disabilities with
information on these elections.
46
This information project of wide national coverage aimed at raising the
awareness of Portuguese society to the principle of equality enshrined in the
Constitution of the Portuguese Republic, as well as at promoting greater
participation of persons with disabilities in public life, including elections and
referendums.
The Constitution of the Portuguese Republic enshrines, in its Article 79, the
right to of everyone to physical education and sports. This was emphasized by
Law 5/2007, of 21 July (Basic Law on Physical Activity and Sports) in which
sports is considered a critical factor to ones personal development (whether or
not the person has a disability) and for the development of society.
The Basic Law on the Sports System, introduced by Law 1/90, of 13 January, is
the first to enhance physical activity and sports for persons with disabilities,
within the sports system.
Between 2009 and 2011, specific support provided for sports performed by
persons with disabilities was limited to the Portuguese Paralympic Committee
(CPP), the Portuguese Federation of Sports for Persons with Disabilities
(FPDD) and Special Olympics Portugal (SOP).
It should also be noted that in 2009 and 2010, as part of the Paralympic
Preparation Program (London 2012), which included scholarships to support
athletes and trainers and allowances for the preparation of activities, the
following federations have been supported: Equestrian Federation of Portugal:
24.396 in 2009 and 16.985 in 2010; Portuguese Federation of Rowing:
1.433 in 2010. In addition to the above legal provisions concerning sports for
persons with disabilities, there are specific provisions on high performance
matters.
47
Thus, the legislator, within the framework of support measures for high yield
sports, as provided for under Decree-Law 272/2009, of 1 October (regulated by
the Administrative Regulation 325/2010, of 16 June) recognizes the specificity
of this area and establishes criteria for the integration of athletes in the national
register of high performance athletes.
Since 2009, a total of 250,000 have been granted for prize awards within the
framework of this administrative regulation.
As stated above, the Portuguese Sports Institute (IDP) supports CPP, FPDD
and SOP in various programs: Development of Sports Practice, Technical
Framework, High Yield and National teams, Human Resources Training,
Regular Activities (only CPP and SOP), Missions and Multi Sports Games.
1. Ensure the best possible conditions for the preparation of athletes and
national for participation at the Paralympic Games;
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a. Improvement of the overall sports results in London 2012 Paralympic
Games;
To achieve these goals, the program supports athletes and trainers, the
preparation of activities and respective administrative structure:
Grants are given directly to athletes and trainers through scholarships, the
amount of which is established in the rules of the program. The amount
depends on the level of integration of athletes, which also takes into account
sports results achieved at the international level.
49
Data available is collected at different times by different entities and according
to different perspectives:
Larger gender gaps were observed in psysical disabilities: 1.3% for women and
1.8% for men. In the total population the proportion of individuals with such
disabilities was 1.5%.
The percentage of persons with mental disabilities was of 0.7% 0.8% male and
0.6 %female).
Cerebral palsy was the type of disability with lower recorded prevalence among
the population, slightly higher among males.
Disability rates among males are higher than among females in all regions of
the country, with the sharpest difference in Central Portugal (7.4% of males;
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6.0% of females) and the lowest in the Autonomous Region of Azores (4.4% of
males and 4.1% of females).
Higher disability rates in males are evident for almost all types of disability,
especially physical disabilities (in Portugal, the female/male ratio was of 100/
131.7). However, females were predominant among the population with vision
impairments ( 90.7 males for every 100 females).
Visual, physical and other disabilities showed the highest prevalence rates in all
regions of the country. The rates of incidence of cerebral palsy were identical in
all NUTS II (between 0.1% and 0.2%).
For example, among the population with disabilities under 16 years of age, the
relative importance of individuals with cerebral palsy was 17.5%, 11.4
percentage points higher than the overall percentage of persons with disabilities
in the same age group (6.1%); on the other hand, for those aged 65 and above,
it represented 6.0 percentage points.
On the other hand, the relative importance of hearing and physical impairments
increases with age, being very significant among older people.
The highest rates in the 0-15 age group were of visual impairments (which
varied between 0.4% in the Autonomous Region of Azores and 0.8% in Central
Portugal) and other disabilities, with 0.5% in practically all NUTS II.
Gender variations are more prominent in persons with mental disabilities (151.8
men per 100 women) and concerning other disabilities (147.3 men per 100
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women). Females have slightly higher ratios of visual impairment in most
regions of the country.
In the 16-24 age group, visual impairments have the highest prevalence in all
regions, followed by mental disabilities and other disabilities.
In the same age group, the proportion of males with disabilities is higher than in
the preceding age group (0-15 years old), except in the Autonomous Region of
Azores.
At the national level, the largest gender differences can be observed among
persons with physical impairments and other disabilities (189.9 men per 100
women for physical impairments; and 174, 1 percentual points on the second
case). In the Autonomous Region of Azores and Northern Portugal, masculinity
ratios observed were higher than 200 as it concerns persons with physical
disabilities.
In the 2554 age group, the incidence rate of disability was of approximately 1%
in all NUTS II (significantly higher than the one found for the age groups
Center).
This is the group with the highest masculinity ratio among the total population
with disabilities: 138 men per 100 women. There are gender disparities among
persons with physical disabilities. The masculinity ratiois of more than 200 in
most regions, except Lisbon and Tagus Valley (187.6). The masculinity ratio is
also high among persons with mental disabilities, especially in the Algarve
(171.3).
In the 55-64 age group, the highest incidence rate was of persons with other
disabilities (ranging from 1.7% in the Autonomous Region of Azores and 3.1%
in Central Portugal), followed by persons with physical disabilities (from 1.9% to
2.9%, respectively). Visual impairments also featured significant incidence
rates: between 1.8% in the Autonomous Regions and 2.4% in the Alentejo.
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The elderly population shows the highest rates of disability, as previously
pointed out, with particular emphasis on physical disabilities (rates range from
3.0% in the Autonomous Region of Azores and 4.5% in Central Portugal). There
are also very high rates of persons with visual impairments, hearing
impairments and other disabilities.
This age group features the highest incidence rates for all types of disability,
except mental disability, whose rates are similar in all age groups.
Among the elderly population, the masculinity ratio is almost always less than
100, reflecting the larger number of women, both in the total population and in
the population of persons with disabilities.
Still, while comparing the structure of the total elderly female population with the
elderly population with disabilities, men with disabilities are proportionately
higher in number than women. The largest gender gap can be observed among
persons with mental disabilities (ratios vary between 41.6 men in the Azores
and 68.0 in Central Portugal). The population with cerebral palsy in Alentejo and
Algarve is the exception, with 116.7 and 165.8 masculinity ratios, respectively.
Among persons with disabilities, the ageing index (ratio between the number of
the persons over 65 years and the number of persons under 15) is around 5.5
that of the overall population. While the ratio between the elderly and the young
in the overall population is 95, among persons with disabilities is 547. It is in
those regions with the most aged population that the ageing indexes of persons
with disabilities are higher: Alentejo (981 elderly persons with disabilities per
100 young persons), Algarve (792) and Central Portugal (697).
The ageing indexes for the population under analysis are higher among persons
with physical disabilities (1356), while the highest values are present in Central
Portugal (2061) and Alentejo (1940), and the lowest in Azores (605) and
Madeira (860).
In Portugal more than a half of the population with disabilities (53.5%) had not
been assigned with any degree of disability (only the degree of incapacity
proven by a health authority established for that purpose has been considered).
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The proportion of persons with disabilities with a degree of incapacity exceeding
80% was 11.6%.
On what concerns road safety, ANSR, as the entity responsible for national
statistics on road traffic accidents (Statistical Bulletin of Road Traffic Accidents),
registered last year in Continental Portugal a total of 514 persons with
disabilities victims of road traffic accidents.
With heraing 4 8 84 96
impairments
With vision 0 14 73 87
impairments
Total Pedestrian
12 47 455 514
Victims with
disabilities
11,0% 9,5% 8,5% 8,6%
% of pedestrians
The total number of victims with disabilities was 514, which represents 8,6% of
the total number of pedestrians victims of road traffic accidents.
54
Complete data relating to 2011 is not yet available, , since the only validated
numbers refer to the first three quarters of the year.
Finally, it should be noted that there is no data concerning disability for driver
and passenger casualties.
INR can represent Portugal before the European Union, Council of Europe,
United Nations, Intergovernmental Ibero-American Technical Cooperation
Network (RIICOTEC), Community of Portuguese Language Countries (CPLP)
and other international organizations.
Important efforts of information and best practice sharing have also been
undertaken at the level of the Community of Portuguese Language Countries
(CPLP). The use of Portuguese as a common language facilitates awareness
raising to the rights of persons with disabilities.
55
INR participation in the activities of such regional and international bodies has
enhanced the visibility of good practices adopted in Portugal for the prevention
of disability and the habilitation, rehabilitation and participation of persons with
disabilities, and has also enabled the collection of information on innovative and
quality responses in these areas.
56