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THE CONVENTION ON THE RIGHTS OF PERSONS WITH DISABILITIES VERSUS THE RIGHT TO HEALTH CARE

By employing the research methodology of thematic analysis, the paper presents the investigation of the Convention on the Rights or Persons with Disabilities in the aspect of the right to health care. The revealing of fundamental resolutions of the Convention on the Rights of Persons with Disabilities, manifestation of them in the aspect of the health care system are the object of the present paper; moreover, these emphasise the social relevance seeking to ensure comprehensive and equal use of all human rights and fundamental freedoms, dignity, full participation in public life and, naturally, health care system for persons with disabilities. The research problem is formulated within this context: What resolutions of the Convention on the Rights of Persons with Disabilities are the most important to successfully ensure persons’ with disabilities rights to health care? What is the semantic manifestation of these resolutions and what are the contexts that ensure successful implementation of them?


Introduction
Eleanor Roosevelt, wife of the president who had a disability himself, asked a question addressing the United Nations back in 1958: "Where, after all, do the universal human rights begin? In small places, close to home -so close and so small they cannot be seen on any maps of the world. Yet they are the world of the individual persons; the neighbourhood; the school or college; the factory, farm or office. Such are the places where every man, woman and child seek equal justice, equal opportunity, equal dignity without discrimination." (Lash, 1972) It can be stated that people with disability, their relatives and the entire part of advanced society fight for the rights of people with disabilities for many decades. We would point out approval of the Convention on the Rights of Persons with Disabilities of the United Nations (hereinafter referred to as the Convention) and its Optional Protocol on 13 December 2006 in New York as

Research Methodology
In my research context, I grounded on the post-positivist approach: "The opinions of sociologists and political scientists following the post-positivist approach provisions contradict: an investigator cannot view social reality from the outside; one can only view it from the inside. First of all, they underline the differences between the social and natural worlds more than majority of post-positivists. They emphasise that people create social reality on the ground of their ideas. Relations of people depend on what they think of each other. Institutions are a result of implementation of specific ideas." (Nakrašas, 2010). In this paper, following the post-positivist approach provisions, I analyse the Convention on the Rights of Persons with Disabilities in the aspect of persons' with disabilities right to health care. Grounding on the research data, I formulate the findings in compliance with my, as researcher's and scientist's, experience, perception, knowledge.
The research methodology was influenced by ethnography which is treated as a methodological approach viewing the social reality from the post-positivist point of view as well. Ethnography is a way of my (as researcher's) thinking while investigating the Convention on the Rights of Persons with Disabilities. I learnt to create the social reality while studying the works of Spradley (1980) who is considered to be an ideologist of ethnography; in his works, he not only searches for answers on how to perceive reality while staying together with people, but also provides concrete methods. Grounding the ethnographical approach on ethno-semantics, Spradley (1980) created and practically applied the 12-step strategy which is referred to by present-day researchers, too: locating a social situation; doing participant observation; making an ethnographic record; making descriptive observations; making a domain analysis; making focused observations; making a taxonomic analysis; making selected observations; making a componential analysis; discovering cultural themes; taking a cultural inventory; writing an ethnography (Spradley, 1980). Spradley (together with David W. McCurdy) developed ethnography while investigating the culture of society (Spradley & McCurdy, 1972). I did not employ all the principles and provisions of ethnography in my investigation because I was exploring the document; knowledge on ethnography simply transformed to ethnographical thinking used in the analysis of the Convention on the Rights of Persons with Disabilities. It can be sated that ethnographical thinking manifested in "creation" of the research field: the process of the analysis of the document proceeded while searching for the common points in both statements of the Convention and experience of myself as a researcher in generalising themes and forming new findings. The discourse of the analysis of the Convention on the Rights of Persons with Disabilities in the aspect of the right to health care was influenced by the perception of the impact of the systems theory in social work (cf. Wagneris, H., 2003).
I conducted investigation of the Convention on the Rights of Persons with Disabilities grounding on the principles of thematic analysis. In my view, this method of data analysis (hereinafter referred to as ThA), is the most suitable for singling out and revealing themes present in laws: "Two major reasons to use ThA are accessibility and flexibility. We view it as strength because the ThA method ensures accessibility and flexibility of a point of view" (Braun & Clarke, 2012). Advantages of thematic analysis in qualitative research, including analysis of laws, were revealed by Boyatzis, 1998;Guest, MacQueen, & Namey, 2012, and others. After studying the works of the mentioned authors, the investigation proceeded in compliance with the stages indicated in Table 1, grounding on inductive reasoning.
I analysed the Convention while performing five steps. The steps of the analysis and the meaning of each stage are presented in Table 1.

Stages of the analysis
Purpose and meaning of the analysis stage Step one Acquaintance with the text First, I explored the laws while getting acquainted with the texts in general. This allowed understanding the whole of laws as documents, to perceive their structure, master the terminology.
Step two Selection of relevant parts of the law I conducted the secondary text analysis while selecting parts of the laws which, in my mind, were related to the field of investigation. I have decided that I will start the thematic analysis of the Convention from two articles: Article 1, Purpose, and Article 25, Health. Thus, I narrowed down the search by making it more specific.
Step three

Emphasis on basic statements
In the next stage of the analysis, I emphasised the key, in my opinion, statements related to preconditions for comprehensive medical care for people with disabilities. In such a way, I made the research field even narrower. Grounding on the findings of the thematic analysis of these two articles, I expanded the research field again, while analysing the articles which had at least some relation to the findings of Articles 1 and 25.
Step four

Naming of themes and analysis, interpretation of related situations
After repeated assessment and reconsideration of key statements, I divided them on the basis of meaning to thematic groups while analysing and interpreting them. The singling out of notional elements, naming of semantic objects and themes continued throughout the entire period of investigation and writing of the paper, while correcting their titles in detail according to the change of my perception.
Step five Linking/ separation of themes by using contrastive analysis By using contrastive analysis, the themes were linked (or separated) to achieve higher understanding for myself and seeking to explain it to a reader about their meaning and content in the contexts of the Convention on the Rights of Persons with Disabilities as well as health care for the people with disabilities.

Research results
I started deeper investigation of the Convention with acquaintance with the first article, "Purpose", and Article 25, "Health". In my opinion, these are the most relevant articles for the current research. I labelled them as fundamental ones. I investigate other articles of the Convention grounding on emphasised basic statements and themes in these articles.
As the Convention reads, its purpose is "to promote, protect and ensure the full and equal enjoyment of all human rights and fundamental freedoms by all persons with disabilities, and to promote respect for their inherent dignity.
Persons with disabilities include those who 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." (Convention on the Rights of Persons with Disabilities, Article 1), p. 3, emphasis by the author of the paper).
By the Article 25, "Health", of the Convention, states parties "recognize that persons with disabilities have the right to the enjoyment of the highest attainable standard of health without discrimination on the basis of disability" (Ibid, Article 25, p. 16, emphasis by the author of the paper); "to ensure access for persons with disabilities to health services that are gender-sensitive, including health-related rehabilitation" (Ibid, emphasis by the

Ingrida Baranauskienė
author of the paper). The parties that signed the Convention, including Lithuania, assumed the responsibility in six aspects: "(a) Provide persons with disabilities with the same range, quality and standard of free or affordable health care and programmes as provided to other persons, including in the area of sexual and reproductive health and population-based public health programmes; (b) Provide those health services needed by persons with disabilities specifically because of their disabilities, including early identification and intervention as appropriate, and services designed to minimize and prevent further disabilities, including among children and older persons; (c) Provide these health services as close as possible to people's own communities, including in rural areas; (d) Require health professionals to provide care of the same quality to persons with disabilities as to others, including on the basis of free and informed consent by, inter alia, raising awareness of the human rights, dignity, autonomy and needs of persons with disabilities through training and the promulgation of ethical standards for public and private health care; (e) Prohibit discrimination against persons with disabilities in the provision of health insurance, and life insurance where such insurance is permitted by national law, which shall be provided in a fair and reasonable manner; (f) Prevent discriminatory denial of health care or health services or food and fluids on the basis of disability" (Ibid, emphasis by the author of the paper).
After conducting analysis of the purpose of the Convention (Article 1) and Article 25 "Health", the following semantic elements were pointed out: dignity; full and effective participation in society; the highest attainable standard of health; without discrimination on the basis of disability; the same range, quality and standard of free or affordable health care and programmes; including in the area of sexual and reproductive health programmes; population-based public health programmes; needed by persons with disabilities specifically because of their disabilities; including early identification and intervention as appropriate; to minimize (…) further disabilities; services as close as possible to people's own communities; of the same quality to persons with disabilities as to others; on the basis of free and informed consent; raising awareness of the human rights, dignity, autonomy and needs of persons with disabilities through training; the promulgation of ethical standards for (…) health care; prohibit discrimination (…) in the provision of health insurance, and life insurance; discriminatory denial of health care or health services; discriminatory denial of food and fluids on the basis of disability.
After repeatedly assessing and considering the semantic elements, I have divided them to six themes: equal rights; discrimination and ethics; inclusive health care system; quality; accessibility (cf. Table 2). First of all, I understand as imple mentation of human rights despite existing disability. In this aspect, Articles 1 and 25 of the Convention focus on pro grammes in the area of sexual and reproductive health, health and li fe insurance, comprehensive health care support in a case of any kind of disability in general.

Discrimination and ethics
Elements: discrimination on the basis of disability; dignity; the promulgation of ethical standards for (…) health care Objects: political will preventing discrimination and unethical behaviour; dignity; improper standards of health care In the context of investigation, I understand discrimination, first of all, as restriction of rights or absence of them in general in the health care system. In the context of investigation, I understand ethics, first of all, as health care specialists' behaviour norms which, first, ground on moral obligation to help a patient with disability without diminishing one's dignity. Inclusive health care

Elements: full and effective participation in society; on the basis of free and informed consent; raising awareness of the human rights, dignity, autonomy and needs of persons with disabilities through training Object: Promotion of full participation of persons with disabilities
My perception of inclusive health care, first of all, relates to the following statements of the Convention: full and effective participation when a patient is a full-fledged participant of the process, who receives just and comprehensive information in an acceptable form, has the rights to make decisions concerning one's treatment. In the sense of accessibility (Articles 1 and 25), only two aspects were pointed out: financial and physical (geographical). I understand accessibility in a much broader sense. It is likely that its concept in other articles of the Conventions will alter. Further in the present paper, grounding on the pointed out themes -Equal Rights -Discrimination and Ethics -Quality -Inclusive Health Care -Accessibility -the findings, new knowledge are being constructed and influence on Lithuanian system of health of people with disabilities is being formed.

Equal Rights
After carrying out investigation of the entire Convention on the theme Equal Rights, besides fundamental articles, semantic elements on the theme were found in the Preamble and eight articles: Articles 3, 4, 5, 6, 7, 12, 17, 23. The explored semantic elements were merged to six notional objects which were named as follows: Political Will; Body and Mental Inviolability; Right to Reproductive Health; Rights of Children with Disability; Equality between Men and Women; Legal Support.
The semantic object Political Will was highlighted in the Preamble, Article 3, General principles, and Article 5, Equality and non-discrimination. Namely these parts of the Convention express the political will emphasising that people with disabilities have equal and indisputable rights in general, including those related to health care: Principles of Equality between Men and Women are defined in Article 3, General principles, seeking to achieve (...) equality between men and women (Article 3). Concrete manifestation of equality is ensured by Article 6, Women with disabilities, which consider the situation and assurance of measures to ensure equal rights of women and girls: (...) women and girls with disabilities are subject to multiple discrimination, and in this regard shall take measures to ensure the full an equal enjoyment by them of all human rights and fundamental freedoms (Article 6). Moreover, Article 6 ensures continuous and comprehensive improvement of the situation, in the context of our investigation and health care system: (...) to ensure the full development, advancement and empowerment of women, for the purpose of guaranteeing them the exercise and enjoyment of the human rights and fundamental freedoms (Article 6).
Manifestation of the semantic object Legal Assistance, first of all, is related to the amendment of laws, legal acts and practice seeking equal rights,

Discrimination and Ethics
After carrying out investigation of the entire Convention on the theme Discrimination and Ethics, the semantic elements were found, besides fundamental articles, in the Preamble, Optional Protocol and five articles: 3, 5, 6, 15 and 31. The explored semantic elements were divided to six notional objects, namely: The semantic object Political Will Preventing Discrimination and Unethical Treatment was titled after the analysis of the notional elements in the Preamble, Article 3 (General principles) and Article 5 (Equality and non-discrimination).
Political Will Preventing Discrimination and Unethical Treatment is rendered by recognising (...) the diversity or persons with disabilities (Preamble); by respecting person's inherent dignity (Article 3); showing respect for persons with disabilities as part of human diversity (Article 3). Prohibition of discrimination of persons with disabilities in all aspects of life in general, logically linking to the system of health care, is manifested in Article 3 (nondiscrimination) and Article 5 (discrimination on the basis of disability).
Several notional elements reflect manifestation of the semantic object Active Stance of the State. By Article 5, Equality and non-discrimination, states parties seeking to prohibit discrimination on the basis of disability, in order to promote equality and eliminate THE RIGHT TO HEALTH CARE Ingrida Baranauskienė discrimination, (…) shall take all appropriate steps to ensure that reasonable accommodation is provided (Article 5). States parties must comply with internationally accepted norms to protect human rights and fundamental freedoms and ethical principles in the collection and use of statistics (...) (Article 31, Statistics and data collection). Moreover, states parties assume obligations to recognised the competence of the Committee on the Rights of Persons with Disabilities ("the Committee") to receive and consider communications from or on behalf of individuals or groups of individuals subject to its jurisdiction who claim to be victims of a violation by that State Party of the provisions of the Convention (Optional Protocol, Article 1).
The semantic object Prohibition of Discrimination against Women and Girls with Disabilities comprises two notional elements which have it that women and girls with disabilities constitute the social group which is subject to multiple discrimination (Article 6, Women with Disabilities); or violation of ethics: women and girls with disabilities (...) at greater risk (…) of neglect or negligent treatment, maltreatment (…) (Preamble).
Manifestation of the semantic object Respect for Children with Disabilities is revealed through a notional element found in Article 3 (General principles) emphasising that states are obliged to seek respect for the evolving capacities of children with disabilities and respect for the right of children with disabilities to preserve their identities (Article 3). No doubt, children's abilities and retaining of identity are primarily related to the categories of education, other psycho-social ones; however, the influence of health care, in my mind, is important as well. The

theme Discrimination and Ethics deals with a semantic object Prohibition of Degrading and Cruel Treatment: No one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment (Article 15, Freedom from torture or cruel, inhuman or degrading treatment or punishment).
Compliance with medical and scientific ethics is ensured by the semantic element of Article 15: In particular, no one shall be subjected without his or her free consent to medical or scientific experimentation (Article 15, Freedom from torture or cruel, inhuman or degrading treatment or punishment).
Manifestation of the theme on Non-discrimination and Ethical Treatment is complemented with a semantic object Assurance of Confidentiality. Article 22, Respect for privacy, reads that states must ensure privacy of (…) health (…) information (Article 22) and to comply with legally established safeguards, including legislation on data protection, to ensure confidentiality and respect for the privacy of persons with disabilities (Article 31, Statistics and data collection).

Quality
After investigating the entire Convention while focusing on the theme Quality, besides fundamental articles, the semantic elements of the theme were found in Article 4, General obligations, Article 9 Accessibility, and Article 26, Habilitation and rehabilitation. Having explored the theme, the following semantic objects have been singled out:  (...) (Article 29). States parties also assume obligation to involve persons with disabilities in the monitoring processes (Article 33): Civil society, in particular persons with disabilities and their representative organizations, shall be involved and participate fully in the monitoring process (semantic object Involvement of Persons with Disabilities in the Monitoring Processes).

Accessibility
Having conducted investigation of the Convention on the theme Accessibility, besides fundamental articles, semantic elements on the theme were found in the Preamble and six articles: Article 2, Definitions, Article 4, General obligations, Article 9 , Accessibility, Article 19, Living independently and being included in the community, Article 21, Freedom of expression and opinion, and access to information, Article 28, Adequate standard of living and social protection. After exploration of the theme, the following semantic objects have been found: Assurance of Multiple Accessibility (as a result of investigation of fundamental articles and the entire Convention); Perception of Disability; Universal Design.
Manifestation of the semantic object Perception of Disability is reflected by a statement of the Preamble reading that (...) disability results from the interaction between persons with impairments and attitudinal and environmental barriers (...) (Preamble). In the context of such perception, the theme Accessibility is specifically actualised.
Manifestation of the semantic object Assurance of Multiple Accessibility encompasses many spheres: conditions provided by political will, accessibility of physical environment, assurance of communication, accessibility to services, financial accessibility, accessibility conditioned by geographical environment etc. For instance, Preamble actualises political will concerning assurance of all rights: The research logic would require attributing the semantic object Universal Design to the object Assurance of Multiple Accessibility; however, seeking to emphasise importance of universality while adjusting environment, conditions and services, these objects were opted as separate ones. The obligation to apply a universal design is reflected in Article 2: (...) reasonable accommodation (...), (...) universal design (...) (Article 2) and Article 4, where states parties are obliged to ground on the universal design idea while preparing standards and other documents: promote universal design in the development of standards and guidelines (Article 4).
Findings. The thematic analysis based on inductive reasoning as well as the analysis of pointed out themes allow formulating the following findings: In the aspect of the theme Equal Rights, it was found that, when analysing fundamental articles of the Convention, semantic elements were highlighted in relation to the programmes of sexual and reproductive health sphere, insurance of health and life, full support in health care in case of any kind of disability in general (semantic objects Right to Reproductive Health and Full Health Care Support in Any Kind of Disability). Having explored other parts of the Convention, manifestation of the theme Equal Rights is complemented by the following semantic objects: Political Will, Body and Mental Inviolability, Rights of Children with Disabilities, Equality between Men and Women; Legal Assistance.
In the aspect of the theme Discrimination and Ethics, it was found out that the analysis of the fundamental articles of the Convention revealed those semantic elements related to discrimination on the basis of disability; dignity; the promulgation of ethical standards for (…)  In the aspect of the theme Quality, it was found that the following semantic elements became highlighted when analysing the fundamental articles: the highest attainable standard of health; population-based public health programmes; including early identification and intervention as appropriate; minimize (…) further disabilities; needed by persons with disabilities specifically because of their disabilities. Semantic elements of the analysis of the fundamental articles were merged to the following objects: the Highest Attainable Standards of Health; Accessibility and Availability of Health Promotion and Rehabilitation Programmes. After investigation of other parts of the Convention, manifestation of the theme Quality was supported by the semantic objects of the fundamental articles as well as highlighted new ones:

Research and Development; Training of Professionals and Staff.
In the aspect of the theme Inclusive Health Care, the analysis of the fundamental articles revealed the following semantic elements: full and effective participation in society; on the basis of free and informed consent; raising awareness of the human rights, dignity, autonomy and needs of persons with disabilities through training. The semantic elements of the fundamental articles were merged to a notional object Promotion of Full Participation of Persons with Disabilities. After exploring other parts of the Convention, it was found out that the manifestation of the theme Inclusive Health Care was supported by the semantic object In the aspect of the theme Accessibility, it was found that the analysis of the fundamental articles of the Convention revealed these semantic elements: the same range, quality and standard of free or affordable health care and programmes; services as close as possible to people's own communities (semantic object Assurance of Multiple Accessibility). After investigating other parts of the Convention, two semantic objects were found: Perception of Disability; Universal Design.
The findings allow formulating the conclusions: 1. The Convention on the Rights of Persons with Disabilities ensuring equal rights in the system of health care ensures that persons with disabilities have the right to the support of the political will, equal rights to full health care, right to reproductive health, body and mental inviolability, assurance of equal rights of children with disabilities, equality between men and women in the health care system and full legal assistance grounded on the Convention. 2. The Convention on the Rights of Persons with Disabilities safeguarding nondiscriminative and ethical services in the system of health care states that political will of states parties must prevent discrimination and unethical treatment; ensure dignity of persons with disabilities, non-discriminative standards of health care. A state party must take an active stance concerning issues of discrimination and ethics. Discrimination of women and girls with disabilities is prohibited; respect for children with disabilities is expressed. Cruel and degrading treatment is prohibited. Medical and scientific research ethics is fully safeguarded. The system of health care ensures confidentiality or persons with disabilities. 3. The Convention on the Rights of Persons with Disabilities ensuring quality of health care oblige states parties to seek the highest attainable standard of health, to ensure accessibility to and availability of preventive health promotion and rehabilitation programmes, to systematically and consistently develop scientific research and to apply them in practice, to provide conditions for professionals and all staff members to learn to ensure quality of services for persons with disabilities. 4. The Convention obliging the states parties seek full participation of persons with disabilities; inclusion of disability-related issues into sustainable development strategies of states parties on the parity basis; collaborate at all levels, both macro-and micro-levels, with representatives of persons with disabilities. Moreover, states parties must involve persons with disabilities into the monitoring processes.
5. The Convention on the Rights of Persons with Disabilities safeguarding accessibility in the system of health care obliges states parties to perceive disability as a problem of interaction among health, attitude and environment. In the context of such perception, the theme Accessibility is specifically actualised. States parties are obliged to ensure accessibility in all aspects: political will must provide conditions, physical environment, communications, services, financial accessibility, eliminated determination of geographical environment must be safeguarded. States parties are obliged to support the idea of the universal design.

Ingrida Baranauskienė, Klaipėda University
By employing the research methodology of thematic analysis, the paper presents the investigation of the Convention on the Rights or Persons with Disabilities in the aspect of the right to health care. The revealing of fundamental resolutions of the Convention on the Rights of Persons with Disabilities, manifestation of them in the aspect of the health care system are the object of the present paper; moreover, these emphasise the social relevance seeking to ensure comprehensive and equal use of all human rights and fundamental freedoms, dignity, full participation in public life and, naturally, health care system for persons with disabilities. The research problem is formulated within this context: What resolutions of the Convention on the Rights of Persons with Disabilities are the most important to successfully ensure persons' with disabilities rights to health care? What is the semantic manifestation of these resolutions and what are the contexts that ensure successful implementation of them? The research methodology grounds on the ideas of post-positivism and ethnographical approach. The analysis of the Convention on the Rights of Persons with Disabilities is based on the principles of thematic analysis. The thematic analysis based on inductive reasoning as well as the analysis of pointed out themes allow formulating the following findings. In the aspect of the theme Equal Rights, it was found that, when analysing fundamental articles of the Convention, semantic elements were highlighted in relation to the programmes of sexual and reproductive health sphere, insurance of health and life, full support in health care in case of any kind of disability in general (semantic objects Right to Reproductive Health and Full Health Care Support in Any Kind of Disability). Having explored other parts of the Convention, manifestation of the theme Equal Rights is complemented by the following semantic objects: Political Will, Body and Mental Inviolability, Rights of Children with Disabilities, Equality between Men and Women; Legal Assistance. In the aspect of the theme Discrimination and Ethics, it was found out that the analysis of the fundamental articles of the Convention revealed those semantic elements related to discrimination on the basis of disability; dignity; the promulgation of ethical standards for (…) health care (semantic objects Political Will Preventing Discrimination and Unethical Treatment; Dignity; Improper Standards of Health Care). After investigation of other parts of the Convention, manifestation of the theme Discrimination and Ethics is complemented by these semantic objects: Active Stance of the State; Prohibition of Discrimination of Women and Girls with Disabilities; Respect for Children with Disabilities; Prohibition of Degrading and Cruel Treatment; Assurance of Medical and Scientific Ethics; Assurance of Confidentiality. In the aspect of the theme Quality, it was found that the following semantic elements became highlighted when analysing the fundamental articles: the highest attainable standard of health; population-based public health programmes; including early identification and intervention as appropriate; minimize (…) further disabilities; needed by persons with disabilities specifically because of their disabilities. Semantic elements of the analysis of the fundamental articles were merged to the following objects: the highest attainable standards of health; accessibility and offer of health promotion and rehabilitation programmes. After investigation of other parts of the Convention, manifestation of the theme Quality was supported by the semantic objects of the fundamental articles as well as highlighted new ones: Research and Development; Training of Professionals and Staff. In the aspect of the theme Inclusive Health Care, the analysis of the fundamental articles revealed the following semantic elements: full and effective participation in society; on the basis of free and informed consent; raising awareness of the human rights, dignity, autonomy and needs of persons with disabilities through training. The semantic elements of the fundamental articles were merged to a notional object Promotion of Full Participation of Persons with Disabilities. After exploring other parts of the Convention, it was found out that the manifestation of the theme Inclusive In the aspect of the theme Accessibility, it was found that the analysis of the fundamental articles of the Convention revealed these semantic elements: the same range, quality and standard of free or affordable health care and programmes; services as close as possible to people's own communities (semantic object Assurance of Multiple Accessibility). After investigating other parts of the Convention, two semantic objects were found: Perception of Disability; Universal Design.