A/HRC/20/5 disabilities who have been victims of violence. Although some good examples were reported,53 specialized and accessible services seemed to be generally lacking. 47. Many of the obstacles hindering access to justice for women and girls with disabilities who have been victims of violence are also present when they request health and other services necessary to promote physical, cognitive and psychological recovery, rehabilitation and social integration. 48. The Special Rapporteur on violence against women, its causes and consequences has highlighted discrimination with regard to health care and services. In her report on multiple forms of discrimination, she pointed out that women who lacked social and cultural capital may be denied proper health or medical services, fear the consequences of asking for medical assistance, receive improper or low-quality care or live in places where no health services are available. Women who suffered from cognitive and/or physical disabilities were further negatively affected, since prejudices about disability were persistent in most countries and they therefore might not be viewed as requiring care or live in places where no specialized care was available.54 V. Conclusions and recommendations 49. There is a general lack of systematized and disaggregated data on violence against women and girls with disabilities. Where statistics exist, they are partial and only concern certain forms of violence. Many studies and several surveys show that women and girls with disabilities experience a high rate of violence by different actors and in different settings. 50. The violence experienced by women and girls with disabilities remains largely invisible, and current legislative, administrative and policy efforts often fail to link gender and disability in a meaningful way and to address adequately specific risk and vulnerability factors. 51. Programmes addressing gender-based violence often fail to take women and girls with disabilities into consideration. In addition, services are either unavailable or inaccessible, while many obstacles seriously hinder their access to justice. Programmes promoting the rights of persons with disabilities often fail to integrate a gender dimension. 52. A dual-track approach is needed to address violence against women and girls with disabilities. Programmes to prevent violence against women and ensure access to justice, protection measures and legal, social and medical services must be designed and implemented in a manner that ensures inclusion and accessibility by women and girls with disabilities.55 On the other hand, specific programmes and strategies targeting girls and women with disabilities should be implemented in accordance with international standards.56 A holistic approach aimed at eliminating discrimination, 53 54 55 56 For example, the Government of Sweden organizes summer camps for battered women with disabilities and crisis centre staff, at which participants have the opportunity to share their knowledge and experiences. In August 2011, the State of Illinois organized 10 workshops throughout the State for disability providers in order to enhance their response to persons with disabilities who experience sexual assault. A/HRC/17/26, para. 47. See CRPD/C/ESP/CO/1, paras. 21-22. Article 4 (a) of the Convention on the Rights of Persons with Disabilities requires States parties to take all appropriate legislative, administrative and other measures to prevent and punish violence 15

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