National indicators on several key dimensions of health are not yet available because of the difficulties in reaching consensus on relevant definitions and measurements. The following health-related area has been identified as a priority for indicator development:
- Disability. The Forum has had a longstanding interest in developing an improved measure of child disability based on the functional difficulties experienced by children. The International Classification of Functioning, Disability, and Health for Children and Youth (ICF-CY) provides a broad conceptual framework and terminology that may be a useful guide for the development of a new measure of child disability. Recent progress on this front includes the work of UNICEF in collaboration with the Washington Group on Disability Statistics (WG). Based on the work of the WG in the area of adult measures of disability, the UNICEF/WG proposal includes 12 domains of functioning whose primary purpose is to identify children/youth (ages 2–17) that are at greater risk than children of the same age of experiencing limited social participation due to functional limitations. The proposed disability module includes the following: seeing, hearing, walking, self-care, communication, learning, emotions, behavior, attention, and coping with change; and two domains that measure more complex domains: relationships and playing.