• uncertainty about who is eligible • a lack of clarity about the types of support covered by the scheme and the responsibility of other service systems • insufficient funds to cover all supports required • less funding than previously received • administrative delays in entering the scheme and reviewing plans.177 203. In July 2018, the Commission released a report on the challenges of the NDIS reform process, identifying essential elements to effective quality, safeguarding and oversight mechanisms. It made a series of recommendations regarding the incorporation of these elements into practice.178 (a) Non-therapeutic sterilisation of children with disability 204. Despite a specific recommendation from the Committee to prohibit nontherapeutic sterilisation of children, legislation still allows this to occur. Australian Lawyers for Human Rights told the NCC that: Sterilisation of a child in Australia can occur with an order from the Family Court or a guardianship tribunal, having consideration to the best interests of the child. ALHR [Australian Lawyers for Human Rights] is concerned that, in some cases, the 'best interests' of the child with a disability will be impacted upon by consideration of the interests of parents, carers and the broader health and disability support system, which may be contrary to the child’s wishes.179 205. There is very little data available about forced sterilisations of children in Australia. Recommendation 29: The Australian Government introduces legal protections to prevent sterilisation of children with disability without consent. 7.2 Health and health services (a) Health equality for Aboriginal and Torres Strait Islander children 206. The disparity in health status between Aboriginal and Torres Strait Islander children and their non-Indigenous counterparts remains a crucial human rights issue within Australia.180 36

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