Celebrating the International Day of Care and Support
Living with Autonomy, Caring with Dignity
October 28, 2026
Deciding how to spend the day, leaving the house, managing your own money, taking part in community life, working, studying, resting, or simply doing something for yourself.
These are everyday activities that we often take for granted. Yet being able to decide what to do, who to be, and how to live depends not only on our aspirations, but also on the opportunities and support available to turn those aspirations into real choices. This is where public policy can help expand those possibilities—or, conversely, reinforce existing inequalities.
For many people with disabilities, a lack of appropriate support can limit those possibilities. For many women, taking on caregiving and support responsibilities is not a choice, even when caring for a loved one, and can mean less time to work, study, rest, or look after themselves. In both cases, expanding agency means expanding people’s real opportunities to make decisions about their own lives and pursue a life path of their choosing.
This idea connects with one of Amartya Sen’s most important contributions to human development: understanding development not simply in terms of the resources people have, but also their real freedoms and opportunities to lead lives they have reason to value. His capabilities approach places people’s agency at the center.
Looking at care through this lens changes the question. It is no longer just about who needs care and support and who provides it. We must also ask: What capabilities, choices, and life paths can we make possible by creating and expanding more inclusive care and support systems?
In Colombia, this question was at the heart of the Joint Programme on Unpaid Care, Disability and a Gender-Transformative Approach, implemented by UNDP, UNICEF, UNFPA, and UN Women in partnership with national and local institutions and organizations of persons with disabilities, with funding from the Global Disability Fund. Taking a human rights-based and intersectional approach, the programme addressed gender inequalities associated with care work and the barriers people with disabilities face in exercising their rights and living independently.
This integrated approach translated into complementary interventions led by the four agencies. As part of this joint effort, one initiative was an independent living pilot implemented by UNDP Colombia in Bogotá in partnership with organizations of persons with disabilities. The pilot combined efforts to strengthen independent living skills, support organizations, foster coordination with public institutions, develop tools to facilitate access to services and support, and strengthen and equip two Independent Living Centers.
What is an Independent Living Center?
The independent living model underpinning these centers is based on a transformative idea: all persons should be able to have control over their own life and decide what support they need and how they want to receive it. The centers provide spaces where people with disabilities can strengthen their skills, share knowledge, and develop tools to navigate everyday life with greater autonomy, while also connecting and engaging with their communities.
In the pilot implemented by UNDP Colombia, this meant working on practical skills such as managing daily activities and money, planning life goals, using public transportation, participating in community life, and generating income. Independent living workshops were held with 85 people with disabilities, and participating organizations were strengthened through the provision of equipment to create environments where these skills could be put into practice.
Opening of the Independent Living Center run by the ESCITI Foundation as part of the pilot implemented by UNDP Colombia in Bogotá.
The disability rights movement’s well-known slogan, “Nothing about us without us,” took concrete form in the pilot. Organizations of persons with disabilities were not simply recipients of resources or implementation partners; they played a leading role in developing the model. People with disabilities themselves facilitated the workshops, fostering peer-to-peer learning and taking an active role in strengthening the capacities of others and their organizations.
This brings us to another dimension of the agency Sen described: not only the ability to make decisions about one’s own life, but also the ability to participate in and help transform the environment in which we live.
When one person’s autonomy creates room for another’s
The experience also made it possible to explore a question of particular relevance to care policies: what happens to caregivers when people with disabilities gain greater autonomy?
At the end of the pilot, women caregivers who participated reported a reduction in the time and effort devoted to caregiving, as well as in physical and emotional strain. They also reported greater autonomy and participation in their own lives, alongside a stronger sense of autonomy among the people with disabilities they supported.
This offers an important lesson: promoting the autonomy of people with disabilities and recognizing and reducing the burden of care and support work are not separate agendas. They are goals that can advance hand in hand.
This is precisely one reason the initiative has potential beyond the pilot and could be adapted and replicated in other contexts. Its value lies in a model that brings together the leadership of organizations of persons with disabilities, the development of independent living skills and supportive environments, organizational strengthening, and connections with public services and institutions.
What kinds of lives do our care and support systems make possible?
Every year on 29 October, the International Day of Care and Support invites us to recognize the work that sustains our lives and societies. It also offers an opportunity to ask what kind of care and support systems we want to build.
The experience of the Joint Programme in Colombia offers both an invitation and practical tools to help build care and support systems that advance autonomy and rights. These are systems that do not take women’s time for granted as an inexhaustible resource for caregiving and support, and that incorporate the voices and leadership of people with disabilities from the outset.
A truly caring society will be one in which caring for others does not mean giving up on one’s own life plans, and receiving support does not mean giving up one’s autonomy.