A/70/297 E. Multiple and aggravated forms of discrimination 40. There are persons with disabilities across all population groups, including those historically discriminated against or disadvantaged, such as persons o f African descent, indigenous peoples, lesbian, gay, bisexual, transgender and intersex persons , and minorities. In the design and implementation of social protection programmes, States must acknowledge the multiple and aggravated forms of discrimination f aced by persons with disabilities belonging to these groups. 41. Social protection systems must also respond to the needs of heterogeneous groups within the disability community, including those that may be easily forgotten in policymaking, such as deaf persons, 41 autistic persons, and persons with psychosocial or intellectual disabilities. Impairment -specific considerations may be relevant for the purpose of providing targeted support services, for instance for people who are blind, deaf or deaf-blind. It is worth noting, however, that traditional disability-welfare approaches under the medical model de facto promoted inequality among the diversity of persons with disabilities by adopting legislation that benefited certain groups of persons with disabilities while excluding others. The deprivation of legal capacity faced by many persons with disabilities has also led to systematic discrimination in accessing their right to social protection and control over support provided. IV. Key elements to build disability-inclusive social protection systems 42. To ensure a comprehensive social protection system, States have an obligation to adopt national strategies and plans of action 42 that consider the equal rights of persons with disabilities. In this regard, the design, implementation and monitoring of those strategies and action plans must comply with the Convention on the Rights of Persons with Disabilities. Similarly, targets or goals have to include disability specific benchmarks and indicators, to monitor and evaluate whether social protection systems benefit persons with disabilities or not. A. Legal and institutional frameworks 43. States have to include the right of persons with disabilities to social protection in their domestic legal framework. Where national legal frameworks define entitlements to social protection benefits, rights-holders have a legal ground to claim their rights, and the system as a whole tends to be more stable and sustainable. 43 While the contributions to the present report illustrate a variety of approaches, existing legislation generally falls short in guaranteeing this right in its full extent to persons with disabilities on an equal basis with others. It is encouraging to note, however, that, in line with their obligations under the __________________ 41 42 43 14/25 A contribution to the present report illustrated an interesting measure to assist deaf persons though remote sign language interpreters via video connection when a deaf person visits a health centre. Committee on Economic, Social and Cultural Rights, general comment No. 19, para. 68. M. Sepúlveda and C. Nyst. 15-12544