This report presents the findings of the first-ever global survey led by Organisations of Persons with Disabilities (OPDs) on their participation in decision-making. It is the first attempt of this scale to monitor how Article 4.3 and Article 32 of the Convention on the Rights of Persons with Disabilities (CRPD) is turned into action. The exclusion of persons with disabilities from decision-making processes perpetuates and exacerbates their exclusion from all areas of society. When their perspectives are systematically ignored, this leads to public policies and programmes that are not responsive, not effective and continue to hinder their rights.