RI is a democratic organization governed by an Assembly - representing its member organizations - which meets annually to discuss the general policies of the organization. Members elect a President, currently Anne Hawkder of New Zealand, and Executive Committee every four years. The Executive Committee then appoints the Secretary General, currently Venus Ilagan of the Philippines. RI's headquarters are based in New York City, New York, USA.
RI is a matrix organization, with regional leadership in Africa, the Arab region, Asia, Europe, Latin America and North America as well as thematic commissions in particular fields of expertise, which assist in developing and expanding program activities in accordance with RI's strategic goals. Commissions include:
- Education Commission
- Health and Function Commission
- International Commission on Technology and Accessibility (ICTA)
- Leisure, Recreation and Physical Activities Commission
- Policy and Services Commission
- Social Commission
- Work and Employment Commission
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