It is reported that eight paraplegics – some of them paralysed for more than a decade by severe spinal cord injury – have been able to move their legs and feel sensation, after help from an artificial exoskeleton, sessions using virtual reality (VR) technology and a non-invasive system that links the brain with a computer. "After just 10 months of what the Brazilian medical team “brain training” they have been able to make a conscious decision to move and then get a response from muscles that have not been used for a decade". The work is part of the Walk Again Project.
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Participatory and emancipatory approaches in disability research are addressed through three research questions related to: the extent the participatory approach can encourage an active citizenship paradigm for the involvement of disabled people; the extent emancipation through research can contribute to the affirmation of a civil rights model of disability; and the extent it is possible to consider these approaches as tools that can support the design and implementation of socially innovative actions. The paper considers the academic literature and a reviews international documents, assuming a disability perspective
Considering Disability Journal. DOI: 10.17774/CDJ12015.2.2057584
About 6.25 billion people, 15 per cent of them persons with disabilities, are expected to be living in urban centres by 2050. Urbanisation has the potential to be an engineer for achieving sustainable and inclusive development for all. The current lack of environmental accessibility faced by people with disabilities, in particular in many cities in the world, presents a major challenge. As the international community prepares for the Third Global Conference on Housing and Sustainable Urban Development (Habitat III), which will take place in Quito, Ecuador, in October 2016, it is an apt and a strategic opportunity to promote an accessible and inclusive Urban Agenda.
This report is a compendium of promising initiatives and good practices that have emerged in recent yeas successfully promoting accessibility and inclusion of persons with disabilities, their rights, aspiration and contributions in the contexts of urban development. It countains findings and recommendations which were adopted at a UN expert group meeting, that may be helpful in informing the ongoing Habitat III discourses, the development of the New Urban Agenda as well as in furthering accessible and inclusive urban development
General principles requiring contextual adaptation regarding optimal policy related governance of health related rehabilitation in less resourced settings were developed from a literature review and realistic synthesis. A systematic review of literature published since 2003 was carried out. Multiple reviewers selected articles for inclusion in the realistic synthesis. A Delphi survey of expert stakeholders refined and triangulated findings from the realist synthesis. Context mechanism outcome pattern configurations (CMOCs) were identified from the literature and then developed into statements for the Delphi survey, whereby 18 expert stakeholders refined these statements to achieve consensus on recommendations for policy related governance of health related rehabilitation. Several broad principles emerged throughout formulation of recommendations: participation of persons with disabilities in policy processes; collection of disaggregated disability statistics; explicit promotion in policies of access to services for all subgroups of persons with disabilities and service-users; robust inter-sectoral coordination; and ‘institutionalising’ programmes.
The present document is a compilation of the written contributions of various major groups and other relevant stakeholders that have autonomously established and maintained effective coordination mechanisms for participation in the high-level political forum on sustainable development, in accordance with General Assembly resolution 67/290, on the theme of the high-level political forum, “Ensuring that no one is left behind”.
The document includes the submission to the HLPF Submission by the Stakeholder Group of Persons with Disabilities.
This briefing paper aims to encourage security managers and policy makers towards implementing disability inclusive safety and security protocols and standards as an integral part of Duty of Care within the humanitarian, development and private sector. Development of SOPs, guidelines and contingency plans, training, briefings, feedback and incident reporting mechanism are outlined. Examples are provided of a visually impaired person in a vehicle at a roadblock and of disability inclusive travel preparations.
Public health interventions can improve population health and reduce inequalities. However, we do not know how far these interventions – or the research that informs them – include the experiences of those with disabilities. Our research asked whether or not current research on public health could do better to include the experiences of those with disabilities. We began by looking at what has been written about the experiences of disability. What we learned was then used to explore how well current research on public health interventions captured the experiences of people who have disabilities.
We found that disability can affect anyone, at any age. It can also affect those who are already ill. There is no typical experience. Public health research has been slow to understand this. Disabled people face many different forms of disadvantage and discrimination. This often means that they cannot get the help that they need. It appears that research has not always recognised this and has ignored how people can ‘flourish’ and ‘thrive’ with a disability. Policy, therefore, has not always known how best to support disabled people and has often had no information on which to base decisions.
Following discussions with politically active disabled people and public health professionals, we aimed to provide advice to those involved in research. This included developing a decision aid, called IDEAS (Inclusion, Dignity, Equality, Accessibility and Intersectionality), which aims to help researchers, commissioners and policymakers to make decisions that are more sensitive to the experiences of disabled people. Encouraging researchers and commissioners to take disability more seriously should hopefully improve what we know about the experiences of disability. It should also help society to develop interventions that improve disabled people’s health. This includes asking disabled people about the research that they think is important and involving them in the research process, as well as making resources available to support their participation in research.
Our conclusions point out the importance of recognising a person’s right to respect and dignity, while also understanding the influence of the social conditions in which a person lives on his or her experience of disability.
This report was prepared to inform the discussions at the high-level political forum (HLPF) on sustainable development in 2016. The theme chosen for the HLPF is "ensuring that no one is left behind". The report builds on GSDR2014 and GSDR2015. The approach is of an assessment of assessments, documenting and describing the landscape of information on specific issues or nexuses of issues. Specifically, the report keeps the ‘science-policy interface’ and ‘SDGs as integrated system’ as main threads. Main topics include: ensuring that no one is left behind and the 2030 Agenda; the infrastructure – inequality – resilience nexus; perspectives of scientists on technology and the SDGs; inclusive institutions for sustainable development; and identification of emerging Issues for sustainable development. An annex addresses persons with disabilities specifically, highlighting their over-representation in the "furthest behind".
"A guiding lens for CESR's national enforcement work, the OPERA framework allows an assessment that triangulates outcomes, policies and resources to provide a much fuller picture of what a state is doing to promote the realization of specific rights. Importantly, it traces economic and social deprivations and disparities back to the actions or omissions of the state, to make the case that they constitute an injustice and a violation of human rights."
"The steps of the framework represent four broad dimensions (outcomes, resources, policy effects, and assessment), within which an inventory of relevant issues is grouped. They need not be carried out in a strict sequential order and can be adapted to focus on one step or sub-step over another, depending on the context"
"The study undertaken by the Center for Economic and Social Rights (CESR) and the Instituto Centroamericano de Estudios Fiscales (ICEFI) aimed to contribute to a broader reflection on the role of fiscal policy in complying with a state’s economic, social and cultural rights (ESCR) obligations. Despite being a middle-income country with the largest economy in Central America, Guatemala’s social indicators were alarming; with more than half the population living below the national poverty line and one in seven Guatemalans living in extreme poverty. The persistence of systemic inequality and discrimination could be partially explained by the legacy of almost 40 years of armed conflict, which did not end until the signing of the Peace Accords in 1996. Nevertheless, the stark contrasts between rich and poor suggested that the dismal state of ESC rights could not be attributed to limited state resources, but to the way in which they were distributed, this highlighted the need to hold the state accountable for its efforts to generate and manage resources equitably and in accordance with its human rights obligations.... Methodological case study on the use of available resources to realize economic, social and cultural rights in Guatemala
CESR has developed a simple, yet comprehensive four-step framework to analyze various aspects of the obligation to fulfill economic and social rights. Adopting the acronym OPERA, the framework incorporates different measures for specific human rights principles and standards,by framing them around four levels of analysis: Outcomes, Policy Efforts, Resources and Assessment.
A guiding lens for CESR's national enforcement work, the OPERA framework allows an assessment that triangulates outcomes, policies and resources to provide a much fuller picture of what a state is doing to promote the realization of specific rights. Importantly, it traces economic and social deprivations and disparities back to the actions or omissions of the state, to make the case that they constitute an injustice and a violation of human rights.
The purpose of this paper is to contribute to an increased understanding of the perceived and actual challenges humanitarians face in operational contexts as they apply the principles of humanity, impartiality, neutrality and independence. A snapshot is provided of four case studies; Colombia, Nepal, northern Syria and South Sudan. Through a combination of field research, headquarters interviews, desk research, and a webinar, views and observations are presented from the humanitarian community. These observations provide a glimpse into the challenges faced by principled humanitarians. As a result the paper puts forward seven recommendations intended to assist humanitarians and states to sharpen tools and strengthen approaches when implementing principled humanitarian protection and assistance. An addendum to this study provides perspectives from selected members of the donor community. This research was conducted through interviews with state representatives in Geneva, aiming to understand how donors perceive their responsibilities in upholding the humanitarian principles and the Good Humanitarian Donorship Principles. This final chapter highlights challenges faced by states while supporting principled humanitarian action, particularly in conflict zones. On the basis of this research, additional recommendations for both states and humanitarians are proposed to strengthen the adherence to the humanitarian principles
This compendium contains 20 case studies of public programmes in European countries that are successfully supporting business creation by people from disadvantaged and under-represented groups in entrepreneurship. The populations targeted by these programmes include youth, women, seniors, the unemployed, immigrants, ethnic minorities and people with disabilities. Each programme description details the programme’s activities and approach, assesses the challenges faced in development and implementation, and offers tips for successful transfer to other contexts.
Children with disabilities experience very high levels of violence, according to this research from Plan International and the London School of Hygiene and Tropical Medicine. The new study carried out in Uganda and Malawi provides valuable insights into the lives of children with disabilities. Key findings include:
- Girls and boys with disabilities experience extremely high levels of violence: 84% of children with disabilities surveyed reported having experienced some form of violence at school in the previous week.
- Girls with disabilities were more likely to report emotional and sexual violence than girls without disabilities.
- Children with disabilities find it difficult to access community-based child protection mechanisms, due to a range of barriers including environmental barriers, social barriers and institutional barriers.
This extremely important piece of research shows that if we don’t explicitly include, we exclude. In line with the aspiration of the Sustainable Development Goals to “leave no one behind” and with the UN Convention on the Rights of Persons with Disabilities, we therefore call upon Plan International and all other development actors to work together to stop the widespread violence against boys and girls with disabilities, and take concrete steps to include them in child protection mechanisms.
Amir, a nepalese boy aged 16, is an example and a great source of inspiration for all people. Born without the use of his arms and legs he creates beautiful art envolving poetry, songs and paintings.
MHIN is a network for the global mental health community to communicate and share knowledge, experiences and resources to improve the quality and coverage of care. Provides searchable innovations and resources. The community area hosts blogs, podcasts, webinars and forums.
Mental health programming is important in post-conflict settings such as South Sudan. Handicap International is currently implementing a project entitled “Touching Mind, Raising Dignity; to stop the stigma toward people with mental health problems” which aims to improve the social and community involvement of people living with mental health problems. This qualitative research study was conducted to understand local concepts linked to mental health problems and health-seeking in order to develop effective mental health interventions in the context of Juba, South Sudan. The study was conducted in four locations in Juba among community members, people with mental health problems, their caregivers and service providers. Focus group discussions & in-depth interviews were conducted with a total of 130 study participants. The interviews were conducted in English or by translating from Juba Arabic. The data was analysed using thematic analysis. Respondents used two wide categories when discussing people with mental health problems: mad (majnun) and sad and tired (mariid= sick). Substance abuse related madness and maratsarra (epilepsy) were genuine community concerns. Mild signs and symptoms were not recognized as mental health problems, the causes of mental health problems were viewed as numerous and complex, and mental health problems were believed to be common in South Sudan.
The paper aims to reduce the global knowledge gap pertaining to the impact of disability on school attendance, using cross-nationally comparable and nationally representative data from 18 surveys in 15 countries that are selected among 2,500 surveys and censuses. These selected surveys administered the Washington Group Short Set (WGSS) of disability-screening questions, covering five functional domains of seeing, hearing, mobility, self-care, and remembering, and collected information on educational status. The paper finds that (i) the average disability gap in school attendance stands at 30% in primary and secondary schools in 15 countries; (ii) more than 85% of disabled primary-age children who are out of school have never attended school; (iii) the average marginal effect of disability on primary and secondary school attendance is negative and significant (-30%), and (iv) countries that have reached close to universal primary education report high ratios of disabled to non-disabled out-of-school children and (v) disabled children confront the same difficulties in participating in education, regardless of their individual and socio-economic characteristics.
This report was presented to Member States at the World Health Assembly in May 2016 and is to be read in conjunction with A69/38: Draft global strategy on human resources for health: Workforce 2030. Report by the Secretariat. The vision of this work and report is to "Accelerate progress towards universal health coverage and the UN Sustainable Development Goals by ensuring equitable access to health workers within strengthened health systems". Objectives are "To optimise performance, quality and impact of the health workforce through evidence-informed policies on human resources for health, contributing to healthy lives and well-being, effective universal health coverage, resilience and strengthened health systems at all levels", "To align investment in human resources for health with the current and future needs of the population and of health systems, taking account of labour market dynamics and education policies; to address shortages and improve distribution of health workers, so as to enable maximum improvements in health outcomes, social welfare, employment creation and economic growth", "To build the capacity of institutions at sub-national, national, regional and global levels for effective public policy stewardship, leadership and governance of actions on human resources for health" and "to strengthen data on human resources for health, for monitoring and ensuring accountability for the implementation of national and regional strategies, and the global strategy". Global milestones by 2020 and 2030, policy options of Member States, responsibilities of the WHO Secretariat and recommendations to other stakeholders and international partners are discussed for each objective.
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