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Community volunteers : an asset for detecting and following up children with disabilities

INTERNATIONAL CENTER FOR EVIDENCE ON DISABILITY (ICED)
December 2012

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This video presents a  recording of a seminar held at the London School of Hygiene and Tropical Medicine (LSHTM) in November 2012.  The seminar explores the findings and recommendations from a four year CBM-funded project in Bangladesh and Pakistan to identify children with disabilities and connect them with appropriate rehabilitative services

Sexual Health of Women with Spinal Cord Injury in Bangladesh

LUBBERS, N P M
NURI, R P
VAN BRAKEL, W H
CORNIELJE, H
2012

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Purpose: To identify factors influencing the sexual health of women with spinal cord injury (SCI) in Bangladesh.

 

Methods: This study used both qualitative and quantitative methods. The quantitative part used a case-control design. Cases were women with SCI and controls were age-matched women without SCI. Questionnaires were used to collect data concerning the sexual health status of women. Multivariate logistic regression was done to determine which factors had an independent effect on sexual health. In-depth interviews were held with a sub-group of women from both groups, and interview guides were used. The in-depth interview data was subjected to content analysis.

 

Results: In total, 92 questionnaires were given out and 30 in-depth interviews were conducted. A relationship was found between physical factors and sexual health, as pain, vaginal dryness and physical discomfort were mentioned more frequently among women with SCI. Environmental and emotional factors such as stigma, satisfaction of the husband and support from the husband and friends had an influence on the sexual health of the women with SCI, as well as the other group of women.

 

Conclusions: From interviews it became clear that most of the women with SCI were dissatisfied with their sexual health as compared to the women without SCI. However, environmental and emotional factors such as attitudes, support and stigma, rather than physical factors, were the most important influences on sexual health in both groups of women.

Disability, CBR and inclusive development (DCID), 2012, Vol. 23 No. 3

2012

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Original Research Articles

  • Sexual Health of Women with Spinal Cord Injury in Bangladesh
  • Core Concepts of Human Rights and Inclusion of Vulnerable Groups in the Namibian Policy on Orthopaedic Technical Services
  • Quantitative Exploratory Evaluation of the Frequency, Causes and Consequences of Rehabilitation Wheelchair Breakdowns delivered at a Paediatric Clinic in Mexico
  • Attitudes of Students towards Peers with Disability in an Inclusive School in Nigeria
  • Impact Assessment of a Vocational Training Program for Persons with Disabilities in Bangladesh
  • Inclusion of Children with Hearing Impairment in Schools: A Survey on Teachers’ Attitudes
  • Assessing Children with Language Impairments: A Study on Kannada, a South Indian Language

Brief reports

  • Efficacy of Family Intervention in Acquired Head-Injury Cases in India
  • Functional Independence and Quality of Life for Persons with Locomotor Disabilities in Institutional Based Rehabilitation and Community Based Rehabilitation - A Comparative Study

Letters to the Editor

  • Perceptions of City Dwellers of Kolkata, India about Speech and Hearing Disabilities

Disability inclusive community based disaster risk management : a toolkit for practice in South Asia

O’MEARA, Claire
2012

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This toolkit, developed as part of Handicap International’s project ‘Make community-based disaster risk management inclusive in South Asia,’ addresses issues faced by persons with disability and attempts to ensure that services and systems are adapted to meet the diverse needs of the community in reducing risk. It has been designed for use by disaster risk management practitioners and policy makers who wish to understand more about how to make community based disaster risk management (CBDRM) inclusive of persons with disabilities.

 

The first part establishes the rationale for taking an inclusive approach, firmly establishing the links between disability and disasters and the need for action on inclusion. Part Two provides practical guidance on how to make core CBDRM activities inclusive. Separated into eight individual booklets, it takes each activity in turn and highlights what needs to be taken into account both in planning and in implementation. The Toolbox contains a number of tools to complement the advice given in Part Two and support good practices in implementation. These tools can be taken and used as provided or adapted for use as necessary

 

SD/PG 01

 

Impact Assessment of a Vocational Training Program for Persons with Disabilities in Bangladesh

NURI, Reshma Parvin
HOQUE, Tohidul
WALDRON, Samuel Matthew
AKAND, Mustafa Kamal
2012

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Purpose: The aim of this study was to evaluate the effectiveness of a vocational training programme in enabling 261 persons with disabilities to find employment in Bangladesh.

 

Methods: A qualitative method, which employed interviews and focus group discussions, assessed the effect of the training programme on key individual, societal and physical factors set out by the WHO International Classification of Functioning, Disability and Health (2001).

 

Results: 157 persons with disabilities (60%) secured employment after training. Of these, 74% reported that they were able to provide a better livelihood for their families, 92% reported increased social acceptance, and 83% reported improvement in overall quality of life. Of those who did not find employment, 15% cited issues related to the training course, 6% mentioned discriminatory attitudes of potential employers and 12% had problems related to physical access.

 

Conclusions and Implications: These results suggest that the vocational training programme improved the (re)entry of persons with disabilities into employment, which in turn aided their rehabilitation. However, discriminatory attitudes towards them at the workplace were reported.

 

 

Disability, CBR and Inclusive Development, Vol 23, No 3

Disability and poverty in developing countries : a snapshot from the World Health Survey

MITRA, Sophie
POSARAC, Aleksandra
VICK, Brandon
April 2011

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This paper outlines the economic and poverty situation of working-age persons with disabilities and their households in 15 developing countries. Using data from the World Health Survey, the study presents estimates of disability prevalence, individual-level economic well-being, household-level economic well-being, and multidimensional poverty measure. Detailed appendices are provided to support the results of the study. This paper is useful for people interested in the social and economic conditions of people with disabilities in developing countries
Social Protection Discussion Paper No 1109

Making a living last longer : insights into older people's livelihood strategies

ERB, Susan
2011

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This research report explores the challenges faced by older people in securing a sustainable livelihood in four countries. The research found that older people face significant barriers in achieving livelihood security due to lack of regular, predictable and sufficient cash income such as non-contributory pensions. Gender, destitution, and emergency preparedness emerged as cross-cutting issues that affect older people’s livelihood challenges regardless of location. The research also found that older people have only limited access to microfinance institutions (MFIs) and banks, and therefore to credit and savings facilities. It concludes by highlighting key guiding principles for governments, community-based organisations, NGOs, MFIs and others working to support older people to achieve greater livelihood security

Job ability

SUHINDRA, C.N
2011

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"This database provides various sources of information related to livelihoods opportunities for persons with disabilities in Bangladesh, India, Pakistan and Sri Lanka. Users can complete a registration form online to access information, guidance, support and learning opportunities, as well as search and apply for jobs. This resource is useful for people with disabilities interested in livelihoods opportunities"

Identifying and supporting vulnerable people in community-led total sanitation : a Bangladesh case study

FAWZI, A
JONES, H
2011

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Community – led sanitation often neglects the poorest and most disadvantaged people in society as they are often unable to participate. This paper looked at the experiences of three CLTS communities in Bangladesh. It found that a well being ranking, amongst other things, should be used to help identify vulnerable members in the community and that vulnerable people themselves strongly believe in the power of CLTS to improve their livelihoods and their importance in the participation of CLTS activities. Furthermore, vulnerable people are motivated to move up the sanitation ladder and most households have made improvements to their latrine. Finally, the installation of toilet seats on latrines to aid disabled people has in some cases decreased the sanitation independence of other household members 

Factors affecting recruitment and retention of community health workers in a newborn care intervention in Bangladesh

RHAMAN, Syed Moshfiqur
et al
2010

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This is a summary of research which investigated the reasons for high rates of community health worker (CHW) attrition in Sylhet District in northeastern Bangladesh. Well-trained and highly motivated CHWs are critical for delivery of many community-based newborn care interventions. High rates of CHW attrition undermine programme effectiveness and potential for implementation at scale

Effective use of assistive technologies for inclusive education in developing countries : issues and challenges from two case studies

GRONLUND, Åke
LIM, Nena
LARSSON, Hannu
2010

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This article presents a study that "conducted an in-depth case study of two developing countries, Bangladesh and Tanzania, and thoroughly reviewed existing (inclusive education) IE projects around the world and other relevant literature. Three experts in the field and 18 informants of the two selected countries were interviewed in person, by phone or by email. The analysis of findings from interviews and literature review shows that obstacles to effective use of (assistive technologies) AT for IE come from three different levels - school, national, and network"
IJEDICT, Vol 6, Issue 4

Shortcut to the frontline : supporting local NGOs on climate change in Bangladesh an INTRAC/PRIP Trust research report

LONNQVIST, Linda
et al
January 2010

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"This research project aims to understand the role of local (non-centralised Bangladeshi) NGOs in climate change work: their current situation, outlook and future prospects. It is a snapshot of how different NGOs in south-western Bangladesh approach the issue: small and large ones; ones that are well-connected internationally and those who are well-rooted in their ‘base’ communities; ones that deliver services to the stricken and those who fight for systemic changes. South-western Bangladesh is a region that is already under threat from climate change-resembling dangers such as cyclones and flooding, and much NGO activity is concentrated there"
Occasional Papers Series No 50

Disability inclusive flood action plan and WASH in a Bangladeshi community

BARI , Nazmul
GOPAL SAHA, Broja
January 2010

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“From October 2009 to July 2010, the Centre for Disability in Development (CDD), working in partnership with local non-government organisation (NGO) Gana Unnayan Kendra(GUK) and with the support of CBM Australia, implemented a pilot project titled Disability inclusive Disaster Risk Reduction Project (DiDRR). The DiDRR project broadly addressed inclusive disaster preparedness with a sub-component on improved water and sanitation access for PWD. This case study focuses on the project actions and resulting changes regarding disability inclusive water and sanitation before and during floods, and how it benefited not only PWD but also the wider community”

Case study 10

Child-centred disaster risk reduction : building resilience through participation : lessons from Plan International

PLAN INTERNATIONAL
2010

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This report “presents the results and recommendations of a five-year programme and…includes a series of case studies illustrating how child-centred Disaster Risk Reduction (DRR) supports the delivery of the Hyogo Framework’s Priorities for Action, as well as the realisation of children’s rights to education, health and participation within disaster risk contexts…Child-centred Disaster Risk Reduction is an innovative approach to Disaster Risk Reduction (DRR) that fosters the agency of children and youth, in groups and as individuals, to work towards making their lives safer and their communities more resilient to disasters”

Where disability meets climate change

ANSEL, Kate
December 2009

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This article highlights how climate change will affect disabled people. It presents the importance of ensuring that disability is on the agenda in global environmental discussions and raises the importance of including disability in policy through consultation with disabled people

State of the rights of persons with disabilities in Bangladesh 2009

DISABILITY RIGHTS WATCH GROUP
NATIONAL FORUM OF ORGANISATIONS WORKING WITH THE DISABLED (NFOWD)
December 2009

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This report is an assessment of the state of the rights of persons with disabilities in Bangladesh, with regard to the recent implementation of the Convention of the Rights of Persons with Disabilities (CPRD) of which Bangladesh is a signatory. The report analyzes laws and policies’ affecting the lives of disabled people in Bangladesh. This report would be of interest to disabled people and those who work in the disability sector in Bangladesh

Capacity building in network organisations : experiences from and practical guidelines for HIV and other networks

SLUIJS-DOYLE, José
November 2009

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This report assesses seven capacities of organisations of people living with HIV and other HIV network organisations to see what makes a well-functioning network. These capacities are: involvement and accountability; partnership alliances; leadership; knowledge and skills; internal communication; impact, outputs and external communication; and management and finance. The report looks at four network organisations in Eastern and Southern Africa, with secondary research drawn from networks in Bangladesh, Nepal and India. The findings and recommendations cannot be applied universally to capacity strengthening in all network organisations, but need to be adapted to the context of each particular group

The efficacy of community based rehabilitation for children with or at significant risk of intellectual disabilities in low and middle income countries : a review

ROBERTSON, Janet
EMERSON, Eric
HATTON, Chris
August 2009

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"The aim of the present review is to summarise evidence regarding the efficacy of CBR in relation to one particular ‘high risk’ group of disabled children; children with intellectual disabilities (ID)...Only 10 studies were identified for inclusion in the review of research on the effectiveness of CBR for children and adolescents with ID and these are summarised in Appendix Two. An examination of reviews on the effectiveness of CBR for all people with disabilities points to two main reasons for this low level of evidence. Firstly, CBR has not been the subject of a significant amount of rigorous evaluation. Secondly, children and adolescents with ID have not been the recipients of significant amounts of CBR. We will discuss the reviews on the effectiveness of CBR generally and indicate what they say about ID before outlining the extremely small amount of information available on the effectiveness of CBR for children and adolescents with ID"
CeDR Research Report 2009:4

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