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Disability and global health: Special issue of International Journal of Environmental Research and Public Health

KUPER, Hannah
POLAK, Sarah
Eds
2019

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Papers included in this special issue are:

 

Missing millions: How older people with disabilities are excluded from humanitarian response

SHEPPARD, Phillip
POLACK, Sarah
McGIVERN, Madeleine
July 2018

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The aim of this study was to explore the experiences of older people with disabilities across a range of humanitarian settings, considering:

  • whether older people with disabilities have additional needs and challenges accessing humanitarian assistance and protection
  • what factors facilitate or limit access by older people with disabilities to humanitarian assistance and protection
  • to what extent is humanitarian response inclusive of older people with disabilities

A systematic literature review of published studies was conducted. Key online humanitarian guidelines were explored to review how far they explicitly address older people with disabilities. Data from six population-based disability surveys comparing the living situation of older people with and without disabilities were analysed. These included databases from two crises-affected populations in Haiti (post-earthquake) and Palestine. Data from four non-humanitarian settings was also reviewed to explore more broadly the situation for older people with disabilities – India, Guatemala, Cameroon and Nepal. Interviews were held with older people with disabilities, members of their families and local key informants in two conflict-affected populations in Ndutu and Mtendeli refugee camps in Western Tanzania, and Donetsk and Luhansk regions of Eastern Ukraine to find out about their experiences. Staff of five international agencies working in humanitarian response were also interviewed. 

 

Findings highlight particular issues facing older people with disabilities in humanitarian crises: more risk escaping from danger;  barriers to accessing social protection and work; barriers to accessing health and rehabilitation services; barriers to accessing food and other essentials; unsuitable housing and poor living conditions;  insecurity and discrimination; threats to dignity and independence; social isolation and loneliness; risks to mental health; and missing from humanitarian response.

 

A table brings together the findings from the different components of the research to show the needs, risks, barriers and enablers for older people with disabilities identified in the research. Recommendations are provided to humanitarian donors, policy makers and practitioners

Everybody Matters: Good practices for inclusion of people with disabilities in sexual and reproductive health and rights programmes

Van SLOBBE, Caroline
November 2017

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This publication provides introductory chapters from two activists who work to create better opportunities for people with disabilities in Nigeria and India. Subsequently, the challenges that organisations worldwide have encountered whilst improving the access to and knowledge of sexual and reproductive health and rights for people with disabilities are presented. Ways in which they managed to find solutions and the results achieved are reviewed. Some cases show the importance of a more personal approach whilst others emphasise the advantage of changing systems and policies. Different regions, types of disabilities and various SRHR-topics are reflected in these stories. All cases provide lessons learnt that contribute to a set of recommendations for improved responses. The closing chapter highlights the challenges, solutions, and ambitions that are presented and lead up to a concise overview of recommendations.  

Good practice examples include:

A shift in SRH programming (Nepal)

Breaking Barriers with performance art (Kenya)

Her Body, Her Rights (Ethiopia)

People with disabilities leading the way (Israel Family Planning Association)

Best Wishes for safe motherhood (Nepal)

It’s my body! (Bangladesh)

Calling a spade a spade (Netherlands)

Four joining forces (Colombia)

Change agents with a disability (Zimbabwe)

Tito’s privacy and rights (Argentina)

Sign language for service providers (Kenya)

Training social facilitators in personalised social support: Trainers’ booklet

LAFRENIERE, Annie
RELANDEAU, Audrey
KIANI, Shirin
December 2015

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This booklet is the gateway for a training kit on personalised social support (PSS). The aim of this training course is to train social facilitators either in the personalised approach only, or in how to carry out a complete PSS process. The aim of this booklet is therefore to impart the methodological and educational components required to use the content of this training course to Handicap International’s (now Humanity and Inclusion) future PSS trainers. It therefore takes another look at the entire content of the PSS training course, explains the educational choices, presents the modules and other teaching tools created, and above all, provides advice/recommendations for future designers and trainers/facilitators on this theme. Throughout this booklet, internet links provide the reader with quick access to the content of training courses and other relevant resources

Include us in education! : a qualitative research study on barriers and enablers to education for children with disabilities in Nepal

ZUURMOND, Maria
et al
December 2014

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A 2013 Plan study across 30 countries found that children with disabilities were on average 10 times less likely to go to school than children without disabilities. This report presents the findings of a follow-up second phase to the research with a qualitative study on barriers and enablers to education for children with disabilities in Nepal. The research looks at the experiences of 21 children aged 6 to 16 years (8 of them had dropped out of school while one had never been enrolled) through in-depth interviews conducted with 21 families (20 caregivers and 13 children), 9 key informant interviews, and visits to two special schools and one integrated school. The report presents the findings and makes recommendations for the way forward

Include us in education! : a qualitative research study on barriers and enablers to education for children with disabilities in Nepal : executive summary

December 2014

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A 2013 Plan study across 30 countries found that children with disabilities were on average 10 times less likely to go to school than children without disabilities. This executive summary report presents the findings of a follow-up second phase to the research with a qualitative study on barriers and enablers to education for children with disabilities in Nepal

Fact sheet : refugees with disabilities

WOMEN’S REFUGEE COMMISSION
2014

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This factsheet highlights the issue of disabilities among refugees and conflict-affected population. It emphasizes actions undertaken by the Women’s Refugee Commission (WRC) and highlights their next steps in disability inclusion

Note: Also available in easy read format

Is menstrual hygiene and management an issue for adolescent school girls?|A comparative study of four schools in different settings in Nepal

WATERAID IN NEPAL
March 2009

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This report presents a study of adolescent schoolgirls’ perspectives and experience of management of menstrual hygiene. Data were collected from 204 adolescent school girls from four government secondary schools. Recommendations include: accurate and adequate information, address the lack of privacy (e.g. locks on toilet doors) and making sanitary pads available and affordable. This report is useful for people interested in adolescent school girls' menstrual hygiene management

Mainstreaming disability into disaster risk reduction : a training manual

ULMASOVA, Irina
SILCOCK, Nathalie
SCHRANZ, Björn
January 2009

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This manual aims to build professionals' capacities to mainstream disability in disaster risk reduction and to improve general knowledge on disability and disaster risk reduction. It is designed in a logical modular sequence, providing practical tools and guidelines for topic-related training sessions. Each training session is detailed with suggested time allocation, methods, tools and learning objectives. The information is based upon a 'Mainstreaming disability and people with disabilities into disaster management in Nepal' project, which was implemented by Handicap International in December 2007. A CD-Rom is available to accompany the manual. This manual is useful for people interested in mainstreaming disability into disaster risk reduction

Creating user-friendly water and sanitation services for the disabled : the experience of WaterAid Nepal and its partners

WATERAID NEPAL
March 2008

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'This paper reviews the social, technical, financial and policy barriers to meeting the water and sanitation needs of disabled people in Nepal', and provides solutions to overcome them. Case studies are highlighted, and recommendations given about improving coordination and collaboration in the sector to improve delivery of water and sanitation services to disabled people. This paper is useful for people interested in inclusive water and sanitation services

Case study on addressing sanitation needs of disabled people in Nepal

SHRESTHA, Guna Raj
January 2006

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This is an evaluation report of a pilot project in rural Nepal that developed, tested and ensured accessible latrines to disabled people. The report details and describes individualised adapatations for household latrines. It would be useful to people interested in accessible latrines for disabled people.
The project was implemented by WaterAid Nepal's partner NEWAH

Risk factors for participation restriction in leprosy and development of a screening tool to identify individuals at risk

NICHOLLS, PG
et al
December 2005

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This paper explores risk factors for participation restrictions experienced by people affected by leprosy. The objective was to develop a screening tool to identify individuals at risk. An initial round of qualitative fieldwork in eight centres in Nepal, India and Brazil identified 35 potential risk factors for participation restriction. This was further assessed through quantitative fieldwork in six centres in India and Brazil. In all, 264 individuals receiving leprosy treatment or rehabilitation services made a retrospective assessment of their status at time of diagnosis. Their level of participation restriction was assessed using the Participation Scale, and regression analysis identified risk factors for participation restriction. Four consolidated items were identified as the basis for a simple screening tool to identify individuals at risk: physical impact of leprosy, an emotional response to the diagnosis, female gender and having little or no education. Such a tool may form the basis for a screening and referral procedure to identify newly diagnosed individuals at risk of participation restrictions and the need of actions that may prevent such restrictions
Leprosy Review, Vol 76, Issue 4

Making latrines user-friendly for everyone|An exploratory research study on the discomfort faced by pregnant women, elderly, overweight, sick and disabled people when using squat latrines

NEPAL WATER FOR HEALTH WESTERN REGION OFFICE POKHARA
April 2004

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This study report explores the problems experienced by ‘physically challenged’ people, including pregnant women, elderly, overweight, sick and disabled people, when using squat latrines. The study methodology is outlined, and the results found that most of these users experience similar types of discomfort when using the latrines with some psychological stress. Latrine design solutions are provided with drawings and photos. This study is useful for people interested in accessible squat latrine design

Nepal starts Asian broadcasts with HIV/AIDS and development programming

UNITED NATIONS DEVELOPMENT PROGRAMME
June 2003

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This web article from the UNDP Newsfront details a programme started in June 2003, which uses satellite digital radio broadcasts to reach rural communities in Nepal with locally produced programmes. They give valuable information on HIV, AIDS and gender issues through a new initiative by UNDP and several other partners. Shows on early childhood development and micro-finance are being developed

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