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Learning from experience: Guidelines for locally sourced and cost-effective strategies to modify existing household toilets and water access

CBM Australia

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This learning resource is the result of a partnership between World Vision Australia and CBM Australia that aims to improve inclusion of people with disabilities in World Vision’s Water, Hygiene and Sanitation (WASH) initiatives, including in Sri Lanka. The guidelines are based on experiences and observations from World Vision’s implementation of the Rural Integrated WASH 3 (RIWASH 3) project in Jaffna District, Northern Province, funded by the Australian Government’s Civil Society WASH Fund 2. The four year project commenced in 2014. It aimed to improve the ability of WASH actors to sustain services, increase adoption of improved hygiene practices, and increase equitable use of water and sanitation facilities of target communities within 11 Grama Niladari Divisions (GNDs) in Jaffna District.

To support disability inclusion within the project, World Vision partnered with CBM Australia. CBM Australia has focused on building capacities of partners for disability
inclusion, fostering connections with local Disabled People’s Organisations, and providing technical guidance on disability inclusion within planned activities. World Vision also partnered with the Northern Province Consortium of the Organizations for the Differently Abled (NPCODA) for disability assessment, technical support and capacity building on inclusion of people with disabilities in the project.

This document is one of two developed in the Jaffna District and describes the strategies which were used to assist people with disabilities to access toilet and water facilities at their own home. The strategies were designed to be low cost and were developed using locally available materials and skills in the Jaffna District of Sri Lanka. Houses and toilet structures in the region were made of brick and concrete. No new toilets were built and modifications involved only minor work to existing household structures, water points and toilets.

The development of this learning resource was funded by the Australian Government's Civil Society WASH Fund 2.

Surviving polio in a post-polio world

BANKS, Lena Morgan
STEIN, Michael Ashley
April 2014

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This paper reviews what is currently known about disabled survivors of polio and highlights areas of need in public health research, policy and programming. Based on a literature review, discussion and field observations, the authors identify continuing challenges posed by polio and argue that the attention, funding and commitment now being directed towards eradication be shifted to provide for the rehabilitative, medical, educational and social needs of those for whom the disabling sequelae of polio will remain a daily challenge for decades to come

Social Science & Medicine, Vol 107

Gender & eye health : equal access to care


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The long-term goal is to achieve global gender equity in the use of eye care services and service outcomes. There is good evidence that in most developing countries, women are less likely to receive eye care services than men, particularly services that will prevent or treat blinding conditions. Added to the fact that women comprise more than half of the elderly population, and that the natural incidence of some blinding diseases (cataract and trachoma) is higher among women than men, this results in a situation where women account for 60-65 per cent of blind people worldwide. While there have been some successful programmes to improve gender equity in eye care, a more systematic approach needs to be adopted

Global strategy for further reducing the leprosy burden and sustaining leprosy control activities 2006-2010 : operational guidelines


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The purpose of these guidelines is to help managers of national health services to implement the new Global Strategy in their own countries. They will help managers to choose which activities can be carried out at the primary health care level and for which aspects of care patients will have to be referred. They suggest a greater emphasis on the assessment of disability at diagnosis, so that those at particular risk can be recognised and managed appropriately. They also cover prevention of disability, rehabilitation, recording and reporting and programme management. The French version of the guidelines is an unofficial translation

December 2005

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This website aims to make high quality manuals, field books and training courses easily available to groups who need them (free of cost to those in the South but with a contribution of $25 requested from those in the North); to encourage colleagues to be open to new knowledge and skills, to plan and stick to self-guided learning; to introduce topics which may be new to some people an to link users to resources, useful organisations, websites and materials; and to provide a place for users working in different countries in the South to stay informed. The resources are available online and cover a variety of topics in a clear, easy to understand format. It provides a number of guidelines including guidelines for writing reports [] and a simple guide to the web []

Source International Information Support Centre


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Provides details of over 20,000 materials on international health and disability issues, including books, manuals, reports, posters, videos and CD-ROMs. Many of the materials are unpublished literature produced in developing countries, and much is not recorded in other databases. Details of resources include subjects, keywords, price, publisher and distributor. This database references the Source collection which has been developed from the merger of the resource centres of Healthlink Worldwide and the Centre for International Child Health, and in partnership with Handicap International, UK and Exchange, to produce Source, an international information support centre, which aims to support health and disability activities worldwide

Community eye health|an international journal to promote eye health worldwide

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Provides continuing education for ophthalmologists, doctors, ophthalmic assistants, nurses and community health workers in developing countries. Features review articles and research updates on prevention of blindness as well as practical information on clinical procedures and treatment. Covers all aspects of eye care, with up-to-date information on ophthalmic practice and opinion. Places particular emphasis on the methods of prevention and cure available to community health workers
Four times a year
Free (developing countries)
£28.00/US$50 (elsewhere)

Connect (Child-to-Child e-newsletter)

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Aimed at health workers and teachers, this newsletter provides information on child-to-child activities worldwide, and provides an update on training courses and materials produced in the UK and elsewhere

Disability dialogue [formerly CBR news]

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Disability Dialogue exchanges information between disabled people and development, health and rehabilitation workers, and aims to promote disability equality, and good policy and practice. It focuses on practical information about community approaches and appropriate equipment. Regional language, braille and audio-cassette editions are produced in collaboration with partner organisations in developing countries as follows:
(Bangla) Social Assistance for the Physically Vulnerable (SARPV), PO Box 4208, Dhaka 1000, Bangladesh. E-mail:
(English for Africa and Portuguese) Southern Africa Federation of the Disabled (SAFOD), PO Box 2247, Bulawayo, Zimbabwe. Email:
(English braille and Indian language audio-cassette) Blind People's Association of India, Dr Vikram Sarabhai Rd Vastrapur, Ahmedabad 380 015, India. E-mail:
Languages: English / English braille / Bangla / Gujarati / Hindi / Portuguese / Audio-cassette editions are available for most languages Frequency: Three times a year Approx number of pages: 12 ill
The first three issues of Disability Dialogue and the last four issues of CBR News, produced by Healthlink Worldwide, are available on the Internet
Publication has now ceased

Ageways|practical agecare for development

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Aimed at all health workers, Ageways has an international focus on health issues, projects and programmes for older people. Provides practical ideas and information for people working with older people
Two times a year
Free online
£18/US$35 (elsewhere)


Source e-bulletin on Disability and Inclusion

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