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Disability Inclusive Development - Bangladesh Situational Analysis

THOMPSON, Stephen
June 2020

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This situational analysis (SITAN) addresses the question: “what is the current situation for persons with disabilities in Bangladesh?”. It has been prepared for the Disability Inclusive Development programme (which works on access to education, jobs, healthcare, and reduced stigma and discrimination for persons with disabilities in Bangladesh, Jordan, Kenya, Nepal, Nigeria, and Tanzania), to better understand the current context, including COVID-19, and available evidence in Bangladesh. It will be helpful for anyone interested in disability inclusion in Bangladesh, especially in relation to stigma, employment, education, health, and humanitarian issues.

Individualised funding interventions to improve health and social care outcomes for people with a disability: a mixed-methods systematic review. Campbell Systematic Reviews 2019:3

FLEMING, Padraig
et al
January 2019

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This Campbell systematic review examines the effects of individualised funding on a range of health and social care outcomes. It also presents evidence on the experiences of people with a disability, their paid and unpaid supports and implementation successes and challenges from the perspective of both funding and support organisations.

 

This study is a review of 73 studies of individualised funding for people with disabilities. These include four quantitative studies, 66 qualitative and three based on a mixed-methods design. The data refer to a 24-year period from 1992 to 2016, with data for 14,000 people. Studies were carried out in Europe, the US, Canada and Australia.

 

DOI 10.4073/csr.2019.3

Access to Social Organisations, Utilisation of Civil Facilities and Participation in Empowerment Groups by People with Disabilities in Maharashtra, India

GOVINDASAMY, Karthikeyan
DHONDGE, Suresh
DUTTA, Ambarish
MENDIS, Tina
2019

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Purpose: This survey aimed to assess the baseline level of access to social institutions, utilisation of civil facilities and participation in empowerment schemes by people with disabilities in Amravati district of Maharashtra State, India.

 

Method: Sixty villages from two blocks in Amravati district were randomly selected for the survey. From these villages, 522 households were sampled and 3056 individuals were surveyed. Interviews were conducted with 590 individuals with disability from among the surveyed population. The structured interview schedule consisted of demographic data, access to social organisations, utilisation of civil services, and participation in empowerment schemes. 

 

Results: Locomotor disability was the most prevalent (44.6%) type of disability in the study area. Disabilities were more often present among male adolescents and young adults than among the older population and females. Over 50% of the study participants had no occupation (including children and students) and had not been to school. Only 48% had achieved secondary education and more. The proportion of disability among people belonging to Scheduled Castes and Scheduled Tribes was considerably higher than among the general population. Access to social institutions was less than 50% for most of the items, and was even lower among females. Except for the ration card and Aadhar card, civil services were generally under-utilised by people with disability. Only 3.2% of the participants were members of self-help groups, and not a single person was a member of the Disabled People’s Organisation.

 

Conclusions:  In the study area access to social institutions, utilisation of civil services and participation in empowerment schemes was very low.

 

Limitations: Data, including general socio-demographic, access and utility data, was not collected for the general population but was limited to people with disabilities. This restricted the scope for comparison between people with and without disabilities.

 

 

Disability, CBR and Inclusive Development, Vol 30, No 1 (2019)

Improving social inclusion and empowerment for people with disabilities in low- and middle-income countries: why does it matter and what works?

WHITE, Howard
SARAN, Ashrita
POLLOCK, Sarah
KUPER, Hannah
July 2018

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The aim of the Rapid Evidence Assessment (REA) is to provide an assessment of the effectiveness of interventions to improve social inclusion and empowerment for people with disabilities in low- and middle-income countries (LMICs). The studies included in this REA are taken from the Disability EGM prepared by the Campbell Collaboration for DFID under the auspices of the Centre for Excellence for Development Impact and Learning (CEDIL). Eligible studies included systematic reviews and impact evaluations published in English from 2000 onwards that assessed the effectiveness of interventions for people with disabilities in LMICs. The REA focused on studies identified by the EGM process that included ‘social inclusion’ or ‘empowerment’ as study outcomes and used the World Health Organization CBR matrix as a framework to categorise the different interventions and outcomes considered by the studies available. Evidence limitations and gaps were identified. 

There were 16 eligible primary studies, including studies conducted in 12 countries: Bangladesh (two studies), Brazil, Chile, China (two studies), Ethiopia, India (three studies), Kenya (two studies), Malaysia, Thailand, Turkey, Uganda, and Vietnam (two studies). Five of the studies concern interventions for people with physical or sensory impairments, nine for people with mental health or neurological conditions, and two for all disability types.

A human right to health : what about persons with disabilities?

HANDICAP INTERNATIONAL
2015

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This advocacy briefing paper presents key information about including people with disabilities in health systems. It highlights key health facts, related legal frameworks and explores issues such as lack of access to equitable healthcare and the benefits of equitable healthcare. It provides recommendations for stakeholders and suggests ways to measure progress

Advocacy briefing paper

Why should rehabilitation be integrated into health systems?

HANDICAP INTERNATIONAL
2015

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This advocacy briefing paper presents information about the importance of rehabilitation being integrated into health systems. It highlights a brief overview and definition of rehabilitation, and related key health facts and issues such as lack of access to rehabilitation, the value of rehabilitation and legal frameworks. It provides recommendations for stakeholders and suggests ways to measure progress

Advocacy briefing paper

Victim assistance factsheets

HANDICAP INTERNATIONAL
2014

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The factsheets were developed by Handicap International (HI) as a tool to provide concise information on what victim assistance (VA) is and on how to translate it into concrete actions that have the potential to improve the quality of life of mine/ERW victims and persons with disabilities. The factsheets target States Parties affected by mine/ERW, States Parties in a position to provide assistance, as well as organizations of survivors and other PwD, and other civil society - and international organizations.

 

This package consists of 12 factsheets. Six focus on a specific sector or public policy area that VA is an integral part of and the remaining six are dedicated to cross-cutting issues. With a view to promote synergies between different frameworks, each factsheet makes clear links with development sectors and issues.

 

The 12 topics include: Medical care, Rehabilitation, Psychological & psycho-social support, Education, Social inclusion, Economic inclusion, Gender, Empowerment, Accessibility & Access to services, Data collection, National Action Plans, Coordination, and International Cooperation and assistance

Mental health in post-crisis and development contexts

PÉGON, Guillaume
September 2012

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This brief provides an overview of Handicap International's activities in mental health in post-crisis and development contexts. Handicap International’s mental health projects specifically address the mental health of people with psychosocial and mental disabilities or with intellectual disabilities
PP brief No 3

Improved and standardized method for assessing years lived with disability after injury

HAAGSMA, JA
et al
2012

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"This article presents the results of study that aimed to develop a standardized method for calculating years lived with disability (YLD) after injury. The method developed consists of obtaining data on injury cases seen in emergency departments as well as injury-related hospital admissions, using the EUROCOST system to link the injury cases to disability information and employing empirical data to describe functional outcomes in injured patients. The novel method for calculating YLD after injury can be applied in different settings, overcomes some limitations of the method used to calculate the global burden of disease, and allows more accurate estimates of the population burden of injury"
Bull World Health Organ, 90

People with disabilities in the suburban areas of Maputo and Matola : local assessment

REDE PARA ASSISTÊNCIA ÁS VITIMAS DE MINAS (RAVIM) Handicap International Mozambique
Eds
April 2010

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"This report outlines the analyses and recommendations arising from the local assessment of the situation facing people with disabilities in nine of the capital’s suburban areas, performed by RAVIM and Handicap International between April 2009 and April 2010, as part of the "City and Disability" project. This assessment aimed to provide more information about the social representation of disability in the area, the socio-economic situation experienced by people with disabilities, the conditions for accessing health and social services, and lastly the operation of the local stakeholders system"

What really matters : a guide to person-centered excellence|Application for services for people with mental illness

THE COUNCIL ON QUALITY AND LEADERSHIP (CQL)
2010

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"This guide promotes quality improvement in behavioral health services and supports. These best practices and the resulting quality improvement initiatives can be applied across the range of supports and services for people with mental illness...This manual has eight main sections and each section contains a key factor with its success indicators. We use the term ‘factor’ to refer to the main area: for example, Person-centered Planning. Likewise, each factor has a number of ‘success indicators’ that describe critical aspects of the factor. For each success indicator there are three parts: a statement of the indicator; a brief explanation of the meaning behind this indicator; a description of how organizations apply this indicator in practice"

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”

The epidemic divide

HEALTH AND CARE DEPARTMENT, INTERNATIONAL FEDERATION OF RED CROSS AND RED CRESCENT SOCIETIES (ICRC)
July 2009

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The burden of epidemics of infectious diseases on the social and economic development of poorer countries is growing, but is not being sufficiently addressed. This paper argues that to reduce the impact of epidemics involves addressing complex issues that include prevention of disease, empowering communities, better access to health services at the community level, availability of health personnel and better infrastructure (especially for water and sanitation)

Advancing the sexual and reproductive health and human rights of people living with HIV : a guidance package

THE GLOBAL NETWORK OF PEOPLE LIVING WITH HIV/AIDS (GNP+)
et al
May 2009

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This resource examines the sexual and reproductive health benefit of reforms in diverse sectors. It makes 12 recommendations which highlight changes that must be made in health services, in the policy and legal arena, and in advocacy efforts. People living with HIV developed this guidance package to help policymakers, programme managers, health professionals, donors, and advocates better understand the specific steps that should be taken to support their sexual and reproductive health and rights

Disability and disasters : towards an inclusive approach | World Disaster Report 2007 : focus on discrimination

KETT, Martha
TWIGG, John
2007

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This chapter explores why people with disabilities are often ignored or excluded at all levels of disaster preparedness, mitigation and intervention, and the mechanisms now in place to redress this, including the recent UN Convention on the Rights of Persons with Disabilities; and what they are doing to make themselves more resilient to disasters

Life skills education for HIV prevention : a critical analysis

BOLER, Tania
AGGLETON, Peter
2005

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Challenges conventional wisdom that teaching life skills to young people would reduce HIV infection. The paper suggests that: there is disagreement about the definition of life skills; the introduction of life skills in the curriculum often creates problems, particularly in the schools of poorer countries; and that life skills are action-oriented, and may be alien to cultural contexts where people, especially the youth, are not encouraged to choose. While the paper does not intend to undermine the importance of life skills-based education in HIV contexts, its cautious and critical analysis may provide a useful tool for the improvement of related initiatives

World health report 2004 : changing history

WORLD HEALTH ORGANIZATION (WHO)
2004

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This report argues that a comprehensive HIV/AIDS strategy linking prevention, treatment, care and support for people living with the virus could save the lives of millions of people in poor and middle-income countries. At present, almost six million people in developing countries need treatment, but only about 400 000 of them received it in 2003. The World Health Report 2004 argues that a treatment gap of such dimensions is indefensible and that narrowing it is both an ethical obligation and a public health necessity. In September 2003 WHO, UNAIDS and the Global Fund to Fight AIDS, Tuberculosis and Malaria and their partners launched an effort to provide three million people in developing countries with antiretroviral therapy (ART) by end 2005 - the 3 by 5 initiative. This World Health Report shows how a partnership linking international organizations, national governments, the private sector and communities is working simultaneously to expand access to HIV/AIDS treatment, reinforce HIV prevention and strengthen health systems in some of the countries where they are currently weakest

National empowerment center

NATIONAL EMPOWERMENT CENTER

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The National Empowerment Center aims to help individuals and groups develop the knowledge and ability to transform the mental health service system toward a more recovery-oriented and consumer-and family-driven approach. The website contains information about the center, a listing of consumer-run organisation and advocacy groups in all 50 states, and links to related resources and events. This website is useful to people interested in mental health

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