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Rapid needs assessment of older people Cyclone Idai, Malawi

HELPAGE INTERNATIONAL
MALAWI NETWORK OF OLDER PEOPLES ORGANISATIONS (MANEPO)
March 2019

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In early March 2019, heavy rains and floods affected the majority of the districts in southern Malawi. At least 115,000 were affected, with scores of fatalities, injured and missing persons. The situation intensified when Cyclone Idai reached Malawi, increasing the devastation caused by heavy rain weeks earlier. When Cyclone Idai caused the Shire river to reach capacity and flood, the districts of Chikwawa and Nsanje were among the worst affected. The aim of this rapid needs assessment was to inform the design of  HelpAge International’s own humanitarian response to the devastating impact of Cyclone Idai on older people in Malawi. The Malawi Network of Older Persons’ Organisations (MANEPO) and HelpAge International jointly conducted the assessment in Chikwawa and Nsanje districts in March 2019. The report also aims to support organisations operating in the affected areas to develop inclusive programmes and support advocacy for the rights of older people to be upheld in the response. The report contains key findings of the assessment, together with observations and analysis. 

Challenges and priorities for global mental health in the Sustainable Development Goals (SDG) era

ACADEMY OF MEDICAL SCIENCES
June 2018

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Published in 2011, the Grand Challenges in Global Mental Health initiative provided a framework to guide the research needed to improve treatment and prevention of mental health disorders and expand access to mental health services. At the Academy’s workshop on global mental health participants reflected on progress since 2011, focusing on specific life-course stages, and identified priorities for research in treatment and prevention, as well as enduring challenges and emerging opportunities

Learning From Experience: Guidelines for locally sourced and cost-effective strategies for hygiene at home for people with high support needs.

World Vision/CBM Australia
May 2018

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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.

HYGIENE AT HOME FOR PEOPLE WITH HIGH SUPPORT NEEDS
This document is one of two developed in the Jaffna District and describes strategies that used to assist households and individuals in hygiene tasks at 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.

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

Good practice guide: embedding inclusion of older people and people with disabilities in humanitarian policy and practice Lessons learnt from the ADCAP programme

AKERKAR, Supriya
BHARDWAJ, Rhea
2018

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This guide shares good practices and challenges that have emerged through the experience of the Age and Disability Capacity Programme (ADCAP) implementing partners, in embedding inclusion of older people and people with disabilities within their humanitarian policies and practices. All mainstream and specialist organisations engaged in humanitarian responses can learn and benefit from this experience. This guide complements the ‘Humanitarian inclusion standards for older people and people with disabilities’ (see Appendix 4), by documenting practices that will help humanitarian organisations to systematically include older people and people with disabilities.

Nine change themes that reflect successful inclusion practices emerging from the ADCAP experience are presented. Each theme includes analysis — using examples of action from ADCAP implementing organisations, a set of good practice action points, and case studies detailing how change was brought about in different implementing organisations

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

WORLD VISION
CBM Australia
2018

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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.

HOME MODIFICATIONS FOR WASH ACCESS
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.

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

Discussion papers on the theme of the high-level political forum on sustainable development, submitted by major groups and other stakeholders

UNITED NATIONS ECONOMIC AND SOCIAL COUNCIL
May 2015

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A compendium of papers from various stakeholders setting out “established and maintained effective coordination mechanisms” for the high-level discussions on sustainable development and the post-2015 development agenda

High-level political forum on sustainable development, Convened under the auspices of the Economic and Social Council, 26 June-8 July 2015

E/HLPF/2015/2

Disaster resilience in an ageing world : how to make policies and programmes inclusive of older people

HELPAGE INTERNATIONAL
2014

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“This publication aims to promote age-inclusive resilience-building among practitioners and policy-makers. It gives a comprehensive overview of how resilience-building programmes should be designed and implemented to ensure the inclusion of older people. It also highlights the benefits of including and empowering older people through DRR and resilience-building activities. By applying an older people lens to DRR programming, which involves assessing the specific vulnerabilities and capacities of older people and encouraging them to take a more proactive role, we can support older people to become more resilient – with wide ranging benefits for themselves, their families, and their wider communities. We have included case studies to highlight good practice, demonstrating what can be achieved by working for and with older people” 

Disability transitions and health expectancies among adults 45 years and older in Malawi : a cohort-based model

PAYNE, Colin F
MKANDAWIRE, James
KOHLER, Hnas-Peter
May 2013

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This article presents the results of study that investigated how poor physical health results in functional limitations that limit the day-to-day activities of individuals in domains relevant to this subsistence-agriculture context. Participants came from 2006, 2008, and 2010 waves of the Malawi Longitudinal Survey of Families and Health, a study of the rural population in Malawi. The study found that individuals in this population experience a lengthy struggle with disabling conditions in adulthood, with high probabilities of remitting and relapsing between states of functional limitation. Given the strong association of disabilities with work efforts and subjective well-being, this research suggests that current national health policies and international donor-funded health programs in SSA inadequately target the physical health of mature and older adults
PLoS Med Vol 10, Issue 5

Community based homecare for older people in South East Asia

HELPAGE KOREA
2011

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This report explains the growing need for a continuum of care for the elderly in their home. Community based homecare is presented as an option that enables older people who have lost the ability to fully care for themselves to continue living as long as possible in their own home and community, independently or with their families. The benefits of community based homecare are described and lessons learned from HelpAge’s ROK-ASEAN programme are highlighted. This resource is useful for people interested in community based homecare for the elderly

Overview of available policies and legislation, data and research, and institutional arrangements relating to older persons : progress since Madrid

UNITED NATIONS POPULATION FUND (UNFPA)
HELPAGE INTERNATIONAL (HAI)
2011

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"The overall objective of the report is to assess and evaluate the implementation of the Madrid International Plan of Action on Ageing at national, regional and global levels, highlight good practices, identify gaps, and provide recommendations for further action by governments to mainstream ageing issues into national development frameworks, including laws, policies and programmes; poverty reduction strategies; and budgets to meet the needs of older persons. The information presented in this report is intended to provide the international community with an indepth understanding of the progressive realization of the objectives and recommendations of the Madrid Plan"

Documenting good practices at partner level

MUTUVI, Kavutha
MAINA, Gacheru
LACKEY, Douglas
2011

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This report documents the good practices of HelpAge and its partners while implementing a regional advocacy programme to mitigate the impact of HIV and AIDS among older people in six sub-Saharan African countries. It presents information about what is working and not working in different situations and contexts by highlighting and documenting the lessons learned and the process of what works, how and why. This resource is useful for anyone interested in the impact of HIV and AIDS among older people in Africa

Psychosocial care and support for older carers of orphaned and vulnerable children : programming guidelines

REGIONAL PSYCHOSOCIAL SUPPORT INITIATIVE (REPSSI)
HELPAGE INTERNATIONAL
2011

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"These guidelines were especially developed with the aim of impacting on the wellbeing of older carers living in situations of poverty and in a time of HIV and AIDS. The aim of this set of resource materials is to enable home based caregivers, development facilitators and peer counsellors to have relevant information and guidance on strengthening psychosocial care and support to older carers. The ideas proposed can be used individually or in groups as resource materials...The guideline comes in eight units...Each unit begins with an introductory section which gives community caregivers important background information about the topic being discussed. Each section is accompanied by four types of activities: reflection exercises, case studies, practical application and finally planning exercises and general tips...A range of annexes is appended to this guideline for more detailed reference to issues raised in the unit discussions"

The roles and influence of grandmothers and men : evidence supporting a family-focused approach to optimal infant and young child nutrition

AUBEL, Judi
2011

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"This report reviews both published and gray literature from the past 25 years that addresses intra-household roles and dynamics related to infant and young child nutrition-specifically the roles and influence of senior women, or grandmothers, and men. The report examines infant and young child nutrition and other maternal and child health interventions explicitly involving grandmothers and/or men and reports on each intervention’s effectiveness"

Building bridges: a home-based care model for supporting older carers of people living with HIV

HELPAGE INTERNATIONAL (HAI)
July 2010

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This summary guideline describes a model for supporting older home-based carers developed by HelpAge International in Tanzania, which is being implemented in several districts. The model has four elements: collecting baseline data, training older carers in home-based care and counselling, setting up support groups and linking older carers to services. This resource is useful to people interested in home-based care for supporting older carers of people living with HIV

Women and health : today's evidence tomorrow's agenda

ABOUZAHR, Carla
DE ZOYSA Isabelle
GARCIA MORENO Claudia
Eds
2009

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This is a report on women and health - both women’s health needs and their contribution to the health of societies. Women’s health has long been a concern for the World Health Organization but today it has become an urgent priority. This report explains why. Using current data, it takes stock of what is known about the health of women throughout their lives and across the different regions of the world

Older citizens monitoring in Ethiopia : a handbook

HUMPHREYS, Andrew
2009

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"The primary aim of this manual is to provide a guide for woreda governments, NGOs and communities to replicate an older citizens monitoring approach to development in the Ethiopian context. The guidance is developed from the experiences of a pilot project on older citizens monitoring which was implemented in several woredas of Ethiopia. The guide outlines 3 main sections: Establish the structure, Develop skills and capacity, and implement monitoring systems. Each section details the steps needed to plan and implement an older citizens monitoring project in the Ethiopian context in an approximate chronological order"

The impact of HIV/AIDS on older people in Cambodia

JOHN, Kylie
SAINSBURY, Candice
2009

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This report presents the findings of a study in 15 rural villages to obtain information on the roles of older people in HIV/AIDS affected households and to identify potential interventions to meet their financial, psychosocial and other support needs. Research methods included case studies, in-depth interviews and focus groups with older carers of children in Cambodia to understand their problems and to explore their support needs. The findings demonstrated that the HIV/AIDS epidemic has led to significant changes in the responsibilities and needs of older people and that older people in HIV/AIDS affected households are vulnerable to extreme poverty, and at times, destitution. The report concludes with recommendations for possible local response interventions to address the needs of older people impacted by HIV/AIDS

Older people in emergencies : considerations for action and policy development

HUTTON, David
2008

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This analysis highlights factors that particularly affect older people in emergencies, especially health-related concerns. It also proposes a strategy to raise awareness about older people in emergencies, and recommends policies and practices to address these considerations. It sets out objectives for the three phases of an emergency response: the preparedness phase; the emergency response and operations phase; and the recovery and transition phase

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