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Children with Disability in Nepal: New Hope Through CBR?

MOL, Tanja Ingeborg
BRAKEL, Wim Van
SCHREURS, Merel
2014

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Purpose: This study assesses the impact of a community-based rehabilitation (CBR) programme on the quality of life (QoL) of children with disability and their families.

 

Methods: A qualitative approach was applied, using two techniques - a ranking line and semi-structured interviews. Nineteen children (ranging from 4 –18 years of age) were interviewed in their homes located in three villages - Chapakhori, Bokraha and Madesha - in Nepal.

 

Results: Children with disability and their families ranked physical health, psychological health, empowerment and level of independence as the most important factors for their QoL. Of the 19 children, 13 had experienced positive changes in their life and 1 child reported a negative change. The positive changes related mainly to their physical health and functioning. The impact of these changes was felt in the ‘social’, ‘level of independence’ and ‘empowerment’ outcome categories. The children mentioned that they had more friends, experienced less stigma, could go to school and were more hopeful about the future.

 

Conclusions: This CBR programme has brought about changes in the QoL of all children with disability and their families. The majority of them reported a positive impact.

 

 

Manual on disability inclusive community-based disaster risk management

MALTESER INTERNATIONAL INCLUSIVE DRR ADVISOR AND PROJECT TEAM IN VIETNAM
et al
December 2013

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"This manual provides specific tips and recommendations on how to include people with disabilities in community-based disaster risk management (CBDRM) work; these tips are applicable to other socially marginalized groups such as illiterate people or ethnic minorities"

Financing disaster risk reduction : a 20 year study of international aid

KELLETT, Jan
CARAVANI, Alice
September 2013

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"The international financing of DRR, representing the international community’s support to national governments in their efforts to protect development gains from disasters, is coming under increasing scrutiny. This report examines the record of the international community to date, investigating the priorities in financing of DRR, and asking questions of both the equity and adequacy of past efforts. Beyond this it points to the future of a more rational, targeted investment in risk reduction"

Spatial variation in the disability-poverty correlation : evidence from Vietnam

MONT, Daniel
NGUYEN, Cuong
August 2013

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"Poverty and disability are interrelated, but data that can disentangle the extent to which one causes the other is not available. However, data from Vietnam allows us to examine this interrelationship in a way not previously done. Using small area estimation techniques, we uncover three findings not yet reported in the literature. First, disability prevalence rates vary significantly within a county even at the district level. Second, the correlation between disability and poverty also varies at the district level. And most importantly, the strength of the correlation lessens based on district characteristics that can be affected by policy. Districts with better health care and infrastructure, such as roads and health services, show less of a link between disability and poverty, supporting the hypothesis that improvements in infrastructure and rehabilitation services can lessen the impact of disability on families with disabled members"
Working Paper Series, No 20

Intergenerational poverty and disability : the implications of inheritance policy and practice on persons with disabilities in the developing world

GROCE, Nora Ellen
LONDON, Jillian
STEIN, Michael Ashley
2012

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"In this paper, we examine the existing data and discuss the implications of current inheritance policies and practices that affect the lives of persons with disabilities and their families, arguing that when persons with disabilities are routinely denied equal rights to inherit wealth or property, this denial has a profound impact on their ability to provide for themselves and their families. The stigma, prejudice and social isolation faced by persons with disabilities and the widespread lack of education, social support networks, and the right to appeal injustices at the family, community or national level, further limits the ability of persons with disability to contest inequities encountered in inheritance policies and practices"
Working paper series No 17

Characteristics of a safe and resilient community : community based disaster risk reduction study

ARUP INTERNATIONAL DEVELOPMENT
September 2011

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"This research report on the Characteristics of a Safe and Resilient Community has been prepared by Arup’s International Development team (Arup ID) on behalf of the IFRC as part of a wider Community Based Disaster Risk Reduction (CBDRR) Study of the Tsunami Recovery Programme (TRP). Specifically, this report draws on the experience of the TRP CBDRR programmes and current literature in order to identify the characteristics of safe and resilient communities; to understand how these characteristics changed over time and how RCRC interventions have contributed to this change"

Community based disaster risk management (CBDRM) guidelines

PARIPURNO, Eko
et al
2011

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This set of guidelines is designed to help Community Based Disaster Risk Management (CBDRM) practitioners in building community resilience to disaster risk by coping with hazards and working around the issues of capacity and vulnerability. It is focused on building capacity in mobilising community collective resources in managing disaster risk instead of building their dependence on external support and assistance. The first half of the document details the importance of CBDRM, whilst the second explores the various tools at practitioners disposal (e.g. participatory research tools, facilitation methodologies and community organising strategies).

Lessons from the evolution of a CBR programme for people affected by leprosy in Northern Nigeria

EBENSO, Bassey
et al
December 2010

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"This paper reviews the 13-year evolution of the social economic activities in Northern Nigeria from a welfare-oriented to a community-centred programme for people affected by leprosy...Findings revealed that the transformation among other things, demanded formulation of new programme policies and guidelines; and staff training in CBR principles and practice. Findings also showed that adopting CBR principles and community development projects can stimulate improvements in living conditions,self-esteem and acceptance of people affected by leprosy into the community"
Leprosy Review Journal, Vol 81

Health research for development initiative in Vietnam (HRDI ): impact evaluation results

WILLIAMS, Katherine
BUDIHARSANA, Meiwita
THI PHONG LAN, Nguyen
December 2009

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This evaluation report provides information about building health research capacity in Vietnam between 2004 and 2009. The Population Council Vietnam partnered with the Hanoi School of Public Health and Ho Chi Minh City University of Medicine and Pharmacy Faculty of Public Health to enahnce research skills, provide competitive awards and develop a network to link fellows to various national and international institutes and conferences. This report is useful to health and development practitioners interested in building health research capacity Vietnam

Overcoming the barriers for participation by the disabled : an appraisal and global view of community-based rehabilitation in community development

OLAOGUN, M O B
NYANTE, G G G
AJEDIRAN, A
June 2009

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"The number of people with disability worldwide, and particularly in the developing countries, is increasing due to wars, conflicts, vehicular accidents, chronic diseases, mental impairment, birth defects and malnutrition. Many of these people face participation-restriction in activities of life. This paper appraises the emergence and the global view of community-based rehabilitation (CBR). The review and remodelling of CBR in developing countries and its inclusion in community development will enhance the reintegration of the disabled individuals into the society"
African Journal of Physiotherapy and Rehabilitation Sciences, Vol 1, No 1

Mainstreaming HIV, AIDS and gender into culture|A community education handbook : part 2

WALLACE-KARENGA, Katrina
March 2009

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This second part of the handbook looks specifically at how culture, gender and HIV are connected. Studies undertaken in sub-Saharan Africa make it clear that certain cultural practices, together with the low status and economic power of women increase women and girl's vulnerability to HIV. It is a resource for community-based volunteers working with communities to mainstream HIV and gender through culture

CBR policy development and implementation

HARTLEY, Sally
OKUNE, Joan
Eds
2009

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This book provides an overview of current community-based rehabilitation (CBR) knowledge and shows how this information has been interpreted and implemented in the African context. It has been developed from conference presentations and discussions that took place in South Africa in 2007. It is useful for people interested in general CBR information and CBR in Africa

The straight talk campaign in Uganda : impact of mass media initiatives

ADAMCHK, Susan E.
et al
September 2007

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This summary report presents the findings of an evaluation of the Straight Talk mass media communication programmes to inform youth in Africa about sexual and reproductive health, which have been implemented in Uganda since 1993. The campaign was delivered through a radio show and two newspapers - one aimed at primary school children and one at secondary school students

Community based approaches to prevention of mother-to-child transmission of HIV : findings from a low income community in Kenya

KAAI, Susan-Baek
et al
August 2007

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This is the report of an intervention study in Kibera, an urban slum in Nairobi, to determine what effect three different community-based activities had on the utilisation of key prevention of mother-to-child transmission (PMTCT) services. The interventions included moving services closer to the population via mobile clinics, as well as increasing psychosocial support through the use of traditional birth attendants and peer counsellors as PMTCT promoters

Keep the best, change the rest : participatory tools for working with communities on gender and sexuality

INTERNATIONAL HIV/AIDS ALLIANCE
June 2007

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This toolkit aims to support community groups to work in a practical and thorough way on improving understanding and relationships between women and men. Through this, it aims to promote sexual wellbeing, strengthen communities and help them to prevent HIV. It is aimed at individuals and organisations that support communities to address HIV and AIDS and related issues. It is divided into five categories: A) gender, sexuality and vulnerability; B) sex and relationships; C) sexual violence; D) working together; and E) making a plan

Inclusion in action

LEWIS, Ingrid
March 2007

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This report aims to share learning from different experiences of inclusive education within a developing country context and review participatory, active learning approaches. It includes contributions from governmental officers in southern Africa as well as civil society members, project managers and disabled people. This well organised work, which is also available in Braille, concludes by addressing potential solutions and recommendations for further research. This resource would be useful to anyone with an interest in inclusive education and disability and development

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