"The Gaibandha Model" good practices guide outlines a framework for successful disability-inclusive disaster risk reduction programming. It is based on the experience of CBM and its partners in implementing community-based disaster risk reduction programs in some of the most flood-affected communities in Bangladesh. The model puts people with disabilities at the center of disaster risk reduction. They are the agents for change, working with the community to improve local systems of disaster prevention, preparedness and response to become more accessible and inclusive.
This 14-month exploratory research project aimed to increase the understanding of the links between disability and climate resilience, and in turn to support the delivery of policy and programme work that builds the resilience of people with disabilities to climate shocks and stresses.
The research comprises: an extensive literature review to identify the current evidence and gaps; a global online survey to identify current practices being implemented in the field around climate change and climate-related disasters, and the extent to which disability issues are addressed in programming; policy analyses, complemented by key informant interviews with policymakers and practitioners; and focus group discussions with people with disabilities in climate-impacted areas of Bangladesh and Kenya. This report synthesises the results of the desk- and field-based research, and outlines implications of the findings for policy and programming and identifies recommendations for further action. It is hoped that the findings highlighted in this report can be extrapolated to develop more disabilityinclusive practice and will also be applicable for other contextually marginalised people
"More than one billion people worldwide are estimated to be living with a disability. A significant proportion of them lives in Sub-Saharan Africa where they are reported to be at increased risk of HIV. However, quantitative evidence on this remains scarce. A systematic review and a meta-analysis of the risk of HIV infection among people with disabilities living in Sub-Saharan Africa were undertaken. We searched all published or unpublished studies and national surveys reporting HIV prevalence among adults with disabilities living in Sub-Saharan Africa between 2000 and 2013. The risk ratio (RR) of HIV infection in people with disabilities versus people without disabilities was estimated through a random-effects meta-analysis. Of the 12,252 references screened, 13 studies were selected. HIV prevalence varied widely across studies from 1.1% to 29%. Pooled RRs of HIV infection in people with disabilities compared to the general population were 1.31 (1.02–1.69) overall; 1.16 (0.71–1.87) among people with mental illness or intellectual disabilities and 1.07 (0.58–1.95) among people with hearing disabilities. This meta-analysis provides evidence that people with disabilities do not have a lower risk of HIV when compared to the general population, and that women with disabilities are especially affected. A clear increasing gradient in the risk of HIV according to gender and disability status was also observed. The important heterogeneity across studies and their varying quality warrant a closer look at the intersection between disability and HIV. Additional studies with more systematic approaches and with higher-quality methodologies are required to further address this knowledge gap"
AIDS Care : Psychological and Socio-medical Aspects of HIV/AIDS, Volume 26, Issue 12
This policy brief highlights the intersectionality between gender and disability and advocates that the unique situation of women and girls with disabilities be considered in the provision of protection for women and girls. It outlines the following five key issues for women and girls with disabilities: participation in political and public life, control over their own bodies and family planning, access to justice, education/employment and protection from gender based violence
These issues resonate with the current narrative for crosscutting goals on gender equality and the need for the post-2015 framework to be underpinned by human rights. The recommendations are both overarching (relating to gender equality and human rights) and are also specific to women and girls with disabilities
Post-2015 sustainable development goals : policy brief
This report presents key findings on the evidence from research studies on violence against women with disabilities (WWD) and evidence from interventions to prevent violence. Despite the greater vulnerability of WWD to gender-based violence (GBV), this report recognises that more research and innovation is needed to develop effective responses, including the identification of risk factors, especially in low-middle income settings. It notes the absence of publications on GBV against WWD, the lack of rigour and demonstrable effectiveness of interventions so far and presents key lessons learned and conclusions. This resource is useful for anyone interested in prevention of violence against women and girls with disabilities
"There is a general lack of knowledge regarding disability and especially factors that are associated with disability in low-income countries. We aimed to study the overall and gender-specific prevalence of disability, and the association between exposure to traumatic events and disability in a post-conflict setting. We conducted a cross-sectional community based study of four Greater Bahr el Ghazal States, South Sudan (n = 1200). The Harvard Trauma Questionnaire (HTQ) was applied to investigate exposure to trauma events. Disability was measured using the Washington Group Short Measurement Set on Disability, which is an activity based scale derived from the WHO’s International Classification of Disability, Functioning and Health. The estimated prevalence of disability (with severe difficulty) was 3.6% and 13.4% for disability with moderate difficulties. No gender differences were found in disability prevalence. Almost all participants reported exposure to at least one war-related traumatic event. The result of a hierarchical regression analysis showed that, for both men and women, exposure to traumatic events, older age and living in a polygamous marriage increased the likelihood of having a disability. The finding of association between traumatic experience and disability underlines the precariousness of the human rights situation for individuals with disability in low-income countries. It also has possible implications for the construction of disability services and for the provision of health services to individuals exposed to traumatic events"
BMC Public Health, 13:469
"This study sought to compare the HIV knowledge and sexual practices of learners with mild/moderate intellectual disabilities and non-disabled learners (NDL) in Nigeria. Findings could help in the development of HIV interventions that are accessible to Nigerian learners with intellectual impairments"
Journal of the International AIDS Society, Vol 16
This report presents the findings of a situational assessment that explored the risk factors and vulnerabilities of women and men with disabilities to sexual and gender-based violence (SGBV) and highlights the complexity of addressing SGBV, sexuality, and the stigma and discrimination that is part of the daily reality for persons with disabilities. Recommendations are provided for various stakeholder groups
SD/ RS 05
This video features HIV and AIDS prevention and education initiatives in Kenya. It particularly targets the youth population due to a lack of available information and risk behaviours, such as sexuality, drug use and alcohol use. In order to prevent risks and present treatment options for the youth who are AIDS-carriers, several youth groups organized the following activities to prevent and fight the disease: street theatre for awareness-raising, group education sessions, and promotion of VCT services for communication and information. This video contains several testimonies and one features Mercy, a young girl who has AIDS after working as prostitute to feed her two children and is now involved in a support group
This article examines the inclusion of people with disabilities in situations of risk, including armed conflict. It highlights that a combination of mainstreaming disability and specifically targeting groups within humanitarian work is most likely to lead to greater inclusion and long-term benefits for the whole community. This article is useful to people interested in disability, conflict and emergencies
To access this article, users need to register (free) online
The Lancet, Vol 374, Issue 9704
This study assesses the vulnerability, impact and coping mechanisms of disabled people on HIV and AIDS, and suggests strategies for developing an HIV and AIDS programme for disabled people’s organisations. Using participatory methodologies of inquiry, the study found that disabled people perceive themselves to be at higher risk of HIV infection due to their disability, regardless of their awareness levels. Their social exclusion from the mainstream HIV/AIDS services makes the situation worse. The study revealed that the many myths and misconceptions around HIV and disability increase the vulnerability of disabled people to HIV/AIDS, such as the belief that sex with a disabled person cleanses a person of HIV/AIDS. It also revealed that disabled people have limited access to HIV/AIDS information and limited use of HIV/AIDS services mainly because of the nature of their disability, the location of the facilities and the attitudes of service providers. In conclusion, the study revealed that disabled people are at a higher risk of infection by sexually transmitted infections and HIV/AIDS due to their exclusion from mainstream HIV interventions. This situation is further exacerbated by the lack of policy framework on disability and HIV and AIDS
This report presents the main risk factors for disability in old age and how it can be prevented. It provides a synthesis of the best available evidence, including a summary of the main findings and policy options related to the topic. It is useful for people interested in disability in old age
This book presents 'an explanatory model for the causes and consequences of disease, trauma and other disruptions to a person's integrity and development'. It approaches the challenge of creating a classification system from a perspective of social change, human rights and equal opportunities. Specific issues addressed in the book include: the person-environment interaction; positive concepts; disability as the situational result of social participation; extrinsic and intrinsic distinction (or environmental/situational versus personal dimensions); the ethics of applying the classification system in different situations
Source e-bulletin on Disability and Inclusion