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Inclusive Design and Accessibility in Medellín, Colombia. AT2030 Inclusive Infrastructure Case Studies
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Prepared by the Global Disability Innovation Hub and partners for the UK Foreign, Commonwealth and Development Office
Medellín, Colombia is the sixth and final case study city under the Global Disability Innovation Hub (GDI Hub) led and UK Aid funded AT2030 Inclusive Infrastructure sub-programme. Colombia’s second largest city, Medellín is well-known for its progress in urban development in the last 20 years, moving forward from its violent history. Medellín has been designated a district of innovation and is known for innovative urban projects such as its cable cars and electric escalators that connect higher altitude, low-income communities on the peripheries of the city. This case study explores the current state of accessibility and inclusion in the city for persons with disabilities and helps understand whether such urban innovations are inclusive for all the city’s residents.
Medellín is home to nearly 80,000 persons with disabilities and Colombia does have strong legal frameworks in place to support persons with disabilities. However, this case study found that the numerous laws and regulations are not always well implemented and there is also a need to consider more diverse disabilities in city planning and design.
The research took place in 3 phases between December 2022 and May 2023, combining both virtual and face to face approaches. Phase 1 focused on understanding the current state of accessibility through desk-based research and interviews. Phase 2 captured the lived experience of persons with disabilities through interviews, photo diaries and co-design activities. Phase 3 then synthesised the findings, running multiple in-person workshops to validate and create actions towards the creation of more inclusive environments. Thematic analysis was applied to understand the research data, identifying key themes across three different stakeholder groups of People, Policy, and Practice.
The themes identified span across daily life for persons with disabilities including, poverty, transport, housing, healthcare, public spaces and recreational activities. Quotes from participants are interwoven throughout the report and strengthen the concluding actions. The report recognises what has worked in Medellin as well as areas for improvement.
Inclusive Design and Accessibility of the Built Environment in Solo, Indonesia
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This case study builds a picture of the current state of inclusion and accessibility in the built environment and infrastructure in Solo, Indonesia, through engaging local stakeholders and communities and exploring the understanding of and potential for inclusive design to address some of the current barriers to inclusion.
Surakarta (known as Solo) is a city in Central Java, Indonesia, with a population of 557,606 people. The city has a strong history of inclusion, recognised as a great place for persons with disabilities in Indonesia to live. Solo city is a leader for inclusion in Indonesia, demonstrated through city regulations on disability inclusion that pre-date the ratification of the UNCRPD. There is great progress in implementing inclusive environments in Solo with numerous accessible infrastructures, but the city would benefit from a more holistic approach, support by a robust inclusive design strategy that integrates inclusion, sustainable and resilience to ensure long-term progress. One of the aspects that makes Solo unique is its strong community relationships, community-led approaches and leadership from the community is active and valued. This is also supported within urban governance, facilitating opportunities from grassroots leadership and inclusive participation for persons with disabilities.
The research identified that to create more inclusive environments, the physical infrastructure, planning and design is crucial, but equally important are the processes of inclusion and participation. Creating robust mechanisms of community participation and leadership is fundamental to ensure long term sustainable and continued progress to being a more inclusive city.
Across Indonesia, action towards inclusive cities is supported through the work of the Inclusive Mayor’s Network in Indonesia demonstrating country-wide leadership. The findings of this case study will serve Solo as a city but also have relevance for other cities across Indonesia and support the implementation of best practices found in Solo.
This is the third of six case studies of the Inclusive Infrastructure programme analysing the state of accessibility and inclusive design in low-resource contexts around the world.
Inclusive design and accessibility of the built environment in Varanasi, India: AT2030 Inclusive Infrastructure Case Studies
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This is the second of six case studies analysing the state of accessibility and inclusive design in low-resource contexts around the world. The six independent case studies will be analysed to develop a comparison report and finally a global action report that will offer evidence and recommendations that support making infrastructure, the built environment and urban development in low-resource settings more accessible and inclusive.
This purpose of this case study is to explore the state of inclusive and accessible environments for persons with disabilities in Varanasi, India, through engagement with policy, industry and community stakeholders (policy, practice and people). Through this engagement, the case study is developing evidence on the challenges and opportunities for implementing inclusive and accessible design in Varanasi and makes recommendations on local actions towards becoming a more inclusive city.
Traffic crash injuries and disabilities : The burden on Indian society
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Road crashes endanger the lives and livelihoods of millions of road users globally and in India. The risk of a road crash in low-income countries is three times higher than compared to that in high-income countries. Not only does it lead to untold and unaccounted for suffering and loss for victims and their families, but also, it drains the GDP of countries by claiming millions of economically productive young lives6. While it is recognized that RTIs affect the developed and developing world in different ways, it also impacts poor households and disadvantaged sections of the population within developing countries differently. World Bank commissioned a survey-based assessment study in association with the Save LIFE Foundation (SLF) to determine such differential impacts more objectively in India. This study aims to capture the socioeconomic realities and nuances of road crashes at the sub-national level in India. It seeks to document inter-linkages between poverty, inequalities, road users, and road crash outcomes by analyzing data from four States in India, i.e., Uttar Pradesh, Bihar ,Tamil Nadu and Maharashtra. The four states have been selected on the basis of several criteria including demographic and geographical representation, magnitude of fatality burden and socio-economic parameters such as economic growth, poverty rate and social welfare.
Global leaders renew commitments on road safety
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On 1st September 2020, the UN adopted a new Resolution on Road Safety to extend until 2030 the global commitments to improve road safety and launched the Second Decade of Action for Road Safety (2021-2030), thus encouraging greater efforts worldwide. This builds on the Ministerial Declaration adopted in Stockholm in February 2020 and integrates the joint key asks of the many civil society organisations that have been advocating, over the past years, for stronger global leadership on road safety.
The Global Alliance of NGOs for Road Safety, of which Humanity & Inclusion (HI) is a member, has convened and leveraged the diverse voices of road users, road crashes victims’ associations, local organisations and international NGOs. This Resolution represents a great achievement for the global road safety community.
Building the inclusive city - Governance, access, and the urban transformation of Dubai
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This book is an anthropological urban study of the Emirate of Dubai, its institutions, and their evolution. It provides a contemporary history of disability in city planning from a non-Western perspective and explores the cultural context for its positioning. Three insights inform the author’s approach. First, disability research, much like other urban or social issues, must be situated in a particular place. Second, access and inclusion forms a key part of both local and global planning issues. Third, a 21st century planning education should take access and inclusion into consideration by applying a disability lens to the empirical, methodological, and theoretical advances of the field
Disability, mobility and transport in Low- and Middle-Income Countries: A thematic review
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This paper discusses issues affecting the transport and mobility needs of people with disabilities in middle- and low-income countries and how disability intersects with a range of other factors to impact on transport needs, use and engagement. The paper is intended to stimulate discussion and identify areas for further research, and identifies a number of key issues that are salient to discussions around equitable and inclusive transport provision, including patterns of transport use, behaviour and experiences, solutions and policy directions, measuring access and inclusion, policies and intersectionality. The paper also identifies gaps in knowledge and provision, barriers to addressing these gaps, and some possible solutions to overcoming these barriers. These include shifting the focus from access to inclusion, reconceptualising how ‘special’ transport might be provided, and most importantly listening to the voices and experiences of adults and children with disabilities. Despite lack of transport often being cited as a reason for lack of inclusion of people with disabilities, there is surprisingly little evidence which either quantifies this or translates what this lack of access means to people with disabilities in their daily lives in low- and middle-income countries.
Sustainability 2020, 12(2), 589
https://doi.org/10.3390/su12020589
Accessibility of Public Buildings in Khulna, Bangladesh, for Wheelchair Users
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Purpose: Physical accessibility is one of the fundamental rights of wheelchair users in order to ensure their integration into society. After Bangladesh ratified the UN Convention on the Rights of Persons with Disabilities (CRPD) on November 30, 2007, there has been a paradigm shift in the government’s approach to ensure the welfare and rights of persons with disabilities through legislative and policy actions. This study assesses how accommodative the public buildings are for wheelchair users in Khulna, Bangladesh.
Method: All the public buildings in Khulna city - including government offices, public schools, colleges and universities, hospitals, libraries, post offices and court buildings - were visited to assess the presence and suitability of facilities for wheelchair users, such as accessible parking, ramps, elevators, doors, and essential interior facilities like water closets and drinking-water fountains. Bangladesh has no specific accessibility guidelines document, but accessibility requirements have been included in the Bangladesh National Building Code (BNBC) 2008. The study made its assessment using an abridged form of the Americans with Disabilities Act Accessibility Guidelines (ADAAG) and BNBC 2008.
Results: Only 6.7% (5) of the 75 public buildings were found suitable for wheelchair users. There is scope for modifications to be made in 28% (21) of the buildings which are currently unsuitable for wheelchair users.
Conclusion: The study revealed that public buildings are, in general, not very accommodative of wheelchair users. There is a need for modifications in infrastructure to ensure inclusive development of these individuals.
Report on accessibility audit in Kathmandu, Nepal
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In Nepal, the Accessible Physical Infrastructure and Communication Services directive for People with Disability 2013, is a key legal measure taken by the government for promoting accessibility. To supplement the government’s initiation in achieving the goal of making inclusive society for all, National Federation of the Disabled – Nepal (NFDN), in partnership with CBM, carried out accessibility audit of 150 public infrastructures as a model initiative. This included government buildings, public parks and open spaces, roads and streets, corporate sectors, commercial sectors and other infrastructures within Kathmandu valley and identified the remedial actions needed to make these sectors accessible for all including Persons with disabilities. To achieve this, a set of comprehensive audit tools and checklists were developed. The Kathmandu district, Lalitpur District and Bhaktapur District were assessed.
Making cities inclusive: safe mobility for persons with disabilities in developing countries
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A policy brief concerning safe and inclusive urban mobility is presented. Safe and inclusive mobility is not currently a universally recognised concept in international human rights instruments and development framework. The relationship of various global legal & policy frameworks with safe and inclusive urban mobility is discussed including:
- The UN Convention on the Rights of Persons with Disabilities
- The 2030 Sustainable Development Goals
- The New Urban Agenda
- The UN Road Safety Decade of Action
Recommendations for improved policies and actions are made:
- Recommendation 1: Recognise safe and inclusive mobility as a transversal issue for realising the Sustainable Development Goals and human rights
- Recommendation 2: Agree strong political and financial commitments to improve the safety of roads with a focus on vulnerable road users
- Recommendation 3: Provide safe and accessible urban mobility infrastructures applying universal design approach, all along the mobility chain
- Recommendation 4: Enhance participatory and evidence-based policy-making for a better governance of road safety, mobility management and urban planning
Inclusive urban mobility and road safety in developing countries
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Between 20 to 50 million people worldwide suffer non-fatal injuries in road crashes every year; around 1.25 million are killed. Unsafe roads also represent a major factor of social exclusion, especially for ‘vulnerable road users’. These include notably pedestrians, persons with disabilities, cyclists and children. They represent 46% of road casualties. Persons with disabilities are at higher risk of sustaining injuries from road crashes.
In this thematic brief, the importance of inclusive urban planning is emphasised. Urban mobility and road safety challenges discussed include: safe crossing points over roads; signage and information; collective transport (particularly buses); road design and layout, poor road markings or signposts and the lack of street lighting.
Case histories provided are: Engaging government and DPOs to improve safe and inclusive mobility in Burkina Faso; and Data, road safety and urban mobility in Vientiane, Laos
Recommendations for improvements in policies and actions are given under the headings:
1. Strengthening the policy and financial framework for safe and inclusive mobility action, based on evidence and through participative processes
2. Removing the barriers to safe and accessible mobility, focusing on: the built environment; transport and vehicles; people
Inclusive urban mobility and getting to school safely in developing countries
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For teenagers in developing countries, there is no greater threat to life than road traffic crashes: road crashes are the leading cause of preventable death of youth aged 15 to 29 years, and the second cause for those aged 5 to 14 years.(6) The risks are even higher for children with disabilities, who are also more exposed to non-fatal injuries from road crashes.
In this thematic brief, the importance of inclusive urban planning is emphasised. Urban mobility and road safety challenges discussed include: safe crossing points over roads and collective transport (particularly buses).
Two case studies are provided: Safer access to school for disabled students in Kenya; and School access and pedestrian safety improvements in Democratic Republic of Congo
Recommendations for improvements in policies and actions are given under the headings:
- 1. Strengthening the policy and financial framework for safe and inclusive mobility, based on evidence and through participative processes
- 2. Removing the barriers to safe and accessible mobility, focusing on: the built environment; transport and vehicles; people
Inclusive urban mobility and getting to work safely in developing countries
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The lack of safe and accessible roads in many cities in developing countries impacts negatively on employment opportunities for persons with disabilities. Between 20 to 50 million people worldwide suffer non-fatal injuries in road crashes every year; around 1.25 million are killed. Unsafe roads also represent a major factor of social exclusion, especially for ‘vulnerable road users’. These include notably pedestrians, persons with disabilities, cyclists and children. They represent 46% of road casualties. Persons with disabilities are at higher risk of sustaining injuries from road crashes.
In this thematic brief, the importance of inclusive urban planning is emphasised. Urban mobility and road safety challenges discussed include: safe crossing points over roads; signage and information; collective transport (particularly buses); accessing buildings such as offices or retail and driving with a disability.
Case histories provided are: Accessible transport as part of an inclusive jobs program in Senegal; and Modified vehicles and driving licenses for drivers with disabilities in Vietnam
Recommendations for improvements in policies and actions are given under the headings:
1. Strengthening the policy and financial framework for safe and inclusive mobility action, based on evidence and through participative processes
2. Removing the barriers to safe and accessible mobility, focusing on: the built environment; transport and vehicles; people
Road traffic injuries and rehabiliation. Factsheet.
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The rate of road accidents is increasing globally and the resulting deaths, injuries, physical disabilities and psychological distress are creating a tremendous negative economic impact on victims, their families and society in general, especially in low and middle income countries. Common impairments and activity limitations from road traffic injuries are musculo-skeletal injuries, spinal cord injuries (SCI), traumatic brain injury and psychological distress and depression. Different examples of rehabilitation across the care cycle are provided. A case study of brain injury in Laos is provided.
Road safety : focus on vulnerable users
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This advocacy briefing paper shows the challenges to implementing road safety, the benefits of safe roads for communities, the international legal framework that discusses road safety in policy, suggestions for what individual actors can do to increase mobility and vehicle safety, and finally how to measure the progress of road safety programmes
Policy paper
Spinal cord injury
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WHO factsheet on spinal cord Injury (SCI) presents key facts related to spinal cord injury (SCI). It includes the following details: background information; prevalence; demographic trends; mortality; the health, economic and social consequences of SCI; prevention; improving care and overcoming barriers; and WHO response
Fact sheet N°384
The global status report on road safety 2013 : supporting a decade of action
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"This report presents information on road safety from 182 countries, accounting for almost 99% of the world’s population. The report indicates that worldwide the total number of road traffic deaths remains unacceptably high at 1.24 million per year. Only 28 countries, covering 7% of the world’s population, have comprehensive road safety laws on five key risk factors: drinking and driving, speeding, and failing to use motorcycle helmets, seat-belts, and child restraints. This report serves as a baseline for the Decade of Action for Road Safety 2011-2020, declared by the UN General Assembly. This is the second in a Global status report series"
Helmet use among motorcyclists in Cambodia : a survey of use, knowledge, attitudes, and practices
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"Road traffic injuries (RTIs) are a leading cause of disability and fatality globally. Motorcycle-related injuries, mainly head injuries, and related deaths and disabilities are a significant contributor to the burden of disease in low- and middle-income countries (LMICs). Helmets have been proven to be an effective way to reduce the risk of head injury. As motorcycle use continually increases in Cambodia, head injuries and related deaths and disabilities are expected to rise. This article aims to assess the current status of helmet use in Cambodia, as well as the knowledge, attitudes, and practices among motorcyclists, in order to assist with better planning and implementation of injury prevention strategies"
Traffic Injury Prevention, Vol 13, Supplement 1
Moscow declaration
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This declaration from the first global ministerial conference on road safety acknowledges the global road safety crisis and recognises current initiatives. It highlights 11 resolutions and invites the UN to establish a Decade of Action for Road Safety from 2011-2020. This declaration is useful to those interested in road safety
First Global Ministerial Conference on Road Safety : Time for Action
Moscow, Russia
19-20 November 2009
Pages
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