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What are the most effective strategies for strengthening health systems for disability inclusive development? - Evidence brief

MACTAGGART, Islay
February 2021

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Health system strengthening refers to initiatives that improve one or more functions of health systems, leading to better health. There is a large body of evidence on what works to strengthen health systems in low- and middle-income countries (LMICs), much of which is aligned to the World Health Organization (WHO) health system building blocks (service delivery; health workforce; information; medical products, vaccines and technologies; financing; and leadership/governance). Despite the fact that some people with disabilities have additional health needs, and many face additional barriers to accessing healthcare, inclusion of people with disabilities is largely missing from this evidence base. Separately, a smaller evidence base exists on increasing the effectiveness of specific health-related services targeting people with disabilities, such as health-related Community Based Rehabilitation (CBR), rehabilitation services more broadly, and mental health services. This second evidence base is less closely aligned to the building blocks. Reviewing these outputs in parallel goes some way towards identifying effective strategies for strengthening health systems for disability inclusive development.

Health information-seeking behaviour of visually impaired persons in Ibadan Metropolis, Nigeria

SALAMI, Karibou
2018

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Persons living with visual impairments form a major group of people with various types of impairments in African countries. Little has been reported about the means and forms of information they seek to cope with their environment, and studies in Nigeria specifically, have not explored health information-seeking behaviour of visually impaired persons. This paper documents the health information-seeking behaviour of visually impaired persons (VIPs) in Ibadan Metropolis. A standardized questionnaire was administered to 200 VIPs sampled from two health facilities in Ibadan Metropolis. Most (66%) of the VIPs were partially sighted, 43% reported health issues as their most worrying challenge, while 20% reportedly had daily unmet health information needs. VIPs accessed information about medication for ailments from friends (45%), adopted herbal medication (50.5%) and /or indulged in selfmedication (21%). They reportedly had worse health (9.5%) status, while 4.5% reportedly remained worse off emotionally. The study concludes that VIPs considered health challenges and limited access to health information as their major concerns. Care for visually impaired persons should be incorporated in the primary healthcare routine and school health curriculum. Media programmes are also required to sensitise the general public about health information needs of VIPs.

 

Disability and the Global South, 2018 Vol.5, No. 1

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

The sustainability analysis process : the case of physical rehabilitation

BLANCHET, Karl
BOGGS, Dorothy
December 2012

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"This guide describes the Sustainability Analysis Process (SAP), a coordinated planning approach that aims to facilitate the development of a common vision of sustainability among various actors in a system. Specifically, it is a participatory process which outlines how to achieve consensus on a common vision, and how to define sustainability indicators that can be used to monitor progress towards this vision within the context of the national rehabilitation system. Ultimately, the SAP outlined in this guide is a practical tool that can help all actors in a system to understand the various components of sustainability and analyse the concept of sustainability in relation to their own system"

Development of a national overarching HIV/AIDS policy for Uganda : a review of the HIV/AIDS policy environment

UGANDA AIDS COMMISSION
January 2003

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This document sets out the strategic priority policy areas to guide the national response to HIV and AIDS in Uganda. These include: prevention of HIV transmission and STDs; provision of treatment, care and support to people living with HIV and AIDS; mitigation of psychosocial and socioeconomic impact of HIV and AIDS; promotion of research in the area of HIV and AIDS; co-ordination, capacity building and mobilisation of all sector and actors

Organization of services for mental health : mental health policy and service guidance package

WORLD HEALTH ORGANIZATION (WHO)
2003

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"This publication aims to: present a description and analysis of mental health services around the world examining different services and their organization and activities; review the current status of service organization around the world; make recommendations for organizing services; discuss crucial issues in the organization of services; discuss barriers to the organization of services and suggest solutions. The publication is intended to be useful to a range of people, including policy-makers and health planners, governmental and non-governmental organisations, and people with mental disorders and their families"

South African health review 2001

HEALTH SYSTEMS TRUST (HST)
March 2002

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This is a comprehensive, authoritative and independent review of the South African health system. It is published annually and this year's edition is is made up of 17 chapters grouped into four themes: listening to voices, equity, information for health, accountability and transformation. The review acts as a barometer for assessing the transformation processes and their impact on provision of equitable health care to all in South Africa

Management of the child with a serious infection or severe malnutrition : guidelines for care at the first-referral level in developing countries

WORLD HEALTH ORGANIZATION (WHO). Department of Child and Adolescent Health and Development
2000

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A manual for use by doctors, senior nurses and other senior health workers who are responsible for the care of young children at the first referral level in developing countries. It presents up-to-date clinical guidelines, prepared by experts, for both inpatient and outpatient care in small hospitals where basic laboratory facilities and essential drugs and inexpensive medicines are available. The manual focuses on the inpatient management of the major causes of childhood mortality, such as pneumonia, diarrhoea, severe malnutrition, malaria, meningitis, measles, and related conditions. It is part of a series of documents and tools that support the Integrated Management of Childhood Illness (IMCI)

Management of the child with a serious infection or severe malnutrition : guidelines for care at the first-referral level in developing countries

WORLD HEALTH ORGANIZATION. Department of Child and Adolescent Health and Development (CAH)
2000

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A manual for use by doctors, senior nurses and other senior health workers who are responsible for the care of young children at the first referral level in developing countries. It presents up-to-date clinical guidelines, prepared by experts, for both inpatient and outpatient care in small hospitals where basic laboratory facilities and essential drugs and inexpensive medicines are available. The manual focuses on the inpatient management of the major causes of childhood mortality, such as pneumonia, diarrhoea, severe malnutrition, malaria, meningitis, measles, and related conditions. It is part of a series of documents and tools that support the Integrated Management of Childhood Illness (IMCI)

Learning resource center (LRC) toolkit

STOREY, Mark

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This comprehensive toolkit contains practical information and training materials on the technical aspects of running a resource centre. There are sections on databases, the Internet, marketing, writing grant proposals, searching for health information, computer software, and many more

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