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The missing billion - Access to health services for 1 billion people with disabilities

KUPER, Hannah
HEYDT, Phyllis
July 2019

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One billion people around the world live with disabilities. This report makes the case that they are being “left behind” in the global community’s work on health. This lack of access not only violates the rights of people with disabilities under international law, but UHC (Universal Health Care) and SDG 3 cannot be attained without better health services for the one billion people with disabilities. 

Health and healthcare are critical issues for people with disabilities. People with disabilities often need specialized medical care related to the underlying health condition or impairment (e.g., physiotherapy, hearing aids). They also need general healthcare services like anyone else (e.g., vaccinations, antenatal care). On average, those with disabilities are more vulnerable to poor health, because of their higher levels of poverty and exclusion, and through secondary conditions and co-morbidities. People with disabilities therefore may require higher levels of prevention, diagnosis, and treatment services. However, health services are often lower quality, not affordable, and inaccessible for people with disabilities. In many situations these barriers are even more significant for women with disabilities, compared to men with disabilities.

The Journal of Mental Health Training, Education and Practice, vol.12, no.4 Special Issue - Mental health pathways for people with intellectual disabilities: the education, training and practice implications

CHARNOCK, David
WRIGHT, Nicola
Eds
November 2017

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"This special edition aims to address some of the complexities and challenges faced in mainstream mental health services in three ways. First, to highlight the specific needs of people with intellectual disabilities and mental health problems. Second, to promote the importance of interdisciplinary working and learning in relation to mental wellbeing and intellectual disability, showcasing innovative approaches to care and finally, to offer a voice to specialists from intellectual disability practice and research to foster practical and conceptual thinking in relation to this group of service users"

There is a freely accessible editorial and there are six papers:

  • People with intellectual disabilities accessing mainstream mental health services: some facts, features and professional considerations
  • Psychiatry and intellectual disabilities: navigating complexity and context
  • Development and dissemination of a core competency framework
  • Mental health staff views on improving burnout and mental toughness
  • Using wordless books to support clinical consultations
  • Actors with intellectual disabilities in mental health simulation training

Full articles are not free.

Task shifting : rational redistribution of tasks among health workforce teams : global recommendations and guidelines

WORLD HEALTH ORGANIZATION (WHO)
2008

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These guidelines and 22 recommendations are designed to support for countries that face a high HIV burden and acute shortages within the health workforce. Task shifting involves the rational redistribution of tasks among health workforce teams. Specific tasks are moved, where appropriate, from highly qualified health workers to health workers with shorter training and fewer qualifications in order to make more efficient use of the available human resources for health. The key elements that must be in place if the approach is to prove safe, efficient, effective, equitable and sustainable, cover the need for consultation, situation analysis and national endorsement, and for an enabling regulatory framework. They specify the quality assurance mechanisms, including standardised training, supportive supervision, and certification and assessment, that will be important to ensure quality of care

Working together for health : the world health report 2006

WORLD HEALTH ORGANIZATION
2006

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"The 'World Health Report 2006 - Working together for health' contains both an expert assessment of the current crisis in the global health workforce and an ambitious set of proposals to tackle it over the next ten years, starting immediately"

Treating HIV & AIDS : a training toolkit

SMART, Theo
ALCORN, Keith
2004

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This training toolkit is designed to provide basic training on HIV treatment and care for health care workers in resource-limited settings, to support the safe and effective introduction of antiretroviral therapy

Guidelines for essential trauma care

MOCK, C
et al
2004

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These guidelines provide a series of resource tables for essential trauma care that detail the human and physical resources that should be in place to assure optimal care of the injured patient at a range of health facilities throughout the world. The health facilities range from rural health posts, to small hospitals staffed by general practitioners, to hospitals staffed by specialists, to tertiary care centres. They also offer a series of recommendations on methods to promote such standards including training, performance improvement, trauma team organisation and hospital inspection.
The guidelines are a collaboration between the World Health Organization, the International Society of Surgery and the International Association for the Surgery of Trauma and Surgical Intensive Care

Capacity Building

CALDERON, M Ricardo
Ed
December 1997

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This publication presents a theoretcial and practical means for the evaluation of organizational and institutional development in HIV/AIDS prevention and control programs in developing countries. It is based on experiences of measuring capacity building in more than 20 countries and 200 projects. It provides an instructive paradigm for the design and evaluation of HIV/AIDS prevention interventions worldwide

The manager|management strategies for improving health services

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This continuing education management publication presents in-depth discussions of management strategies for improving health and family planning services. Each issue focuses on a specific management topic and includes 'working solutions' from the field, practical tools and a 'Case Scenario' designed for use in staff development and training. Publication seems to have ceased in 2004
Four times a year
Free

Child health dialogue|(incorporating Dialogue on diarrhoea & ARI news)

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Child Health Dialogue offers clear, practical advice on preventing and treating the main childhood illnesses. In addition to information on clinical management, the newsletter addresses issues which affect health workers' and families' abilities to care for children, such as communication skills, organisation of health centres and hospitals, health education and training. Regular features include: guidelines for diagnosis and treatment; training tips; information on rational drug use; research updates; feedback from the field. Aimed at health and community workers at district level and below, a secondary audience includes health managers, policy makers and academics.
Regional language editions are produced in collaboration with partner organisations in developing countries as follows:
(English for India) CMAI, Plot 2, A-3 Local Shopping Centre, Janakpuri, New Delhi 110 058, India. E-mail: cmaidel@gems.vsnl.net.in Website: http://www.cmai.org/htmdoc/calend.htm
(Tamil) RUHSA, CMC, PO 632 209 North Arcot Ambedkar District, Tamil Nadu, India
(Gujarati and Hindi) CHETNA, Lilavatiben Lalbhai's Bungalow, Civil Camp Road, Shahibaug, Ahmedabad 380 004, India. E-mail: chetna@adinet.ernet.in
(Bangla) CINI, PO Box 16742, Calcutta 700 027, India
(Chinese) Institute of Medical Information, Chinese Academy of Medical Sciences, 3 Yabao Road, Chaoyang District, Beijing 100020, China
(Spanish) AIS Bolivia, PO Box 568, La Paz, Bolivia. E-mail: aisbolol@ceibo.entelnet.bo
(Portuguese) Consultants at the Faculty of Medicine, Eduardo Mondlane University, CP 257, Maputo, Mozambique. E-mail: medico@zebra.uem.mz
Four times a year

Comprehensive community based rehabilitation in Tanzania (CCBRT)

CCBRT

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This website provides information about the NGO Comprehensive community based rehabilitation in Tanzania (CCBRT). CCBRT comprises two community-based rehabilitation (CBR) programmes in Dar es Salaam and Moshi, a disability hospital, and an active international training programme. The website features general information about the organisation, current initiatives, details about their partners and related publications. This website is useful for people interested in CBR in Tanzania

Human resources for health development journal (HRDJ)|an international journal for development of human resources for health

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This open access, online journal publishes papers on all aspects of planning, producing and managing human resources for health - all those who provide health services worldwide. As such, it conveys the quantitative and qualitative products of research and analysis, and seeks to address policy issues and foster policy debate. It invites contributions from users of health services as well as from academics, policy-makers and practitioners in the health realm and from disciplines - such as the behavioural sciences, economics, law, geography and management - that impinge on health and health development
Three times a year
Free (Online)

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