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Promoting rights of people with disabilities in Indonesia (UN Partnership to Promote the Rights of Persons with Disabilities / UNPRPD) - Special edition, ILO Jakarta newsletter

ILO Jakarta
February 2018

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One of the first implementing countries of the UNPRPD was Indonesia. In Indonesia the project was jointly implemented between the ILO, WHO and UNESCO, in partnership with the national entities such as the Association of Indonesian Municipalities (APEKSI) and various disability rights non-governmental organizations (NGOs).

 

The newsletter has items on: 

  • Towards inclusive cities - Fourteen mayors across Indonesia signed the Charter of the Network of Indonesian Mayors for Inclusive Cities in Indonesia during the UN-sponsored High-Level Meeting of Mayors for Inclusive Cities
  • Towards inclusive employment - Mojokerto city in East Java is the first city in the country to conduct an inclusive job fair at the district level. The first two-day inclusive job fair was organized in 2014 and it has become an annual event
  • Employment assessments for people iwth disabilities - In collaboration with the University of Indonesia, the ILO conducted a study on Mapping Persons with Disabilities in Indonesia. The study reveals that there is an urgent need to increase the labour-force participation of people with disabilities
  • Rapid Assessment on Employment for Persons with Disabilities

 

Cross-sectional Survey to Assess Prevalence of Disability and Access to Services in Albay Province, The Philippines

HODGE, Marcus
BOLINAS, Amable
JAUCIAN, Erlynn
BONEO, Rebecca
SCHAPIRA, Allan
VILLANUEVA, Mary Mediatrix V
2017

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Aim:  A cluster randomized cross-sectional survey to assess the prevalence of disability and access to support services was conducted in Albay Province, the Philippines in April 2016.

 

Method:  The population-based survey methodologies developed by the Washington Group of the United Nations Statistical Commission and UNICEF were utilized.  A sample of 70 barangays (the 3rd level administrative division in the Philippines) was selected as clusters, with probability proportional to size, and 30 households were selected randomly in each barangay to be surveyed.

 

Results:  The estimated prevalence of disability using the standard criteria of the Washington Group and UNICEF among children (2-17 years old) was 2.0% and for adults (≥18 years old) it was 6.5%.  The estimated prevalence of disability was higher in rural than in urban areas.  Deficiencies in the performance of existing services were identified; access by children with disabilities to support services was lowest in rural highland and rural plain barangays.

 

Conclusions: There was a large unmet demand for support services addressing the needs of persons with disabilities in Albay Province, especially in rural highland areas.  Persons with disabilities were disadvantaged in access to education and employment; many had not been educated in their basic rights.

 

Implications:  To identify, educate and fully support persons with disabilities, community-based rehabilitation (CBR), health and other rehabilitation services must communicate effectively with each other, their current work should be mapped and analysed, their comparative strengths identified, and their future work coordinated.  It is a priority to educate persons with disabilities and their families about their rights, and facilitate their access to support services; this requires increased investment in communication targeting persons with disabilities and the communities, especially rural.  Providers caring for persons with disabilities need to work in partnership to identify unreached persons with disabilities.  Prevalence surveys, with stronger focus on the profiles and performance of CBR and related services, would add to the evidence-base to improve the quality and coverage of services for persons with disabilities.

Ensuring universal access to eye health in urban slums in the Global South: the case of Bhopal (India).

PREGEL, Andrea
et al
October 2017

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In the context of its Urban Eye Health Programme in Bhopal (India), Sightsavers launched a pilot approach aimed at developing an Inclusive Eye Health (IEH) model and IEH Minimum Standards.

Accessibility audits were conducted in a tertiary eye hospital and four primary vision centres located within urban slums, addressing the accessibility of physical infrastructures, communication and service provision. The collection and analysis of disaggregated data inform the inclusion strategy and provide a baseline to measure the impact of service provision. Trainings of eye health staff and sensitisation of decision makers on accessibility, universal design, disability and gender inclusion are organised on a regular basis.

A referral network is being built to ensure participation of women, people with disabilities and other marginalised groups, explore barriers at demand level, and guarantee wider access to eye care in the community. Finally, advocacy interventions will be developed to raise awareness in the community and mainstream disability and gender inclusion within the public health sector.

Psychological well-being of adolescents with physical disabilities in Zimbabwean inclusive community settings: An exploratory study

MPOFU, Jabulani
SEFOTHO, Maximus M.
MAREE, Jacobus G.
2017

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Background: The purpose of this study was to explore the psychological well-being of adolescents with physical disabilities living in inclusive community settings of Makonde Urban in Zimbabwe. An inclusive community is one that aims to remove exclusionary practices within the community and promote community systems that accept all people irrespective of their difference. Inclusive communities on their own are not uniquely designed for people with disabilities, but most developing countries have adopted them as a basic strategy to influence and enhance psychological well-being of people with disabilities.


Methods: A constructivist lived experience perspective underpinned this research, in which multiple case studies were used to interact with the participants on inclusion and psychological well-being of adolescents with physical disabilities. Purposive sampling was used to select 14 participants (9 males and 5 females). Data were collected through face-to-face interviews and transcribed verbatim. Four themes emerged from the thematic analysis of data sources.


Results: It was found that participants who were adolescents with physical disabilities living in inclusive community settings of Makonde Urban in Zimbabwe were having high levels of autonomy and choice, purpose in life, positive relations with others and good personal growth and self-acceptance.


Conclusion: The findings of this study should enable inclusive communities’ policy-makers and researchers to better understand the psychological well-being of adolescents with physical disabilities living in inclusive communities.

Enabling inclusive cities - Tool kit for inclusive urban development

LINDFIELD, Michael
SINGRU, Ramola Naik
2017

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This Inclusive Cities Tool Kit presents an integrated approach to inclusive urban development (IUD).

 

This tool kit presents concepts and strategies for addressing technical and institutional challenges related to shelter, infrastructure, transport, climate change, and disaster risk management. Chapter 1 presents an IUD framework that sets out the underlying principles of accessibility, affordability, resilience, and sustainability for an integrated approach to IUD investments. It outlines the process for undertaking an inclusive urban assessment. Chapter 2 sets out a toolbox that includes assessment methodologies, implementation tool kits, and other resources for each step in the process. The tools are designed to mesh across three phases of the development of an inclusive urban redevelopment project—the initial data gathering, the assessment and options development, and the prioritization of preferred options.

 

This tool kit has been prepared for ADB staff and other stakeholders to engage in IUD programming and implementation as an integral component of the ADB lending programs in DMCs. It is a guide to assist staff in supporting city governments in DMCs to prepare and implement IUD plans. The tool kit is intended as a practical guide for mayors, local government officials, sector specialists, planners, and other decision makers involved in project programming and design of urban infrastructure projects in cities

Supporting Parents in Caring for Children with Disability in Ghana

BESTEN, Joyce den
CORNIELJE, Marije Tebogo
CORNIELJE, Huib
BOTWEY, David Norden
2016

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Purpose: This study assesses the factors that influence the wellbeing of caregivers and their children with a disability, in a rural and an urban site in Ghana. The wellbeing of parents, not surprisingly, influences the wellbeing of their children. A better understanding of the role and challenges faced by parents in caring for their child with a disability will help to improve existing services and support for children with disability.

 

Methods: Twenty-five parents of children with different disabilities participated in a PhotoVoice study. Photographs taken by parents, to show the challenges they experienced in childcare, were explained and discussed during focus group discussions. The Cantril Ladder was used to discuss subjective wellbeing.

 

Results: The photographs and discussions with parents indicated that the extensive time spent on their child, the child’s poor health status, and lack of educational opportunities had a negative influence on the wellbeing of both parent and child. Parents struggle to earn an income to provide for a child with disability. This often causes them to sink into (even deeper) poverty, and further increases the challenge to provide the (specific) care that a child with disability needs.

 

Conclusions and Implications: If governments, non-governmental organisations and community-based organisations want to contribute to the wellbeing of children with disability, they should be aware of the immediate context of the child, namely the family, and of the specific needs of the parents. Since the wellbeing of parents can affect the wellbeing of the child, and a child with disability may often cause further poverty in the family, relieving parents from some of the demands of childcare could help them to generate income, to the ultimate benefit of the entire family. Organisations working for children with a disability should actively involve parents of these children in designing and implementing interventions.

Good practices of accessible urban development - Making urban environment inclusive and fully accessible to ALL

August 2016

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About 6.25 billion people, 15 per cent of them persons with disabilities, are expected to be living in urban centres by 2050. Urbanisation has the potential to be an engineer for achieving sustainable and inclusive development for all. The current lack of environmental accessibility faced by people with disabilities, in particular in many cities in the world, presents a major challenge. As the international community prepares for the Third Global Conference on Housing and Sustainable Urban Development (Habitat III), which will take place in Quito, Ecuador, in October 2016, it is an apt and a strategic opportunity to promote an accessible and inclusive Urban Agenda.

This report is a compendium of promising initiatives and good practices that have emerged in recent yeas successfully promoting accessibility and inclusion of persons with disabilities, their rights, aspiration and contributions in the contexts of urban development. It countains findings and recommendations which were adopted at a UN expert group meeting, that may be helpful in informing the ongoing Habitat III discourses, the development of the New Urban Agenda as well as in furthering accessible and inclusive urban development 

Disability considerations for infrastructure programmes

AGARWAL, Anjlee
STEELE, Andre
March 2016

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This study identifies and summarises evidence of the impact of non-accessible infrastructure on people with disabilities. It makes recommendations on how to incorporate the principals of universal access into all infrastructure projects. This document should be read in combination with the DFID (UK Department for International Development)​ Disability Framework “Leaving No One behind” (2014), which sets out how DFID promotes inclusion of people living with disabilities in all its programmes. Topics covered include: rationale for inclusive infrastructure; best practices in project planning, engineering design; monitoring and evaluation processes; inclusive design in planning and policy; mainstreaming disability considerations into infrastructure programmes and policy decisions; linking disabilities with cross cutting agendas. 

Prevalence of Physical Disability among Urban Community-dwelling Adults in Sri Lanka

Weerasinghe, Inoka E
Fonseka, P
Dharmaratne, S D
Jayatilake, J A M S
2015

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Purpose: Assessment of physical disability at the community level is essential for rehabilitation and supply of services. This study aimed to assess the prevalence of physical disability among adults in an urban community in Sri Lanka.

 

Methods: A descriptive cross-sectional study was conducted among 2460 adults (18 -59 years of age) who were selected using cluster sampling. Physical disability was measured using a Physical Impairment Examination Tool (PIET) and World Health Organisation Disability Assessment Schedule II (WHODAS II).

 

Results: Prevalence of physical disability was 4.2% (95% CI= 3.5-5.1). Physical disability was higher among people in the age group of 40-59 years (6.5%, n=64) than among those in the age group of 18-39 years (2.6%, n=39) (P<0.05). Physical disability was more prevalent among females (4.4%, 95% CI= 4.2-4.6) than males (2.6%, 95% CI: 2.4-2.8), and among Tamils (7.8%, 95% CI=5.1%- 10.5%) than Sinhalese (3.3%, 95% CI=2.4%- 4.1%). It was higher among those who were divorced/widowed (58.3%, 95% CI=30.4- 86.2) than among married people (3.6%, 95% CI=2.8- 4.4). The prevalence of physical disability was 7.1% (95% CI=4.6- 9.5) among people with primary education, 4.5% (95% CI=3.4- 5.6) among those with secondary education, and 1.8% (95% CI=0.8- 2.8) among those with tertiary education. It was higher among the unemployed (7.2%, 95% CI=5.7-8.7) than the employed (1.8%, 95% CI=1.1-2.5). Age, gender, ethnicity, marital status, education levels and employment status were significantly associated with physical disability. 

 

Conclusions: Though the prevalence of physical disability appears to be higher among Sri Lankan adults than among people in developed countries, it is less than among people in other South-East Asian countries. Associations with socio-demographic variables were consistent with other studies.

The right to adequate housing for persons with disabilities living in cities

UNITED NATIONS HABITAT
2015

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“This study reviews the literature on the meaning and impact of the right to adequate housing for persons with disabilities in cities. It uses the foundational framework of the International Covenant on Economic, Social and Cultural Rights (ICESCR), and demonstrates how the Convention on the Rights of Persons with Disabilities (CRPD) provides a new understanding of this complex right”

 

Adequate Housing Series

Barriers to Early Diagnosis, Intervention and Social Integration of Children with Developmental Disabilities: A Qualitative Study from Rural Villages and a Poor Urban Settlement of Bangalore, South India

GEORGE, C E
NORMAN, G
BENJAMIN, T E
MUKHERJEE, D
2014

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Purpose: Children with developmental disabilities, if given skilled early intervention, have the potential to lead productive lives and can contribute to the social and economic development of their communities. This study explores the barriers to early diagnosis and intervention for children with developmental disabilities who live in rural and urban areas of Bangalore city, India.

 

Methods: The study was conducted in selected villages of Devanahalli Taluk in Bangalore Rural District, and in Devara Jeevanahalli (DJ Halli), a shanty town in Bangalore city. The qualitative study design consisted of in-depth interviews and focus group discussions (FGDs).Parents of children with developmental disabilities, doctors practising in the area and school teachers were interviewed using a purposive sampling framework. An inductive, data-driven thematic analysis was carried out.

 

Results: The physician-related barriers were identified as lack of skills and understanding of children with developmental disabilities, lack of knowledge and resources, lack of specialist back-up services, and communication difficulties with regard to conveying bad news to clients. Parent-related barriers were financial constraints, delay in accepting the diagnosis, and prevalent myths, beliefs and stigma pertaining to disability. The teachers viewed children with special needs as an additional responsibility, and were also apprehensive about the attitudes and interaction of other children at school with children with disabilities.

Strategy report on disaster risk management, reduction and response in Mongolia

JEGGLE, Terry
May 2013

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"The report summarizes the current Disaster Risk Management (DRM) situation in Mongolia and draws conclusions based on initial scoping assessments of the advisor. These observations underpin recommendations for further strategic policy and programme development in the country consistent with Government interests and through United Nations and wider international organizations’ involvement to strengthen the DRM and specifically disaster risk reduction (DRR) capacities of the institutional mechanisms, policies and regulatory frameworks in Mongolia. The author has based his analysis on present circumstances in the subject area since 2005, and it is projected from current conditions and suggested trends at the present time forward to anticipated needs and conditions up to 2020"

Disability in and around urban areas of Sierra Leone

TRANI, Jean-Francois
et al
2010

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This report provides an overview of the situation for people with disabilities in and around urban areas of Sierra Leone. The report presents results from a pilot survey in five locations across the country focusing upon education, employment, health and social participation. The findings of this report are further illustrated through practical graphs, charts, tables and figures. This report is useful for policy makers, advocates, development actors and service providers when planning and implementing programs in Sierra Leone

Stockholm : the city for everyone

CITY OF STOCKHOLM
2010

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This report provides a general overview of City of Stockholm’s easy access project to make its streets and squares and city-owned properties, accessible and serviceable to all. The programme aims to remove all accessibility barriers by 2030 This report is useful for anyone interested in urban accessibility

Global age-friendly cities : a guide

WORLD HEALTH ORGANIZATION (WHO)
2007

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Informed by WHO's approach to active ageing, the purpose of this guide is to engage cities to become more age-friendly so as to tap the potential that older people represent for humanity. An age-friendly city encourages active ageing by optimising opportunities for health, participation and security in order to enhance the quality of life of older people. Working with groups on 33 cities in all WHO regions, WHO asked older people in focus groups to describe the advantages and barriers they experience in 8 areas of city living. The results from these led to the development of a set of age-friendly city checklists

Social movements and chronic poverty across the urban-rural divide : concepts and experiences

MITLIN, Diana
BEBBINGTON, Anthony
September 2006

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"This paper develops a series of arguments regarding the contribution of social movements to the reduction of chronic poverty in both urban and rural social contexts...The summary is divided into three sections addressing: the relevance of social movements to the chronically poor; social movements and the representation of the chronically poor; and the interaction between the state and movements of the poor, with a special focus on the influence of social movements on policy and politics...[the] discussion suggests that the power of social movements lies less in their ability to influence the specifics of policies and programmes, and rather more in their capacity to change the terms in which societies debate poverty and social change, and to influence the types of development and policy alternatives that are considered legitimate in a given social and political context"

Non-formal education and livelihood skills for marginalized street and slum youth in Uganda

UGANDA YOUTH DEVELOPMENT LINK (UYDEL)
June 2006

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This report summarises a programme for marginalised youth that was implemented in one urban area (Kampala) and one rural area (Arua) of Uganda, with the ultimate goal of determining marketable livelihood skills while facilitating placement of marginalised youth in employment. By providing marginalised youth with new learning opportunities that nurture empowerment and socio-economic inclusion, the project contributed to breaking the cycle of marginalisation and vulnerabilities that impedes the development of out-of-schools youth. In this context, education on HIV and AIDS was an integral part of the project, which also involved the active participation of local artisans and employers during specific training and orientation sessions. 288 marginalised youth were placed in viable working situations. The process was effective in building self-esteem, equipping them to make informed decisions and resist negative peer pressure. Training methods revolved around three basic approaches: - learning by doing; - learning by producing, and - learning by earning

Child labour, gender inequality and rural/urban disparities : how can Ethiopia’s national development strategies be revised to address negative spill-over impacts on child education and wellbeing?

WOLDEHANNA, Tassew
et al
2005

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This paper is based on a study which sought to understand the impact on child labour and child schooling of public policy interventions formulated within the Poverty Reduction Strategy Papers (PRSP), and how changes are mediated through gender and rural/urban differences

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