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Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala

KUPER, Hannah
et al
June 2018

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A case-control study was conducted, nested within a national survey. The study included 707 people with disabilities, and 465 age- and sex-matched controls without disabilities. Participants reported on WASH access at the household and individual level. A sub-set of 121 cases and 104 controls completed a newly designed, in-depth WASH questionnaire.

The case for investment in accessible and inclusive WASH

PRYOR, Wesley
et al
April 2018

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Using current evidence and testimony from more than 60 WASH experts in 30 countries, this technical paper highlights evidence to argue that accessible and inclusive WASH is achievable at low cost, by using universal design, community-driven change, and existing knowledge, expertise and methods. The paper provides starting points to understand the impact of and case for accessible and inclusive WASH.

Advocating for investment in accessible and inclusive WASH

PRYOR, Wesley
et al
January 2018

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Factsheet summarizing the evidence for accessible and inclusive WASH based on the Case for Investment in Accessible and Inclusive WASH. A quick reference for WASH and Disability actors when advocating for investment in WASH that is accessible and inclusive of children and adults with disabilities. 

Factsheet based on Technical Paper TP/04/2018

Learning from experience: Guidelines for locally sourced and cost-effective strategies to modify existing household toilets and water access

WORLD VISION
CBM Australia
2018

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This learning resource is the result of a partnership between World Vision Australia and CBM Australia that aims to improve inclusion of people with disabilities in World Vision’s Water, Hygiene and Sanitation (WASH) initiatives, including in Sri Lanka. The guidelines are based on experiences and observations from World Vision’s implementation of the Rural Integrated WASH 3 (RIWASH 3) project in Jaffna District, Northern Province, funded by the Australian Government’s Civil Society WASH Fund 2. The four year project commenced in 2014. It aimed to improve the ability of WASH actors to sustain services, increase adoption of improved hygiene practices, and increase equitable use of water and sanitation facilities of target communities within 11 Grama Niladari Divisions (GNDs) in Jaffna District.

To support disability inclusion within the project, World Vision partnered with CBM Australia. CBM Australia has focused on building capacities of partners for disability
inclusion, fostering connections with local Disabled People’s Organisations, and providing technical guidance on disability inclusion within planned activities. World Vision also partnered with the Northern Province Consortium of the Organizations for the Differently Abled (NPCODA) for disability assessment, technical support and capacity building on inclusion of people with disabilities in the project.

HOME MODIFICATIONS FOR WASH ACCESS
This document is one of two developed in the Jaffna District and describes the strategies which were used to assist people with disabilities to access toilet and water facilities at their own home. The strategies were designed to be low cost and were developed using locally available materials and skills in the Jaffna District of Sri Lanka. Houses and toilet structures in the region were made of brick and concrete. No new toilets were built and modifications involved only minor work to existing household structures, water points and toilets.

NOTE:
The development of this learning resource was funded by the Australian Government's Civil Society WASH Fund 2.

Water justice, gender and disability : South Asian Water Studies (SAWAS), special issues, vol.5, no.4, June 2017

CLEMENT, Florian
NICOL, Alan
CORDIER, Sylvie
Eds
June 2017

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The papers in this volume on gender, persons with disabilities and WASH in South Asia help to provide important pointers on ways forward. A common thread throughout the four articles is that a constellation of challenges still exists, from 'exclusion' through prejudice at different levels, to institutional realities that render policy and other instruments ineffective in practice. In some cases, even, there remains a complete absence of key legal and policy instruments.  

Titles of the articles in this issue are: 

  • Planning for inclusion: exploring access to WASH for women and men with disabilities in Jaffna District, Sri Lanka
  • Breaking down Barriers: Gender and Disability in Access to Agricultural Water Management in Nepal
  • The Gender Gap between Water Management and Water Users: Evidence from Southwest Bangladesh​
  • Are policies enough to mainstream Gender in water and sanitation programs? Experiences from community managed drinking water supply schemes in India

Gender equality and disability inclusion within water, sanitation and hygiene: exploring integrated approaches to addressing inequality

WATERAID
CBM AUSTRALIA
KILSBY, Di
et al
March 2017

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WaterAid, in collaboration with CBM Australia and Di Kilsby consulting have published a paper to examine the linkages, common approaches and learning in both areas. Today we launch a Discussion Paper ‘Integrating gender equality and disability inclusion in water, sanitation and hygiene: exploring integrated approaches to addressing inequality’. 

The discussion paper explores: 
• How the water, sanitation and hygiene sector can continue to improve practice on gender and disability
• How an integrated approach to the two intersectional issues of gender and disability help us to ‘do development better’

The discussion paper provides reflections on applying integrated gender and disability approaches to rights- based water, sanitation and hygiene (WASH) programs in Timor-Leste and Papua New Guinea.  
The paper is intended as a conversation starter for WASH program managers and other development practitioners looking to strengthen their conceptual and practical understanding of challenges and successes in integrating gender and disability in WASH and those looking to move towards more transformative and sustainable practice.

Humanitarian Hands on Tool (HHoT)

CBM
2017

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The CBM smartphone app 'Humanitarian Hands-on Tool' (HHoT) provides step-by-step guidance on how to implement an inclusive emergency response. With disability-inclusive humanitarian action broken down into individual task cards, which explain the basic 'how-to' details in simple language and images, this web-based tool and downloadable mobile app aims to become the ‘go-to’ field resource for all agencies planning humanitarian work that leaves no-one behind

The wellbeing of children with developmental delay in Bangladesh, Bhutan, Laos, Nepal, Pakistan and Vietnam: An analysis of data from UNICEF’s Multiple Indicator Cluster Surveys

EMERSON, Eric
SAVAGE, Amber
LLEWELLYN, Gwynnyth
December 2016

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This report, produced by the University of Sydney’s Centre for Disability Research and Policy (CDRP),
uses data collected in rounds four and five of UNICEF’s Multiple Indicator Cluster Surveys programme (MICS) to describe the wellbeing of young children with and without developmental delay in six Asian countries. The United Nations Sustainable Development Goals (SDG) were used as a framework for identifying indicators of child wellbeing.

The report, authored by CDRP Disability and Inequity Stream Leader Professor Eric Emerson with Dr Amber Savage of the Family and Disability Studies Initiative, University of Alberta, Canada and CDRP Director Professor Gwynnyth Llewellyn, found that children with Developmental Delay in Bangladesh, Bhutan, Laos, Nepal, Pakistan and Vietnam are more likely than their peers to:
• Be living in poverty (SDG1). In five out the six countries children with developmental delay were more likely to be living in poverty than their peers
• Experience hunger (SDG2). In all six countries children with developmental delay were more likely to have experienced persistent severe hunger than their peers
• Suffer poor health (SDG3). On three indicators (poor peer relationships, diarrhoea and fever) children with developmental delay were more likely to have poor health than their peers. On three indicators (obesity, aggression and acute respiratory infections) there was no systematic difference between children with and without developmental delay.
• Experience barriers to quality education (SDG4). On all four indicators (attendance at early childhood education centre, family support for learning, access to learning materials in the home, maternal level of education) children with developmental delay were more disadvantaged than their peers.
• Experience barriers to clean water and sanitation (SDG6). On two indicators (improved sanitation, place to wash hands) children with developmental delay were more disadvantaged than their peers. On one indicator (improved drinking water) there was no systematic difference between children with and without developmental delay.

The authors noted that “Since the development of the United Nations Convention on the Rights of the Child (UNCRC) in 1998, increased attention has been paid to monitoring the well-being of children. The UN Convention on the Rights of Persons with Disabilities (UNCRPD) and UNCRC both contain explicit provisions regarding the rights of children with disabilities. These impose obligations on governments to act to ensure that children with disabilities enjoy the same rights and opportunities as other children. In order to promote the visibility of children with disabilities, enable better policy, and monitor progress, disaggregation of data related to children’s well-being on the basis of disability is needed."

Rights to water and sanitation for people with disabilities in Madagascar

VEROMAMINIAINA, Edith
RANDRIANARISOA, Ridjanirainy
December 2016

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"This paper illustrates the experiences of the Platform For People with Disabilities (PFPH), working with the support of WaterAid, to highlight and address the gaps in the realisation of the rights of people with disabilities in Madagascar. The focus has been on engaging the government on the National Inclusion Plan for people with disabilities, which includes water, sanitation and hygiene (WASH). This pilot project was designed to increase access to safe WASH for people with disabilities through a human rights based approach. It focuses on strengthening the capacities of rights holders, as well as the capacity and the political will of duty bearers to fulfil their obligations towards the progressive realisation of rights. The project has strengthened the capacity of the PFPH to advocate for their rights and engage with government on all areas of their rights, although an increase in actual WASH provision is limited by the government’s lack of capacity and resources". 

7th RWSN Forum “Water for Everyone”, 7 ème Forum RWSN « L’eau pour tous » 29 Nov - 02 Dec 2016, Abidjan, Côte d’Ivoire

Projecting progress : reaching the SDGs by 2030

NICOLAI, Susan
et al
September 2015

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The report presents an analysis that begins to systematically quantify the scale of the challenge that the world has set itself with the Sustainable Development Goals for the first time.  The authors selected one target per goal – a total of 17 – and projected forward to 2030, grading them from A-F according to how near they will be to completion in 2030. This was based on available projections of current trends sourced from leading institutions, alongside our own where there were gaps. The resulting scorecard shows that unless significant changes are made, none of the SDGs will be met

Violence, gender and WASH : a practitioner’s toolkit

HOUSE, Sarah
et al
2014

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This online toolkit is intended to help water, sanitation and hygiene services (WASH) and associated practitioners better recognise the risks of violence linked to WASH and to encourage WASH practitioners to recognise their capacity to make WASH safer and more effective. It has been developed in response to an acknowledgement that although the lack of access to WASH is not the root cause of violence, it can lead to increased vulnerabilities to violence of varying forms.

 

The key toolkit documents are the four briefing notes and the associated checklists, however other materials in the toolsets, such as case studies, checklists, videos, training scenarios etc., are available and may be drawn on as required. This toolkit has been developed for use by WASH practitioners but will also be useful for gender based violence (GBV), gender, protection, health and education specialists working for organisations and governments that are providing access to these essential services, to help them better identify and acknowledge these risks and contribute to their reduction in practical ways.

 

Note: Documents in the toolkit can be opened or downloaded from the online links. The entire toolkit (except the videos) can be downloaded from the download options page. Once downloaded, hyperlinks will operate if the folders and documents remain in their existing positions.

Compendium of accessible WASH technologies

JONES, Hazel
WILBUR, Jane
2014

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This compendium of accessible WASH technologies is designed for use by staff, such as health workers and community volunteers, working directly with communities in rural areas of sub-Saharan Africa. A few examples of technologies are presented that families can adapt to suit their needs and budgets with many more options possible. Most of the ideas are geared towards disabled and older people, but are suitable for anyone who may have difficulty using standard facilities, such as pregnant women, children and people who are ill. The main focus is on household facilities, although some ideas might be useful for institutional facilities as well

Mainstreaming disability and ageing in water, sanitation and hygiene sector

JONES, Hazel
September 2013

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This report presents the findings of a desk study that provided an overview of the current state of disability and ageing issues in WASH, from the perspective of the WASH sector. Both disabled and older people were looked at together, because many frail older people, although they may reject the label ‘disabled’, experience impairments that limit their daily activities, which result in them facing similar kinds of barriers to accessing WASH

On the right track : good practices in realising the rights to water and sanitation

DE ALBUQUERQUE, Catarina
ROAF, Virginia
2012

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This book presents the discussion and analysis of existing practices in how rights to water and sanitation should be implemented to inspire policy- and decision makers, practitioners, activists and civil society in general to engage with the rights to water and sanitation to assist in the process of ensuring that everyone has access to safe drinking water and sanitation services for all daily personal and domestic purposes.

 

The practices were taken from submissions, consultations and meetings with a range of actors and have been organised into four main types: State actions and the legal and institutional frameworks that promote the realisation of the rights to water and sanitation; financing for the sector; non-State stakeholder practices to promote and protect the rights to water and sanitation; and practices that demonstrate how States and other actors can be held accountable through the monitoring of  water and sanitation services

Identifying and supporting vulnerable people in community-led total sanitation : a Bangladesh case study

FAWZI, A
JONES, H
2011

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Community – led sanitation often neglects the poorest and most disadvantaged people in society as they are often unable to participate. This paper looked at the experiences of three CLTS communities in Bangladesh. It found that a well being ranking, amongst other things, should be used to help identify vulnerable members in the community and that vulnerable people themselves strongly believe in the power of CLTS to improve their livelihoods and their importance in the participation of CLTS activities. Furthermore, vulnerable people are motivated to move up the sanitation ladder and most households have made improvements to their latrine. Finally, the installation of toilet seats on latrines to aid disabled people has in some cases decreased the sanitation independence of other household members 

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