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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.

Assistive technology for children with disabilities: Creating opportunities for education, inclusion and participation. A discussion paper

BORG, Johann
et al
2015

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Based on evidence, examples (case studies), and a range of information the UNICEF-WHO discussion paper proposes a set of recommendations and actions to ensure every child with a disability has access to quality assistive technologies so that they can flourish and become productive members of society. Some recommended key actions are:

  • Estimate needs and map resources
  • Adopt legislation, policies and strategies
  • Provide funding and increase affordability
  • Set up assistive technology service provision systems
  • Ensure supply of quality assistive products
  • Train personnel
  • Establish partnerships

The provision of wheeled mobility and positioning devices

GARTON, Francesca
June 2013

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This policy paper describes Handicap International’s mandate and values in operational terms as applied to the theme of provision of wheeled mobility and positioning devices. It presents the approaches and references for Handicap International’s actions, choices and commitments. It aims to ensure coherence in terms of practices whilst taking into account different contexts. Essentially this is a guidance document for programme staff which defines the topic and outlines the target populations, methods of intervention (expected results, activities) and indicators for monitoring and evaluation. This policy aims to ensure that all projects carried out by Handicap International programmes are consistent with the methods of intervention presented
PP 09

Wheelchair service training package : intermediate level (WSTP-I)

KHASNABIS, Chapal
MINES, Kylie
Eds
2013

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This wheelchair service training package is the second part of the WHO wheelchair service training package series and addresses the needs of people who have severe difficulties in walking and moving around and also having poor postural control. Special attention was given on the provision of appropriate wheelchairs for children who have poor postural control and are unable to sit upright independently. It is designed to support the training of personnel or volunteers to provide an appropriate manual wheelchair and cushion for children and adults who need additional postural support to sit upright
Note: A Trainers manual, Reference manual for participants, Participant’s workbook and Posters are available from the link above
Note: A DVD is available upon request which contains all the necessary forms and checklists; manuals and guides including the trainer’s manual; and sets of posters and presentations

International perspectives on spinal cord injury

BICKENBACH, Jerome
et al
Eds
2013

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This report assembles and summarizes information on spinal cord injury, in particular the epidemiology, services, interventions and policies that are relevant, together with the lived experience of people with spinal cord injury. It also provides recommendations for actions based on this evidence that are consistent with the aspirations for people with disabilities as expressed in the Convention on the Rights of Persons with Disabilities

The provision of wheeled mobility and positioning devices

GARTON, Francesca
URSEAU, Isabelle
July 2012

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This policy brief provides an overview of Handicap International’s 2012 policy paper on the provision of wheeled mobility and positioning devices (WP&MD) for people with disabilities
PP Brief No 9
Note: this policy should be read in conjunction with Handicap International’s rehabilitation policy paper which provides a broad framework for understanding the organization’s work on rehabilitation, including WP & MD

Wheelchair service training package : basic level (WSTP-B)

KHASNABIS, Chapal
MINES, Kylie
2012

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The main purpose of the training package is to develop the minimum skills and knowledge required by personnel involved in wheelchair service delivery. An important aim of the training package is to get it integrated into the regular paramedical/rehabilitation training programs such as physiotherapy, occupational therapy, prosthetics and orthotics, rehabilitation nursing
The package contains necessary forms and checklists, manuals and guides including trainer’s manual and set of posters and presentations. First click "Strat.pdf" which will come with four tabs - click tab "Manuals and guides" - open the Trainer’s manual to prepare yourself to deliver the training. Then click the "Timetable and sessions" tab to open the timetable. Click the hyperlinks of each session, which lead you to the exact slides and video location. The best way to deliver the training is to proceed through the lessons in sequential order respecting the timing allotted for each session as much as possible
Note: The whole training package is available on the Website for the training institutes and wheelchair service providers. It is recommended to download the complete package (requires 3 GB space)

Access to drinking water for people with disabilities in the town of Tenkodogo (Burkina Faso)

DIMBARRE KPEHOUNTON, Cathy
SERGE, Dao Moussa
2011

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“Since 2001, local NGO Dakupa,with the support of WaterAid, began to implement a water, sanitation and hygiene (WASH) project in several urban municipalities in the Central East region of Burkina Faso. In line with the principles of equity and inclusion, the objective of this project was to improve access to WASH services for people with disabilities (PWD) through the construction of accessible water points and latrines. To date, about ten wheelchair accessible standpipes have been constructed in places such as the town of Tenkodogo, the subject of this study”

Case study 11

Joint position paper on the provision of mobility devices in less resourced settings : a step towards implementation of the convention on the rights of persons with disabilities (CRPD) related to personal mobility

WORLD HEALTH ORGANIZATION (WHO)
UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID)
2011

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"This joint position paper was developed in response to a meeting about personal mobility and mobility devices, held on 28-29 October 2009 at World Health Organization headquarters, Geneva, Switzerland. This paper aims to guide and support countries, especially those with limited resources, in the implementation of relevant articles of the CRPD associated with the provision of mobility devices"

Design manual and guidelines for accessibility : for creation of barrier free environments to make buildings and facilities accessible to people with disabilities

PAKISTAN EVIRONMENTAL PLANNING AND ARCHITECTURAL CONSULTANTS LIMITED (PEPAC)
2009

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This manual provides guidelines for making and creating accessible environments, featuring accessibility guidelines to public places and areas for persons with disabilities. These guidelines are to be applied during the design, construction and modification of buildings and facilities to the extent as required by the law or to exceed the minimum requirements for provision of facility. It contains design guidelines, dimensional standards and specifications for constructing new as well as existing buildings, facilities, spaces and areas accessible to people with disabilities within the provisions of The Accessibility Code of Pakistan

Guidelines on the provision of manual wheelchairs in less resourced settings

ARMSTRONG, William
et al
2008

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These guidelines are designed to promote personal mobility and enhance the quality of life of wheelchair users. The aim is to assist Member States in developing a system of wheelchair provision that is consistent with the implementation of the Convention on the Rights of Persons with Disabilities. Chapter topics includes: design and production, service delivery, training, and policy planning

Report on the consensus conference on wheelchairs for developing countries

SHELTON, Sarah
JACOBS, Norman A
Eds
2008

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This conference report assisted the development of guidelines on provision of manual wheelchairs in less-resourced settings for which training and education are key elements. It recommends the adoption of the wheelchair International Organization for Standardization (ISO) standards as a minimum. This report is useful for government and non-government policy makers, practitioners, providers and users of wheelchair services

The relationship between prosthetics and orthotics services and community based rehabilitation (CBR)

WORLD HEALTH ORGANIZATION (WHO)
INTERNATIONAL SOCIETY FOR PROSTHETICS AND ORTHOTICS (ISPO)
November 2003

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"This document attempts to describe the relationship between prosthetics and orthotics services and community-based rehabilitation activities. It shows how the services offered by central/specialized, provincial and district institutions and the community can work together to provide a comprehensive prosthetics and orthotics service across the country. It should be noted that no definitive model of community based rehabilitation in prosthetics and orthotics is available; each country requires to develop its own system according to its needs and the resources available"

Tricycle production manual

VAN BOEIJEN, Annemiek
et al
1996

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This manual is appropriate for workshops and technicians with basic skills and equipment in developing countries. It contains mostly drawings and minimal text to keep the manual accessible to a large group of users

Assistive devices/technology

WORLD HEALTH ORGANIZATION (WHO )

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This section of the WHO website on disabilities and rehabilitation highlights assistive devices and technology. The related information, links and documents promote access to assistive devices and technologies at an affordable cost and facilitate training for people with disabilities and professionals and staff working in rehabilitation services. This wesbite is useful to anyone interested in assistive devices and technology for people with disabilities

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