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Abuse of women with disabilities : toward an empowerment perspective

FOSTER, Kenneth
SANDEL, Mark
March 2010

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"Abuse of women with disabilities is a significant societal problem of which practitioners, service providers, and other professionals must be aware, respond to, and work to alleviate. Practitioners in most settings will encounter client systems impacted by disability, and many of their clients may be victims of abuse. Primary objectives of this paper are (1) to summarize issues and problems relevant to abuse of women with disabilities (2) to describe some of the empowering, proactive attitudes and behaviours of victim-survivors and their support networks, and (3) to further emphasize the need for practitioners to give primacy to helping such clients empower themselves to (re)take and maintain charge of their lives"
Sexuality and Disability, Vol 28, No 3

HIV/AIDS and Disability Organizations in South Africa

Poul Rohleder
Leslie Swartz
Arne Henning Eide
Nora Groce
Marguerite Schneider
January 2010

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Despite the seriousness of the HIV epidemic globally, and in South Africa in particular, little is known about how HIV/AIDS affects disabled people. One important and little explored area is the role that organisations that represent disabled people or that work on behalf of disabled people, are playing in addressing the HIV/AIDS epidemic among the disabled people they represent or serve. This paper presents the findings of a nationwide survey of disability organisations in South Africa. The purpose of this study was to explore the role of disability organisations in addressing the HIV epidemic among disabled people in South Africa. The findings suggest that while organisations recognise the importance of providing HIV education, and many have taken steps to do so, disabled people are largely excluded from general HIV prevention messages. Disabled people also have significant difficulties in accessing general health care, relevant for HIV testing and treatment. In a country trying to manage serious social problems with limited resources, this paper highlights the need for increased cooperation and collaboration between relevant parties in order to facilitate the changes necessary for disabled people to access needed health information and care.

Surviving sepsis in low-income and middle-income countries: new directions for care and research

Nora Groce
Joseph U Becker
Christian Theodosis
Shevin T Jacob
Charles R Wira
2009

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Sepsis is a disorder characterised by systemic inflammation secondary to infection. Despite recent progress in the understanding and treatment of sepsis, no data or recommendations exist that detail effective approaches to sepsis care in resource-limited low-income and middle-income countries (LMICs). Although few data exist on the burden of sepsis in LMICs, the prevalence of HIV and other comorbid conditions in some LMICs suggest that sepsis is a substantial contributor to mortality in these regions. In well-resourced countries, sepsis management relies on protocols and complex invasive technologies not widely available in most LMICs. However, the key concepts and components of sepsis management are potentially translatable to resource-limited environments. Health personnel in LMICs should be educated in the recognition of sepsis and the importance of early and appropriate antibiotic use. Simple and low-cost standardised laboratory testing should be emphasised to allow accurate diagnosis, prognosis, and monitoring of treatment response. Evidence-based interventions and treatment algorithms tailored to LMIC ecology and resources should thus be developed and validated.

Sexual-health communication across and within cultures : the clown project, Guatemala

SAVDIE, Anthony
CHETLEY, Andrew
June 2009

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This paper puts forward an argument in favour of careful and critical analysis of culture in formulating communication strategies with and for specific groups, based on experience drawn from the Clown Project in Guatemala and other countries in Central America. The Clown Project uses labour-intensive face-to-face street theatre and dialogue, participatory workshops, and symbolic communication such as print-based material to reach those most vulnerable to the spread and impact of HIV and AIDS . The analysis takes into account relations of power within and between vulnerable groups, examining the centre-periphery dynamic between classes, genders, ethnicities, age groups, and other social identities. Both appropriately supported insider perspectives and appropriately processed outsider knowledge are recommended, along with ways of bridging science and the field, theory and practice

Managing the health effects of climate change

COSTELLO, Anthony
et al
May 2009

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This report, produced by the Lancet and University College London Institute for Global Health Commission, focuses on managing the health effects of climate change. It says that climate change is the biggest global-health threat of the 21st century. The commission reviewed the likely health impacts of climate change on human societies - and documented ways to reverse those impacts. It concluded that there is a need for policymakers, practitioners and the public to act urgently on the human health effects of climate change

A research study on individuals with disabilities in the Masai tribe of Tanzania

FEINSTEIN, Sheryl
2009

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"The purpose of this qualitative study was to investigate the life of individuals with a disability in the Maasai Tribe in Tanzania. The study consisted of 68 participants. Individuals with a disability did not engage in tribal traditions, go to school or seek modern health care"
Review of Disability Studies : An International Journal, Vol 5, Issue 4

The efficacy of community-based rehabilitation programmes for adults with TBI

EVANS, L
BREWIS, C
October 2008

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"The aim of this systematic review was to investigate the factors which influence the efficacy of community-based rehabilitation programmes in improving the quality of life and functional capacity of adults with severe TBI. This was achieved by identifying the different types of interventions used in community settings, and by exploring their outcomes, taking into account differences in methodological design and quality"
International Journal of Therapy and Rehabilitation, Vol 15, No 10

Ensuring the enfranchisement of people with disabilities

WARD, Andrew
BAKER, Paul M A
MOON, Nathan W
October 2008

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"In a representational democracy, the process of selecting people to represent the electorate is critical. To accomplish this goal, it is crucial that elections be fair and accurate reflections of the decisions of the voters. However, a significant and relatively unacknowledged constituency, people with disabilities, faces a variety of barriers to full participation in the U.S. electoral democracy. Recent research has provided evidence that how people with disabilities vote is just as important as the physical barriers they face when casting their votes. This article presents an overview of the literature addressing issues that affect how people with disabilities vote, with an especial focus on the role of election officials as both facilitators and inhibitors of voting by people with disabilities"
Journal of Disability Policy Studies, Vol 20, No 2

The relation between multiple pains and mental disorders : results from the world mental health surveys

GUREJE, Oje
et al
March 2008

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Using information from 17 population surveys. this article analyses whether there are differences between the prevalence of mood, anxiety and alcohol use disorders among persons with multiple pain conditions compared with those with single pain problems. The results suggest that the existence of multiple pain conditions can be favourably and comparably associated with mood and anxiety disorders in diverse cultures. This article would be of interest to people interested in the relation among multiple pains and mental disorders
PAIN, Vol 135, Issue 1

Funding for self-employment of people with disabilities : grants, loans, revolving funds or linkage with microfinance programmes

DE KLERK, Ton
March 2008

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"In 2005, Handicap International commissioned a study on the practices of funding for self-employment activities of people with disabilities (PWD), with a special focus on access to microfinance. The overall goal of the study was to produce a framework document highlighting good practices, strategies, tools and operational methods that guarantee the efficiency and sustainability of self-employment projects for PWDs. The first phase of the study consisted of a literature review and a worldwide survey. Through this first phase the research team identified the most innovative programmes for further analysis through field visits. In the second phase field visits were conducted in Afghanistan, Bangladesh, Ethiopia, India, Kenya, Nicaragua and Uganda, while regional workshops were organised in Dhaka and Nairobi. Phase three involved consolidation and analysis of the information and finally drafting of the framework document. This paper summarises the findings and good practices as presented in the framework document, based on the results of the literature review, the survey and the field research. It is not a scientific paper, i.e. it doesn't contain a discussion of the literature reviewed or systematic reference to sources, the same as the document on which it is based, as it is primarily meant for practitioners"
Leprosy Review, Vol 79, Issue 1

Tuberculosis : a social disease

BUKO PHARMA-KAMPAGNE
Ed
2008

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This booklet looks at the social history and social causes of tuberculosis; the social legislation that have been used to control and prevent it and the impact of the diseases today

Disability, gender and intimate partner violence : relationships from the behavioral risk factor surveillance system

SMITH, Diane L
December 2007

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"Research on women with disabilities has found that the most common perpetrators of violence were current or former intimate partners. This article examines intimate partner sexual and physical abuse experienced by women with disabilities compared to women without disabilities and men with and without disabilities through chi square analysis and regression analysis using data from the 2005 Behavioral Risk Factor Surveillance System (BRFSS). Results show that women with disabilities experienced almost twice the rate of all forms of abuse compared to the other populations. Variables increasing the likelihood of abuse include being female, disabled, not employed, uncoupled and younger age. Implications for future research, screening and intervention for rehabilitation professionals are discussed"
Sexuality and Disability, Vol. 26, Issue 1

Protecting households from catastrophic health spending

Xu Ke
David B. Evans
Guido Carrin
Ana Mylena Aguilar-Rivera
Philip Musgrove
Timothy Evans
et al
July 2007

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Many countries rely heavily on patients’ out-of-pocket payments to providers to finance their health care systems. This prevents some people from seeking care and results in financial catastrophe and impoverishment for others who do obtain care.  Data from a large data set (116 surveys covering 89 countries) provided global estimates of the extent of catastrophic spending and impoverishment associated with out-of-pocket payments. Prepayment mechanisms protect people from financial catastrophe, but no strong evidence is reported that social health insurance systems offer better or worse protection than tax-based systems. Health system and population characteristics associated with high levels of catastrophic spending are examined to provide a basis for assessing the policy options available to reduce the incidence of financial catastrophe

 

 

Measuring health and disability

MONT, Daniel
May 2007

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This article examines the use of Disability-adjusted life years (DALYs), an indicator for assessing the relative effects of public health interventions, by comparing the underlying concepts to WHO’s International Classification of Functioning, Disability, and Health (ICF). It concludes by stating "the main difficulty with DALYs is that they do not value interventions that enhance the lives of people with disabilities. To do so, they must draw on the social model of disability to look at how the environment interacts with functional status"
The Lancet, Vol 369

Language impairment and sexual assault of girls and women : findings from a community sample

BROWNLIE, E. B
et al
2007

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"This study reports on a community sample of children with speech or language impairment, followed to age 25. Sexual assault history was assessed based on two questions from the Composite International Diagnostic Interview Posttraumatic Stress Disorder module. Women with language impairment (n = 33) were more likely than women with unimpaired language (n = 59) to report sexual abuse/assault, controlled for socioeconomic status. Sexual assault was associated with higher rates of psychiatric disorders and poorer functioning. Women with neither language impairment nor a history of sexual assault had fewer psychiatric disorders and higher functioning than women with language impairment and/or a history of sexual assault"
Journal of Abnormal Child Psychology, Vol 35, No 4

What do people think about disabled youth and employment in developed and developing countries?|Results from an e-discussion hosted by the World Bank

ROGGEROA, Paola
et al
October 2006

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This article presents the results of a four week e-discussion designed and hosted by the World Bank to explore ideas and gain information on young people and employment. The aim of the discussion was to get input from people whose opinions are seldom represented in academics. The article explores the main topics of the discussion, which included society’s perception of disability, education, government policies and the role of intermediaries, and present conclusions. This article is useful for anyone working with disabled youth or people generally interested in disabled youth and employment
Disability & Society
Vol 21, No 6

HIV/AIDS and disability : a pilot survey of HIV/AIDS knowledge among a deaf population in Swaziland

GROCE, Nora
et al
2006

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This paper reports on a quantitative study to identify whether there are differences in the level of knowledge about HIV and AIDS between hearing and deaf community members in Swaziland. Significant differences in levels of understanding of HIV issues were found, especially with regards to mistaken ideas about HIV transmission and prevention. The outcomes indicate the need for targeted education campaigns and improved accessibility in health care for deaf individuals in Swaziland. The article is useful for health and development professionals working in the field of HIV and AIDS, as well as those working with deaf individuals in Swaziland

How will the reduction of tariffs and taxes on insecticide-treated bednets affect household purchases?

SIMON, Jonathon L
et al
November 2002

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Presents an approach for analysing the extent to which reforms of tariff and tax policy can be expected to increase ITN purchases. Considers the effect on retail prices if tariffs and taxes are eliminated; and the degree to which consumer demand reponds to changes in the retail price of ITNs. Concludes that the impact will be country-specific, and that information about market structure and cost conditions in each country is needed for accurate predictions

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