Resources search

What works

AUSTIN, Vicki
McKINNON, Anne
BELL, Diane
September 2023

Expand view

Presented at the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

Outcomes of the first 5 years of the AT2030 project are summarised including: 15 AT country capacity surveys; 11 new assistive technologies; 31 AT ventures brought to sustainability and 70 journal papers. Funding thus far and for the future is also discussed.

Work to supply hearing aids to those with hearing loss in the global south, particularly in South Africa is outlined. Areas highlighted include: work with suppliers; work to ignite innovation and provide products at scale; work with UNICEF and the procurement catalogue; work with HEARX to provide screening and aid fine tuning via a phone app to enable community health AT service.

Questions from the audience highlight issues surrounding acquiring AT in the emergency/humanitarian setting  

Rehabilitation in health systems: guide for action

WORLD HEALTH ORGANISATION (WHO)
May 2019

Expand view

There is great variation across countries regarding the rehabilitation needs of the population, characteristics of the health system and the challenges that face rehabilitation. For this reason, it is important for each country to identify their own priorities and develop a rehabilitation strategic plan. A rehabilitation strategic plan should seek to increase the accessibility, quality and outcomes of rehabilitation.

To assist countries to develop a comprehensive, coherent and beneficial strategic plan, WHO has developed Rehabilitation in health systems: guide for action. This resource leads governments through a four-phase process of (1) situation assessment; (2) strategic planning; (3) development of monitoring, evaluation and review processes; and (4) implementation of the strategic plan. This process utilizes health system strengthening practices with a focus on rehabilitation.

The Rehabilitation in health systems: guide for action provides practical help that directs governments through the four phases and twelve steps. The process can take place at national or subnational level. Typically phases 1 to 3 occur over a 12-month period, while phase 4 occurs over the period of the strategic plan, around 5 years. The four phases and accompanying guidance are outlined below

WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights

WORLD HEALTH ORGANISATION (WHO)
2019

Expand view

SELF-CARE is the ability of individuals, families and communities to promote health, prevent disease, maintain health, and to cope with illness and disability with or without the support of a health-care provider. 

The purpose of this guidance is to develop a peoplecentred, evidence-based normative guideline that will support individuals, communities and countries with quality health services and self-care interventions, based on PHC (Primary Health Care) strategies, comprehensive essential service packages and people-centredness. The specific objectives of this guideline are to provide:

• evidence-based recommendations on key public health self-care interventions, including for advancing sexual and reproductive health and rights (SRHR), with a focus on vulnerable populations and settings with limited capacity and resources in the health system

• good practice statements on key programmatic, operational and service-delivery issues that need to be addressed to promote and increase safe and equitable access, uptake and use of self-care interventions, including for advancing SRHR.

Services for people with communication disabilities in Uganda: supporting a new speech and language therapy professional

MARSHALL, Julie
WICKENDEN, Mary
2018

Expand view

Services for people with communication disability (PWCD), including speech and language therapists (SLTs), are scarce in countries of the global South. A SLT degree programme was established at Makerere University, Uganda, in 2008. In 2011, an innovative project was set up to provide in-service training and mentoring for graduates and staff of the programme. This paper describes the project and its evaluation over three years. Three types of input: direct training, face-to-face individual and group meetings, and remote mentoring, were provided to 26 participants and evaluated using written and verbal methods. The first two types of input were evaluated mainly positively, while remote mentoring received more mixed evaluations. Less positive evaluations were linked to factors including resourcing, cultural perceptions about professional roles and services, work patterns, power/status, engagement, perceptions of help-seeking, community recognition of the needs for services for PWCD. Findings suggest that participatory approaches, flexibility, reflexivity and open discussion with participants around support and work challenges, are important. Power gradients between white Northern ‘experts’ and relatively inexperienced East African SLTs, contributed to some challenges. Structural issues about degree programme structures and statutory bodies, provide lessons about the development of new services and professions in low-income settings. 

 

Disability and the Global South, 2018 Vol.5, No. 1

Capturing the difference we make : community-based rehabilitation indicators manual

WORLD HEALTH ORGANIZATION (WHO)
2015

Expand view

This manual presents indicators that "capture the difference (Community-Based Rehabilitation) CBR makes in the lives of people with disabilities in the communities where it is implemented. This manual presents these (base and supplementary) indicators and provides simple guidance on collecting the data needed to inform them. The indicators have been developed to show the difference between people living with a disability and their families and those without disabilities in relation to the information reported in the indicators. This comparability provides valuable information to CBR managers, donors and government agencies alike, which can be used to guide decision-making, support advocacy and improve accountability. Further, the ability of the indicators to provide a comparison of the populations of persons with disability to persons without disability aligns with the United Nations Convention on the Rights of Persons with Disabilities (CRPD), which states that persons with disability have equal rights to those without disabilities...this manual serves to standardize the monitoring of differences made by in the lives of people with disabilities and their families, making it possible to compare the difference CBR makes across areas and countries. This manual aligns with the WHO Global Disability Action Plan 2014–2021, and may also be used to monitor other development plans in an easy and efficient way”

Victim assistance issue briefs : how to ensure mine/ERW survivors benefit from and participate in disability-inclusive development

HANDICAP INTERNATIONAL
2014

Expand view

Following on from the Way Forward Paper, this paper is a set of three issue briefs proposing specific efforts and recommendations for informing and influencing policy to ensure mine and explosive remnants of war survivors participate in, and benefit from, disability-inclusive development. The three topics are locating and identifying survivors, improving access to services, and measuring progress on the implementation of victim assistance

Access to services for persons with disabilities

CHIRIACESCU, Diana
DE BACKER, Maryvonne
BOTOKRO, Rozenn
March 2011

Expand view

This practical guide is divided into three sections to present a systematic approach of access to services for people with disabilities. The principles and benchmarks section outlines key factors for accessing services and provides an analysis of the service sector for people with disabilities. The practical guide section presents the steps involved in planning at the programme level, and the toolbox section offers practical tools to implement the proposed techniques. A glossary and comprehensive bibliography are also provided. This resource is useful to those interested in access to service for people with disabilities

Access to services for people with disabilities in Freetown, Sierra Leone

PILLERON, Sophie
2011

Expand view

"The purpose of the DECISIPH project is to promote the rights of people with disabilities in six countries in West Africa: Burkina Faso, Niger, Mali, Senegal, Sierra Leone and Togo. The first expected outcome of the project is to enhance the availability and access to relevant and reliable information on people with disabilities, their rights and their organisations in order to foster advocacy campaigns by disabled people's organisations. The aim of the study was to analyse and compare access to services for people with disabilities with that for people without disabilities in the project's intervention zones. This study in no way attempts to determine the disability prevalence rate. A cross-sectional survey was carried out in several of the DECISIPH project countries. Despite its limitations, this was the first study to be conducted in Sierra Leone and the first to provide data for gaining a better understanding of access to services for people with disabilities compared to that of people without disabilities"
SD/RS 06 No 8

Evaluating the impact of rehabilitation in the lives of people with disabilities and their families in low and middle income countries : a review of tools

LONDON SCHOOL OF HYGIENE & TROPICAL MEDECINE (LSHTM)
CHRISTOFFEL BLINDEMISSION (CBM)
August 2010

Expand view

“As there are many tools available for evaluating impact in the international literature, CBM commissioned this review in order to obtain clear guidance on how research can be carried across their programmes in order to generate high quality and reliable evidence on the impact of their programmes in the lives of people with disabilities and their families”

CBR stories from Africa : what can they teach us?

COLERIDGE, Angela
HARTLEY, Sally
Eds
2010

Expand view

"Community Based Rehabilitation (CBR) is an evolving concept. Its effectiveness depends on continuous reflection, debate and learning. This book aims to facilitate this process through the stories of five CBR programmes in Africa, told by those involved with the programmes and reflected on with honesty...Each of the five programmes has been invited to document their work, describing how its programme started and assessing the effectiveness of the approach it has chosen. They were asked to identify their successes and challenges, and to reflect on how difficulties are being overcome. Life stories illustrate the impact each approach can have on individual lives. The book offers itself as a reflective tool, to be used by practitioners. Each chapter asks specific questions of its readers, inviting them to draw comparisons with their own programme. The concluding section of the book outlines ideas for evaluating and developing their CBR programmes"

Outcomes of people with psychotic disorders in a community-based rehabilitation programme in rural India

CHATTERJEE, Sudipto
et al
November 2009

Expand view

This article describes "the uptake and impact of a service using the community-based rehabilitation framework for people with psychotic disorders within a defined catchment area in a rural, impoverished community in India. The programme was implemented by the Ashagram Trust, a community-based nongovernmental organisation. We describe the functional (disability) outcomes of people with psychotic disorders; identify the determinants of their outcomes; and highlight the research and policy implications of this study for service provision in rural areas of low- and middle-income countries"
British Journal of Psychiatry, Vol 195, No 5

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

EVANS, L
BREWIS, C
October 2008

Expand view

"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

Capacity, change and performance : study report

BASER, Heather
MORGAN, Peter
April 2008

Expand view

This comprehensive report looks in detail at the issues of capacity and capacity development including an explanation and discussion of the concept of capacity development. The report considers the main actors who play a part in, and different ways to think about, capacity development; the different conditions under which capacity development takes place; and the processes and strategies that can/should be employed to increase it.  The report is structured to enable readers to easily access the sections that are relevant to them

Discussion Paper No 59B

Training for success : a guide for peer trainers

INTERNATIONAL LABOUR ORGANIZATION (ILO)
2008

Expand view

This guide was developed to help train peer trainers to teach others about how to run a business. It is based on ILO proects and was field-tested in a 2007 project in Cambodia. Key aspects of the peer training method are highlighted with useful steps, illustrations and case studies. This manual is useful for people interested in training peer trainers

IASC guidelines for mental health and psychosocial support in emergency settings : checklist for field use

INTER-AGENCY STANDING COMMITTEE (IASC)
2008

Expand view

This resource provides a summary of the guidelines for mental health and psychosocial support in emergency settings. It details a general introduction, a matrix of minimum responses in the midst of emergencies, and eleven checklists for key actions of emergency response. The checklists cover the following areas: coordination; monitoring and evaluation; protection and human rights; community mobilization and support; health services; education; dissemination of information; food security and nutrition; shelter and site planning; water and sanitation. This resource is useful for humanitarian agencies and practitioners

IASC guidelines for mental health and psychosocial support in emergency settings

INTER-AGENCY STANDING COMMITTEE (IASC)
2007

Expand view

These guidelines provide information to organisations and individuals on how to respond during humanitarian emergencies by highlighting eleven specific action sheets that offer practical guidance on mental health and psychosocial support. The guidelines include a matrix of interventions with guidance for emergency planning, actions to be taken in the early stages of an emergency, and comprehensive responses needed in the recovery and rehabilitation phases. This resource is gives humanitarian actors useful inter-agency, inter-sectoral guidance and tools for responding effectively in the midst of emergencies

2004 report on the global AIDS epidemic : executive summary

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
June 2004

Expand view

This annual report takes an overall look at the global AIDS epidemic. It considers the impact of HIV and AIDS on people and societies and includes a particular focus on the orphans and vulnerable children. It takes a further look at scaling up HIV prevention initiatives, with considerations about the threat of HIV to young people. There is a look at treatment, care and support for people living with HIV. It also takes into account the notion of human rights and protection. There are finally some considerations of the financing of responses to the crisis, and the need to coordinate national responses to HIV and AIDS. There is a table fo useful information on country specific estimates and data relating to HIV and AIDS

Integrating HIV voluntary counselling and testing services into reproductive health settings : stepwise guidelines for programme planners, managers and service providers

MYAYA, Mary
2004

Expand view

This guide aims to provide reproductive and sexual health programme planners, managers and providers with the information necessary to integrate voluntary counselling and testing (VCT) for HIV/AIDS within their services. In particular it considers integration within the context of family planning (FP) service provision. FP and VCT provision have similar aims of reaching sexually active people and promoting safe and healthy sexuality. FP settings therefore offer specific opportunities for reaching women with VCT. This guide looks at the continuum of possibilities available for integrating VCT. It is divided into 5 sections. Section 1 provides an introduction to VCT; section 2 details an assessment process for use when considering how to integrate VCT services; section 3 describes factors to consider when planning the integrated service; section 4 covers specific implementation issues; and section 5 focuses on monitoring and evaluation. The appendices contain checklists, sample monitoring tools and further reference material. Most of the references are available through the Internet

National monitoring and evaluation framework for the multi-sectoral response to HIV/AIDS in Ethiopia

HIV/AIDS PREVENTION AND CONTROL OFFICE (HAPCO)
December 2003

Expand view

In 1998 the Ethiopian government scaled up the response to HIV/AIDS by forging a multi-sectoral and multi-level partnership with various stakeholders. A national policy on HIV/AIDS was enacted in August 1998. This resulted in a Strategic Framework for the National Response to HIV/AIDS in Ethiopia for 2001-2005. This monitoring and evaluation framework was developed to strengthen the multi-sectoral response to HIV/AIDS, to systematically track progress and evaluate the effects of the national response, and to meet the international reporting requirements for funds secured to fight HIV/AIDS in the country. It covers basic monitoring and evaluation concepts, an implementation strategy, national level indicators and resource requirements

International consultation on reviewing community-based rehabilitation (CBR) organized by WHO : in collaboration with UN organisations, NGOs and DPOs hosted by the government of Finland Helsinki 25-28 May 2003, Theme Paper

WORLD HEALTH ORGANISATION (WHO)
MINISTRY OF SOCIAL AFFAIRS AND HEALTH
May 2003

Expand view

The conference was held to review the experiences of 20 years of CBR and evaluate the impact of the approach in order to provide a direction for the development of CBR in the new millennium

Pages

E-bulletin