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Inclusive Design and Accessibility in Medellín, Colombia. AT2030 Inclusive Infrastructure Case Studies

PATRICK, M
MULDOWNEY, A
ARRUBA PALACIO, M
AGUIRRE, M
McKINNON, I
August 2023

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Prepared by the Global Disability Innovation Hub and partners for the UK Foreign, Commonwealth and Development Office

Medellín, Colombia is the sixth and final case study city under the Global Disability Innovation Hub (GDI Hub) led and UK Aid funded AT2030 Inclusive Infrastructure sub-programme. Colombia’s second largest city, Medellín is well-known for its progress in urban development in the last 20 years, moving forward from its violent history. Medellín has been designated a district of innovation and is known for innovative urban projects such as its cable cars and electric escalators that connect higher altitude, low-income communities on the peripheries of the city. This case study explores the current state of accessibility and inclusion in the city for persons with disabilities and helps understand whether such urban innovations are inclusive for all the city’s residents.

Medellín is home to nearly 80,000 persons with disabilities and Colombia does have strong legal frameworks in place to support persons with disabilities. However, this case study found that the numerous laws and regulations are not always well implemented and there is also a need to consider more diverse disabilities in city planning and design.

The research took place in 3 phases between December 2022 and May 2023, combining both virtual and face to face approaches. Phase 1 focused on understanding the current state of accessibility through desk-based research and interviews. Phase 2 captured the lived experience of persons with disabilities through interviews, photo diaries and co-design activities. Phase 3 then synthesised the findings, running multiple in-person workshops to validate and create actions towards the creation of more inclusive environments. Thematic analysis was applied to understand the research data, identifying key themes across three different stakeholder groups of People, Policy, and Practice.

The themes identified span across daily life for persons with disabilities including, poverty, transport, housing, healthcare, public spaces and recreational activities. Quotes from participants are interwoven throughout the report and strengthen the concluding actions. The report recognises what has worked in Medellin as well as areas for improvement.

Drinking and driving : a road safety manual for decision makers and practitioners

WORLD HEALTH ORGANIZATION (WHO)
et al
2007

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"The purpose of this manual is to inform readers of practical ways to develop coordinated and integrated programmes to reduce drinking and driving (including riding motorcycles) within a country. The manual is aimed at addressing drinking and driving among drivers. Commercial drivers are an especially important group to address in terms of drinking and driving because of the large number of passengers they can carry and/or the number of kilometres they are likely to travel. While impaired pedestrians are acknowledged as a problem, this issue is not addressed here.
The manual is aimed at policy-makers and practitioners, and draws on experience from countries that have succeeded in reducing drinking and driving. It provides the background evidence to start a drinking and driving programme, and takes the user through the steps needed to undertake a problem assessment in a country. It then explains how to plan and implement a programme, including setting up a working group, developing a plan, examples of laws and enforcement needed, how to develop public education and publicity campaigns, and finally how to evaluate the programme.
In developing this manual the authors have drawn on case studies from around the world to illustrate "good practice". Examples from low and middle-income countries are given wherever possible, but it is a reflection on the lack of attention given to the issue in many countries that most examples are from highly motorized countries"

Helmets : a road safety manual for decision makers and practitioners

WORLD HEALTH ORGANIZATION (WHO)
2006

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"This manual provides practical advice to road safety practitioners on how to achieve a much higher proportion of users of two-wheeled vehicles wearing helmets. It follows on from the World report on road traffic injury prevention, which described evidence that setting and enforcing mandatory helmet use is an effective intervention for reducing injuries and fatalities among two-wheeler users. The manual is one of a series of documents produce by an informal consortium (WHO, the Global Road Safety Partnership, the World Bank, and the FIA Foundation for the Automobile and Society) that aims to provide guidance to countries on how to implement some of the recommendations identified within the World Report, and thus improve their overall road safety record"

World report on road traffic injury prevention

PEDEN, Margie
et al
2004

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"This joint WHO/World Bank report on road traffic injury prevention is an important part of the response to the world’s road safety crisis. It is directed at international, regional and national policy-makers, international agencies and key professionals in public health, transport, engineering, education and other sectors, and aims to stimulate action for road safety. It sets out universal principles rather than a ‘blue print’ for worldwide application, recognizing fully the need to identify local needs and the adaptation of ‘best practices’ accordingly"
Note: a summary of the report and a report factsheet are also available

World health report 2003 : shaping the future

WORLD HEALTH ORGANIZATION (WHO)
2003

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This report argues that real progress in health depends on strengthening health systems, centred on the principles of primary health care. This requires effective use of existing knowledge and technologies and innovation to create new health tools, along with appropriate structures and strategies to apply them. Success will need new forms of cooperation between international health agencies, national health leaders, health workers and communities, and other relevant sectors. Chapter 1 of the report looks at the current state of global health, highlighting the gap between the poor and better-off everywhere. Chapter 2 reflects on the slow progress towards achieving the Millenium Development Goals. Chapter 3 looks at the HIV/AIDS pandemic, and demonstrates why HIV/AIDS control needs to drive the agenda for the global health community. Chapter 4 looks at the steps needed to achieve polio eradication within the next few years, and chapter 5 concentrates on the lessons learned from the SARS outbreak. The theme of chapter 6 is the the overlap between communicable and non-communicable diseases and injuries occurring throughout the developing world, leading to a crisis of priorities for health systems. The concluding chapter returns to the statement that stronger health systems are necessary, and that strengthening health systems should be based on the principles and practices of primary health care

Facts for life

UNITED NATIONS CHILDREN'S FUND (UNICEF)
2002

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This book aims to put lifesaving knowledge about children‘s health into the hands of those who need it most: parents, caregivers, health workers, government officials, journalists and teachers. This edition has updated information on safe motherhood, early childhood development, nutrition, HIV/AIDS and other major causes of childhood illnesses and death. In simple language, it emphasises practical, effective, low-cost ways of protecting children‘s lives and promoting their development

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