An understanding of rural communities is fundamental to effective community-based rehabilitation work with persons with disabilities. By removing barriers to community participation, persons with disabilities are enabled to satisfy their fundamental human needs. However, insufficient attention has been paid to the challenges that rural community disability workers (CDWs) face in trying to realise these objectives. This qualitative interpretive study, involving in-depth interviews with 16 community disability workers in Botswana, Malawi and South Africa, revealed the complex ways in which poverty, inappropriately used power and negative attitudes of service providers and communities combine to create formidable barriers to the inclusion of persons with disabilities in families and rural communities. The paper highlights the importance of understanding and working with the concept of ‘disability’ from a social justice and development perspective. It stresses that by targeting attitudes, actions and relationships, community disability workers can bring about social change in the lives of persons with disabilities and the communities in which they live.
Poor people with disabilities who live in poor rural societies experience unique problems in accessing health services. Their situation is influenced by multiple factors which unfold and interplay throughout the person’s life course. The difficulties do not only affect the person with a disability and his or her family, but also impact on the relevant care unit. The barriers are rooted in a life in poverty, upheld and maintained by poverty-reinforcing social forces of the past and the present, and reinforced by the lack of the person’s perspective of the health services. This article explores how difficulties may interact and influence access to and utilisation of health services, and how this may render health services out of reach even when they are available. The study reveals that non-compliance is not necessarily about neglect but could as well be a matter of lived poverty. The study was based on in-depth interviews with people with disabilities and family members, and semi-structured interviews with health personnel. The data analysis is contextual and interpretive. When offering health services to people with disabilities living in resource-poor settings, services should take into consideration the person’s history, the needs, and the resources and abilities of the family group. Rethinking access to health services should transcend a narrow medical institutionalization of health professional’s training, and include a patient’s perspective and a social vision in understanding and practice. Such rethinking requires health service models that integrate the skills of health professionals with the skills of disabled people and their family members. Such skills lie dormant at community level, and need to be recognized and utilized.
This is the final report of the World Health Organization’s Commission on the Social Determinants of Health (2005-2008). The report gives three main recommendations: 1 improve daily living conditions 2. Tackle the inequitable distribution of power, money, and resources 3. Measure and understand the problem and assess the impact of action. The Commission was created to provide evidence on policies that improve health by addressing the social conditions in which people live and work. The report is addressed to WHO, national governments, civil society, and other global organizations
"This paper develops a series of arguments regarding the contribution of social movements to the reduction of chronic poverty in both urban and rural social contexts...The summary is divided into three sections addressing: the relevance of social movements to the chronically poor; social movements and the representation of the chronically poor; and the interaction between the state and movements of the poor, with a special focus on the influence of social movements on policy and politics...[the] discussion suggests that the power of social movements lies less in their ability to influence the specifics of policies and programmes, and rather more in their capacity to change the terms in which societies debate poverty and social change, and to influence the types of development and policy alternatives that are considered legitimate in a given social and political context"
The aim of this paper is to highlight some of the key linkages between poverty, disability, nutrition and agricultural production. The paper also reports on some of the FAO's work on disability and disability rights and highlights 5 FAO projects / pilot models - ranging from mushroom production to blacksmithing - that target rural people living with disabilities. It would be useful for anyone with an interest in mainstreaming disability in development policy and practice
This paper is based on a study which sought to understand the impact on child labour and child schooling of public policy interventions formulated within the Poverty Reduction Strategy Papers (PRSP), and how changes are mediated through gender and rural/urban differences
This Organization for Economic Cooperation and Development report discusses the potential of and need for telecommunications development in rural areas of low-income countries. It outlines the main challenges, and describes sustainable options. The report also reviews low-cost options and summarizes policies that would support the more rapid diffusion especially telecommunications reform
This brief document reports on the broad achievements and constraints faced in the health sector in Uganda. Poverty-reduction funds are being channelled into primary care, and improved management of public funds is helping the situation. However, capacity beyond the Ministry of Health is limited, and decentralization, with unclear policy links in the regions, is a challenge. There is some evidence of success in using funding strategies to reorient services to primary care and prevention
Source e-bulletin on Disability and Inclusion