Resources search

Many countries in the world are adjusting to the impact of the COVID-19 outbreak. It is clear that in addition to the impact on health, this outbreak will have a long-term significant impact on the education of children and young people globally. Already, nearly 90% of children and young people are experiencing disruption to their education and 185 countries have implemented country-wide school closures. Children with disabilities were amongst the most likely to be excluded from education, with 50% of children with disabilities in low- and middle-income countries out of school before the pandemic. Additional, specific challenges in times of school closures are reported and a call is made to governments.

People with lung problems often feel short of breath. Many daily tasks can make you breathless, such as walking, getting dressed or doing jobs around the house. Being breathless can make you panic or feel frightened. When you learn how to control your breathing these feelings will not trouble you as much and you will be able to do more. When you are breathless, do not panic. Your breathing will settle.
 

Brief advice is given in relation to COVID-19 concerning general issues, diagnosis and clinical management of leprosy patients, public health aspects of leprosy in the COVID-19 pandemic and services for persons living with disabilities and/or psychosocial consequences of leprosy

This website provides a comprehensive overview of the novel Coronavirus, also known as COVID-19. The site includes resources for the public, healthcare workers and timely updates as the situation unfolds around the world. 

Humanity & Inclusion’s teams are assessing its scope for action and plans to use its expertise in emergency situations, working with and for people with disabilities and older people, and its experience of past epidemic situations to protect the most vulnerable. HI has experience in major epidemics of ebola and cholera.

HI published a repository of resources on disability inclusion and COVID-19 as a member of the International Disability and Development Consortium (IDDC) and the CORE Group Disability Inclusive Health Technical Advisory Group

Background: Tuberculosis (TB) remains a significant healthcare problem. Understanding physical and functional impairments that patients with active TB present with at the time of diagnosis and how these impairments change over time while they receive anti-TB therapy is important in developing appropriate rehabilitation programmes to optimise patients’ recovery.

Objectives: The aim of this study was to assess the acceptability, implementation and practicality of conducting a prospective, observational and longitudinal trial to describe physical and functional impairments of patients with active TB.

Method: A feasibility pilot study was performed. Patients with acute pulmonary TB admitted to an urban quaternary-level hospital were recruited. Physical (muscle architecture, mass and power, balance, and breathlessness) and functional (exercise capacity) outcomes were assessed in hospital, and at 6 weeks and 6 months post-discharge. Descriptive statistics were used to analyse the data.

Results: High dropout (n = 5; 41.7%) and mortality (n = 4; 33.3%) rates were observed. Limitations identified regarding study feasibility included participant recruitment rate, equipment availability and suitability of outcome measures. Participants’ mean age was 31.5 (9.1) years and the majority were human immunodeficiency virus (HIV) positive (n = 9; 75%). Non-significant changes in muscle architecture and power were observed over 6 months. Balance impairment was highlighted when vision was removed during testing. Some improvements in 6-minute walk test distance were observed between hospitalisation and 6 months.

Conclusion: Success of a longitudinal observational trial is dependent on securing adequate funding to address limitations observed related to equipment availability, staffing levels, participant recruitment from additional study sites and participant follow-up at community level. Participants’ physical and functional recovery during anti-TB therapy seems to be limited by neuromusculoskeletal factors.

African Journal of Disability, Vol 8, 2019

This reference document replaces the 6 December 2016 Level 3 (L3) Activation Procedures for Infectious Disease Events and was revised following the review of the L3 system and the endorsement of the new ScaleUp protocols. 

Papers included in this special issue are:

• The UNICEF/Washington Group Child Functioning Module—Accuracy, Inter-Rater Reliability and Cut-Off Level for Disability Disaggregation of Fiji’s Education Management Information System
• Disability and Access to Sexual and Reproductive Health Services in Cameroon: A Mediation Analysis of the Role of Socioeconomic Factors
• Assessing the Impact of the Twin Track Socio-Economic Intervention on Reducing Leprosy-Related Stigma in Cirebon District, Indonesia
• Factors Influencing Disability Inclusion in General Eye Health Services in Bandung, Indonesia: A Qualitative Study
• Unmet Needs and Use of Assistive Products in Two Districts of Bangladesh: Findings from a Household Survey
• Analysis of Social Determinants of Health and Disability Scores in Leprosy-Affected Persons in Salem, Tamil Nadu, India
• Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi
• Intersections Between Systems Thinking and Market Shaping for Assistive Technology: The SMART (Systems-Market for Assistive and Related Technologies) Thinking Matrix
• Adverse Childhood Experiences in Children with Intellectual Disabilities: An Exploratory Case-File Study in Dutch Residential Care
• Risk of Exclusion in People with Disabilities in Spain: Determinants of Health and Poverty
• Implementation of the International Classification of Functioning, Disability, and Health (ICF) Core Sets for Children and Youth with Cerebral Palsy: Global Initiatives Promoting Optimal Functioning
• Challenges in Accessing Health Care for People with Disability in the South Asian Context: A Review
• A Systematic Review of Access to Rehabilitation for People with Disabilities in Low- and Middle-Income Countries
• A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries

Purpose: This survey aimed to assess the baseline level of access to social institutions, utilisation of civil facilities and participation in empowerment schemes by people with disabilities in Amravati district of Maharashtra State, India.

Method: Sixty villages from two blocks in Amravati district were randomly selected for the survey. From these villages, 522 households were sampled and 3056 individuals were surveyed. Interviews were conducted with 590 individuals with disability from among the surveyed population. The structured interview schedule consisted of demographic data, access to social organisations, utilisation of civil services, and participation in empowerment schemes. 

Results: Locomotor disability was the most prevalent (44.6%) type of disability in the study area. Disabilities were more often present among male adolescents and young adults than among the older population and females. Over 50% of the study participants had no occupation (including children and students) and had not been to school. Only 48% had achieved secondary education and more. The proportion of disability among people belonging to Scheduled Castes and Scheduled Tribes was considerably higher than among the general population. Access to social institutions was less than 50% for most of the items, and was even lower among females. Except for the ration card and Aadhar card, civil services were generally under-utilised by people with disability. Only 3.2% of the participants were members of self-help groups, and not a single person was a member of the Disabled People’s Organisation.

Conclusions:  In the study area access to social institutions, utilisation of civil services and participation in empowerment schemes was very low.

Limitations: Data, including general socio-demographic, access and utility data, was not collected for the general population but was limited to people with disabilities. This restricted the scope for comparison between people with and without disabilities.

Disability, CBR and Inclusive Development, Vol 30, No 1 (2019)