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Early rehabilitation in conflicts and disasters

LATHIA, Charmi
SKELTON, Peter
CLIFT, Zoe
Eds
January 2020

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When emergencies strike, there is a huge surge in the need for Early Rehabilitation. Early Rehabilitation for patients with traumatic injuries in conflicts and disasters is now recognised as being an integral part of a patient’s recovery. However, the majority of rehabilitation professionals in countries that experience such emergencies do not have all the skills needed to treat all of the injuries. HI, in collaboration with leading organisations (ICRC, MSF-France, CBM, Livability & the WHO), has created this educational resource package to fill this gap

Each chapter of this handbook has been written by experts in their field. It includes pictures and evidence based treatment protocols to help rehabilitation professionals around the world to delivery high quality early rehabilitation intervention. Chapters included are:

  • Key Challenges in Delivering Early Rehabilitation in Conflicts and Disasters
  • Early Rehabilitation Patient Assessment and Treatment - the Basics
  • Early Rehabilitation of Fractures 
  • Early Rehabilitation of Peripheral Nerve Injuries
  • Early Rehabilitation of Amputees
  • Early Rehabilitation of Acquired Brain Injuries
  • Early Rehabilitation of Spinal Cord Injuries
  • Early Rehabilitation of Burns

Videos accompany each of the chapters. The handbook contents are directly linked to modules taught on disasterready.org where there are additional accompanying resources designed to be used in conflict and disasters settings

Inclusion of persons with disabilities in humanitarian action. Case studies collection 2019. 39 examples of field practices, and learnings from 20 countries, for all phases of humanitarian response

PALMER, Tom
et al
December 2019

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Published at the same time as the Inter-Agency Standing Committee (IASC) Guidelines on Inclusion of Persons with Disabilities in Humanitarian Action, this report aims to support their uptake and promote learning by example. This report presents 39 short case studies on inclusive practices for persons with disabilities in humanitarian action and disaster risk reduction (DRR). It is designed for humanitarian stakeholders with limited experience of working with and for persons with disabilities, as well as for organizations of persons with disabilities (OPDs) planning to engage in humanitarian action and DRR. The report draws lessons from field practices, but does not provide technical guidance. The IASC Guidelines are the reference document to seek in-depth theoretical and technical information

 

The case studies focus on:

  • Inclusive disaster risk reduction and preparedness
  • Collecting and using disability disaggregated data for assessments and programming.
  • Participation of persons with disabilities and their representative organizations in humanitarian response and recovery
  • Removing barriers to access humanitarian assistance and protection.
  • Influencing coordination mechanisms and resource mobilization to be inclusive

 

The evidence presented in this report was identified in 2017-2018 through a desk review of publicly available reports and internal documents on projects implemented by CBM, HI and IDA members, as well as their partners and affiliate members. Field visits to Lebanon, Jordan, Kenya, Nepal, and the Philippines conducted in 2018 also informed the case-study collection and documentation

IASC Guidelines, Inclusion of persons with disabilities in humanitarian action

INTER-AGENCY STANDING COMMITTEE (IASC)
November 2019

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The guidelines set out essential actions that humanitarian actors must take in order to effectively identify and respond to the needs and rights of persons with disabilities who are most at risk of being left behind in humanitarian settings.

The recommended actions in each chapter place persons with disabilities at the centre of humanitarian action, both as actors and as members of affected populations. They are specific to persons with disabilities and to the context of humanitarian action and build on existing and more general standards and guidelines.

These are the first humanitarian guidelines to be developed with and by persons with disabilities and their representative organizations in association with traditional humanitarian stakeholders. Based on the outcomes of a comprehensive global and regional multi-stakeholder consultation process, they are designed to promote the implementation of quality humanitarian programmes in all contexts and across all regions, and to establish and increase both the inclusion of persons with disabilities and their meaningful participation in all decisions that concern them.

Global humanitarian assistance report 2019

URQUHART, Angus
September 2019

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This report aims to reflect, respond to and inform efforts to improve the delivery of humanitarian assistance. This year's focus is on recurrent and protracted crises, to better understand how assistance is provided over the multiple years of a crisis. In the context of ever-more-complex and enduring crises and the increasing demand on limited resources, there is a pressing need to address the underlying causes of crises. The GHA Report therefore looks beyond humanitarian financing to examine other resource flows to countries in crisis, including developmental official development assistance (ODA less humanitarian assistance) and foreign direct investment, and the role they can and should play alongside humanitarian assistance to address crisis. 

Chapters of the report include: people, crisis and assistance; internation humanitarian assistance; wider crisis financing; effectiveness, efficiency and quality; and methodology and definitions. [Each chapter can be downloaded separately]

 

Associated datasets are also freely available

  • International humanitarian assistance provided by government donors, 2000–2018
  • International humanitarian assistance by recipient countries, 2000-2017

Including children with disabilities in humanitarian action: General guidance

DINSMORE, Christine
Ed
June 2017

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This guidance is designed for UNICEF field staff – including humanitarian field officers, coordinators, specialist and advisors – as well as UNICEF’s partners and others involved in humanitarian work. It provides practical tips and offers entry points for making sure that humanitarian action takes children with disabilities into account. There are 5 other associated guidelines. 

Chapters in this general guidance include: 

  • impact of emergiencies on children and adolescents with disabilities
  • why children and adolescents with disabilities are excluded
  • frameworks and approaches
  • programmatic actions
  • preparedness
  • response and early recovery
  • recovery and reconstruction
  • practical tips

 

UNICEF developed these booklets in collaboration with Handicap International. The guidance was validated in Jordan and Nepal.

South Sudan: People with disabilities, older people face danger

HUMAN RIGHTS WATCH
May 2017

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It is reported that people with disabilities and older people in South Sudan face greater risks of being caught in fighting and greater challenges in getting necessary humanitarian assistance. In February and March 2017, Human Rights Watch interviewed more than 45 people with disabilities and older people in displacement sites in Juba and Malakal, as well as in Panyijar county in the former Unity state, where the UN declared famine in two counties in February. Human Rights Watch also met with aid organizations and the South Sudan Human Rights Commission. The challenges faced by people with disabilities are reported.

WORLD ECONOMIC AND SOCIAL SURVEY - 2016 Climate Change Resilience: an opportunity for reducing inequalities

United Nations Secretariat, Department for Economic and Social Affairs (UNDESA)
2016

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This survey contributes to the debate on the implementation of the 2030 Agenda for Sustainable Development. In addressing the specific challenge of building resilience to climate change, the Survey focuses on population groups and communities that are disproportionately affected by climate hazards, whose frequency and intensity are increasing with climate change. It argues that, in the absence of a continuum of policies designed to reduce the exposure and vulnerability of people to climate change, poverty and inequalities will only worsen. To the extent that the differential impact of climate hazards on people and communities is determined largely by the prevalence of multiple inequalities in respect of the access to resources and opportunities, policies aimed at building climate resilience provide an opportunity to address the structural determinants of poverty and inequality in their multiple dimensions.

The road to dignity by 2030 : ending poverty, transforming all lives and protecting the planet : synthesis report of the Secretary-General on the post-2015 agenda

UNITED NATIONS (UN)
December 2014

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This synthesis report of the UN Secretary General was written to guide negotiations for a new global agenda centred on people and the planet, and underpinned by human rights, supporting States’ discussions going forward. The extensive document presents information in short numbered paragraphs, within six sections: 1) A universal call to action; 2) A synthesis “taking stock of the negotiations on the post-2015 agenda and reviewing lessons from pursuit of the MDGs; 3) Framing the agenda; 4) Mobilising the means to Implement our agenda; 5) Delivering our agenda; 6) Conclusion: together in a universal compact. It highlights the need to “finish the job,” both to help people now and as a launch pad for the new agenda

A/69/700

Open working group proposal for sustainable development goals

UNITED NATIONS (UN)
2014

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This UN report sets out the proposed 17 Sustainable Development Goals and accompanying targets, developed for consideration and appropriate action by the General Assembly at its 68th session. These goals were developed by the Open Working on Sustainable Development Goals as a result of the mandate set out in the Rio+20 outcome document

Note: Open Working Group of the General Assembly on Sustainable Development Goals is issued as document A/68/970

Nonparametric estimation of a compensating variation : the cost of disability

HANCOCK, Ruth
MORCIANO, Marcello
PUDNEY, Stephen
December 2013

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This paper proposes a nonparametric matching approach to estimation of implicit costs based on the compensating variation (CV) principle. The paper aims to introduce the matching approach, compare its properties with those of the conventional indirect parametric approach, and demonstrate its application in an important policy area. The authors apply the method to estimate the additional personal costs experienced by disabled older people in Great Britain, finding that those costs are substantial, averaging in the range £48-61 a week, compared with the mean level of state disability benefit (£28) or total public support (£47) received. Estimated costs rise strongly with the severity of disability. The authors compare the nonparametric approach with the standard parametric method, finding that the latter tends to generate large overestimates unless conditions are ideal, and recommend the nonparametric approach

ISER Working Paper Series, No. 2013-26

Synthesis report on the global thematic consultation on addressing inequalities : synthesis report of global public consultation

UNITED NATIONS CHILDRENS FUND (UNICEF)
UN WOMEN
March 2013

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This report presents the key messages that emerged from the Global Thematic Consultation on addressing Inequalities. It explores why there are inequalities, what structural factors produce them, their effects, and how to tackle them. The report also makes recommendations for the post-2015 framework

The Global Thematic Consultation on Addressing Inequalities in the Post-2015 Development Agenda
September 2012 - January 2013

Protecting children from sexual exploitation and sexual violence in disaster and emergency situations

DELANEY, Stephanie
March 2006

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"This manual is about how to protect children from sexual violence and sexual exploitation, specifically in disaster and emergency situations. It is not intended to be an academic report but instead is a practical guide that we hope will be of use to people working directly in the field. The aim is to provide fundamental information to assist personnel working in emergency situations in responding to protect children, in terms of what can be done before disaster strikes (which might be called ‘mitigation’ efforts), in the immediate aftermath (the ‘response’) and in the longer term reconstruction phase (sometimes called the ‘recovery’). We have also included recommended actions and key considerations to be taken into account in the event of sexual violence or sexual exploitation"

Mental health in emergencies : mental and social aspects of health of populations exposed to extreme stressors

WORLD HEALTH ORGANIZATION (WHO). Department of Mental Health and Substance Abuse
2003

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A large number of people are exposed to extreme stressors that are a risk factor for mental health and social problems. This report describes principles and strategies that can be applied in resource poor settings where there are people who have been exposed to extreme stressors, such as refugees, internally displaced persons, disaster survivors and populations exposed to terrorism, genocide or war

Health : an ecosystem approach

LEBEL, Jean
2003

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Can people remain healthy in a world that is sick? Many ecological disasters can be directly traced to careless exploitation of the environment, with human beings as first perpetrator and then victim. Our health closely mirrors the health of our surroundings: this is the basis of the Ecohealth approach. It recognizes the links between humans and their biophysical, social, and economic environments, and that these links are reflected in the population's state of health. This is a new area of research, requiring input from scientists, community and interest groups, and decision-makers. This book describes this new approach, providing lessons and recommendations from various IDRC-supported research activities. It demonstrates how decision-makers, in particular, can use the ecohealth approach to formulate policies and solutions that are both immediately visible and sustainable over the long term

Disability and disaster : victimhood and agency in earthquake risk reduction

WISNER, Ben
April 2002

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This paper examines the relationship between disability and disaster. The definition of disability is explored, as well as implications for policy and practice in emergency management,. The need for the inclusion, partnership and participation of people with disabilities in disaster management and planning is highlighted. This paper is useful to anyone interested in disability and disasters

Unveiling darkness : situation analysis on disaster and disability issues in the coastal belt of Bangladesh

CENTRE FOR SERVICES AND INFORMATION ON DISABILITY (CSID)
2002

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The objective of this study was to study the situation of disabled people living in the coastal belt of Bangladesh to find out the understanding of local people on disabiliy issues; study the soci-economic status of disabled people; and analyse the situation of disabled people immediately before, during and after natural disasters

Reaching the most vulnerable : proposed supplement to the standard rules on the equalization of opportunities for persons with disabilities | Report of the Special Rapporteur of the Commission for Social Development on monitoring the implementation of th

LINDQVIST, Bengt
2002

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The Standard Rules is one of the most important tools for the inclusion of disabled people. In 2002 the United Nations special rapporteur presented a supplement for the standard rules which aims to fill the gaps within the standard rules and complement its text mentioning poverty alleviation, adequate housing and living conditions, special attention for disabled people in emergency situations, gender aspects and others. At the 42nd session of the Commission for Social Development in February 2004 it was suggested that this supplement for the standard rules be adopted.

Coping with disasters : a guidebook to psychosocial intervention

EHRENREICH, John H
MCQUAIDE, Sharon
October 2001

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This manual is a guide to psychosocial interventions to help people cope with the emotional effects of disasters. Some are direct responses to the trauma of disasters, while others are longer-term responses. Even more than the physical effects of disasters, the emotional effects cause long-lasting suffering, disability and loss of income

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