Suchergebnisse

chapter 1 Introduction -- chapter 2 Understanding disability -- chapter 3 Disability, identity and 'vulnerability' -- chapter 4 Sexual health education -- chapter 5 Sexual abuse and exploitation -- chapter 6 HIV and sexually transmitted diseases -- chapter 7 Disability and sexual and reproductive health care -- chapter 8 Inclusive practice.

Background: Despite a global commitment to the right to education for persons with disabilities, little is known about how to achieve inclusive education in practice, particularly in low- and middle-income countries (LMICs), where the majority of the world's people with disabilities reside. Moreover, although exclusion from education is magnified by intersecting gender and socioeconomic inequalities, there is especially little knowledge regarding what approaches to inclusive education are effective amongst girls with disabilities living in resource-poor settings.Objectives: The objective of this article was to assess the impact of an inclusive education intervention led by a non-governmental organisation (NGO) on the educational attainment of girls with disabilities in the resource-poor Lakes region of Kenya.Method: A quasi-experimental design was employed, where the literacy and numeracy educational attainment of the intervention and control groups was compared over two time points a year apart (Time 1 and Time 2; total matched N = 353). During this period, activities pertaining to six core components of a holistic inclusive education model were implemented.Results: Relative to the control group, girls with disabilities in the intervention group reported a greater increase in literacy and numeracy attainment, adjusted for grade and level of functional difficulty.Conclusion: Findings suggest that the intervention was successful in engendering additional improvements in the educational attainment of girls with disabilities from the resource-poor Lakes region of Kenya. Results highlight both the applicability of NGO-led interventions in settings, where national implementation of inclusive education is constrained, and the potential of taking such interventions to scale.

Evidence suggests that people with disabilities are the most marginalised and vulnerable group within any population. However, little is known about the extent of inequality between people with and without disabilities in contexts where the majority of persons experience extreme poverty and hardship. This includes in Liberia, where very little is understood about the lives of disabled people in general. This study uses a multidimensional wellbeing framework to understand perceived relative inequality associated with disability by assessing several facets of wellbeing across and within households containing disabled members (N = 485) or households with no disabled members (N = 538) in Liberian communities (Total individuals surveyed, N = 2020). Statistical comparisons (adjusted for age, sex, education and wealth differences and clustered at the household, village and county level) reveal that disabled Liberians are managing similarly to non-disabled Liberians in terms of income and education, but experience many perceived relative inequalities including in life satisfaction, transport access, political participation and social inclusion. Our results further suggest that disability may lead to perceived relative inequality at the household level in terms of trust held in neighbours. However, they also show that being the head of a household may protect against perceived relative inequality in certain dimensions (e.g. healthcare and transport access, political participation) irrespective of disability status. Results are discussed in terms of practical implications for development efforts in Liberia and for disabled people in other low- and middle-income settings.

Intro -- Acknowledgements -- Introduction -- Contents -- Notes on Contributors -- List of Figures -- List of Tables -- 1 Some Background, and a South African Study on Sexuality -- What Is Disability? -- Disability in South Africa -- About the Disability and Sexuality Project -- Participatory Action Research -- What We Did -- Study 1: A Survey of Societal Attitudes -- Study 2: The Experiences of People with Physical Disabilities -- Outline of the Book -- A Note on the Politics of Voice -- References -- 2 Physical Disability and Sexuality, Some History and Some Findings -- Introduction -- Disability and Sexuality: Myths and Misconceptions -- The Assumption of Asexuality -- Stereotypes About Disability -- What People with Physical Disabilities Experience -- Pride's Story -- Excluded from Sex Education -- Sexual Violence and Abuse -- Tas's Story -- Experiences of Dating and Relationships -- Concluding Notes and Take Home Points -- References -- 3 Cleone's Story -- Skin Deep -- As a Young Adult -- Life Before Disability -- In the Early Years -- 4 Physical Disability and Femininity: An Intersection of Identities -- Introduction -- Thinking About Gender and Disability -- Femininity and Sexuality in the Context of Acquired vs Congenital Physical Disability -- Gender Ideologies and Physical Disability: More or Less a Woman? -- The Effects on Women -- Concluding Notes and Take-Home Points -- References -- 5 Rosabelle's Story -- Rosabelle's Story -- A Brief Commentary on Rosabelle's Story: Disability, Embodiment and the Power of Sport -- References -- 6 Physical Disability and Masculinity: Hegemony and Exclusion -- Being a Man: What Our Participants Said -- Concluding Notes and Take-Home Points -- References -- 7 Bongani's Story -- Reflections -- Us Vs Them: A Small Piece of My Personal Story -- How I Think About Masculinity in the Context of Disability.

This open access edited volume explores physical disability and sexuality in South Africa, drawing on past studies, new research conducted by the editors, and first-person narratives from people with physical disabilities in the country. Sexuality has long been a site of oppression and discrimination for people with disabilities based on myths and misconceptions, and this book explores how these play out for people with physical disabilities in the South African setting. One myth with which the book is centrally concerned, is that people with disabilities are unable to have sex, or are seen as lacking sexuality by society at large. Societal understandings of masculinity, femininity, bodies and attractiveness, often lead people with physical disabilities to be seen as being undesirable romantic or sexual partners. The contributions in this volume explore how these prevailing social conditions impact on the access to sexual and reproductive healthcare, involvement in romantic relationships, childbearing, and sexual citizenship as a whole, of people with physical disabilities in the Western Cape of the country. The authors' research, and first person contributions by people with physical disabilities themselves, suggest that education and public health policy must change, if the sexual and reproductive health rights and full inclusion of people with disabilities are to be achieved.

BACKGROUND: There has been little research on the impact of the 2014-2015 West African Ebola crisis on people with disabilities. This paper outlines the way in which the Ebola Virus Disease (EVD) outbreak in Liberia in 2015 highlighted existing inequalities and exclusion of people with disabilities and their households. METHODS: The results presented here are part of a larger ESRC/DFID-funded mixed methods research project in Liberia (2014-2017) which included a quantitative household survey undertaken in five counties, complemented by qualitative focus group discussions and interviews with people with disabilities and other key stakeholders. Uniquely, this research gathered information about people with disabilities' experience of the EVD outbreak, as well as additional socioeconomic and inclusion data, that compared their experience with non-disabled community members. RESULTS: Reflections by people with disabilities themselves show knowledge, preparation, and responses to the EVD epidemic was often markedly different among people with disabilities due to limited resources, lack of inclusion by many mainstream public health and medical interventions and pre-existing discrimination, marginalisation and exclusion. Interviews with other key stakeholder revealed a lack of awareness of disability issues or sufficient training to include this population systematically in both Ebola response activities and general health services. Key findings include the need to understand and mitigate direct and indirect health consequences of unequal responses to the epidemic, as well as the limited capacity of healthcare and social services to respond to people with disabilities. CONCLUSION: There are lessons to be learned from Ebola outbreak around inclusion of people with disabilities, relevant to the current COVID-19 pandemic. Now is the time to undertake measures to ensure that people with disabilities do not continue to be marginalised and excluded during global public health emergencies. SUPPLEMENTARY INFORMATION: The ...