1 / 17

Definition of Disability

Access to SRHR and HIV interventions for Persons With Disabilities by Jonathan Yusofu Banda at SADC PF 27 &28 October,2015 Johannesburg. Definition of Disability. Interactional concept not absolute state

mmogensen
Télécharger la présentation

Definition of Disability

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Access to SRHR and HIV interventionsfor Persons With Disabilitiesby Jonathan Yusofu Banda at SADC PF 27 &28 October,2015 Johannesburg

  2. Definition of Disability • Interactional concept not absolute state • Impairments interaction with barriers cause activity limitations and participation restriction on equal basis with others (ICRPD, ICF, Social Model) • Existentialism- alone in meaningless world. Nature determines action • Social construct like Gender. (Inequality and Struggles-access to resources)

  3. Prevalence of Disability • ~10 % of world’s population • Differing definitions and methodologies=varying statistics • Washington Group 6 – standardized set of questions allowing for cross country comparison • HIV/AIDS in disability-challenge of data sources-antenatal clinics and population surveys(exclusion)

  4. CONCEPTUALISING FRAMEWORKS-SRHR IN DISABILITY COPD 1994 SOCIAL MODEL/ICF RIGHTS BASED APPROACH GOVERNANCE ICRPD • Focus on SRHR of popn • .6.30- ELIMINATION OF DISCRIMINATION VS PWDS in SRHR • H/ever, Maputo PoA blind to disability • HUMAN DIGNITY • AUTONOMY • SELF DETERMINATION • EQUALITY • IMPAIRMENTS VS ACTIVITY LIMITS& PARTCIPATION RESTRICTION • INTERLINKAGE OF RIGHTS • RIGHTS HOLDERS • DUTY BEARERS ARTICLE 9-ACCESS • ARTICLE 16-VIOLENCE PROTECTION • ARTICLE 22-PRIVACY • ARTICLE 23-Discrimination elimination (family/marriage/SRHR • Article 25-health • Article 26- habilitation and Rehab • EQUALITY • ACCESS • SOCIAL SYSTEMS- • (health and education) • SOCIAL CHANGE

  5. SRHR and HIV/AIDS SERVICES Complication RIGHT Complication RIGHT Complication RIGHT NEED FOR CONSTANT ATTENDANT/PERSONAL ASSISTANT /INTERPRETER CONFIDENTIALITY/PRIVACY FORCED STERILISATION/ABORTION OF PWDs-MENTAL IMPAIRMENTS INTERGRITY LACK OF BRAILLED LABELS ON CONDOMS PROTECTION FROM EPIDEMIC DISEASE

  6. SRHR and HIV/AIDS SERVICES Complication RIGHT Complication RIGHT Complication RIGHT • INACCESSIBILITY • SOCIO-CULTURAL FACTORS • ATTITUDINAL ACCESS TO SRH SERVICES/HIV RELATED SERVICES MISCONCEPTIONS OF INABILITY RIGHT TO MARRY AND FOUND A FAMILY -VE DRUG INTERACTIONS BETWEEN ART AND MENTAL HEALTH MEDICATION HIV/AIDS TREATMENT

  7. HIV/AIDS AND DISABILITY • Bidirectional relationship- STRUCTURAL RISK FACTORS-Poverty; Illiteracy; Access to Health and Education; lack of Choice/Sexual Violence/Low assertiveness/Alcohol &Substance abuse(HI)/Adherence SOCIO-CULTURAL RISK FACTORS Assumptions of Asexuality/Sexual inactivity/Double Discrimination GOVERNANCE MECHANISMS Prejudice/ Marginalization /Exclusion of PWDs in HIV/AIDS Policy and program design/Ethical concerns about research HIV/AIDS

  8. Children with Disabilities • ~15-20 % of children with disabilities experience physical and sexual violence • CWDs out of school excluding them from vital SRH information taught in schools • Lack of understanding of their bodies- cant set limits of physical contact • Sexual violence by caregivers/guardians • Exposed to abuse through multiple caregiving/ taught trust and dependence

  9. Men with Disabilities • Greater risk of sexual abuse than men without disabilities. “Urban Risk” • Under-reporting of boys/men with disabilities who are abused (Save the Children 2011) • Deterrents to Reporting-Illegality and taboos • Cultural/Religious belief-affront to masculinity

  10. Women with Disabilities Low literacy levels vs. access to family planning(arrows) Fewer socio-economic options in sour relationship Poverty Forced Marriage/Sterilization Virgin rape(albinism) MisconceptionHIV cure/Prophylaxis Systemic and Physical Barriers to Reporting SGBV Gender discrimination Gender& Disability as social constructs Ante-Natal Care Lack of access puts them at risk of delivering CWDs

  11. INTERLOCKING BARRIERS Taboos/Gender Roles/Religious/ Socio-Cultural Structural Inaccessibility/limited awareness/Capacity constraints Limited research and representation to inform policy makers Legal and Policy Framework Deprivation/Attitudinal/ Stigma/Discrimination/Norms/Charity model/ handicap Low budgetary prioritisation for Reasonable Accommodation and Accessibility Political

  12. SWOT Analysis Strengths Weaknesses • Political Will • Acts on Disability • Representation • Lack of Stats • Limited Understanding Disability Inclusion Opportunities Threats • ICRPD ratification • SDG 3-SRH services • SDG 17 • Rights Based Approaches • Inequality • Resource & Capacity Constraints • Climate Change

  13. Remediation Strategies Legal Reforms Participation Budgets/ Disability Rights Training/ Inter law vs. Domestic/Policy Development Mainstreaming Disability Inclusion Stigma/Prejudice/Cultural Sensitivities/ Alternate formats/Rights awareness(magic bullet) Evidence Base/Indicators of Success Research Awareness Raising

  14. TOWARDS INCLUSIVE DEVELOPMENT DisabilityInclusion Twin Track approach-Mainstreaming (sustainable) and Disability Specific PWDs Parliament Parliament Media Research(Indicators/M&E) Legal& Legislative Reform Awareness Raising Participation GOVERNANCE MECHANISMS(Capacity Building& Systems Strengthening/Accountability/Technology)

  15. Disability Inclusion Management RESEARCH AWARENESS RAISING PARTICIPATION LEGAL AND LEGISLATIVE REFORM GOVERNANCE MECHANISMS YEARS Kick-Off Milestone 2 Milestone 4 Milestone 1 Milestone 3

  16. TRANSFORMATIVE DEVELOPMENT

  17. Disability Empowerment Employment Education Healthcare

More Related