Presentation_Olshanska - Practical Approaches to Disability Inclusion in Healthcare

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This document discusses the development of an inclusive health model to facilitate access to sexual and reproductive health (SRH) programs for persons with disabilities. It describes Light for the World's Every Life Matters pilot program from 2017-2020 in Mozambique, Ethiopia, and Rwanda. The program worked to build health provider capacity on disability inclusion, develop inclusive tools and materials, modify health centers for accessibility, foster partnerships, and design targeted SRH interventions. Data collection tools were introduced to track disability, stereotypes were addressed, and medical staff received inclusive communication training. The program developed an inclusion health game, tailored SRH materials for deaf persons, and ensured disability representation in local health posters.

Health & Medicine

Every
Life
Matters
Practices for Inclusion of
Persons with Disabilities in SRH
Programs

Introduction
Zinayida Olshanska
Global Coordinator and
Disability Inclusion Advisor
Light for the World
z.olshanska@light-for-the-world.org

Our focus
Inclusive Education
Inclusive economic
development &
livelihood
Inclusive healthcare
(SRH and Eye Care)
Community-Based
Rehabilitation
Disability rights

Our network
Bolivia
Burkina Faso
DR Congo
Cambodja
Bangladesh
Papua New
Guinea
Pakistan
Ethiopië
Zuid-
Soedan
Uganda
Burundi
Tanzania
Mozambique
Rwanda
Bosnië en
Herzegovina
Light for the World International

Making Sexual &
Reproductive Health
programs inclusive

We work on
Organisational level
Community level

Every Life Matters
Pilot program
2017-2020
Developing program approach
based on reflections
Goal: develop an inclusive health model
that can facilitate access of persons with disabilities
(and other marginalized groups) to health programs
in the development world.

Collaboration
• Governmental autorities
• DPOs
• Community-based organisations
• Affiliatians of Ministries of Health
3 countries
• 9 SRH providers
• 3 eye care
providers
12 health centers
2 hospitals
Involvement of:
Mozambique
Ethiopia
Rwanda

Intervention areas
Capacity building
Data collection
Tools Development
Accessibility modifications
Partnerships
Development of Target Interventions
Learning & Sharing

Data collection
Capacity building
• Baseline data collection
• Registration data collection
Disability disaggregated tool developed and
introduced to 12 health centers
Achievements
• Addressing stereotypes, assumptions and traditional beliefs
• Training medical staff on inclusive communication strategies, mobility & orientation and
sign language
• Medical staff at 12 health centers developed their capacity
• Manual for health providers is being developed
Achievements

Tools development
• Adaptation of existent local tools
• Development of new innovative tools
• Inclusion Health Game developed for health professionals
• Tailored SRH materials for communication with deaf people
• PwD represented on SRH local posters
Achievements

Accessibility modifications
Partnerships
• Assessment of health care facilities
• Budget allocation by health centers for disability modifications
• Planning and implementing accessibility modifications
• 12 health centers were assessed with DISC tool
• 6 health centers agreed to allocate own funds for modifications
Achievements
• DPOs
• Rehabilitation centers
• Other respective institutions
Fostered several partnerships
Achievements

Development of Target Interventions
Learning & Sharing
• Developing SRH sessions that target specific communities (women with hearing
impairment/intellectual impairment)
• Developing SRH tools for communicating with specific groups
• Inclusive sessions for HIV and healthy pregnancy developed for deaf women in Ethiopia
and Rwanda
• Tailored SRH materials for communication with deaf people
Achievements
Learning & Sharing event:
• Reflecting on program processes with all stakeholders involved
• Share program experiences from all three countries
First reflection on inclusive SRH health model
took place in November 2018
Achievements

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Presentation_Olshanska - Practical Approaches to Disability Inclusion in Healthcare

1. Every Life Matters Practices for Inclusion of Persons with Disabilities in SRH Programs

2. Introduction Zinayida Olshanska Global Coordinator and Disability Inclusion Advisor Light for the World z.olshanska@light-for-the-world.org

3. Our focus Inclusive Education Inclusive economic development & livelihood Inclusive healthcare (SRH and Eye Care) Community-Based Rehabilitation Disability rights

4. Our network Bolivia Burkina Faso DR Congo Cambodja Bangladesh Papua New Guinea Pakistan Ethiopië Zuid- Soedan Uganda Burundi Tanzania Mozambique Rwanda Bosnië en Herzegovina Light for the World International

5. Making Sexual & Reproductive Health programs inclusive

6. We work on Organisational level Community level

7. Every Life Matters Pilot program 2017-2020 Developing program approach based on reflections Goal: develop an inclusive health model that can facilitate access of persons with disabilities (and other marginalized groups) to health programs in the development world.

8. Collaboration • Governmental autorities • DPOs • Community-based organisations • Affiliatians of Ministries of Health 3 countries • 9 SRH providers • 3 eye care providers 12 health centers 2 hospitals Involvement of: Mozambique Ethiopia Rwanda

9. Intervention areas Capacity building Data collection Tools Development Accessibility modifications Partnerships Development of Target Interventions Learning & Sharing

10. Data collection Capacity building • Baseline data collection • Registration data collection Disability disaggregated tool developed and introduced to 12 health centers Achievements • Addressing stereotypes, assumptions and traditional beliefs • Training medical staff on inclusive communication strategies, mobility & orientation and sign language • Medical staff at 12 health centers developed their capacity • Manual for health providers is being developed Achievements

11. Tools development • Adaptation of existent local tools • Development of new innovative tools • Inclusion Health Game developed for health professionals • Tailored SRH materials for communication with deaf people • PwD represented on SRH local posters Achievements

12. Accessibility modifications Partnerships • Assessment of health care facilities • Budget allocation by health centers for disability modifications • Planning and implementing accessibility modifications • 12 health centers were assessed with DISC tool • 6 health centers agreed to allocate own funds for modifications Achievements • DPOs • Rehabilitation centers • Other respective institutions Fostered several partnerships Achievements

13. Development of Target Interventions Learning & Sharing • Developing SRH sessions that target specific communities (women with hearing impairment/intellectual impairment) • Developing SRH tools for communicating with specific groups • Inclusive sessions for HIV and healthy pregnancy developed for deaf women in Ethiopia and Rwanda • Tailored SRH materials for communication with deaf people Achievements Learning & Sharing event: • Reflecting on program processes with all stakeholders involved • Share program experiences from all three countries First reflection on inclusive SRH health model took place in November 2018 Achievements

14. Inclusive health model

15. Thank you

Presentation_Olshanska - Practical Approaches to Disability Inclusion in Healthcare

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