This document outlines Sightsavers' journey towards mainstreaming disability inclusion in their health programs from 2016 to 2019. It describes pilots conducted in several countries to test an inclusive health model and the creation of an internal task team. It then presents Sightsavers' inclusive health toolkit, which provides recommended activities, indicators, and tools for mainstreaming disability inclusion across various health domains like leadership, financing, infrastructure, workforce, and service delivery. The goal is to establish a comprehensive and strategic approach to inclusive healthcare through partnership with governments and organizations of persons with disabilities.

1. Disability mainstreaming in healthcare:
a systematic inclusive health model
Andrea Pregel
Programme Advisor, Social Inclusion and Disability

2. Planting some seeds…

3. Empowerment and Inclusion
Strategic Framework 2015
• Objective 1: Mainstream
disability inclusion in our health
programmes

4. Sightsavers’ inclusive health journey – 1
• 2016: First inclusive eye health (IEH) pilot in Bhopal,
India

5. Sightsavers’ inclusive health journey – 2
• 2017:
–Disability inclusion tested across NTD programmes
–Creation of internal Inclusive Health Task Team
• 2018:
–IEH Mozambique – Jersey Oversea Aid
–IEH Bangladesh and Pakistan – DFID UK Aid Match

6. Sightsavers’ inclusive health journey – 3
• 2019:
–IEH Kogi (Nigeria) – DFID DID
–IEH Malawi – People Postcode Lottery Fund
–IEH Tanzania – DFID UK Aid Match
–NTD ASCEND programme – DFID
–Inclusive health as part of DFID Multi Framework
–Further proposals submitted

7. Inclusive health model

8. Inclusive Health Toolkit
Comprehensive
inclusive health
manual
For each domain:
• Recommended activities
• Indicators and budget
recommendations
Additional design,
implementation and
monitoring tools

9. Leadership and Governance
• Appointment of inclusion focal
point within health facilities
• Sensitisation and capacity
building for mangers and
decision makers
• Partnership with local Disabled
People’s Organisations (DPOs)
• Establishment of project
steering committee involving
Ministry of Health, Ministry of
Social Development and DPOs

10. Health Financing
• Provision of subsidised services
• Referral of patients with disabilities to available support
services (e.g. health insurance schemes)
• Advocacy for increased investments in health financing
and universal health care

11. Health Information
• Collection and analysis of data disaggregated by age,
gender, location and disability using the Washington
Group Short Set of questions
• Data visualisation software
• mHealth

12. Health Workforce
• Participatory training module development
• Training of trainers for DPO members
• Disability inclusion and gender equality training for health
facility staff and community health workers
• Sign language training for selected staff

13. Health Infrastructure
• Accessibility audit training
for DPOs
• Accessibility auditing of
health facility
• Support for infrastructural
adjustments

14. Service Delivery
• Twin-track approach to
service delivery:
–Disability
mainstreaming
–Targeted interventions
• Referrals to other health
and social services
• Patient feedback
mechanisms

15. Demand Generation
• Stakeholders network
• Community mobilisation
• Development of Social and Behaviour Change
Communication interventions

16. Thank you!
Email: apregel@sightsavers.org
Twitter: @A_Pregel