Evidence briefs

6 results

What are the key considerations for including people with disabilities in COVID-19 hygiene promotion programmes?

People with disabilities may be more likely to acquire COVID-19, and if infected may be more likely to experience serious symptoms, or die. Aside from those consequences of the pandemic related to morbidity and mortality, people with disabilities are often reliant on carers to aid with common daily tasks, and so social distancing measures may be unfeasible. Furthermore, safe water, sanitation and hygiene (WASH) services and facilities may be inaccessible to people with disabilities, and, in many settings, efforts to deliver services in a socially-distanced world have resulted in the roll out of digital or remote healthcare approaches which are sometimes not accessible or inclusive. One of the key interventions in response to the COVID-19 pandemic has been international attention, and improved funding, programming and media messaging in support of WASH. People with disabilities – who are most at risk of negative consequences of COVID-19 – most need access to such interventions. Yet, WASH access is considered to be one of the biggest challenges of daily life for many people with disabilities.

  • COVID-19
  • Health
Recommendations
  • Programme designers should conduct a rapid review of WASH-related challenges
  • Disability-inclusion is a key consideration when designing COVID-19 WASH programmes
  • People with all types of disabilities must be engaged at all stages of COVID-19 programming
  • Assistance needs to be provided to people with disabilities and carers
  • All WASH facilities and services need to be designed with accessibility and inclusion in mind
  • Apply a gender lens to disability inclusive WASH COVID-19 responses
  • Train WASH practitioners and healthcare workers on disability inclusive WASH
  • Learn from and document experiences to inform disability inclusive programming and policies

How can social protection responses to COVID-19 be made disability inclusive?

The COVID-19 pandemic and strategies essential for its containment are resulting in severe strains on economies, particularly in low- and middle-income countries (LMICs). These impacts will be felt most by groups already in or at risk of poverty, including the estimated 1 billion people with disabilities globally. Interventions to address the short- and long-term economic effects of the pandemic are urgently needed. Some countries have begun implementing or announced plans for interventions addressing the economic impacts of COVID-19, such as food assistance, emergency cash transfers, unemployment assistance or expansions to existing social protection programmes. As these programmes are developed, it is important to consider the extent to which their design and delivery is inclusive of people with disabilities. Failure to adequately include people with disabilities in this process will lead to widening inequalities.

  • Livelihood & Social Protection
  • COVID-19
Recommendations
  • Eligibility criteria should be reviewed to avoid the widespread exclusion of people with disabilities in need of support during COVID-19.
  • Application procedures and facilities for social protection and relief interventions must be accessible to people with all types of disabilities.
  • Mechanisms for delivering social protection and other must be accessible and support the agency of people with disabilities
  • The content of COVID-19 economic responses must be relevant to people with disabilities and adequate to meet their needs.
  • Social protection should be coordinated with other sectors and actors to develop complementary interventions

How can we measure disability in research related to the COVID-19 response?

There is growing evidence that COVID-19 is disproportionally impacting the lives of people with disabilities. This includes evidence of the increased risk of severe outcomes of contracting COVID-19 amongst people with existing health conditions, including many people with disabilities. It also includes a wide range of other potential impacts such as: reductions or disruptions in non-COVID-19 health or rehabilitation services, the effects of shielding on isolation and mental health, the implications of social distancing on people who require carer support, and the impact on poverty, participation and wellbeing due to disrupted disability-inclusive development programmes.

Measurement of disability in research has historically been contested and a number of different tools exist. Clear guidance is needed on how to determine which tool to use to understand the situation of people with disabilities in different settings, and plan responsive and inclusive COVID-19 programmes and policies to support their needs. Good quality, comparable data on disability is essential for tracking the impact of the COVID-19 pandemic, as well as prevention and mitigation interventions, amongst people with disabilities. Such evidence is also imperative for tracking progress towards the Sustainable Development Goals, and UNCRPD compliance.

  • COVID-19
SignificanceFeasibilityApplicabilityEquity
Recommendations
  • Use the Washington Group Enhanced Short Set (WGES), supplemented by other tools as relevant
  • Dedicate sufficient resources to translation and training
  • Follow guidance to analyse, disaggregate, interpret and present data
  • Where insufficient resources exist to embed the WGES, consider alternatives but invest in pilot testing first
  • Include assessment of impairments or health conditions depending on the research question and resource availability
  • Invest in further research to strengthen identification tools for people with disabilities

¿Cómo apoyar la salud mental y el bienestar durante la pandemia del COVID-19?

La pregunta y el problema

Los síntomas de una salud mental insuficiente son comunes durante un brote generalizado de una enfermedad infecciosa. En epidemias recientes como la crisis el Ébola y del SARS-CoV-1 se han reportado altos casos de depresión, ansiedad y de trastorno de estrés post-traumático (TEPT). Los síntomas elevados de una mala salud mental no están limitados a pacientes, sino que también son vistos en trabajadores de la salud, familiares y en la población en general. Los primeros indicios de evidencia provenientes de la pandemia del Covid-19 demuestran altos índices de una salud mental insuficiente y por lo tanto, la necesidad de proveer un servicio de salud mental. Este Informe de Evidencia resume la evidencia sobre apoyo a la salud mental durante la Covid-19 y otras pandemias recientes, informando sobre las normas y prácticas durante esta crisis.

  • Health
  • COVID-19
SignificanceFeasibilityApplicabilityEquity
Recommendations
  • Recomendación #1: Un enfoque multisectorial es necesario para afrontar los problemas de salud mental
  • Recomendación #2: La provisión de servicio debe ser sostenible y realizable.
  • Recomendación #3: Las intervenciones deben de ajustarse a la situación actual basándose en la evidencia existente y evaluando enfoques innovadores.
  • Recomendación #4: Más investigación es requerida para identificar cuál la provisión de servicios más adecuada y eficaz.
  • Recomendación #5: Fortalecer las estrategias de comunicación y la entrega de información para apoyar el bienestar de todos.

Remaining questions

There are no remaining questions related to this theme