Witchcraft, Wealth and Disability: Reinterpretation of a folk belief in contemporary urban Africa

Many groups in sub-Saharan Africa have historically linked persons with disabilities with witchcraft as a component of a wider link between accusations of witchcraft and socially marginalized populations. It is commonly assumed that traditional prejudices towards persons with disabilities are receding in light of urbanization, education, mass media and efforts to confront such prejudice and stigma by governments, disability advocates and civil society. Ratification of the UN Convention on the Rights of Persons with Disabilities (CRPD) by many African countries is considered an additional impetus for change. While beliefs differ throughout the region, there is an unsettling trend in many urban areas where traditional beliefs linking disability with witchcraft are being reinterpreted. Fuelled by quest for rapid social and economic advancement, urban ‘witch doctors’ promote beliefs that individuals and families can prosper if they perform rituals or sacrifice involving abuse, mutilation or killing of children and adults with disabilities. These beliefs are reinforced in popular media and some Pentecostal churches where disability is linked to evil spirits or the devil, while ‘cure’ of disability is linked to virtue and prosperity. Based on literature review and fieldwork in Tanzania and Uganda we argue here that with rapid urbanization, links between witchcraft and disability in contemporary African popular urban culture is an issue of concern that must be acknowledged and addressed

The Impact and Burden of Neurological Sequelae Following Bacterial Meningitis: A Narrative Review

The burden, impact, and social and economic costs of neurological sequelae following meningitis can be devastating to patients, families and communities. An acute inflammation of the brain and spinal cord, meningitis results in high mortality rates, with over 2.5 million new cases of bacterial meningitis and over 236,000 deaths worldwide in 2019 alone. Up to 30% of survivors have some type of neurological or neuro-behavioural sequelae. These include seizures, hearing and vision loss, cognitive impairment, neuromotor disability and memory or behaviour changes. Few studies have documented the long-term (greater than five years) consequences or have parsed out whether the age at time of meningitis contributes to poor outcome. Knowledge of the socioeconomic impact and demand for medical follow-up services among these patients and their caregivers is also lacking, especially in low- and middle-income countries (LMICs). Within resource-limited settings, the costs incurred by patients and their families can be very high. This review summarises the available evidence to better understand the impact and burden of the neurological sequelae and disabling consequences of bacterial meningitis, with particular focus on identifying existing gaps in LMICs

Disability and the League of Nations: the Crippled Child's Bill of Rights and a call for an International Bureau of Information, 1931

In Disability Studies the evolution of conceptual models is often portrayed as linear, with a nineteenth-century charity model shifting to the medical model that dominated disability discourse in the twentieth century. This is then assumed to be largely unchallenged until the 1970s, when an emergent Disability Rights Movement re-framed issues into the social model, from which evolved a rights-based model. This paper documents two early efforts to address disability issues submitted to the League of Nations: the Crippled Child’s Bill of Rights in 1931 and a ‘Memorial’ requesting the establishment of an International Bureau of Information on Crippled Children in 1929. Neither submission achieved its stated goals, yet both reflect early attempts to place disability within wider social contexts

Initiating dialogue between stakeholders and establishing a common language for community severance through cross disciplinary workshops

The concept of community severance has slowly been making its way into concrete transport plans and policies but it still lacks a consensual definition. This is because the issue has been approached by researchers from a range of disciplines, which have specific and diverse ways of constructing scientific knowledge. The objective of this paper, the first in a series of working papers to be generated by the Street Mobility and Network Accessibility research project is to build bridges between these different approaches and provide a base for the integration of community severance into public policy. The paper is the outcome of a series of workshops attended by a cross-disciplinary team of researchers and stakeholders, including policy-makers and local practitioners. On the basis of these discussions, a framework for cross-disciplinary research on community severance is developed, taking into consideration the chain of direct and indirect effects of transport infrastructure and motorised traffic and the range and complexity in the methodologies used for analysing and formulating solutions to the problem. In a second stage, we examine the consistency between this framework and the opinions and experiences of stakeholders