Disability Identification Cards: Issues in Effective Design

Around the world, the issue of disability inclusion is gaining increasing prominence. To promote disability-inclusion in programmes, a growing number of countries are considering the creation of a disability identification card. However, the administration of a disability ID card in low and middle-income countries differs from those in high-income countries. The purpose of this article is to discuss some of the challenges involved in creating a disability ID and how to address these challenges in the context of low and middle-income countries, suggesting that countries considering instituting disability ID cards must move with caution. ID card programmes can only advance disability policy and the wellbeing of persons with disabilities if undertaken in a well-designed manner in line with a country’s administrative capacity

Extra costs of living with a disability: A review and agenda for research

BACKGROUND: There has been a growing interest in disability and poverty on the international research and policy stages. Poverty assessments for persons with disabilities may be affected by the experience of extra costs associated with a disability. OBJECTIVE: This article provides a systematized review of the global literature on the direct costs associated with living with a disability at the individual or household level. METHODS: We searched three databases for peer-reviewed journal articles that estimated extra costs associated with disability: Econlit, SocIndex and PubMed. RESULTS: We found 20 such studies conducted in 10 countries. These studies were predominantly from high-income countries. Although studies were heterogeneous (e.g., in terms of disability measures and cost methodologies), estimated costs were sizeable and some patterns were consistent across studies. Costs varied according to the severity of disability, life cycle and household composition. Highest costs were observed among persons with severe disabilities, and among persons with disabilities living alone or in small sized households. CONCLUSIONS: More quantitative evidence is needed using rigorous methods, for instance evidence based on longitudinal data and as part of policy evaluations. More internationally comparable data on disability is required for the quantitative evidence to develop, especially in low- and middle-income countries where studies are scarce. Qualitative and participatory research is also needed, especially to investigate unmet needs, and the consequences of extra costs

The Economic Lives of People with Disabilities in Vietnam

Through a series of focus group discussions conducted in northern and central Vietnam, this study gives voice to the lived economic experience of families with disabilities and how they manage the economic challenges associated with disability. The dynamic of low and unstable income combined with on-going health care and other disability-related costs gives rise to a range of coping mechanisms (borrowing, reducing and foregoing expenditures, drawing upon savings and substituting labour) that helps to maintain living standards in the short-run yet threatens the longer-term welfare of both the individual with disability and their household. Current social protection programs were reported as not accessible to all and while addressing some immediate economic costs of disability, do not successfully meet current needs nor accommodate wider barriers to availing benefits

All Doors Lead to the Kitchen – Sustainability and Wellbeing Challenges in a Shared Centrepiece of Living

The kitchen figures a central place in the home where a significant share of a household’s resource consumption takes place. Sharing the kitchen between multiple households has potential to bring positive sustainability effects due to more efficient use of both material resources and energy. The concept of shared kitchens has, however, thus far had a limited diffusion. This paper explores the potential of shared kitchens as a future sustainable living environment by studying user experiences from a Living Lab setting. It builds the base for an overarching larger European collaboration on how future shared kitchens should be designed in order to support everyday practices while optimising the conditions for achieving positive impact on both sustainability and wellbeing. Findings are presented from five focus areas concerning different use contexts: (1) accessing, (2) cooking, (3) living and socialising, (4) storing, and (5) cleaning

Making visible the invisible: Why disability-disaggregated data is vital to "leave no-one behind"

People with disability make up approximately 15% of the world’s population and are, therefore, a major focus of the ‘leave no-one behind’ agenda. It is well known that people with disabilities face exclusion, particularly in low-income contexts, where 80% of people with disability live. Understanding the detail and causes of exclusion is crucial to achieving inclusion, but this cannot be done without good quality, comprehensive data. Against the background of the Convention for the Rights of Persons with Disabilities in 2006, and the advent of 2015’s 2030 Agenda for Sustainable Development there has never been a better time for the drive towards equality of inclusion for people with disability. Governments have laid out targets across seventeen Sustainable Development Goals (SDGs), with explicit references to people with disability. Good quality comprehensive disability data, however, is essential to measuring progress towards these targets and goals, and ultimately their success. It is commonly assumed that there is a lack of disability data, and development actors tend to attribute lack of data as the reason for failing to proactively plan for the inclusion of people with disabilities within their programming. However, it is an incorrect assumption that there is a lack of disability data. There is now a growing amount of disability data available. Disability, however, is a notoriously complex phenomenon, with definitions of disability varying across contexts, as well as variations in methodologies that are employed to measure it. Therefore, the body of disability data that does exist is not comprehensive, is often of low quality, and is lacking in comparability. The need for comprehensive, high quality disability data is an urgent priority bringing together a number of disability actors, with a concerted response underway. We argue here that enough data does exist and can be easily disaggregated as demonstrated by Leonard Cheshire’s Disability Data Portal and other studies using the Washington Group Question Sets developed by the Washington Group on Disability Statistics. Disaggregated data can improve planning and budgeting for reasonable accommodation to realise the human rights of people with disabilities. We know from existing evidence that disability data has the potential to drive improvements, allowing the monitoring and evaluation so essential to the success of the 2030 agenda of ‘leaving no-one behind’

The impact of health insurance for children under age 6 in Vietnam: A regression discontinuity approach.

Accessing health services at an early age is important to future health and life outcomes. Yet, little is currently known on the role of health insurance in facilitating access to care for children. Exploiting a regression discontinuity design made possible through a policy to provide health insurance to pre-school aged children in Vietnam, this paper evaluates the impact of health insurance on the health care utilization outcomes of children at the eligibility threshold of six years. Using three rounds of the Vietnam Household Living Standards Survey, the study finds a positive impact on inpatient and outpatient visits and no significant impact on expenditures per visit at public facilities. We find moderately high use of private outpatient services and no evidence of a switch from private to covered public facilities under insurance. Results suggest that adopting public health insurance programs for children under age 6 may be an important vehicle to improving service utilization in a low- and middle-income country context. Challenges remain in providing adequate protections from the costs and other barriers to care

Time-resolved photometric and spectroscopic analysis of a luminous Ap star HD103498

We present the results on the photometric and spectroscopic monitoring of a luminous Ap star HD103498. The time-series photometric observations were carried out on 17 nights using three-channel fast photometer attached to the 1.04-m optical telescope at ARIES, Nainital. The photometric data of five nights of year 2007 show clear signature of 15-min periodicity. However, the follow-up observations during 2007--2009 could not repeated any such periodicity. To confirm the photometric light variations, the time-series spectroscopic observations were carried out with the 2.56-m Nordic Optical Telescope (NOT) at La Palma on February 2, 2009. Any radial velocity variations were absent in this data set which is in full agreement with the photometric observations taken near the same night. Model atmosphere and abundance analysis of HD103498 show that the star is evolved from the Main Sequence and its atmospheric abundances are similar to two other evolved Ap stars HD133792 and HD204411: large overabundances of Si, Cr, and Fe and moderate overabundances of the rare-earth elements. These chemical properties and a higher effective temperature distinguish HD103498 from any known roAp star.Comment: 8 Figures, 2 Tables, 9 Pages, Accepted for publication in MNRA

Kinematic Control of the Inertiality of the System of Tycho-2 and UCAC2 Stellar Proper Motions

Based on the Ogorodnikov-Milne model, we analyze the proper motions of Tycho-2 and UCAC2 stars. We have established that the model component that describes the rotation of all stars under consideration around the Galactic y axis differs significantly from zero at various magnitudes. We interpret this rotation found using the most distant stars as a residual rotation of the ICRS/Tycho-2 system relative to the inertial reference frame. For the most distant ($d\approx900$ pc) Tycho-2 and UCAC2 stars, the mean rotation around the Galactic y axis has been found to be $M_{13}=-0.37\pm0.04$ mas yr$^{-1}$. The proper motions of UCAC2 stars with magnitudes in the range $12-15^m$ are shown to be distorted appreciably by the magnitude equation in $\mu_\alpha\cos\delta$, which has the strongest effect for northern-sky stars with a coefficient of $-0.60\pm0.05$ mas yr$^{-1}$ mag$^{-1}$. We have detected no significant effect of the magnitude equation in the proper motions of UCAC2 stars brighter than $\approx11^m$.Comment: 15 pages, 6 figure

A collaborative approach to forecasting product–service systems (PSS)

Copyright @ Springer-Verlag London Limited 2010. The final version of this article may be viewed at the link below.This paper examines the forecasting implications for product–service systems (PSS) applications in manufacturing firms. The approach taken is to identify the scope of operations for PSS applications by identifying all the activities associated with the service deployment in the telecom sector. The paper then develops a revenue model for manufacturing firms providing PSS applications. The revenue model identifies three generic revenue streams that provide the basis for discussion on the differences in forecasting approaches, including collaborative approaches based on PSS staff being geographically co-located

Sustainability of an HIV PEP Program for Sexual Assault Survivors: “Lessons Learned” from Health Care Providers

This study explored challenges to continuing an HIV post-exposure prophylaxis (PEP) program of care provided to sexual assault survivors in the province of Ontario, Canada. Data were collected as part of an implementation and evaluation of a universal offering of HIV PEP (known as the HIV PEP Program) at 24 of 34 provincial hospital-based sexual assault treatment centres. Experienced health care providers were surveyed (n = 132) and interviewed in four focus groups (n = 26) about their perceptions of what, if any, factors threatened their ability to maintain the HIV PEP Program. All focus groups were audio-recorded and the recordings transcribed. The transcriptions and open-ended survey responses were analyzed using content analysis. Administrator, nurse, physician, social worker, and pharmacist respondents perceived important barriers to sustainability of the HIV PEP Program. Eight constructs were identified within four broad themes: resources (inadequate funds, overworked and unacknowledged staff), expertise (insufficient external supports, insufficiently trained and knowledgeable staff), commitment (lack of institutional support, physician resistance to offering HIV PEP), and accommodation (lack of flexibility in addressing specific client and community needs, inaccessibility and lack of clarity of tools). We discuss the implications of these findings and the actions that were taken to address the challenges