Guidelines for standards developers to address the needs of older persons and persons with disabilities

2015 ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 187-192
Author(s):  
Katherine Kline

UN-Habitat’s biennial World Urban Forum (WUF9) took place in Kuala Lumpur, Malaysia this year from 7-13 February.  Following 18 months after Habitat III, its theme appropriately focused on “Cities 2030, Cities for All”.I participated as the co-chair of the General Assembly of Partners (GAP) official civil society group for older persons. Given very limited resources, we organized several panels with others: an official 2 hour Older Persons Roundtable; one with GAP Persons with Disabilities on accessibility and universal design; another representing older women as part of the Women’s Assembly; a fourth contributing the civil society perspective to one by Business & Industry; and a fifth organized by City Space Architecture focusing on the importance of safe and accessible public spaces which can reduce isolation faced by many older urban residents.Urbanisation and population ageing are century defining demographic trends. Over 500 million urban residents are older people. Yet cities everywhere are failing to address the changes brought about by global population ageing with increasing inequality and insecurity. Physical, social and economic barriers prevent older people in particular from fully enjoying their rights and living in dignity and safety in cities. By 2030, older persons are expected to account for over 25 percent of the population in Europe and northern America, 17 percent in Asia, Latin America and the Caribbean, and six percent in Africa. Over half the ageing population, 289 million, currently lives in low- and middle-income countries, and is increasingly concentrated in urban areas. Older persons are the fastest growing population group globally, expected to reach 22% by 2050 (UNDESA 2017). In 2015, 58% of the world’s people aged 60 and over resided in urban areas, up from 50% in 2000.


2011 ◽  
Vol 26 (6) ◽  
pp. 725-737 ◽  
Author(s):  
Lois A. Haggerty ◽  
Joellen W. Hawkins ◽  
Holly Fontenot ◽  
Annie Lewis-O’Connor

In recent decades, the prevalence of abuse against women, older persons, and persons with disabilities has become a major public health problem. Health professionals, urged by their professional associations to universally screen these groups, have employed various tools in an effort to identify individuals in need of help. Yet many of the tools used widely in clinical settings have limitations in terms of empirical soundness. This article presents tools used to screen women, older persons, and persons with disabilities as well as data on the reliability and validity of these instruments. These properties and the resources needed to reduce harm are important factors to consider before implementing screening. The article concludes with a summary of the risk–benefit issues related to the use of these tools and universal screening in general.


2021 ◽  
Vol 13 (19) ◽  
pp. 11054
Author(s):  
Claudia De Luca ◽  
Andrea Libetta ◽  
Elisa Conticelli ◽  
Simona Tondelli

In accordance with SDG N11.7, each city should work on providing “by 2030, universal access to safe, inclusive and accessible, green and public spaces, in particular for women and children, older persons and persons with disabilities”. This target became even more crucial during the COVID-19 pandemic restrictions. This paper presents and discuss a method for (i) assessing the current distribution and accessibility of urban green spaces (UGSs) in a city using hierarchical network distances; and (ii) quantifying the per capita values of accessible UGSs, also in light of the restrictions in place, namely social distancing during the COVID-19 pandemic. The methods have been tested in the city of Bologna, and the results highlight urban areas that suffer from a scarcity of accessible UGSs and identify potentially overcrowded UGSs, assessing residents’ pressure over diverse UGSs of the city in question. Based on our results, this work allows for the identification of priorities of intervention to overcome these issues, while also considering temporary solutions for facing the eventual scarce provision of UGSs and related health and wellbeing benefits in periods of movement restrictions.


2006 ◽  
Vol 61 (4) ◽  
pp. 367-373 ◽  
Author(s):  
François Béland ◽  
Howard Bergman ◽  
Paule Lebel ◽  
A. Mark Clarfield ◽  
Pierre Tousignant ◽  
...  

Abstract Background. Care for elderly persons with disabilities is usually characterized by fragmentation, often leading to more intrusive and expensive forms of care such as hospitalization and institutionalization. There has been increasing interest in the ability of integrated models to improve health, satisfaction, and service utilization outcomes. Methods. A program of integrated care for vulnerable community-dwelling elderly persons (SIPA [French acronym for System of Integrated Care for Older Persons]) was compared to usual care with a randomized control trial. SIPA offered community-based care with local agencies responsible for the full range and coordination of community and institutional (acute and long-term) health and social services. Primary outcomes were utilization and public costs of institutional and community care. Secondary outcomes included health status, satisfaction with care, caregiver burden, and out-of-pocket expenses. Results. Accessibility was increased for health and social home care with increased intensification of home health care. There was a 50% reduction in hospital alternate level inpatient stays (“bed blockers”) but no significant differences in utilization and costs of emergency department, hospital acute inpatient, and nursing home stays. For all study participants, average community costs per person were C$3390 higher in the SIPA group but institutional costs were C$3770 lower with, as hypothesized, no difference in total overall costs per person in the two groups. Satisfaction was increased for SIPA caregivers with no increase in caregiver burden or out-of-pocket costs. As expected, there was no difference in health outcomes. Conclusions. Integrated systems appear to be feasible and have the potential to reduce hospital and nursing home utilization without increasing costs.


2020 ◽  
Vol 22 (6) ◽  
pp. 371-383
Author(s):  
Ariel Kwegyir Tsiboe

Purpose This study aims to describe the lived experiences among older persons with disability during the coronavirus pandemic in rural Ghana. Design/methodology/approach This study is based on a qualitative methodology consistent with a phenomenological approach. Semi-structured interviews were conducted with 20 participants. Thematic analysis was used for data analysis. Findings During the pandemic, care rendered to older persons with disabilities by their caregivers easily declined because of the lockdown measure. This made the participants suffer in profound loneliness and hunger, and forced some to generate suicidal thoughts. On the other hand, the participants who lived with their family members were also kept indoors for several weeks to reduce their chances of contracting the virus. This was because participants’ family members loosed confidence in the Ghanaian health-care system in protecting their older relatives. Originality/value To the best of the author’s knowledge, this is the first study to explore the experiences of older persons with disabilities during coronavirus disease 2019 in rural Ghana. The Ghanaian Government should consider formalized care to ensure continued care of older persons with disabilities especially during pandemics and future related uncertainties.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Doris Ottie-Boakye

Abstract Background Social assistance in the form of cash transfer or in-kind has been recognised as a social protection strategy in many developing countries to tackle poverty and provide protection for individuals and households. Ghana’s cash grant programme, Livelihood Empowerment Against Poverty (LEAP), was introduced in 2008 to support selected households with vulnerable persons including older people 65 years and above, and persons with disabilities. This paper examined the coverage of non-receipt of LEAP, and the associated factors among older persons (65+ years) in the Mampong Municipality, Ghana. Methods Data were extracted from the Ageing, Social Protection and Health Systems (ASPHS) survey carried out between September 2017 and October 2017 among older persons residing in LEAP-targeted communities. Data were analysed using descriptive and sequential logistic regression model techniques. Results The mean age of respondents was 77.0 years and 62.3% were females. Rural residents constituted 59.0%. About 42.0% had no formal education and only 20.5% had no form of caregiving. Non-receipt of LEAP was 82.7% among study respondents. The fully adjusted model showed that being married (AOR = 3.406, CI 1.127–10.290), residing in an urban location (AOR = 3.855, CI 1.752–8.484), having attained primary level of education (AOR = 0.246, CI 0.094–0.642), and not residing in the same household with a primary caregiver (AOR = 6.088, CI 1.814–20.428) were significantly associated with non-receipt of cash grant among older persons. Conclusion These results provide the first quantitative estimates of non-receipt coverage and its associated factors with the LEAP programme, which can inform the design of government policies related to cash transfers for older persons. The need for further research using different approaches to understand and explain the impact of cash grants on older persons’ well-being is crucial in strengthening old age social support care mechanisms in Ghana.


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