THE EUROPEAN STRATEGY FOR DISABLED PEOPLE FOR BETTER PUBLIC HEALTH

2018 ◽  
Vol 28 (6) ◽  
pp. 2045-2050
Author(s):  
Momchil Mavrov

In the last decade, the European Community has extended measures to guarantee the fundamental rights and freedoms of people with disabilities and to improve the relevant legal framework. European policies and programs aimed at protecting one of the most vulnerable groups of human society aim to ensure the full exercise of fundamental human rights, among which are the subjective rights related to human health and the improvement of the quality of life.One of the most important acts in this direction is the European Disability Strategy with a programming period 2010-2020 in which it is set cooperation on concerted action at national and European level in specific areas of public life, one of which is healthcare.The most common problems of people with disabilities in the field of public health are unequal treatment, limited access to health care and medical treatment, the lack or deficit of specific health and rehabilitation services and access to appropriate medical equipment, corresponding to the health status of the persons with disabilities, as well as insufficient financial support from the state.All listed disadvantage inherent in most health systems lead to the violation of one of the most important social rights of people with disabilities, namely: their right to health.In order to overcome the barriers identified by persons with disabilities in the exercise of their subjective rights,In order to overcome these barriers which people with disabilities face when exercising their subjective rights, in the Strategy of the European Union is indicated that the community will support national health measures taken to provide accessible and quality health services, appropriate rehabilitation services for people with disabilities, the promotion of mental health services and the development of early intervention services and the assessment of the needs of vulnerable persons, including equal treatment.The stride of the European Community to ensure the highest possible protection of the civil, health and other basic rights of persons with disabilities needs to be actively supported by the governments of the Member States, since only through joint efforts and synchronized common policies could be achieved, the objectives set out in the strategic document.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1019-1019
Author(s):  
Sarah Dys ◽  
Hannah Huebner ◽  
Norma Carrillo-Van Tongeren ◽  
Courtney Sirk ◽  
Harold Urman ◽  
...  

Abstract Best practice for measuring quality improvement and consumer satisfaction of health and human services for older adults and people with disabilities relies on in-person survey administration. This poster highlights adaptation strategies undertaken across three large-scale evaluation studies of program/service delivery conducted during the COVID-19 pandemic, necessitating a departure from in-person techniques: 1) Integrated Satisfaction Measurement for the Program of All-Inclusive Care for the Elderly (I-SAT-PACE), 2) National Core Indicators- Aging and Disabilities/Intellectual and Developmental Disabilities (NCI-AD/IDD), and 3) Assisted Living Resident Quality of Life (AL-QOL). Data collection for these projects occurred from September 2020 to August 2021, providing an opportunity to showcase project adaptation over the course of the pandemic. Using project implementation examples across 15 states and approximately 10,100 participants, we discuss implications for successful survey coordination, interviewer training, data collection, and participant/stakeholder engagement during a public health emergency. Strategies included pivoting to phone, Zoom, and paper-based data collection and increasing technical assistance for field staff and participants. Project teams were able to increase access to participation by implementing multimodal survey delivery, mitigate coronavirus exposure, continue collecting older adults and people with disabilities’ experiences, and compare results based on method of delivery. Technology barriers, field staff dropout, need for larger sample sizes, and inclusion of participants with dementia, hearing, and speech impairments present important tradeoffs to consider. These examples indicate it is possible to administer hybrid data collection methods across populations with varying cognitive and physical abilities without compromising data quality.


2017 ◽  
Vol 7 (2) ◽  
pp. 34
Author(s):  
Arsen Kllogjri

The aim of this study was the observation of the general situation in which there are people with disabilities in the district of Tirana. As is known, people with disabilities are one of the most vulnerable groups of society. To make a realistic assessment of the situation, we organized direct contacts with some of the persons with disabilities who have attended or recognize the center of care for disabled people.


Author(s):  
Галина Кучер

In today's conditions, public organizations of persons with disabilities are experiencing a new stage of development, gradually moving from users of social services to their providers. They carry out social and public activities based on new approaches in statutory activities, which encourages the search for more effective forms of interaction with people with disabilities of different nosologies and ages, government, media, business, and among themselves.


2021 ◽  
Vol 122 (1) ◽  
pp. 92-111
Author(s):  
Allyson M. Pollock ◽  
Louisa Harding-Edgar

The UK has the highest death rate from Covid-19 in the world, and it is vulnerable groups who have suffered the most. This article describes the multiple failures of government that led to this tragedy. The depletion of and disinvestment in public health services, communicable disease control and community health services over decades meant those reliant on these services were failed. The fundamental tenets of public health were set aside, and public health expertise ignored, in favour of establishing a parallel, privatised system for epidemic control which failed expensively and spectacularly. Long-established principles of infectious disease control and rules and standards for scientific evaluation were not followed, and our ‘world-class scientists’ fatally departed from World Health Organisation advice. Covid has been used as a cover for more privatisation and less scrutiny and accountability. It has exposed the gap between rich and poor and erosion in our public services. However, rather than ameliorating inequalities, the government has presided over enormous inter- and intra-generational transfers of harms and risks from rich to poor and to those in institutional settings, and from older prosperous people to children. Above all, Covid has been a cover for enormous transfers of wealth from the public purse and public services to private interests — notably in health services. There is a political solution to the undermining of public health, commercial conflicts and lack of public accountability: the government must bring forward legislation to reinstate a publicly funded, publicly operated and fully integrated National Health and Care Service, and set out clear plans for reinvestment and restoring and rebuilding health and care services.


Author(s):  
Nora Ellen Groce

This chapter addresses the social injustice experienced by people with disabilities and how this social injustice impacts their health. More than 1 billion people live with a physical, sensory, intellectual, or mental health impairment significant enough to make a difference in their daily lives. The chapter addresses poverty, access to healthcare, disability-specific resources, HIV/AIDS and disability, and the Convention on the Rights of Persons with Disabilities. The author asserts that a critical next step is building awareness that people with disabilities must be included in all work on development, social justice, and health, and building the commitment to do so. What distinguishes people with disabilities is not their common needs, but the fact that many of these needs continue to be unmet. Public health workers can play important roles in meeting this challenge, ensuring that disability issues are routinely included in all phases of public health practice, education, and research.


2020 ◽  
Vol 3 (156) ◽  
pp. 165-169
Author(s):  
K. Danova ◽  
V. Malysheva

The organization of employment of vulnerable groups, including people with disabilities, is an important so-cio-economic issue, because providing opportunities for professional development creates the conditions for im-proving the level of economic protectability of disabled person, as well as has a positive influence on his psycho-logical state. However, the employment of people with special needs at the workplaces is connected with an in-creased risk of injury. This is due to the presence of persistent functional changes in the health state of workers with disabilities, as well as dangerous and harmful factors present at the workplace. Therefore, employers seek to avoid employing people with disabilities, despite the requirements of human rights law, anti-discrimination laws, and programs and services aimed to provide support and employment opportunities for people with disabilities. The purpose of the article is to develop a scientifically grounded approach to taking into account the func-tional state of persons with disabilities in determining the risk of injury at performing production tasks at the workplaces of enterprises of basic sectors of the economy. The novelty of the approach to risk assessment is based on the using individual risk of injury specific to the enterprise of a particular industry, taking into account the functional state of a person with a disability working at a particular workplace, carried out by using the appro-priate coefficient. The value of the coefficient depends on the number of criteria for life activity limitations, which are determined by the medical and social expert commission, as well as the maximum value of the severity of the criteria. Thus, the proposed approach allows taking into account not only the general level of injuries inherent in a particular industry, but also the individual characteristics of a particular employee. This approach allows providing the employer with information in decision-making about improving the management system of occupa-tional safety at the enterprise. Keywords: person with disability, occupational safety, individual risk, trauma


2021 ◽  
Vol 10 ◽  
Author(s):  
Akwasi Kumi-Kyereme

Background: Sexual and reproductive health (SRH) of young people including those with disabilities is a major public health concern globally. However, available evidence on their use of sexual and reproductive health services (SRHS) is inconsistent.Objective: This study investigated utilisation of SRHS amongst the in-school young people with disabilities (YPWDs) in Ghana using the healthcare utilisation model.Methods: Guided by the cross-sectional study design, a questionnaire was used to obtain data from 2114 blind and deaf pupils or students in the age group 10-24 years, sampled from 15 purposively selected special schools for the deaf and the blind in Ghana.Results: About seven out of every 10 respondents had ever utilised SRHS. The proportion was higher amongst the males (67.8%) compared with the females (62.8%). Young persons with disabilities in the coastal (OR = 0.03, 95% CI = 0.01–0.22) and middle (OR = 0.06, 95% CI = 0.01–0.44) zones were less likely to have ever utilised SRHS compared with those in the northern ecological zone. The blind pupils or students were more likely to have ever utilised SRHS than the deaf (OR = 1.45, 95% CI = 1.26–3.11).Conclusions: Generally, SRHS utilisation amongst the in-school YPWDs in Ghana is high but significantly associated with some predisposing, need and enabling or disabling factors. This underscores the need for policymakers to consider in-school YPWDs as a heterogeneous group in the design and implementation of SRHS programmes. The Ghana Education Service in collaboration with the Ghana Health Service should adopt appropriate pragmatic measures and targeted interventions in the special schools to address the SRH needs of the pupils or students.


2018 ◽  
Vol 28 (6) ◽  
pp. 2057-2061
Author(s):  
Momchil Mavrov

The right to equal access to health care is a fundamental irrevocable right for every person which should be guaranteed in every legal system. It is clear from the established international standards in the field of health that the right of access to healthcare guarantees universal access on an equal basis to really available quality and acceptable health services and health facilities. According to the World Health Organization, access to health services also includes health promotion and disease prevention. In regard to people with disabilities and disadvantaged people, ensuring effective access to healthcare is extremely important, in mind their vulnerability and increased need for moral, social and financial support. The international community has always paid serious attention to the protection of the fundamental rights and freedoms of people with disabilities, especially their health care rights. Evidence for this positive policy is the many legal acts adopted within the United Nations system and within the European Union.The most important of these acts are the Universal Declaration of Human Rights, the International Covenant on Economic, Social and Cultural Rights, the International Convention on the Elimination of All Forms of Racial Discrimination, the Convention on the Elimination of All Forms of Discrimination against Women, the Convention on the Rights of the Child, the Convention on the Rights of Persons with Disabilities, all adopted by the United Nations, as well as the Charter of Fundamental Rights of the European Union, the European Disability Strategy and other European acts. The listed legal instruments proclaim the right of every person to the highest attainable standard of health and as an element of it is protected and the right to equal access to quality health care for all persons.At the same time with creating an appropriate legal framework to protect the health rights of people with disabilities, specialized bodies have been set up within the United Nations system and within the European Union to monitor and control the implementation of international treaties. This approach of the international community deserves support, as only the introduction of comprehensive and adequate measures could provide for a sufficiently high level of protection of the rights of persons with disabilities, who as full citizens of society should have equal and appropriate conditions for full exercising their subjective health rights, without discrimination on the basis of their disability.


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