It is the cache of ${baseHref}. It is a snapshot of the page. The current page could have changed in the meantime.
Tip: To quickly find your search term on this page, press Ctrl+F or ⌘-F (Mac) and use the find bar.

Core Concepts of Human Rights and Inclusion of Vulnerable Groups in the Namibian Policy on Orthopaedic Technical Services | VanRooy | Disability, CBR & Inclusive Development

Core Concepts of Human Rights and Inclusion of Vulnerable Groups in the Namibian Policy on Orthopaedic Technical Services

Gert VanRooy, Elina Amadhila, Hasheem Mannan, Joanne McVeigh, Malcolm MacLachlan, Mutamad Amin

Abstract


Purpose: Despite a highly progressive legislation and clear governmental commitment, living conditions among persons with disabilities in Namibia are systematically lower than among persons without disabilities. This implies that persons with disabilities are denied equal opportunities to participate and contribute to society, and consequently are denied their human rights.

Methods: EquiFrame, an innovative policy analysis framework, was used to analyse Namibian Policy on Orthopaedic Technical Services. EquiFrame evaluates the degree of stated commitment of an existing health policy to 21 Core Concepts of human rights and to 12 Vulnerable Groups, guided by the ethos of universal, equitable and accessible health services.

Results: A number of Core Concepts of human rights and Vulnerable Groups were found to be absent in the Namibian Policy on Orthopaedic Technical Services, and its Overall Summary Ranking was assessed as Moderate.

Conclusion and Implications: The Namibian health sector faces significant challenges in addressing inequities with respect to its policy on Orthopaedic Technical Services. If policy content, or policy ‘on the books’, is not inclusive of vulnerable groups and observant of core concepts of human rights, then health practices are also unlikely to do so. This paper illustrates that EquiFrame can provide the strategic guidance for the reform of Namibian Orthopaedic Technical Services policy, leading to universal and equitable access to healthcare.

doi: 10.5463/dcid.v23i3.132


References


Amin M, MacLachlan M, Mannan H, El Tayeb S, El Khatim A, Swartz L, Munthali A, Van Rooy G, McVeigh J, Eide A, Schneider M (2011). EquiFrame: A framework for analysis of the inclusion of human rights and vulnerable groups in health policies. Health & Human Rights: An International Journal; 13 (2).

Andersen A, Mannan H (2012). Assessing the quality of European policies on disability and development cooperation: A discussion of core concepts of human rights and coherence. Disability and International Development; 1.

Backman G, Hunt P, Khosla R, Jaramillo-Strouss C, Fikre BM, Rumble C, Pevalin D, Páez DA, Pineda MA, Frisancho A, Tarco D, Motlagh M, Farcasanu D, Vladescu C (2008). Health systems and the right to health: An assessment of 194 countries. Lancet; 372 (9655): 2047-85. DOI: 10.1016/S0140-6736(08)61781-X

Barnes C (2001). Rethinking care from the perspective of disabled people (Conference report and recommendations: Draft). World Health Organisation, Disability and Rehabilitation Team.

Castellino J (2002). Disability and racial discrimination: The International Convention on the Elimination of All Forms of Racial Discrimination (CERD). In Quinn G, Degener T, with Bruce A, Burke C, Castellino J, Kenna P, Kilkelly U, Quinlivan S. Human rights and disability: The current use and future potential of United Nations human rights instruments in the context of disability. United Nations New York and Geneva: 229-40. http://www.ohchr.org/Documents/Publications/HRDisabilityen.pdf. [Accessed on: 10 May 2012].

Council of Europe (2005). Human rights – Disability – Children: Towards international instruments for disability rights: The special case of disabled children (Proceedings of the conference). Council of Europe Publishing.

DeJong G, Basnett I (2001). Disability and health policy: The role of markets in the delivery of health services. In Albrecht GL, Seelman KD, Bury M (Eds). Handbook of Disability Studies. USA: SAGE Publications: 610-632.

Dube K (2009). Foreword. In MacLachlan M, Swartz L (Eds). Disability and International Development: Towards Inclusive Global Development. New York: Springer: vii-viii.

Dutch Coalition on Disability and Development (2008). Universal access now! Including people with disabilities in HIV& AIDS policies and programmes. http://www.dcdd.nl/data/1219239711395_08068%20A5%20FC%20Flyer%20DCDD.pdf. [Accessed on: 10 May 2012].

Eichler M, Burke MA (2006). The BIAS FREE framework: A new analytical tool for global health research. Canadian Journal of Public Health; 97 (1): 63-68.

Eide AH, Van Rooy G, Loeb ME (2003). Living conditions among people with activity limitations in Namibia. A representative, National survey. SINTEF. http://www.safod.org/Images/LCNamibia.pdf. [Accessed on: 10 May 2012].

Elliott R, Utyasheva L, Zack E (2009). HIV, disability and discrimination: Making the links in international and domestic human rights law. Journal of the International AIDS Society; 12 (29).

Emerson E, Hatton C (2007). Contribution of socioeconomic position to health inequalities of British children and adolescents with intellectual disabilities. American Journal on Mental Retardation; 112 (2): 140-150.

Flaskerud JH, Winslow BJ (1998). Conceptualising vulnerable populations health-related research. Nursing Research; 47 (2): 69-78.

Gilson L, Buse K, Murray S, Dickinson C (2008). Future directions for health policy analysis: A tribute to the work of professor Gill Walt. Health Policy & Planning; 23 (5): 291-93.

Grant K, Strode A, Hannass-Hancock J (2009). Disability in national strategic plans on HIV and AIDS: A review on the national response to the interrelations of disability and HIV in Eastern and Southern Africa (Final report). http://www.gpdd-online.org/media/aids_2010/1c-disability_in_national_strategic_plans_on_hiv_and_aids.pdf. [Accessed on: 10 May 2012].

Groce NE (2003). HIV/AIDS and people with disability. Lancet; 361 (9367): 1401-02.

Haveman M, Perry J, Salvador-Carulla L, Walsh PN, Kerr M, Van Schrojenstein Lantman-de Valk H, Van Hove G, Berger DM, Azema B, Buono S, Cara AC,Germanavicius A, Linehan C, Määttä T, Tossebro J, Weber G (2011). Ageing and health status in adults with intellectual disabilities: Results of the European POMONA II study. Journal of Intellectual & Developmental Disability; 36 (1): 49-60.

Lang R (2008). Disability policy audit in Namibia, Swaziland, Malawi and Mozambique. Southern African Federation of the Disabled. http://www.safod.org/Policy%20Audit.pdf . [Accessed on: 10 May 2012].

MacLachlan M, Amin M, Mannan H, El Tayeb S, Bedri N, Swartz L, Munthali A, Van Rooy G, McVeigh J (2012). Inclusion and human rights in African health policies: Using EquiFrame for comparative and benchmarking analysis of 51 policies from Malawi, Sudan, South Africa, and Namibia. PLoS ONE; 7 (5): e35864. doi:10.1371/journal.pone.0035864

Mannan H, Amin M, MacLachlan M, the EquitAble Consortium (2011). The EquiFrame manual: A tool for evaluating and promoting the inclusion of vulnerable groups and core concepts of human rights in Health Policy documents. Dublin: Global Health Press.

Mannan H, Amin M, MacLachlan M, the EquitAble Consortium (2012a). Non-communicable disease priority actions and social inclusion. Lancet; 379 (9812): 17-18.

Mannan H, MacLachlan M, McVeigh J, the EquitAble Consortium (2012b). Core concepts of human rights and inclusion of vulnerable groups in the United Nations Convention on the Rights of Persons with Disabilities. ALTER – European Journal of Disability Research; 6 (3).

Mannan H, McVeigh J, Amin M, MacLachlan M, Swartz L, Munthali A, Van Rooy G (2012c). Core concepts of human rights and inclusion of vulnerable groups in the disability and rehabilitation policies of Malawi, Namibia, Sudan and South Africa. Journal of Disability Policy Studies; 23 (2): 67-81.

Ministry of Health and Social Services, Republic of Namibia (2001). Policy on orthopaedic technical services.

Munthali A, Mannan H, MacLachlan M (2011). Social inclusion and health policies. National workshop for health policy makers and policy analysts. Lilongwe, 8-9 November.

Rifkin SB (2003). A framework linking community empowerment and health equity: It is a matter of CHOICE. Journal of Health, Population & Nutrition; 21 (3): 168-180.

Rohleder P, Swartz L, Philander J (2009). Disability and HIV/AIDS: A key development issue. In MacLachlan M, Swartz L (Eds). Disability and international development: Towards inclusive global health. New York: Springer: 137-148.

SAFOD, FFO, SINTEF (n.d.). Living conditions among people with disabilities in Southern Africa: Representative surveys on living conditions among people with activity limitations in Malawi, Namibia, and Zimbabwe. http://safod.org/text%20files/LC%20flyer5.pdf. [Accessed on: 10 May 2012].

Stowe MJ, Turnbull HR (2001). Tools for analysing policy “on the books” and policy “on the streets”. Journal of Disability Policy Studies; 12 (3): 206-14.

The Africa Campaign (2008). Kampala Declaration on Disability and HIV & AIDS. http://www.africacampaign.info/uploads/media/kampala_declaration_on_disability_and_hiv_aids.pdf. [Accessed on: 10 May 2012].

Umbarger GT, Stowe MJ, Turnbull HR (2005). The core concepts of health policy affecting families who have children with disabilities. Journal of Disability Policy Studies; 15 (4): 201-208. DOI: 10.1177/10442073050150040201

UNICEF (2008). The state of the world’s children 2009: Maternal and newborn health. UNICEF. http://www.unicef.ie/Downloads/Unicef-SOWC-2009.pdf. [Accessed on: 10 May 2012].

United Nations (1966). International covenant on civil and political rights. http://www2.ohchr.org/english/law/ccpr.htm. [Accessed on: 11 May 2012].

United Nations (2006). Convention on the rights of persons with disabilities. http://www.un.org/disabilities/convention/conventionfull.shtml. [Accessed on: 10 May 2012].

United Nations Economic and Social Council (2000). The right to the highest attainable standard of health: 11/08/2000. Substantive issues arising in the implementation of the international covenant on economic, social and cultural rights. General Comment No. 14. http://data.unaids.org/publications/External-Documents-Restored/ecosoc_cescr-gc14_en.pdf. [Accessed on: 09 May 2012].

United Nations Economic and Social Council (2003). Biwako Millennium Framework for action towards an inclusive, barrier-free and rights-based society for persons with disabilities in Asia and the Pacific. http://www.unescap.org/sdd/. [Accessed on: 10 May 2012].

United Nations Enable (2011). Disability and HIV/AIDS. http://www.un.org/disabilities/default.asp?id=1560. [Accessed on: 10 May 2012].

United Nations Human Rights, WHO, UNAIDS (2009). Disability and HIV policy brief. http://www.who.int/disabilities/jc1632_policy_brief_disability_en.pdf. [Accessed on: 10 May 2012].

Van Rooy G, Amadhila EM, Mufune P, Swartz L, Mannan H, MacLachlan M (2012). Perceived barriers to accessing health services among people with disabilities in rural Northern Namibia. Disability & Society; 27 (6): 761-775.

VSO International (2010). Programme area summary. http://www.vsointernational.org/Images/namibia-disability-summary-mar07_tcm76-20572.pdf. [Accessed on: 10 May 2012].

Walt G, Shiffman J, Schneider H, Murray SF, Brugha R, Gilson L (2008). ‘Doing’ health policy analysis: Methodological and conceptual reflections and challenges. Health Policy & Planning; 23 (5): 308-317. doi:10.1093/heapol/czn024

Wiman R, Helander E, Westland J (2002). Meeting the needs of people with disabilities ¬– New approaches in the health sector. World Bank. http://bvs.per.paho.org/texcom/cd048370/meeting.pdf. [Accessed on: 10 May 2012].

World Bank (2004). Disability and HIV/AIDS at a glance. http://v1.dpi.org/files/uploads/publications/factsheet.pdf. [Accessed on: 10 May 2012].

World Bank (2010). Millennium development goals (MDGs) and Persons with disabilities. http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTSOCIALPROTECTION/EXTDISABILITY/0,,print:Y~isCURL:Y~contentMDK:20785950~menuPK:3265756~pagePK:210058~piPK:210062~theSitePK:282699,00.html. [Accessed on: 10 May 2012].

World Health Organisation (2008). The Tallinn Charter: Health systems for health and wealth. WHO European ministerial conference on health systems: “Health systems, health and wealth”. Tallinn, Estonia, 25-27 June 2008. http://www.euro.who.int/data/assets/pdf_file/0008/88613/E91438.pdf. [Accessed on: 11 May 2012].

World Health Organisation (2009). Namibia: Expanded antiretroviral treatment shows benefits. http://www.who.int/features/2009/hiv_namibia/en/. [Accessed on: 10 May 2012].

World Health Organisation, World Bank (2011). World report on disability. http://whqlibdoc.who.int/publications/2011/9789240685215_eng.pdf. [Accessed on: 15 August 2012].

World Health Organisation & UNFPA (2009). Promoting sexual and reproductive health for persons with disabilities (WHO/UNFPA Guidance Note). http://whqlibdoc.who.int/publications/2009/9789241598682_eng.pdf. [Accessed on: 10 May 2012].

Yousafzi A, Edwards K (2004). Double burden: A situational analysis of HIV/AIDS and young people with disabilities in Rwanda and Uganda. Save the Children UK. http://www.dpi.org/files/uploads/1600_DoubleBurden.pdf. [Accessed on: 10 May 2012].

Zere E, Mandlhate C, Mbeeli T, Shangula K, Mutirua K, Kapenambili W (2007). Equity in health care in Namibia: Developing a needs-based resource allocation formula using principle components analysis. International Journal for Equity in Health; 6 (3).


Full Text: PDF

Refbacks

  • There are currently no refbacks.


Sponsored by:

CBMlightfortheworld_logo_rgb_-_new_logo_2014_120

© Disability, CBR & Inclusive Development