Explore the vast range of titles available.

Parental involvement plays a vital role in the transition from kindergarten to primary school among children with intellectual and developmental disabilities (IDDs); this study aims to explore Chinese parents’ experiences of parental involvement during this period. Informed by interpretive phenomenological analysis, semi-structured, one-on-one interviews were held with 10 parents. Three major themes were identified: (1) “aggressive” involvement; (2) factors in transforming parental involvement; and (3) “rational” involvement. Participants reported their perceptions, attitudes, and parenting behaviors in different phases of involvement in the transition to primary school. These findings highlight the need to support parents of children with IDDs during this time of change.

Disability and poverty are believed to operate in a cycle, with each reinforcing the other. While agreement on the existence of a link is strong, robust empirical evidence substantiating and describing this potential association is lacking. Consequently, a systematic review was undertaken to explore the relationship between disability and economic poverty, with a focus on the situation in low and middle income countries (LMICs). Ten electronic databases were searched to retrieve studies of any epidemiological design, published between 1990-March 2016 with data comparing the level of poverty between people with and without disabilities in LMICs (World Bank classifications). Poverty was defined using economic measures (e.g. assets, income), while disability included both broad assessments (e.g. self-reported functional or activity limitations) and specific impairments/disorders. Data extracted included: measures of association between disability and poverty, population characteristics and study characteristics. Proportions of studies finding positive, negative, null or mixed associations between poverty and disability were then disaggregated by population and study characteristics. From the 15,500 records retrieved and screened, 150 studies were included in the final sample. Almost half of included studies were conducted in China, India or Brazil (n = 70, 47%). Most studies were cross-sectional in design (n = 124, 83%), focussed on specific impairment types (n = 115, 77%) and used income as the measure for economic poverty (n = 82, 55%). 122 studies (81%) found evidence of a positive association between disability and a poverty marker. This relationship persisted when results were disaggregated by gender, measure of poverty used and impairment types. By country income group at the time of data collection, the proportion of country-level analyses with a positive association increased with the rising income level, with 59% of low-income, 67% of lower-middle and 72% of upper-middle income countries finding a positive relationship. By age group, the proportion of studies reporting a positive association between disability and poverty was lowest for older adults and highest for working-age adults (69% vs. 86%). There is strong evidence for a link between disability and poverty in LMICs and an urgent need for further research and programmatic/policy action to break the cycle.

Background Children with disabilities (CwDs) make up around 150 million of the billion people with disabilities in the world. The Sub-Saharan African countries have a large number of CwDs who have limited access to healthcare and rehabilitation care. This, combined with chronic poverty, low education, and inadequately trained healthcare professionals, substantially lowers these children’s quality of life. The main objective of this scoping review was to discover the barriers and facilitators to healthcare access for CwDs in selected low to middle income Sub-Saharan African countries. As African countries significantly vary in socioeconomic status, we only focused on countries in Sub-Saharan Africa who allocated less than $50/person to healthcare. Methods A broad and iterative search strategy using multiple sources and databases including CINAHL, Medline, Global Health, and Embase were utilized. Using a comprehensive search strategy, 704 articles were generated. After removal of the duplicates, 466 of them were screened based on the study inclusion and exclusion criteria. After iterative reading and screening of these articles, a final 15 articles were included in this review. Results This scoping review shows that CwDs in the selected Sub-Saharan African countries face major barriers including stigma and negative attitudes, poverty and insufficient resources, inadequate policy implementations, physical inaccessibility, lack of transportation, lack of privacy, and inadequately trained healthcare professionals to deal with disability. Emotional and social support, including peer support for CwDs and caregivers, were identified as facilitators for better access to health services. Conclusions There is limited access to healthcare services in the low and middle income Sub-Saharan African countries due to poverty, low education, inadequate healthcare systems, and shortage of healthcare professionals. It is evident that there are socioeconomic, cultural, and physical related impediments that affect CwDs’ and their caregivers’ access to the required healthcare services. Policy development, improved physical accessibility, public disability awareness, and parental support are some of the key facilitators to access healthcare services. The study highlights the importance of revisions to childhood disability and healthcare provisions policy and practice as well as sustainable rehabilitation programs. Further research is required to explore ways to improve experience of accessing health services.

This study assessed needs and outcomes for people with developmental disability (DD) to understand the socioeconomic status of this group prior to implementation of the Accessible Canada Act in June 2019. The 2017 Canadian Survey on Disability (CSD) was used to analyze data for a sample of individuals with self-reported disability. Data related to employment, education, income, housing, caregivers, and use of government benefits is reported. Compared to the general Canadian public, persons with DD are less likely to: finish high-school or post-secondary education; participate in the labor force or be employed; and earn on average less/year in total income. To align with recent accessibility legislation, significant progress is needed to address disparities for people with DD.

Disability affects a large proportion of the global population, with the majority living in low- and middle -income countries. In Ethiopia, more than 15% of the population living with a disability. Although disability is a major public health concern and significantly affects health-related quality of life (HRQOOL), evidence in Ethiopia remains limited. This study aimed to assess HRQOL and its associated factors among people with disabilities (PWDs) in the North and Central Gondar zones, Northwestern Ethiopia. A systematic random sampling technique was used to select 631 study participants with disabilities in the North and Central Gondar zones. HRQOL was assessed using the 35-item assessment of quality of life-8 dimensions (AQOL-8D). Multivariable logistic regression analysis was used to identify the factors significantly associated with good HRQOL among PWDs. Only 41% of participants reported good HRQOL. Factors significantly associated with higher odds of good HRQOL included being aged 18–25 years (AOR: 1.73, 95%CI: 1.001–2.99) and 26–59 years (AOR: 2.97, 95%CI: 1.48–5.99) compared to those under 18. Participants with primary education higher odds of good HRQOL (AOR: 2.04, 95%CI: 1.14–3.20) than those with no formal education. Employment in private (AOR: 2.16, 95%CI: 1.08–4.30) and government jobs (AOR: 2.93, 95%CI: 1.33–6.43) was also positively associated with HRQOL compared to those being unemployed. Living with parents (AOR: 2.16, 95%CI: 1.08–4.30) or relatives (AOR: 2.93, 95%CI: 1.33–6.43) was associated with good HRQOL than living alone. Access to CBR services (AOR: 2.18, 95% CI: 1.44–329), welcoming healthcare facilities (AOR: 3.96 (95% CI: 1.78–8.77), and independence in ADL (AOR: 5.84 (95%CI: 3.89–8.76) were also significant predictors of HRQOL. Less than half of the participants reported good HRQOL. Factors significantly associated with good HRQOL included age, education, occupation, living arrangements, access to CBR services, welcoming healthcare facilities, and independence in daily activities. These findings highlight the need to expand educational and employment opportunities, strengthening social support systems, improve access to CBR services, and promote inclusive, and respectful healthcare settings. Future research should employ longitudinal designs to better understand casual relationships.

Purpose Using the social model of disability and social cognitive theory, this study aims to examine Students With Disabilities (SWDs) and facilities accessibility to dismantle exclusion in achieving Sustainable Development Goal 4. Design/methodology/approach Three sets of data were collected for the study, first, detailed inventory and actual measurements of basic accessibility to infrastructure (ramp, staircases, handrails, drop-kerb and toilets), estimating barriers and breakers and checking conformity with The Americans with Disabilities Act (ADA) Accessibility Guidelines (ADAAG) standards. Second, perceptual data was collected from SWDs through questionnaire administration on 56 SWDs based on consent and willingness to partake in the survey, and finally, 5 key informants were selected for interview. Data collected were analyzed using mean index, cross-tabulation and content analysis. Findings The study revealed that accessibility to buildings and facilities is a major problem faced by SWDs within the campus, and this is attributed to insufficient provision of facilities such as ramps, drop kerbs, tactile, traffic/auditory signals, crossing aids in the campus physical environment. Also, no building on campus is disability friendly, with barriers such as step and stair landings, circulations and narrow corridors within the campus buildings and no provision for disabled priority seating, toilets and elevators among others. These accessibility limitations contribute greatly to the disadvantage and marginalization faced by SWDs, leading to deprivation and exclusion. Practical implications Creating an inclusive environment, especially for SWDs, requires access to adequate and standard barrier-free facilities within university campuses. These barriers create accessibility limitations and contribute greatly to the disadvantage and marginalization faced by SWDs, leading to deprivation and exclusion, in the form of fatigue, restriction from educational opportunities, frustrations and hinder the right to freedom of movement, unequal participation and lack of access to various facilities such as health. Hence, disabled-friendly design components play a vital role in creating inclusion within the campus environment. Originality/value The study focuses on the minority and less privileged students whose voices and fundamental human rights have been trampled upon indirectly through exclusion in policy formulation. This has to a large extent hampered their access to public buildings such as classrooms and libraries, which may transcend to affecting their academic excellence. A study of this nature aimed at breaking exclusion for proper accessibility to school infrastructure, which will aid the achievement of SDG4.

Early identification of developmental delay or disability and access to early intervention improves outcomes for children with disabilities and their families. However, in many low- and middle-income countries, services and systems to enable timely, co-ordinated care and support are lacking. The aim of this research was to explore the experiences of families of children with developmental disabilities in Fiji in accessing services for intervention and support across sectors. This qualitative study involved conducting interviews with caregivers of children with disabilities (n = 12), and relevant key stakeholders from health, education, disability, and social support sectors (n = 17). We used journey maps to identify key stages of the families’ journeys, identify key barriers and enablers at each stage, and provide multi-sectoral recommendations for each stage. Enablers include proactive help seeking behaviours, the use of informal support networks and an increasingly supportive policy environment. Barriers to identification include a lack of awareness of developmental disabilities and the benefits of early intervention among service providers and the community. A lack of service availability and capacity, workforce issues, family financial constraints and a lack of collaboration between sectors were barriers to intervention once needs were identified, resulting in significant unmet needs and impacting inclusion and participation for children with disabilities. Overcoming these challenges requires a multi-sectoral approach.

The ‘long tail’ nature of rural special education (RSE) suggests that it simultaneously possesses the private nature of discreteness and the public nature of externalities, which can easily cause provision insufficiency. However, this mismatch may have a dynamic intertemporal correction mechanism impacted by different expenditures of supply sectors (governments and other social sectors). This paper uses different models and data from 30 provinces in China from 2003–2014 to analyze this dynamic correction mechanism. This research finds that different kinds of expenditures from different suppliers have divergent effects on this correction. Capital expenses (especially infrastructure construction) have significantly positive effects on the correction, but administrative expenses have significant dual effects on the correction. These effects may be caused by the various governance efficiencies and motivations of all stakeholders in RSE. This paper concludes that we should pay more attention to the accurate recognition and effective satisfaction of RSE affected by the governance efficiency and motivation of different suppliers to achieve this dynamic correction.

PurposeThis article presents a model based on a review of international and European policy and current European Agency for Special Needs and Inclusive Education work on school leadership for inclusive education. The model aims to support analysis of the policy context and interactions between the structures and processes at different levels to ensure effective support for inclusive school leadership and development of appropriate competences. Key issues addressing competences for inclusive school leadership, support and professional development opportunities for inclusive school leaders and policy frameworks that support inclusive leadership across the whole education system are explored.Design/methodology/approachThis paper reports on a current Agency project, Supporting Inclusive School Leadership (SISL), a cross-national project that considers how best to ensure that school leaders meet the needs of all learners in their school communities. The SISL project examines current theories of school leadership together with the core functions of school leaders in participating countries in order to develop a model specifically focused on inclusive school leadership.FindingsAgency projects such as SISL focus on research findings and policy developments that support countries to chart their own course toward a common goal. This process of cross-national working permits member countries with their distinctive national, ethnic, cultural and linguistic diversities to work together on common goals. In this project an ecosystem model of inclusive education was adapted to reflect on the policy context needed to enable school leaders to fulfill the complex responsibilities associated with inclusive school development.Originality/valueAlthough the Agency is strongly associated with the education of children with special educational needs and disabilities, all member countries have the shared vision to support inclusive education systems so that all learners of any age are provided with meaningful, high-quality educational opportunities in their local community. While its projects are firmly rooted in the 2006 UN Convention on the Rights of Persons with Disabilities, its work is also influenced by the concept of inclusion as promoted in the UN Sustainable Development Goal (SDG) 4) “to ensure inclusive and equitable quality education and promote lifelong learning opportunities for all.”