Profiles

In this publication we report our Evidence and Gap Mapping (EGM) of “Inclusive Interventions for Children with Disabilities in LMICs”. It shows that research is lacking in many critical areas: awareness and non-discrimination, protection, adequate standard of living, family and community life, and empowerment – that represent critical areas of policy and programming in need of robust evidence to improve inclusion and participation. Specific areas overlooked include tackling harmful stereotypes, tackling abuse and violence and ways to reduce stigma; on improving accessibility to water, sanitation, hygiene, housing and food; and interventions that aim for children with disabilities to enjoy their right to be heard, to play and to have their views considered in all matters affecting them. Health research covers 3 in 4 of all studies in our EGM, but there is little evidence on improving access to general health services and accessibility for children with disabilities in healthcare settings. Inclusive education was moderately represented, but lacked the detail to understand how it was implemented or if inclusive education was effective in improving (or harming) academic outcomes, school readiness, graduation rates or the quality of educational services. The companion protocol for the EGM can be found at this link Please also see our EGM on Child and Adolescent Mental Health and Psychosocial Support Interventions

Of the nearly 1 billion people with a disability, 80% live in low- and middle-income countries (LMICs) and 240 million are children. Children with disabilities remain one of the most marginalized and excluded groups in society. This protocol to the Evidence and Gap Map on the Effectiveness of Inclusive Interventions for Children with Disabilities Living in LMICs aims to identify the available evidence on inclusive interventions to improve access to health, education and social services for these children, and enable them to participate fully in society by addressing discrimination, improving living conditions, incorporating mainstreaming approaches and promoting empowerment. It highlights gaps in the evidence to prioritize future research and evaluation agendas; identifies contextual factors related to various populations and settings; and provides a database of peer-reviewed and grey literature in this area.

There are 240 million children with disabilities in the world; half of them are out of school. Many are invisible, stigmatized, hidden by their families and abandoned by their governments. Children with disabilities, especially in humanitarian settings, are among the poorest members of the population and one of the most marginalized and excluded groups in society. With only an estimated 1 in 10 children with a need for assistive devices having access, UNICEF’s Office of Research – Innocenti undertook a study to better understand the nature and drivers of Assistive Technology (AT) access in humanitarian settings. This document provides a synthesis of the project’s various reports and papers: (1) a thematic literature review summarizes the academic evidence base regarding the provision of AT in humanitarian settings, including the nature and scale of provision and barriers and facilitators of access and provision; and (2) three case studies of countries affected by crisis to triangulate the findings of the literature review and fill identified knowledge gaps with real-world examples: Afghanistan, South Sudan, and the State of Palestine.

South Sudan is in a protracted crisis. Four million people have been displaced and many have been left living with high levels of injury, poverty and food insecurity. The impact of the crisis on children – who make up over 29% of the population – is particularly high, and a large number are at risk of being born with or acquiring a disability. Assistive technologies (AT) – the systems, services and products that enhance the functioning of people with impairments – are likely to be required by many children in South Sudan with disabilities. There is no reliable data available on disability prevalence or AT needs in South Sudan, though estimates suggest a range between 10% and 15% of the population. This work aims to understand the landscape of AT provision and the barriers and facilitators to provision and provides recommendations for priority actions.

Due to the impacts of the ongoing conflict, Afghanistan’s child population is at high risk of being born with or acquiring a primary or secondary disability. According to a recent estimate, up to 17% of Afghanistan’s children live with some form of disability. Assistive Technologies – the systems, services and products that enhance the functioning of people with impairments – are likely to be required by a large proportion of children with disabilities in Afghanistan. Afghanistan has signed and ratified the United Nations Convention on the Rights of Persons with Disabilities, which includes a commitment to provide assistive technologies equitably to all who need it. However, little action has been taken to meet this commitment, and there continues to be a vast gap between need and provision. This work presents the the barriers and facilitators to provision and provides recommendations to begin to close the gap.

Official statistics identify 2% to 7% of the population in the State of Palestine as having a disability. Evidence is limited regarding levels of access to assistive technologies (AT) by people with disabilities in the State of Palestine. However, estimates suggest that there are high levels of unmet need. Less than 10% of children with disabilities received assistive devices in the year of one recent survey. The COVID-19 pandemic has had an impact on a range of such services in many countries, but little information is yet available on the impact on AT provision in humanitarian settings.

One billion people in the world live with a disability; 240 million are children. The majority of the world’s children with disabilities live in low- and middle-income countries, where humanitarian crises are most likely to occur. Humanitarian crises increase the prevalence of child disability and the need for assistive technologies as children sustain new disabling injuries, children with disabilities lose their assistive devices, or access to limited existing health services is worsened by crisis. In addition, there are likely to be many more children with disabilities in humanitarian settings whose need for assistive technologies has never been identified. This literature review discusses the barriers to assistive technologies provision in humanitarian settings and considers possible entry points for provision in the future. Recommendations include: coordination platforms for provision; gathering evidence on existing in-country provision and strengthening those systems; designing programmes for provision that account for pre-existing barriers, within-crises barriers including those internal to humanitarian organizations like UNICEF.