A journey access tool to facilitate better health outcomes for people with disabilities

摘要

- BackgroundududOne of the three objectives of the WHO Global Disability Action Plan 2014–2021 is removal of barriers and improved access to health services and programmes. Access to transport contributes to positive health outcomes; however, people with disabilities leaving their dwellings are confronted with barriers to their mobility. Mobility restrictions, sensory or other disabilities increase their vulnerability as road users, exposing them to higher risks of injury. PHSW and CARRS-Q have been collaborating with Handicap International Cambodia (HIC) on a Journey Access Tool (JAT). ud ud - AimsududUse of the JAT is to (1) Identify transport and journey safety and barriers for people with disability and (2) Evaluation and modification of the tool after trailing to for use by NGOs and government agencies in prioritising actions around barriers. udud - MethodologyududThe tool has undergone initial proof-of-concept testing in India and Viet Nam, and was trialled in Cambodia in February and May, 2015. Five teams were formed comprising a person with disability (physical, sensory or intellectual), researchers from QUT, staff from HIC, and local university students. The JAT was completed by each team and then discussed and evaluated. Two further Cambodian trials are scheduled for 2015. ud ud - ResultsududThe JAT is responsive to rural and urban contexts, and has utility for people with different disabilities. Two tools have been developed: a short version for people with a disability to complete independently, or with assistance; and a version for NGOs, DPOs and government. The tool has efficacy for advocacy.ud ud - ConclusionududThe JAT has potential to assist the Mekong region with: udud(1) evaluating access for people with disability and other vulnerable members of the community including older people; udud(2) developing plans for changes to the routes in consultation with local authorities; udud(3) evaluating the effectiveness of implemented changes in terms of access and health; udud(4) inputting into policy; udud(5) The tool can be used for advocacy for change.