People with disabilities and as women and girls face barriers to accessing water, sanitation, and hygiene (WASH) services and facilities that fully meet their needs, especially in low- and middle-income countries. Women and girls with disabilities experience double discrimination. WASH policies should support and uphold the concepts of disability and gender inclusion, and they should also act as a guide to inform WASH programs and service delivery. Using a modified version of the EquiFrame content analysis tool, this study investigated the inclusion of 21 core concepts of human rights of people with disabilities and women and girls in 16 WASH policy documents and seven end-line program reports from Bangladesh and Cambodia. Included documents typically focused on issues of accessibility and neglected wider issues, including empowerment and support for caregivers. The rights of children and women with disabilities were scarcely focused on specifically, despite their individual needs, and there was a disconnect in the translation of certain rights from policy to practice. Qualitative research is needed with stakeholders in Bangladesh and Cambodia to investigate the inclusion and omission of core rights of people with disabilities, and women and girls, as well as the factors contributing to the translation of rights from policy to practice.
PurposePeople with disabilities are at increased risk from COVID-19. Access to water, sanitation and hygiene (WASH) services and facilities is a fundamental right for all, and is vital in stopping the transmission of COVID-19. However, people with disabilities often face difficulties accessing WASH. Various international organisations have published guidance and recommendations on WASH service provision during the COVID-19 pandemic, and this must include information of relevance to people with disabilities. This study aimed to investigate the inclusion of core concepts of rights for people with disabilities in guidance on WASH during the COVID-19 pandemic.MethodWe used the EquiFrame content analysis tool to analyse the inclusion of 21 core concepts of rights for people with disabilities in international guidance documents on WASH during the pandemic. 29 documents were included from multilateral entities, international consortiums and non-governmental organisations. Key information from the included guidance documents was extracted for each of the 21 core concepts.ResultsOne-third of the WASH guidance did not include any reference to the rights of people with disabilities, and the majority of information was provided by just one guidance document. Most commonly referenced across all was access to WASH, including details on accessible infrastructure (eg, handwashing stations) and communication strategies. Information on many important rights and considerations, such as the affordability of services and caregiver support, was rarely included.ConclusionAlthough some information is provided in international WASH guidance, this often has a narrow focus on access, rather than the full array of rights and considerations that are important for people with disabilities. International guidance should continue to be reviewed and updated to include further information of relevance to people with disabilities, informing a disability-inclusive approach to WASH during the remainder of the COVID-19 pandemic and future crises.
Women and girls, and people with disabilities are often excluded from governance systems and decision-making on water, sanitation and hygiene (WASH) at all levels – from household to the national level. This paper analyses inclusion and empowerment outcomes for these two groups in three WASH system-strengthening programmes in Cambodia and Timor-Leste. The analysis used WaterAid's ‘Equality and Inclusion Framework’ to assess the quality of inclusion and empowerment outcomes at different levels of WASH systems. The review found that household gender equality changes in Timor-Leste were empowering because they shifted women's and men's roles, relationships and attitudes. It found that women's leadership and disability-inclusive approaches in Cambodia achieved inclusive outcomes because they enhanced women's critical consciousness and increased WASH leaders' awareness of the importance of disability inclusion. There was evidence of either individual/self-empowerment changes or changes to the enabling environment; however, no intervention achieved a comprehensive combination of both. The authors conclude that both individual and environmental outcomes contribute to empowerment outcomes in WASH systems at different levels that can shift gender norms, redistribute power and benefit women and people with disabilities. These findings will enable WASH practitioners to better understand empowerment outcomes and how to integrate them with system-strengthening approaches.
Biran A ( ) A qualitative cross-sectional study exploring the implementation of disability-inclusive WASH policy commitments in Svay Reing and Kampong Chhnang Provinces, Cambodia. Front. Water : . doi: .
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