Interventions to Improve the Labour Market Situation of Adults with Physical and/or Sensory Disabilities in Low‐ and Middle‐Income Countries: A Systematic Review

Tripney, Janice; Roulstone, Alan; Vigurs, Carol; Hogrebe, Nina; Schmidt, Elena; Stewart, Ruth

doi:10.4073/csr.2015.20

Cited by 18 publications

(23 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, the level of difficulty someone has is partly dependent on the response of others around them. They are amongst the poorest and most disadvantaged people worldwide and substantially under-represented in formal and informal employment globally (Abidi & Sharma, 2014;Buckup, 2009;Mizunoya & Mitra, 2012;Tripney et al, 2015). Therefore, disability inclusion has become a compelling policy imperative in many countries.…”

Section: Some Foundational Concepts Relating To Disability Inclusive ...mentioning

confidence: 99%

Mainstreaming disability inclusive employment in international development

Wickenden

Mader

Thompson

et al. 2022

J of Intl Development

View full text Add to dashboard Cite

People with disabilities are under-represented in the global workforce, and this problem is often particularly acute in the 'global south'. This special issue seeks to provide new perspectives on why this is the case and comprises seven papers focused on disability inclusive employment. We deliberately wanted to place this collection in the Journal of International Development as a core development publication, rather than in a disability specific one, because we think it is important to 'mainstream' 1 disability within development so that the international community can develop an increased understanding and awareness of disability dilemmas. The challenges faced by disabled people need to be tackled as part of all development thinking and programming.The issue of employment and livelihoods for people with disabilities is gaining increased attention from funders, policymakers, scholars and practitioners, with funding expanding for interventions aiming to fix the complex problems constraining the opportunities for decent work for disabled people (Hanass-Hancock & Mitra, 2016;Steffens, 2021;Wickenden et al., 2020). Sadly, it exists pretty much universally across our planet in high-, middleand low-income settings. The problem is not just one of unequal access to work but also of inequalities experienced by people with disabilities when in work:When disabled people do work, they generally do so for longer hours and lower incomes, have fewer chances of promotion, and are at greater risk of becoming unemployed for longer periods. (Tripney et al., 2015, p. 11) The Sustainable Development Goals' (UN, 2015) call to 'leave no one behind' is particularly pertinent for people with disabilities, for whom being excluded has often been their regular experience to date. However, this is now beginning to change as recognition and funding for disability-focussed intervention programmes and research are rising up the international development agenda. This collection of papers covers a range of issues pertinent to the topic of disability inclusive employment from different practical and theoretical standpoints and focuses on a range of countries and contexts in the 'global south'.We invited contributions from a wide range of authors, intentionally encouraging those who had not previously written for academic journals, to submit, including NGO practitioners, representatives of organisations of people with disabilities (OPDs) and other allies and activists. Support during the writing process was available to those who needed it, and opportunities to be involved in reviewing other papers in the collection were also offered. Thus, these papers reflect an aspiration for different perspectives to be brought in various dilemmas and challenges to be highlighted regarding the progress towards achieving a disability inclusive society generally, and specifically towards people with disabilities having access to meaningful employment on an equal basis. At the same time, we cannot deny that such a special issue, put together by a team of no...

show abstract

Section: Some Foundational Concepts Relating To Disability Inclusive ...mentioning

confidence: 99%

Mainstreaming disability inclusive employment in international development

Wickenden

Mader

Thompson

et al. 2022

J of Intl Development

View full text Add to dashboard Cite

show abstract

“… 35 Another high-quality review reported no difference in employment outcomes for people with any type of disability in a low income country participating in a multicomponent vocational intervention compared with those who did not receive this intervention (1 NRCT, 48 participants; RR not reported). 46 No further quantitative findings were described in these six reviews that altered the conclusions regarding the effectiveness of vocational intervention by health condition type reported above.…”

Section: Resultsmentioning

confidence: 98%

“…Full AMSTAR ratings are provided in online supplemental file, appendix E . Overall, we had high confidence in three reviews that focused on people with mental health conditions, 26 28 30 one review about people with traumatic brain injury, 27 and one review about people with any long-term health condition living in low-income to moderate-income countries, 46 but critically low to moderate confidence in the remainder of reviews. Common problems that reduced confidence in reviews included the lack of prepublished protocols, lack of transparency around how studies were selected and decisions to exclude studies, limitations in how risk of bias was evaluated and how this information was incorporated in the interpretation of review findings.…”

Section: Resultsmentioning

confidence: 99%

“…Of the six reviews that involved people with any kind of health condition, 14 33 35 37 42 46 three focused on the effectiveness of vocational interventions for specific subgroups: (1) young adults with disabilities, 35 (2) adults with childhood onset disabilities 37 and (3) people with disabilities in low-income and middle-income countries. 46 No meta-analyses were conducted on employment outcomes for any of these subgroups. One moderate-quality review reported that young people with any type of disability who participate in a ‘youth transition demonstration enhanced employment service’ were more likely to report employment in any job and have significantly greater income over 3 years than young people with disabilities who did not (1 RCT, 799 participants; RR not reported).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Vocational interventions to help adults with long-term health conditions or disabilities gain and maintain paid work: an overview of systematic reviews

Levack

Fadyl

2021

BMJ Open

View full text Add to dashboard Cite

ObjectiveTo conduct an overview of systematic reviews to examine the effectiveness of vocational interventions to help adults with long-term health conditions or disability gain and maintain new paid work and to analyse the spread and quality of evidence in this area.MethodsWe pre-published our protocol in PROSPERO (CRD42019132448). We searched Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, PsycINFO, AMED, CINAHL, Proquest Dissertations and Theses database, NICE and Business Source Complete from inception to 21 August 2020. We included any systematic reviews of clinical trials on vocational interventions for adults with long-term health conditions or disability who were not in work or had recently gained work. We excluded reviews of vocational interventions for employed people on sick leave. Two researchers identified, critically appraised,using A MeaSurement Tool to Assess systematic Reviews (AMSTAR) 2, and extracted data from included reviews. We used Grading of Recommendations Assessment, Development and Evaluation to evaluate strength of evidence underpinning overview findings.ResultsWe identified 26 reviews (5 high-quality and 21 critically low to moderate quality) that focused on vocational interventions for acquired brain injury, autism, intellectual disability, multiple sclerosis, mental health conditions, spinal cord injury and general disability populations. We identified moderate quality evidence that people with moderate to severe mental health conditions who participate in supported employment, particularly individual placement and support, are more likely to gain competitive employment compared with people who receive traditional vocational services (risk ratio 2.07; 95% CI 1.82 to 2.35; 27 studies, 6651 participants). We found only very low-quality to low-quality evidence on vocational intervention for people with any other health condition. We found little to no data on employer or employee satisfaction with work outcomes or the cost effectiveness of interventions.ConclusionGiven the importance placed on work opportunities for people with long-term health conditions or disability, there is urgent need for more high-quality research on vocational interventions for this population.Prospero registration numberCRD42019132448.

show abstract

“…Persons with disabilities in Low-and Middle-Income Countries (LMICs) have been marginalised, enduring a level of multipronged difficulties in all spheres of life that no other social group has encountered [1]. Existing evidence points to higher levels of poverty [2,3] and undernutrition [4], food insecurity and poor access [5], a worse health status [6], scarce access to healthcare and rehabilitation services [7,8], less availability of safe water and sanitation [9], a lower access to quality education [10][11][12][13], poor employment opportunities [14][15][16], and a higher risk of social and political exclusion [17][18][19]. As a result, meeting the sustainable development goals for persons with disabilities and the promotion of the "full and equal enjoyment of all human rights and fundamental freedoms" for persons with disabilities envisioned by the 2006 United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) in its article 1, require both the mainstreaming of disability in development initiatives and the mobilisation of extra resources to implement programs that can make a difference in LMICs [20].…”

Section: Introductionmentioning

confidence: 99%

Access to Services from Persons with Disabilities in Afghanistan: Is Community Based Rehabilitation Making a Difference?

Trani

Pitzer

Escallon

et al. 2022

IJERPH

View full text Add to dashboard Cite

The United Nations Convention on the Rights of Persons with Disabilities (UNCRPD), ratified in 2006, states that the achievement of equal rights, empowerment, and social inclusion of people with disabilities requires comprehensive rehabilitation services involving educational, social, economic, and medical interventions, all dimensions of the World Health Organization Community based rehabilitation (CBR) matrix. CBR programs aim at achieving those goals. In the present study, we investigated whether a large scale CBR program is improving access to multiple services (namely physical therapy, assistive technology, education, employment, advocacy, and community awareness) and providing satisfactions (by measuring the reduction in unmet needs) of Afghans with disabilities. We enrolled in the study 1861 newly recruited CBR participants with disabilities from 169 villages between July 2012 and December 2013, and 1132 controls screened with disabilities randomly selected with a two-stage process within 6000 households from 100 villages in the same provinces as the CBR but outside its catchment area. Using propensity score matching (PSM) and difference in difference analysis, we estimated the differences in accessing services. There were statistically significant differences between participants and controls on the access of available services between the baseline and endline. Using PSM we also found that needs were more often met among CBR participants compared to the controls. Our study indicates that a CBR program may be an effective way to provide services for persons with disabilities even in a conflict context such as Afghanistan. It contributes to addressing the longstanding question whether CBR can actually improve the rehabilitation of persons with disabilities.

show abstract

Interventions to Improve the Labour Market Situation of Adults with Physical and/or Sensory Disabilities in Low‐ and Middle‐Income Countries: A Systematic Review

Cited by 18 publications

References 58 publications

Mainstreaming disability inclusive employment in international development

Mainstreaming disability inclusive employment in international development

Vocational interventions to help adults with long-term health conditions or disabilities gain and maintain paid work: an overview of systematic reviews

Access to Services from Persons with Disabilities in Afghanistan: Is Community Based Rehabilitation Making a Difference?

Contact Info

Product

Resources

About