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斯里兰卡的残疾问题研究:行动优先事项。

Disability studies in Sri Lanka: priorities for action.

作者信息

Peiris-John R J, Attanayake S, Daskon L, Wickremasinghe A R, Ameratunga S

机构信息

Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland , Auckland , New Zealand .

出版信息

Disabil Rehabil. 2014;36(20):1742-8. doi: 10.3109/09638288.2013.864714. Epub 2013 Dec 9.

Abstract

PURPOSE

To review the published literature relating to disability in Sri Lanka, identify research gaps and inform priorities for action.

METHODS

A narrative literature review was undertaken and relevant articles extracted using electronic databases such as Medline and PubMed. The available literature was examined in relation to the nine key recommendations of the World Report on Disability.

RESULTS

Over the past 30 years, published disability research in Sri Lanka has primarily focussed on mental health, visual impairment and healthcare delivery. Significant gaps were apparent in evidence relating to the status and services for people with intellectual disability, policies and their impact, provider attitudes, barriers to education and employment, health workforce training and access to healthcare.

CONCLUSIONS

While published studies provide insights on several dimensions of disability, there are important research gaps pointing to unmet needs that require attention to support the health and wellbeing of people living with disability in Sri Lanka. To address these gaps, it is imperative that a critical mass of multi-disciplinary researchers including people living with disabilities collaborate on a strategic program of research using effective participatory approaches that engage all sectors and communities relevant to uphold the rights of people living with disability. Implications for Rehabilitation All nine key recommendations in the World Report on Disability are highly pertinent to the needs and status of people living with disabilities in Sri Lanka. Significant gaps in research on disability-related health issues exist and warrant more focussed attention by researchers, funders and policy makers. It is imperative that national stakeholders including the Ministries of Health and Social Welfare, organisations representing people living with disability and related advocacy groups, work collaboratively to identify and implement a research strategy that would better inform disability policies and programmes that have access and equity as core principles. Implementation of a national disability survey by the Department of Census and Statistics, will help prioritize disability research in the country.

摘要

目的

回顾与斯里兰卡残疾问题相关的已发表文献,找出研究差距并为行动重点提供依据。

方法

进行了叙述性文献综述,并使用电子数据库(如Medline和PubMed)提取相关文章。根据《世界残疾报告》的九项关键建议对现有文献进行了审查。

结果

在过去30年中,斯里兰卡已发表的残疾研究主要集中在心理健康、视力障碍和医疗服务提供方面。在与智力残疾者的状况和服务、政策及其影响、提供者态度、教育和就业障碍、卫生人力培训以及医疗服务可及性相关的证据方面存在明显差距。

结论

虽然已发表的研究提供了关于残疾问题多个层面的见解,但仍存在重要的研究差距,表明存在未满足的需求,需要予以关注以支持斯里兰卡残疾人士的健康和福祉。为了弥补这些差距,必须有大量包括残疾人士在内的多学科研究人员,采用有效的参与式方法,就一项战略研究计划开展合作,让所有与维护残疾人士权利相关的部门和社区参与进来。对康复的启示 《世界残疾报告》中的所有九项关键建议都与斯里兰卡残疾人士的需求和状况高度相关。在与残疾相关的健康问题研究方面存在重大差距,需要研究人员、资助者和政策制定者给予更多的重点关注。包括卫生和社会福利部在内的国家利益攸关方、代表残疾人士的组织以及相关倡导团体必须共同努力,确定并实施一项研究战略,以便更好地为以可及性和平等为核心原则的残疾政策和方案提供信息。人口普查与统计局开展全国残疾调查,将有助于确定该国残疾研究的优先事项。

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