International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London United Kingdom.
South Asia Centre for Disability Inclusive Development and Research, Indian Institute of Public Health Hyderabad, Hyderabad, Telangana, India.
PLoS One. 2018 Apr 9;13(4):e0194105. doi: 10.1371/journal.pone.0194105. eCollection 2018.
Proven links between disability and poverty suggest that development programmes and policies that are not disability-inclusive will leave persons with disabilities behind. Despite this, there is limited quantitative evidence on livelihood opportunities amongst adults with disabilities in Low and Middle Income Countries. This study adds to the limited evidence base, contributing data from one African and one Asian Setting. We undertook a population-based case-control study of adults (18+) with and without disabilities in North-West Cameroon and in Telangana State, India. We found that adults with disabilities were five times less likely to be working compared to age-sex matched controls in both settings. Amongst adults with disabilities, current age, marital status and disability type were key predictors of working. Inclusive programmes are therefore needed to provide adequate opportunities to participate in livelihood prospects for adults with disabilities in Cameroon and India, on an equal basis as others. These findings are of crucial importance at this stage of the Sustainable Development Agenda, to ensure that the mandate of inclusive development is achieved.
残疾与贫困之间的明确关联表明,不包容残疾问题的发展方案和政策将会使残疾人掉队。尽管如此,在中低收入国家中,残疾人的生计机会仍然缺乏定量证据。本研究通过在非洲和亚洲的两个地区收集数据,进一步充实了这方面的有限证据基础。我们在喀麦隆的西北地区和印度的特伦甘纳邦开展了一项以人群为基础的残疾成年人(18 岁及以上)病例对照研究。我们发现,在这两个地区,残疾成年人与年龄和性别相匹配的对照组相比,工作的可能性低五倍。在残疾成年人中,当前年龄、婚姻状况和残疾类型是工作的关键预测因素。因此,需要开展包容性方案,为喀麦隆和印度的残疾成年人提供平等参与生计的充分机会。在可持续发展议程的现阶段,这些发现至关重要,可确保实现包容性发展的任务。