Shumba Tonderai W, Moodley Indres
School of Nursing and Public Health, University of KwaZulu-Natal, South Africa.
S Afr J Physiother. 2018 Apr 9;74(1):400. doi: 10.4102/sajp.v74i1.400. eCollection 2018.
This study explores some of the experiences of national programme managers, heads of national organisations of persons with disabilities (OPDs) and persons with disabilities in the implementation of the disability policies and legal framework in Namibia.
In-depth interviews were conducted with multiple key stakeholders mentioned above. Interviews were digitally recorded and transcribed verbatim. The Community Based Rehabilitation (CBR) matrix (health, education, livelihood, social and empowerment) was utilised to guide the development of themes and subthemes.
Twenty-one key informants participated in the study. Participants stated that while Namibia has made significant progress in addressing the medical and social needs of persons with disabilities, further progress can be achieved through better coordination, capacity building, review and updating of policies which allows for the inclusion of personal assistance, access to justice, improving supply chain management for a wide range of assistive devices, mainstreaming HIV prevention and treatment programmes, improved access to sexual reproduction and family planning, improved access to higher education, curricula reviews and effective monitoring and evaluating of the CBR programme.
The study revealed key issues that need to be addressed in reviewing the policy and legal framework so that it is responsive to the current needs of persons with disabilities. Further, the CBR programme needs an evaluation tool to assess its effectiveness and efficiency in meeting the needs of persons with disabilities and also to elicit their experiences and satisfaction.
本研究探讨了纳米比亚国家项目管理人员、国家残疾人组织负责人以及残疾人在实施残疾政策和法律框架方面的一些经历。
对上述多个关键利益相关者进行了深入访谈。访谈进行了数字录音并逐字转录。基于社区的康复(CBR)矩阵(健康、教育、生计、社会和赋权)被用于指导主题和子主题的制定。
21名关键信息提供者参与了该研究。参与者表示,虽然纳米比亚在满足残疾人的医疗和社会需求方面取得了重大进展,但通过更好的协调、能力建设、政策审查和更新,仍可取得进一步进展,这包括纳入个人援助、司法救助、改善各类辅助设备的供应链管理、将艾滋病毒预防和治疗计划纳入主流、改善性生殖和计划生育服务的可及性、改善高等教育机会、课程审查以及对基于社区的康复计划进行有效的监测和评估。
该研究揭示了在审查政策和法律框架时需要解决的关键问题,以便使其能够满足残疾人当前的需求。此外,基于社区的康复计划需要一种评估工具,以评估其在满足残疾人需求方面的有效性和效率,并了解他们的经历和满意度。