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从“残疾和 COVID-19 大流行快速评估”中得出的综合结论:对响应和残疾包容数据收集的启示。

A Synthesis of Findings from 'Rapid Assessments' of Disability and the COVID-19 Pandemic: Implications for Response and Disability-Inclusive Data Collection.

机构信息

CBM Inclusion Advisory Group, Box Hill, Melbourne, VIC 3128, Australia.

Nossal Institute for Global Health, University of Melbourne, Parkville, Melbourne, VIC 3010, Australia.

出版信息

Int J Environ Res Public Health. 2021 Sep 15;18(18):9701. doi: 10.3390/ijerph18189701.

Abstract

INTRODUCTION

People with disabilities are disproportionately impacted by disasters, including health emergencies, and responses are not always inclusive or accessible. Disability-inclusive response and recovery efforts require rapid, contextually relevant data, but little was known about either the experience of people with disabilities in the first phase of the COVID-19 pandemic, or how rapid needs assessments were conducted.

METHODS

We reviewed the available results from rapid assessments of impacts of COVID-19 on people with disabilities in low- and middle-income countries in Asia and the Pacific. Rapid assessment methods and questions were examined to describe the current approaches and synthesise results.

RESULTS

Seventeen surveys met the inclusion criteria. The findings suggest that people with disabilities experienced less access to health, education, and social services and increased violence. The most rapid assessments were conducted by or with disabled person's organisations (DPOs). The rapid assessment methods were varied, resulting in heterogeneous data between contexts. Efforts to standardise data collection in disability surveys are not reflected in practice.

CONCLUSIONS

Persons with disabilities were disproportionately impacted by the 'first wave' of the COVID-19 pandemic. Despite complex implementation challenges and methodological limitations, persons with disabilities have led efforts to provide evidence to inform disability-inclusive pandemic responses.

摘要

简介

残疾人在灾害(包括突发卫生事件)中受到的影响不成比例,而应对措施并不总是具有包容性或便于残疾人使用。为了开展具有包容性的灾害应对和恢复工作,需要快速提供与具体情况相关的数据,但人们对残疾人在 COVID-19 大流行第一阶段的经历,以及如何开展快速需求评估,都知之甚少。

方法

我们对亚洲及太平洋地区中低收入国家 COVID-19 对残疾人影响的快速评估结果进行了审查。我们对快速评估方法和问题进行了研究,以描述目前的方法并综合评估结果。

结果

有 17 项调查符合纳入标准。调查结果表明,残疾人在获得卫生、教育和社会服务方面的机会较少,并且遭受的暴力有所增加。由残疾人组织(DPO)或与残疾人组织合作开展的快速评估最为迅速。快速评估方法多种多样,导致不同背景下的数据存在差异。在残疾调查中标准化数据收集的努力并没有反映在实践中。

结论

残疾人受到 COVID-19“第一波”疫情的严重影响。尽管实施工作面临复杂的挑战和方法上的限制,但残疾人已率先努力提供证据,为具有包容性的大流行应对措施提供信息。

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