Should disability-inclusive health be a priority in low-income countries? A case-study from Zimbabwe

The National Disability Policy was launched in Zimbabwe in June 2021 and includes a range of commitments for the provision of disability-inclusive health services and rehabilitation. Fulfilment of these pledges is important, as at least 7% of the population have disabilities, and people with disabil...

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Main Authors: Hannah Kuper, Tracey Smythe, Tapiwa Kujinga, Greaterman Chivandire, Simbarashe Rusakaniko
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Global Health Action
Subjects:
Online Access:http://dx.doi.org/10.1080/16549716.2022.2032929
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author Hannah Kuper
Tracey Smythe
Tapiwa Kujinga
Greaterman Chivandire
Simbarashe Rusakaniko
author_facet Hannah Kuper
Tracey Smythe
Tapiwa Kujinga
Greaterman Chivandire
Simbarashe Rusakaniko
author_sort Hannah Kuper
collection DOAJ
description The National Disability Policy was launched in Zimbabwe in June 2021 and includes a range of commitments for the provision of disability-inclusive health services and rehabilitation. Fulfilment of these pledges is important, as at least 7% of the population have disabilities, and people with disabilities face greater challenges accessing healthcare services and experience worse health outcomes. However, it will require financial investment which is challenging as the needs of people with disabilities are set against a background of widespread health systems failures in Zimbabwe, exacerbated by the COVID-19 pandemic. Zimbabwe currently faces an epidemic of TB and HIV and a growing burden of non-communicable diseases (NCDs) with a lack of investment, healthcare staff or infrastructure to provide the necessary care. Urgent action is therefore needed to strengthen the health system and ‘build back better’ after both the pandemic and the regime change. The Zimbabwean government may face the dilemma, common in many low-resource settings, of whether to focus on disability or to wait until the health system has been strengthened for the majority. This paper proposed four complementary arguments why it is important to focus on people with disabilities. First, this focus respects the rights of people with disabilities, including those specified in the new National Disability Policy. Second, it will be challenging to reach the Sustainable Development Goals, including those on health and other global health targets, without including people with disabilities. Third, there is a growing rationale that disability-inclusive health systems will work better for all, and fourth, that they will create cost savings. Everyone will therefore benefit when the health systems are designed for inclusion. In conclusion, a focus on disability may help to strengthen health systems for all as well as helping to achieve human rights and global development goals.
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spelling doaj.art-ae1414129e714a63b400604734e767512023-08-03T09:07:50ZengTaylor & Francis GroupGlobal Health Action1654-98802022-12-0115110.1080/16549716.2022.20329292032929Should disability-inclusive health be a priority in low-income countries? A case-study from ZimbabweHannah Kuper0Tracey Smythe1Tapiwa Kujinga2Greaterman Chivandire3Simbarashe Rusakaniko4London School of Hygiene & Tropical MedicineLondon School of Hygiene & Tropical MedicinePan-African Treatment Access MovementLeonard Cheshire Disability ZimbabweUniversity of ZimbabweThe National Disability Policy was launched in Zimbabwe in June 2021 and includes a range of commitments for the provision of disability-inclusive health services and rehabilitation. Fulfilment of these pledges is important, as at least 7% of the population have disabilities, and people with disabilities face greater challenges accessing healthcare services and experience worse health outcomes. However, it will require financial investment which is challenging as the needs of people with disabilities are set against a background of widespread health systems failures in Zimbabwe, exacerbated by the COVID-19 pandemic. Zimbabwe currently faces an epidemic of TB and HIV and a growing burden of non-communicable diseases (NCDs) with a lack of investment, healthcare staff or infrastructure to provide the necessary care. Urgent action is therefore needed to strengthen the health system and ‘build back better’ after both the pandemic and the regime change. The Zimbabwean government may face the dilemma, common in many low-resource settings, of whether to focus on disability or to wait until the health system has been strengthened for the majority. This paper proposed four complementary arguments why it is important to focus on people with disabilities. First, this focus respects the rights of people with disabilities, including those specified in the new National Disability Policy. Second, it will be challenging to reach the Sustainable Development Goals, including those on health and other global health targets, without including people with disabilities. Third, there is a growing rationale that disability-inclusive health systems will work better for all, and fourth, that they will create cost savings. Everyone will therefore benefit when the health systems are designed for inclusion. In conclusion, a focus on disability may help to strengthen health systems for all as well as helping to achieve human rights and global development goals.http://dx.doi.org/10.1080/16549716.2022.2032929disabilityinclusionhealthzimbabwe
spellingShingle Hannah Kuper
Tracey Smythe
Tapiwa Kujinga
Greaterman Chivandire
Simbarashe Rusakaniko
Should disability-inclusive health be a priority in low-income countries? A case-study from Zimbabwe
Global Health Action
disability
inclusion
health
zimbabwe
title Should disability-inclusive health be a priority in low-income countries? A case-study from Zimbabwe
title_full Should disability-inclusive health be a priority in low-income countries? A case-study from Zimbabwe
title_fullStr Should disability-inclusive health be a priority in low-income countries? A case-study from Zimbabwe
title_full_unstemmed Should disability-inclusive health be a priority in low-income countries? A case-study from Zimbabwe
title_short Should disability-inclusive health be a priority in low-income countries? A case-study from Zimbabwe
title_sort should disability inclusive health be a priority in low income countries a case study from zimbabwe
topic disability
inclusion
health
zimbabwe
url http://dx.doi.org/10.1080/16549716.2022.2032929
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