SuSanA - Forum Kunena Site Syndication Tue, 28 Jun 2016 05:59:44 +0000 Kunena 1.6 SuSanA - Forum en-gb A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi - by: campbelldb A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi. PLoS One, May 2016

Link to full text

This study explores the WASH priorities of disabled people and uses the social model of disability and the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) framework to look at the relationships between impairments, contextual factors and barriers to WASH access.

Participants reported 50 barriers which related to water and sanitation access, personal and hand hygiene, social attitudes and participation in WASH programs. No two individuals reported facing the same set of barriers. This study found that being female, being from an urban area and having limited wealth and education were likely to increase the number and intensity of the barriers faced by an individual.

This study found that body function limitations such as incontinence, pain and an inability to communicate WASH needs are in and of themselves significant barriers to adequate WASH access. Understanding these access barriers is important for the WASH sector at a time when there is a global push for equitable access.]]>
Inclusion and disability Tue, 17 May 2016 17:24:45 +0000
Re: (Rivised) Questionnaire on Inclusive WASH in schools in low income countries - by: darao
Thank you all for you inputs on questionnaire that I developed last year and based on advices and suggestions, I revised the questions with more focus on current status of WASH sector and progress made.
If you are involved in WASH in school (WinS) programme implementation and actively consider accessibility of programme/facility for disabled school children, I would love to have your inputs through the survey link below based on your knowledge and experiences.

Thank you very much again in advance and look forward to receiving your feedback soon.
(Please let me know if you need clarification or have question on any aspect of this study)

Best regards,

Inclusion and disability Mon, 09 Nov 2015 01:23:43 +0000
Re: Use of grab bars in squat toilets? - by: Carol McCreary
Both of the documents you recommend are wonderful! The why and how of making toilet use easier is clearly illustrated. (And no, I didn't know about them). The one from WEDC is long and comprehensive and is great for awareness and advocacy; very useful for Working Group 9. The Oxfam document has images of grab bars using every kind of materials.

Good design like this serves everyone. I'd like to see grab bars everywhere. We're all TABs - Temporarily Able-Bodied. I worked in Pakistan in the 1990s but now I study good public toilet design for North America. I think squat toilets with grab bars and washing facilities are good design period. They can serve the minority of people who wash for cultural reasons and make it easier for others to wash up following accidents.]]>
Inclusion and disability Tue, 06 Oct 2015 14:45:40 +0000
Re: Use of grab bars in squat toilets? - by: JKMakowka
You are probably aware of this comprehensive book that has several examples for PwD adaptations of squatting toilets:

I have also attached a shorter technical brief from Oxfam that mostly takes pictures and examples from the above book.

Back in 2010 when I was working with handicap international in Pakistan we also brainstormed a few ideas and experimented a bit with various options (but don't have good pictures I can share).

But it was similar to this drawing in from the book above:

But had a second GI pipe below the first to insert a wooden board with a hole to sit. This way it is usable both as a handrail for people with clutches but also as a seat for people that can not squat at all (someone in a wheelchair for example).

Another interesting example I found (picture not from me, I guess it was from another colleague from HI) is this:

I hope this gives you some ideas ]]>
Inclusion and disability Tue, 06 Oct 2015 11:31:05 +0000
Use of grab bars in squat toilets? - by: Carol McCreary
My question is about the use of grab bars in squat toilets. The Wikipedia page on Flush Toilets
has a nice new photo of a contemporary flush squat toilet. Squatting is not easy for all people, especially older people. And young children like something to hold on to as well. Therefore I'd like to find out about the use grab bars or other simple things that help toilet users avoid falls.

  1. Have you ever seen a squat toilet with a grab bar?
  2. Where would be the best location for a grab bar?
  3. Should grab bars be horizontal, vertical or angled to help a user squat and get up from a squat?
  4. Do you have photos of squat toilets with grab bars?

Professor Clara Greed, author of Inclusive Urban Design: Public Toilets
, has suggested that where direct access facilities with private stalls are planned, one toilet room contains a squat toilet and a hose for personal washing. I'd really like to see this in the United States. This could serve members of cultural groups for whom washing after toilet use is the norm or by those who face emergencies where they need to wash: people with Inflammable Bowel Disease or Crohn’s and Colitis and menstruating women. Such a room might also be equipped to serve people needing to change ostomy bags.

What do you think?]]>
Inclusion and disability Mon, 05 Oct 2015 16:44:40 +0000
Unsafe water, its health consequences and disability - national network on Fluorosis in India - by: VikasR
Fluorosis, particularly skeletal fluorosis is a disease that's hugely disabling . It also has a huge psychological cost to the individual who it affects as there is loss of social acceptance and ability to contribute for him, his familiy suffer as well.

There are two things that can prevent the very disabling fluorosis from happening and they are safer water and improved nutrition

For the past 2 years(we started in 2013) We've been trying to link together people through a national network on Fluorosis in India where the problem of Fluoride in groundwater which causes fluorosis is acute,

Rural areas are most affected, as people here mostly rely on groundwater.Though the problem is acute and severely affects rural communities it's not talked about much, not as much atleast as other health issues are talked about.

We have been trying to get people's movements going (people from varied backgrounds; researchers, ngo workers,field organisations, specialists) in the states that have been affected most, and we have also been putting in efforts to bring in health and water related government departments into the bigg picture. We've made our presence felt in states of Assam, Telangana, Karnataka and there have been successes.

The issue needs all the support it can get through the varied ability that this group possesses, I'm creating this new topic "Unsafe Water, it's health consequences and Disability" under the Health and Hygeine, schools forum so a flury of ideas can come in. I urge members to come forward with what they think, with ideas on funding support if possible to help the network spread it's impact in getting people, government to act, communities to get more aware and referal facilities for people suffering to improve.

You can find more about the network on and more about the issue on Please join our facebook group and be part of the conversations around all that's happening in the network.

Please do get in touch at This e-mail address is being protected from spambots. You need JavaScript enabled to view it and This e-mail address is being protected from spambots. You need JavaScript enabled to view it if you'd like to connect through email.]]>
Inclusion and disability Sun, 12 Jul 2015 04:49:36 +0000